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Your one shiny truth -- "gender dysphoric children deserve the best health care possible" -- indeed seems like it should be a shiny truth. But here and now in the United States, we don't even accept "children deserve the best health care possible" as a shiny truth. Somehow, even *that is debatable.

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I appreciate your willingness to admit error. No small thing.

In medicine nothing is 100%, and WPATH is doing its job of oversight. Not everybody is following the standards of care, and those demanding treatment today are not necessarily the same as even five years ago, making physicians’ jobs much more difficult. The new Standards are due by year’s end.

My point about intersex is not the definition of the classification. Yes, some limit it to the old “true hermaphrodite.” But if you include those who don’t line up as “purely” male or female, according to most biologists in this field, led by Professor Mickey Diamond of U Hawai’i who supported David Reimer back in the 70s, you can understand that trans(sexual) persons are biologically who they say they are. Gender identity (a misnomer—should be sexual identity) was proven to exist in 2004. Everyone has a gender identity, though it’s only relevant to those when it’s at odds with one’s genitals.

The question today is to more accurately diagnose those who are trans, and figure out what to do medically with those of the queer/nb generation.

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