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These pivots deal a significant blow to Canadian activists and politicians who rely on the supposed professional consensus to defend these highly contested, unproven treatments for youth.
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Yeah, no one serious is relying on US professional consensus for guidance in these kinds of things at this point. The organizations are either led by hardcore Trump supporters (as in the ASPS) or they're trying to walk the line to avoid getting targeted by the administration.
And ultimately, the AMA's position is basically the same as it has ever been; namely that gender affirming surgery for trans youth should generally be deferred into adulthood, which is why it's so rare.