It isn’t only teachers who have become activists. Sex-change operations are now commonly referred to, even by doctors and medical centers, as “gender affirming surgeries”—as if doctors had given up the business of curing altogether and instead offered patients mere support and encouragement. Most hormone-dispensing doctors provide no brakes and no reality check on these distressed patients. They are awash in unreality themselves. There are vanishingly few gatekeepers. The very idea that doctors should ever “gatekeep” is widely derided by trans activists, who seem to want the medicine cabinet
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