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Internal documents from leading trans medical org show members voiced concerns over ‘experimental’ youth gender interventions

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Internal documents from the leading global medical organization on transgender health care show devastating admittance that they had concerns about youth gender interventions, which are largely experimental. The World Professional Association for Transgender Health (WPATH) advocates for minors to seek transition hormones and surgeries if they feel sure of their trans identity.

However, newly released internal documents show that they admitted privately that youth gender interventions are largely experimental and that minors struggle to give informed consent before undergoing the procedures.

National Review reports on the internal documents, obtained by the nonprofit Environmental Progress reveal that WPATH members have acknowledged behind closed doors that young people often lack the health literacy and discernment to comprehend the gravity of the life-altering medical decisions they’re making and their possible ramifications, such as sterility, derailed sexual development, and general regret.

Adolescents who have received a diagnosis of “gender incongruence” should have access to puberty blockers, cross-sex hormones, and surgeries so long as they demonstrate “the emotional and cognitive maturity required to provide informed consent/assent for the treatment,” WPATH recommends in its Standards of Care 8.

In an internal panel titled Identity Evolution Workshop held on May 6, 2022, WPATH member Dr. Daniel Metzger, a Canadian endocrinologist, explained the challenge of obtaining consent from youth “who haven’t even had biology in high school yet,” the documents show.

Many young people seeking medical interventions such as hormone therapy don’t understand that the injections cause irreversible physical changes that can’t be disaggregated, Metzger explained. Patients don’t always realize they can’t opt for a lower voice without facial hair, for example.

“It’s hard to kind of pick and choose the effects that you want,” Metzger said. “That’s something that kids wouldn’t normally understand because they haven’t had biology yet, but I think a lot of adults as well are hoping to be able to get X without getting Y, and that’s not always possible.”

Metzger said he has had to teach young people that their gender identity may not “be binary, but hormones are binary.”

“You can’t get a deeper voice without probably a bit of a beard,” and “you can’t get estrogen to feel more feminine without some breast development,” he said he’s explained to children.

During the panel, prominent WPATH member Dianne Berg, a child psychologist and co-author of the child chapter of Standards of Care 8, added that children lack the ability to “understand the extent to which some of these medical interventions are impacting them.”

In January 2022, WPATH president Marci Bowers said during a board meeting that the effects of puberty blockers on fertility and “the onset of orgasmic response” are not fully known. Boys who have their puberty blocked early can have “problematic surgical outcomes,” she said, and extreme difficulty climaxing.

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Report: Denver area migrants cost $340 million to shelter, educate

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A report by the free-market Common Sense Institute found the more than 42,000 migrants who have arrived in Denver over the last year and a half have cost the region as much as $340 million. The city of Denver, local school districts, and the region’s health-care system have spent between $216 million and $340 million combined to shelter, feed, clothe, and educate the migrants, and to provide them with emergency medical care.

National Review explains the report builds off a previous report from March that conservatively found that the migrants had cost the region at least $170 million. “Costs are never localized,” said DJ Summers, the institute’s research director. “They expand outward.”

Democratic leaders are being blamed for their welcoming posture toward immigrants generally, and their sanctuary-city policies, which curtail law enforcement’s ability to cooperate with federal immigration agents. Since late December 2022, at least 42,269 migrants — or “newcomers” as Denver leaders call them — have arrived in the city, adds National Review.

The Common Sense Institute report found that the migrant crisis has also hit local emergency rooms hard with extensive expenses. Since December 2022, migrants have made more than 16,000 visits to metro emergency departments. At an estimated cost of about $3,000 per visit, that has resulted in nearly $48 million in uncompensated care.

Summers said those costs are “stressing existing health care organizations,” but they also indirectly hit residents in their pocketbooks through increased insurance prices.

Metro school districts have endured the biggest financial hit — estimated between $98 million and $222 million — according to the Common Sense Institute report. The large range in costs is due to the difficulties researchers had identifying exactly how many new foreign students are tied to the migrant crisis.

The researchers found that since December 2022, 15,725 foreign students have enrolled in local schools. Of those, 6,929 have come from the five countries most closely identified with the migrant crisis — Venezuela, Colombia, El Salvador, Guatemala, and Honduras.

On average, it costs a little over $14,000 to educate a student for a year in a Denver-area public school, but Summers said migrant students likely cost more.

“They have transportation needs that are different, they have acculturation needs that are going to be different, language assistance needs that are going to be different,” he said. “Many of them might need to get up to speed in curriculum. They might need outside tutoring.”

Earlier this year, Colorado lawmakers approved $24 million in state funding to help school districts statewide plug budget holes related to the migrant students.

Summers said the updated Common Sense Institute tally is likely still missing some costs related to the ongoing migrant crisis.

“There are definitely additional costs. We just don’t have a great way to measure them just yet,” he said, noting legal fees, crime, and unreported business and nonprofit expenses.

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