> My understanding is that in the US, minors with gender dysphoria who haven't started puberty don't get medical treatment,
It's the wild west in the US. If you have the money you can usually find a doctor who will do whatever you want. We can (and probably should) ask how often it's happening, but children are getting medical and even surgical treatment. I haven't seen any evidence of children under 6 getting hormones or puberty blockers though.
For example:
> Dr. Gallagher said she performed top surgeries on about 40 patients a month, and roughly one or two of them are under 18. Younger patients are usually at least 15, though she has operated on one 13-year-old and one 14-year-old, she said, both of whom had extreme distress about their chests. (https://www.nytimes.com/2022/09/26/health/top-surgery-transg...)
> Over the 3-year study period, a total of 204 gender affirmation surgical cases were
identified: 177 chest/top and 27 genital/bottom surgeries (Table 1). Most cases were
masculinizing chest reconstructions 177/204 (86.8%) with 65/177 (36.7%) of those patients
being less than 18 years of age (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9000168/pdf/jcm...)
> The Komodo analysis of insurance claims found 56 genital surgeries among patients ages 13 to 17 with a prior gender dysphoria diagnosis from 2019 to 2021... In the three years ending in 2021, at least 776 mastectomies were performed in the United States on patients ages 13 to 17 with a gender dysphoria diagnosis, according to Komodo’s data analysis of insurance claims...A total of 17,683 patients, ages 6 through 17, with a prior gender dysphoria diagnosis initiated either puberty blockers or hormones or both during the five-year period. (https://www.reuters.com/investigates/special-report/usa-tran...)
When my mother was younger, there was a trend that girls were supposed to be shorter if they were to be attractive, and fit in.
So medical practitioners provided a 'solution', cutting a chunk of bone out of both legs to reduce height. (Usually reserved for people with asymmetric limbs.)
She desperately wanted to get this major surgery because she had tall poppy syndrome and didn't like life as the tall girl in high school.
Her parents said no, it wasn't a real solution to her anxiety.
She tells that story today and still rolls her eyes at herself for wanting to go through with it.
My heart breaks for these kids who've been enabled by their parents into getting irreversible body modifications. The worst part is that they feel rushed to make a decision because of the puberty window. This is a horrible time to be a child and a parent, truly.
There are many reasons why a comparison like this feels good but is shallow and irrelevant.
But the easiest one I can explain is that this trend was clearly temporary as you and your mother acknowledge. Whereas the history of transgender people in humanity goes back to ancient history and carries through societal trends and gender role evolutions.
The more biting thing I can say is just because "<Something> is a trend", doesn't mean that "<Something else> is a trend too."
It always confuses me how on a site for techies, where people constantly reason about with virtual concepts and abstractions, the idea that physical biology genes and hormones might be typically but not EXCLUSIVELY coupled with mental sentience is so difficult to imagine.
I fully agree that wanting to be a different sex than the one you were born as is different from wanting to be a different height than what you grew into, but I'd bet there's a case to be made that women wanting to be shorter (at least shorter than men) isn't simply a trend but also something that has existed for a very long time.
>It always confuses me how on a site for techies, where people constantly reason about with virtual concepts and abstractions, the idea that physical biology genes and hormones might be typically but not EXCLUSIVELY coupled with mental sentience is so difficult to imagine.
I personally struggle to understand why a site full of techies can't see the human body for what it is, a genuine masterpiece of engineering with the clear and unmistakable hallmarks of purpose and higher order systems design.
Which, in our experience as engineers, is only ever the product of deliberate intelligence and any claim of exception should really raise eyebrows. Anyone who builds anything should have no trouble with this.
Based on that, I don't believe that the human body was designed for gender fluidity, in fact it is clearly deliberately set up to be binary. Any deviation from that default, in human beings, is unintended error. Perhaps due to deleterious genetic mutation or other entropic effects normally seen in complex systems.
Regardless of what you believe though, the safest thing to say is that we don't fully understand the systems in the body yet, and so Chesterton's Fence should apply. And ESPECIALLY so, when it's deciding whether to perform irreversible surgical work on a vulnerable population.
Anyone can cherry pick a few design choices they don't understand and say it was incompetance.
How many contractors arrive on site and incredulously say "what was the last guy thinking?" and actually mean it?
Just because we don't understand the reasoning yet isn't strong evidence of incompentant designs, it's more evidence of our own incompentance.
We used to think that the appendix was vestigial and useless, we used to think that 'Junk dna' was a thing. With more time and research we now know how wrong we were. I'll take the downvotes and predict that we'll keep finding out how wrong we are long into the future on this subject.
To make the "junk DNA" argument for the laryngeal nerve is stretching credulity so much that you're clearly practicing motivated reasoning to argue backwards from a conclusion.
(I have to assume you must not know what the laryngeal nerve point is even about. Google "laryngeal nerve giraffe". Also try "blind spot why do octopus eyes not have it".)
Apply this type of thinking to anything else, and you'll never arrive at accurate or useful outcomes.
It's the wild west in the US. If you have the money you can usually find a doctor who will do whatever you want. We can (and probably should) ask how often it's happening, but children are getting medical and even surgical treatment. I haven't seen any evidence of children under 6 getting hormones or puberty blockers though.
For example:
> Dr. Gallagher said she performed top surgeries on about 40 patients a month, and roughly one or two of them are under 18. Younger patients are usually at least 15, though she has operated on one 13-year-old and one 14-year-old, she said, both of whom had extreme distress about their chests. (https://www.nytimes.com/2022/09/26/health/top-surgery-transg...)
> Over the 3-year study period, a total of 204 gender affirmation surgical cases were identified: 177 chest/top and 27 genital/bottom surgeries (Table 1). Most cases were masculinizing chest reconstructions 177/204 (86.8%) with 65/177 (36.7%) of those patients being less than 18 years of age (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9000168/pdf/jcm...)
> The Komodo analysis of insurance claims found 56 genital surgeries among patients ages 13 to 17 with a prior gender dysphoria diagnosis from 2019 to 2021... In the three years ending in 2021, at least 776 mastectomies were performed in the United States on patients ages 13 to 17 with a gender dysphoria diagnosis, according to Komodo’s data analysis of insurance claims...A total of 17,683 patients, ages 6 through 17, with a prior gender dysphoria diagnosis initiated either puberty blockers or hormones or both during the five-year period. (https://www.reuters.com/investigates/special-report/usa-tran...)