The United States has become the world’s most adamant promoter of what is now called “gender-affirming care” for children and adolescents who identify as being other than their born sex. This approach ranges from “social affirmation”—the use of preferred pronouns, for example—to “medical affirmation,” such as puberty blocking, to radical “surgical affirmation,” meaning mastectomies, facial feminization or masculinization cosmetic procedures,
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