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It is interesting to note that the challenges facing those who question the legitimacy of the affirmative approach to gender dysphoria in children that exist in France are mirrored in Australia and most likely around the world.

The French Health Minister Frédéric Valletoux statement that “when it comes to medical issues, I will never allow political decisions to take precedence unless they are informed by scientific debate.”

It is a twofold lost cause:

• The ‘scientific debate’ Valletoux referred to is simply the opinion of zealots in the medical profession who are convinced they know what they are doing and thus are justified in short-circuiting the standard demands of building an evidence base.

• Our politicians do not have the courage to undertake a serious review (aka Royal Commission) into the ethics and justification of this dreadful intervention.

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Yes Vincent, to perhaps oversimplify the “ debate” the intolerance of any threat of challenge to the basis of the ideology of gender identity is clearly the result of the triumph of empathy over evidence based rational thinking. To further oversimplify, and risk offending ( certainly the activists) we can only ponder on the likely outcome for vulnerable children who have presented in the tsunami of ROGD , if the demographic of the clinical leaders within the children’s gender clinics had been dominated by mere males? Feelings have been always more likely to dominate the nature of one’s reaction where empathy is abundant. Biological differences have played a part and medical professionals are no different and such basic differences , have facilitated the collaboration of our medical professionals with our social science colleagues who have lead us down a path “ paved with good intentions “.

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After all this time, it still boggles my mind how so many so called “experts” have continued to hold the line on this outrageous and heinous “therapy,” “gender affirming care.” Any physician knows that it is a pile of bunk; that shutting down puberty, an essential part of human growth and maturation can never lead to a good outcome.

What also troubles me is that most of these offenders, and that is what physicians who prescribe this garbage are, will never be held accountable.

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I thought that was part of the reason why we had a statuary regulatory body. AHPRA’s charter extends beyond the simple oversight of the accreditation of practitioners within the various scopes of practice, ostensibly to include “ protection of the public “ from harm. Unfortunately any such action taken by the body is one of reaction to received “ notifications “ ( i.e. complaints). In regards to the plight of children caught up in medical intervention of their GD , the statuary body’s position is guided by current legislation in each State and Territory. It would take a notification from within the profession to instigate any challenge to the legally obligatory status of “ gender affirmative care” . The ball is firmly in the court of our profession’s leaders

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Agree, unlikely that they'd ever be held accountable in a medico-legal sense. However, when the curtain does finally fall they will, despite protestations, be humiliated, and the whole sorry saga will serve as a reminder to all potential zealots of the importance of evidence base.

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