{"id":315599,"date":"2025-11-24T12:44:38","date_gmt":"2025-11-24T12:44:38","guid":{"rendered":"https:\/\/peraltafinancing.com\/alabama\/assistant-secretary-for-health-sen-tuberville-condemn-pediatric-gender-affirming-care\/"},"modified":"2025-11-24T12:44:38","modified_gmt":"2025-11-24T12:44:38","slug":"assistant-secretary-for-health-sen-tuberville-condemn-pediatric-gender-affirming-care","status":"publish","type":"post","link":"https:\/\/fivemor.com\/?p=315599","title":{"rendered":"Assistant Secretary for Health, Sen. Tuberville condemn pediatric gender-affirming care"},"content":{"rendered":"


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Alabama physician and Assistant Secretary for Health Dr. Brian Christine defended a controversial U.S. Department of Health and Human Services study on gender dysphoria in children on Wednesday.<\/p>\n

Christine, a urologist who practiced in Homewood, whose appointment to HHS was confirmed by the U.S. Senate in early October, championed the release of a revised version<\/a> of a study, entitled \u201cTreatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices,\u201d alongside peer reviews of the report.<\/p>\n

A previous version of the study was released in May in response to an executive order<\/a> signed by U.S. President Donald Trump, entitled \u201cProtecting Children from Chemical and Surgical Mutilation.\u201d<\/p>\n

The order, signed January 28, called for HHS to release a review within 90 days of \u201cexisting literature on best practices for promoting the health of children who assert gender dysphoria, rapid-onset gender dysphoria, or other identity-based confusion.\u201d<\/p>\n

The May version drew criticism from LGBTQ+ advocacy organizations and medical researchers for only including the name of one of its nine writers or independent peer reviews of its findings.<\/p>\n

\u201cToday, we released a report exposing the truth: pediatric sex-rejecting procedures are not evidence-based. They are dangerous,\u201d Christine wrote. \u201cEnough is enough. Read it for yourself. Protecting children should not be controversial, it is our duty. The tide is turning.\u201d<\/p>\n

In a social media video<\/a> released Wednesday, Christine described the revised version of the study, which included more than 200 pages of peer reviews from nine academics, as \u201cthe most comprehensive review to date of the standard of care for gender dysphoria in minors.\u201d<\/p>\n

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Alongside the addition of peer reviews, the November version of the study includes the names of all its authors as well as editorial and citation corrections.<\/p>\n

Four of the contributing authors are medical doctors, while the remaining hold doctoral degrees in other fields.<\/p>\n

\u201cOver the past decade, the number of children and adolescents who reject their biological sex has risen dramatically,\u201d Christine said. \u201cThese young people and their families are searching for answers to gender dysphoria. They deserve honesty, compassion and the strongest evidence for the help that the medical profession can offer.\u201d<\/p>\n

Christine went on to encourage parents and medical doctors to read the report.<\/p>\n

\u201cMy message to parents and kids navigating a world mired in confusion and despair is very simple: The prior administration and my predecessor, Rachel Levine, manipulated and betrayed vulnerable families,\u201d he said. \u201cThe Trump administration has the wheel now, and we will never, never abandon you.\u201d<\/p>\n

\u201cAt the Department of Health and Human Services, we will continue to be guided by gold standard science, a dedication to radical transparency and always the truth. That is our commitment to the American people, and it\u2019s my promise, my pledge to you as the assistant secretary for health. Blessings upon you, upon your children and upon our republic,\u201d Christine added.<\/p>\n

Christine\u2019s announcement was met with support from U.S. Sen. Tommy Tuberville, R-Ala., who described his statement on gender-affirming care for minors as \u201cspot on\u201d in a Thursday post<\/a> on X.<\/p>\n

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\u201cProtecting our children should NOT be controversial,\u201d Tuberville wrote. \u201c\u2018Gender affirming care\u2019 for minors is DANGEROUS & PURE EVIL.\u201d<\/p>\n

Seven original peer reviews from the American Psychiatric Association and additional medical doctors and professors were released by HHS alongside the updated report. Two additional papers analyzing the study, which were published prior to the agency\u2019s call for peer reviews, were also included.<\/p>\n

While original peer reviews largely appraised the report\u2019s conclusions positively, the APA wrote that it \u201cfails to address the risk of confirmation bias.\u201d<\/p>\n

APA also criticized the study\u2019s reliance on the Cass review, an independent report on gender identity services conducted in the U.K., which \u201chas been criticized by experts for its methodological flaws and biases,\u201d alongside its failure to address findings of the Cass review that \u201cdid not support HHS\u2019s conclusions.\u201d<\/p>\n

\u201cThere is no indication that key stakeholders\u2014namely, transgender individuals, their families, and clinicians \u2013 were consulted or that their perspectives were considered,\u201d APA also wrote. \u201cA comprehensive review of best practices would include input from recipients (both those for whom treatment was beneficial, and those for whom it was not), families, and providers of the treatments under evaluation.\u201d<\/p>\n

Peer reviewer and postdoctoral researcher at Erasmus MC in the Netherlands, Jilles Smids, and peer reviewer Dr. Richard J. Santen, who respectively described the report and its analyses as \u201cwell-argued\u201d and \u201cscientifically sound,\u201d both critiqued the neutrality of the study.<\/p>\n

\u201cIt is clearly not a neutral report in the sense of merely providing the relevant considerations for and against the current gender affirmative treatment model in the US,\u201d Smids wrote. \u201cIt decidedly argues against early medical intervention for [gender dysphoria] in minors.\u201d<\/p>\n

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\u201cThis issue requires thoughtful and in-depth discussion. As this document is not meant to make recommendations, I suggest that the topic be extensively discussed with attention to the pros and cons of this issue,\u201d Santen wrote.<\/p>\n

Meanwhile, peer reviewer Dr. Lane Strathearn described the report as \u201ca comprehensive summary of the evidence base for many treatment practices in pediatric gender medicine,\u201d and a review from Dr. Johan C. Bester described the report as \u201can important and timely work.\u201d<\/p>\n

The revised version of the HHS report and its selection of peer reviewers have also received criticism from Kellan Baker, a senior health policy advisor at the Movement Advancement Project.<\/p>\n

Baker, who co-authored a paper criticizing the original HHS study, drew attention to a number of the peer reviewers\u2019 prior public opposition to gender-affirming medical care for minors in a statement<\/a> released by health and medicine publication STAT10.<\/p>\n

\u201cThey did not engage with anyone with actual clinical expertise in the care of trans youth,\u201d Baker said. \u201cIt is a very small loop of people who have already been on record, as they would call themselves \u2018skeptics,\u2019\u2014I think it\u2019s fair to call them opponents of care for trans young people.\u201d<\/p>\n

The paper co-authored by Baker on the May report was cited in the peer review section of the latest HHS report; however, he said none of its authors were asked to contribute an official peer review.\u00a0<\/p>\n

\u201cThey very clearly picked their own reviewers to tell them what they wanted to hear,\u201d he said.<\/p>\n

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STAT10 reported that, of the peer reviewers, at least two have published prior papers criticizing gender-affirming care practices, while one has co-authored multiple papers with HHS report contributor Moti Gorin.<\/p>\n

Of the paper\u2019s nine contributing authors, six have been paid for consulting work, speaking engagements, or for testifying as an expert opposed to forms of gender-affirming care, prior to their contributions to the study.<\/p>\n

Gender-affirming care for individuals under the age of 19 was made illegal in Alabama by the Vulnerable Child Compassion and Protection Act, enacted into law in 2022. The state\u2019s ban on gender-affirming care for young people has been enforced since January last year, when a federal appeals court struck down a prior preliminary injunction that temporarily blocked the law\u2019s enforcement.<\/p>\n

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Alabama physician and Assistant Secretary for Health Dr. Brian Christine defended a controversial U.S. Department of Health and Human Services study on gender dysphoria in children on Wednesday. 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