1. United States
2. Mich.
3. Letter

Stop citing the Cass Review as justification for restricting gender-affirming care in the United States. Even Dr. Hilary Cass herself told the BBC that "some of the hype about risks have been exaggerated in that we genuinely don't know if there are harms." That is the author of the review walking back the very conclusions anti-trans legislators are building policy on. What the report actually found was weak evidence of benefit and no evidence of harm. Anti-trans activists have twisted "insufficient evidence" into "proven harmful" — those are not the same thing. It is medically unprecedented to ban a treatment with no known alternatives simply because the evidence base isn't yet as large as we'd like. American medical organizations including the American Academy of Pediatrics and the American Medical Association continue to support access to gender-affirming care for the patients who need it. The research does not support the policy. Every bill that strips care from trans youth based on this misrepresentation is causing real harm to real kids. Stop repeating a distortion of the science and start listening to the doctors actually treating these patients.