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Oh, bless the hearts of the gender-affirming care activists, still out there waving their rainbow flags like it’s 2015, undeterred by the pesky little detail that the evidence for this stuff is about as solid as a house of cards in a windstorm. You’d think a growing pile of studies—like the Cass Review out of the UK, which basically said, “Uh, guys, we’ve got no clue if this actually works long-term”—might slow them down. But no, they’re still preaching the gospel of hormones and surgeries for kids with the zeal of a late-night infomercial host, insisting it’s all about “saving lives.” Never mind that the data’s a mess—small samples, short follow-ups, and a whole lot of “trust us, it feels right.” It’s activism as performance art, and the show must go on, evidence be damned.

Meanwhile, the science keeps whispering inconvenient truths, like how many kids with gender dysphoria naturally sort themselves out by puberty if you just leave them alone—up to 80% or more, according to some studies. But why let a little thing like biology get in the way of a good narrative? Activists are too busy clutching their pearls over “transphobia” to notice that the American Academy of Pediatrics got caught with its pants down, basing its full-throated endorsement on vibes rather than rigorous trials. The systematic reviews—those boring, gold-standard things—keep coming up empty on proof that this care does more good than harm long-term, yet the megaphones stay on full blast. It’s almost admirable, this dedication to vibes over victory.

So here we are, with clinics still doling out blockers and binders like candy at a parade, while the activists insist anyone questioning the efficacy is just a bigot who hates happiness. Sweden, Finland, and even parts of the UK are pumping the brakes, shifting to therapy-first approaches because the evidence isn’t there—but not our intrepid North American crusaders! They’ve got anecdotes, TikTok testimonials, and a moral superiority complex to keep the train chugging along. Who needs peer-reviewed proof when you’ve got a cause this shiny? It’s not about whether it works—it’s about signaling you’re on the right side of history, even if history ends up laughing at the whole charade. Curtain’s up, folks—don’t expect a plot twist anytime soon.

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