Inside the 409-Page Trump Administration Report Challenging "Gender-Affirming Care": AM Update 5/26

Summary

The Megyn Kelly Show: Inside the 409-Page Trump Administration Report Challenging "Gender-Affirming Care"

Release Date: May 26, 2025

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Overview

In this special Memorial Day edition of The Megyn Kelly Show, host Megyn Kelly delves into the controversial and comprehensive 409-page report released by the Department of Health and Human Services (HHS). The report scrutinizes the risks associated with gender-affirming medical treatments administered to children experiencing gender dysphoria. Featuring insights from whistleblower Dr. Aytan Haim and Deputy Assistant to the President May Mailman, the episode explores the implications of the report on federal funding, medical guidelines, and the broader political landscape.

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Key Discussions

1. Introduction to the HHS Report

   Megyn Kelly opens the episode by highlighting the significance of the HHS report titled Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices. The report evaluates the safety and efficacy of puberty blockers, hormone therapy, and gender surgeries for minors.

2. Whistleblower Insights: Dr. Aytan Haim

   • Concerns Over Language and Terminology

     Dr. Aytan Haim criticizes the medical community's use of euphemistic language, arguing that terms like "gender affirming care" and "top surgery" obscure the gravity of the procedures. He states:

     "Sex assigned at birth is another euphemism they use to, like, bully people into ignoring what they know to be true. Like, that's a completely insane, non-medical, it's essentially witchcraft." (04:17)

   • Risks of Medical Interventions

     Highlighting the potential irreversible effects of puberty blockers, Dr. Haim explains:

     "They were originally used for advanced prostate cancer. Even adult men can hardly tolerate it and we're giving it to 11-year-old children." (07:25)

     He further elaborates on the long-term impacts, including infertility and changes to bone density and brain development.

   • Critique of Medical Consensus

     Dr. Haim challenges the prevailing medical consensus, suggesting that guidelines from organizations like the World Professional Association for Transgender Health (WPATH) are ideologically driven rather than evidence-based:

     "All of these guidelines...come from WPATH. They use their activists and their so-called experts, then they launder out those activists and experts to other organizations." (08:29)

3. Policy Implications: Deputy Assistant to the President May Mailman

   • Financial Considerations and Medicaid Funding

     May Mailman discusses how the HHS report could influence federal funding, particularly concerning the allocation of Medicaid funds:

     "If there are hospitals that are trying to harm kids but to have life-altering interventions for kids who the vast majority of them are going to grow out of their gender dysphoria, then we're going to absolutely have now a stronger scientific basis to say that this is not an appropriate use of Medicaid money." (14:43)

   • Legal Ramifications and Accountability

     Mailman emphasizes the potential for the report to support future legal actions against medical providers, especially in cases where minors detransition:

     "It basically shows that doctors who are relying on WPATH or other junk science...are not based on scientific evidence." (15:17)

   • Neutral Language and Broad Audience Appeal

     She underscores the administration's aim for the report to resonate with a wide audience, including policymakers and individuals uncertain about their stance:

     "The report itself is meant to speak to both a medical and an audience that hasn't made up their mind yet." (12:39)

4. Counterpoints and Organizational Responses

   • WPATH's Rebuttal

     WPATH has responded to the HHS report, asserting that it misrepresents existing research and undermines the expertise of professionals dedicated to transgender youth care:

     "It misrepresents existing research and disregards the expertise of professionals who have been working with transgender and gender-diverse youth for decades." (09:29)

   • Acknowledgment of Informed Consent Issues

     A leaked videotape featuring a WPATH representative admits challenges in ensuring informed consent among minors:

     "Most of the kids are nowhere in any kind of a brain space to really, really, really talk about it in a serious." (09:16)

5. Future Outlook and Concluding Insights

   Megyn Kelly summarizes the episode by emphasizing the report's critical stance on current gender-affirming practices for youth, highlighting the call for a reevaluation of medical guidelines and increased accountability for medical institutions.

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Notable Quotes

• Dr. Aytan Haim on Language Manipulation:

  "Gender affirming care is a meaningless phrase that has no definition. They never define gender, they never find affirming, and then it's unclear how they're caring for these patients." (04:17)

• Dr. Haim on Puberty Blockers Reversibility:

  "The language they often use is reversible, and that again, is a euphemism for something much more sinister." (06:41)

• May Mailman on Legal Support for Detransitioners:

  "They do deserve strong legal representation... the WPATH experts are laundered out to the American Academy of Pediatrics, the Endocrine Society, the American Medical Association." (15:17)

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Conclusion

This episode of The Megyn Kelly Show presents a critical examination of the Trump administration's HHS report on gender-affirming care for minors. Through expert testimonies and detailed analysis, the show raises important questions about the scientific basis, ethical considerations, and long-term implications of current medical practices concerning gender dysphoria in youth. As the debate continues, the report serves as a catalyst for potential policy shifts and legal challenges within the realm of transgender healthcare.

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For those interested in further discussions and updates on this topic, tune into future episodes of The Megyn Kelly Show on SiriusXM Triumph Channel 111, YouTube, and all major podcast platforms.

Transcript

[Megyn Kelly]

Good morning everyone. I'm Megyn Kelly. It's Monday, May 26, 2025 and this is your special Memorial Day edition of the AM update. A deep dive into the explosive 409 page HHS report exposing the risks of controversial medical treatments given to children with gender dysphoria.

[Dr. Aytan Haim]

Even adult men can hardly tolerate it and we're giving it to 11 year old children.

[Megyn Kelly]

Whistleblower Dr. Aytan Haim breaks down the.

[Mae Mailman]

Findings then we're gonna absol have now a stronger scientific basis to say that this is not an appropriate use of Medicaid money.

[Megyn Kelly]

Deputy Assistant to the President May Mailman lays out what this means for federal funding and the political fight ahead. All that and more coming up in just a moment on your AM Update.

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[Megyn Kelly]

In January, President Trump signing an executive order titled Protecting children from Chemical and Surgical mutilation, marking a major step toward a key priority of the administration ending what it calls a dangerous medical trend harming America's youth. Among its directives, a full scientific review of current medical guidance. That review released in early May, a 409 page report titled Treatment for Pediatric Gender Dysphoria, Review of Evidence and Best Practices. According to the report, quote, an estimated 3.3% of adolescents in the US identify as transgender and an additional 2.2% question whether they might be a growing number of these minors receiving drastic, often permanent medical interventions pitched as necessary, even life saving. The report covering the risks, outcomes and scientific basis behind puberty blockers, hormone therapy and gender surgeries on children, ultimately concluding that the Evidence supporting these treatments is low quality and the potential for irreversible harm is high. It also includes testimony from whistleblowers who say children are being rushed into life altering procedures without proper safeguards. One chapter taking aim at major medical groups like the World Professional association for Transgender Health, known as wpath, the American Academy of Pediatrics and the Endocrine Society. For using vague, ideologically loaded language that obscures biological reality, proponents of medicalization go to extraordinary lengths to avoid the plain use of the words male and female and related words such as boy and girl. When sex is defined, the definition is rarely correct and, and in any case, the preferred phrase is sex assigned at birth. That's a phrase HHS says is medically inaccurate. Medical organizations endorse this vague language as a means of destigmatizing gender dysphoria and promoting what they call gender affirming care. But the report argues this language manipulation is misleading, ideologically driven, and obscures the biological reality at the heart of the debate. We spoke to Dr. Ayten Haim, one of the whistleblowers cited in the report. He says this language is not just misleading, it is deliberately deceptive.

[Dr. Aytan Haim]

Sex assigned at birth is another euphemism they use to, like, bully people into ignoring what they know to be true. Like, that's a completely insane, non medical, it's essentially witchcraft. Gender affirming care is a meaningless phrase that has no definition. They never define gender, they never find affirming, and then it's unclear how they're caring for these patients. So that's one thing I think that's great about this HHS report is that they use language that better defines what's actually happening.

[Megyn Kelly]

Dr. Haim says terms like gender affirming care and top surgery used to describe double mastectomies on healthy teenage girls are euphemisms meant to sanitize radical, potentially devastating procedures.

[Dr. Aytan Haim]

That's what's really concerning as a surgeon is the euphemisms they use for these very radical surgeries. What quote, unquote, top surgery involves is the resection of all of the breast tissue in a female. And who they're recommending this to is not only adult patients, but, but pediatric patients, children who are 15, 16, 17 years old.

[Megyn Kelly]

According to a 2023 study published by the American Medical association, between 2016 and 2020, at least 3,215 patients between the ages of 12 and 18 underwent breast or chest procedures as part of gender transition surgeries. The HHS report also scrutinizing puberty blockers promoted by activists as safe, temporary and fully reversible. Wpath describes puberty blockers as a pause button, giving children time to explore their gender identity without the pressure of ongoing physical development. But the HHS report strongly challenges that framing, citing studies that show over 90% of children who begin puberty blockers go on to the more invasive interventions like cross sex hormones, whereas if left alone, most children will grow out of their gender dysphoria. The report also takes aim at one of the most common talking points, that puberty blockers are reversible, which Dr. Haim calls medically dishonest.

[Dr. Aytan Haim]

The language they often use is reversible, and that again, is a euphemism. It's a euphemism for something much more sinister because with medicine and surgery, there's nothing that is technically reversible. What's more accurate is to say the effects can be minimized. So say a child receives one round of puberty blockers. If they go back to, you know, withdraw themselves from these gender clinics, go back into puberty, it's not reversible. What you would say is that the effects are minimal.

[Megyn Kelly]

Rather than pressing pause, the report suggests these drugs act more like a fast track toward permanent medical transition. Dr. Haim explaining how puberty blockers affect the body.

[Dr. Aytan Haim]

They were originally used for advanced prostate cancer. Even adult men can hardly tolerate it and we're giving it to 11 year old children. It's like doing a million micro surgeries on your cells every single day for years. If you block Tanner stage two, they will become infertile. They will not develop their secondary sexual characteristics. When you block the progression of puberty, you will have permanent changes to your bone density. You will withdraw the sex hormone hormones required for brain development.

[Megyn Kelly]

Despite their widespread use, the HHS report makes clear the long term effects of puberty blockers and other medical interventions for gender dysphoria remain largely unknown. Dr. Haim says WPATH's influence reaches far beyond its own ranks, shaping the policies and guidance of nearly every major medical association in the country. What looks like A medical consensus, Dr. Haim argues, is actually a closed loop where activist driven guidelines are recycled, repackaged and passed off as settled science.

[Dr. Aytan Haim]

All of these guidelines, right, all of these statements about gender, quote, quote, unquote, gender affirming care being medically necessary, it comes from wpath. They use their activists and their so called experts, then they launder out those activists and experts to other organizations. And that's one thing that the HHS report demonstrates beyond a reasonable doubt. The WPATH experts are laundered out to the American Academy of Pediatrics, the Endocrine Society, the American Medical association, and then these other organizations then use the same flawed talking points from WPATH to create the perception of a consensus.

[Megyn Kelly]

WPATH reps exposed last year in leaked videotape acknowledging that children cannot possibly give informed consent to these procedures, which can cause sterility and loss of all sexual function.

[WPATH Representative]

So we're often explaining these sorts of things to people who haven't even had biology in high school yet. I think when we're doing informed consent, I know that that's still a big lacuna. We try to talk about it, but most of the kids are nowhere in any kind of a brain space to really, really, really talk about it. In a serious.

[Megyn Kelly]

WPATH has responded to the HHS report saying it, quote, misrepresents existing research and disregards the expertise of professionals who have been working with transgender and gender diverse youth for decades. Dr. Haim explains why so many doctors with years of medical training fall in line with guidance that to outsiders can seem extreme or even irrational.

[Dr. Aytan Haim]

You know, we work by professional guidelines. Whatever direction the mainstream of medicine is going, most doctors will abide by because there is a massive risk in breaking away from that mainstream. That risk is, you know, being professionally ostracized, being fired, having your credentials, you know, looked at by, you know, your state medical organization, which will absolutely happen if you do break away from the mainstream.

[Megyn Kelly]

While the HHS report does not call to implement specific laws or regulations, its findings speak volumes. The evidence for medical transition in children is weak, the risks are extremely serious, and therapy remains the safest path forward. Coming up, what's the point of a 409 page report if it does not make any specific recommendations? Deputy Assistant to the President Mae Mailman joins us to explain how this report could still reshape policy moving forward.

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[Megyn Kelly]

The executive order commissioning HHS's treatment for pediatric gender dysphoria, review of evidence and best practices used bold language accusing medical providers of quote, maiming and sterilizing a growing number of impressionable children. We spoke to Deputy assistant to the President May Mailman, a key architect behind the Trump administration's gender based executive orders, who explained the approach the administration took to the executive order and the report.

[Mae Mailman]

Well, the report itself is meant to speak to both a medical and an audience that hasn't made up their mind yet. So maybe you're somebody and you feel like your kid might be going down this path. Maybe you're a judge, maybe you're a policymaker, maybe you're on the left and this report should be approachable to you as a truly balanced, non triggering, readable, usable document. And so the language is attempted to be truly neutral.

[Megyn Kelly]

While the report does not spell out specific policy changes, Mailman says it gives lawmakers, regulators and and even private institutions a new scientific foundation to revisit their medical guidelines. The report offering a neutral counterweight to the ideologically driven recommendations of groups like wpath, a leading pusher of so called gender affirming care and one of the strongest voices trying to normalize radical medical interventions on children.

[Mae Mailman]

One of the problems is that not only doctors, but judges, government entities, state and local governments, we're oftentimes relying on the W path or sort of politically charged, very pro, quote unquote transition medical material. I use medical pretty loosely there. Now you've got some basis to go look at that. But from a administration perspective, if we're looking at where our Medicaid money is going, for example, and there are hospitals that are trying to harm kids but to have life altering interventions for kids who the vast majority of them are going to grow out of their gender dysphoria, then we're going to absolutely have now a stronger scientific basis to say that this is not an appropriate use of Medicaid money.

[Megyn Kelly]

Mailman also saying the report could strengthen future legal action, especially for child detransitioners or who later feel they were misled by doctors or pushed into irreversible procedures by exposing what she calls the weak scientific basis behind today's so called standards of care. Mailman saying the findings could help patients like Chloe Cole, who had a double mastectomy at age 15 and who later detransitioned, hold doctors and institutions accountable, giving courts a framework for challenging what many now see as as experimental medicine.

[Mae Mailman]

My hope is that the the way to fund Chloe Cole and other D transitioners who do deserve strong legal representation is if there's money on the other side, right? If they can sue and if they can win. That is what this document, what the Gender Dysphoria Review will help with because it basically shows that doctors who are relying on WPATH or other junk science that they know that they know that this is based on nothing, that the WPATH is not only a political document, but a lot of the quote unquote standards of care that are being pushed right now in the United States are not based on scientific evidence.

[Megyn Kelly]

That'll do it for your AM Update, I'm Megyn Kelly. Join me back here for a brand new Megyn Kelly show today live on C SiriusXM triumph channel 111 at noon east on YouTube.com megankelly and on all podcast platforms.

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