Across the United States, conservative politicians are leading a backlash against L.G.B.T.Q. identity, framing legal restrictions as protection of children. Several states have introduced laws to ban medical treatments known as gender-affirming care—including hormones and puberty blockers—prescribed to adolescents. Major medical organizations have approved the treatments, but Rachel Monroe, who has been following efforts to ban gender-affirming care in Texas, found that doctors wouldn’t speak out about the political furor because the resulting attention could endanger themselves, their clinics, and their patients. One specialist, however, was willing to go on the record: Dr. Gina Sequeira, a co-director of the Gender Clinic at Seattle Children’s. “I was growing so frustrated seeing the narrative around gender-affirming care provision for youth so full of misinformation and so full of blatant falsehoods that I couldn't in good conscience continue to stay quiet,” Sequeira told her. Doctors cite a body of data that gender-affirming care reduces the risk of suicide, which is high among trans youth. Sequeira’s Seattle clinic has been fielding calls from Texas families looking to relocate if the proposed ban in Texas prevents their children from accessing care. “If we were to stop care, I would be afraid that our child wouldn’t survive,” the mother of a trans girl told Monroe. “There’s no question that she’s not safe to herself.”

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