Dr. Aytan Haim (4:17)

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 (4:55)

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 (5:09)

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 (5:38)

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 (6:41)

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 (7:15)

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 (7:25)

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 (7:56)

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 (8:29)

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 (9:16)

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 (9:29)

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 (9:45)

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 (10:07)

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 (10:35)

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 (11:29)

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Megyn Kelly (12:11)

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 (12:39)

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 (13:16)

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 (13:44)

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 (14:43)

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 (15:17)

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 (16:01)

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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