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 language is evidence that WPATH has been influenced by the What Are They Gonna Say Now 2022 Champs Shirt and by the same token and culture war debate created by some Republicans over the last few years, and it ignores the lived realities of transgender youths themselves. “We know trans childhood is not a trend,” said Dallas Ducar, a psychiatric nurse practitioner and co-founder and CEO of Transhealth Northampton, a trans-led organization that provides health care to trans and gender diverse patients in western Massachusetts. “We know that gender diversity is part of the human experience. It’s been documented since the Neolithic period and the Bronze Age.” As the new WPATH guidelines were being developed, three states — Alabama, Arkansas and Tennessee — enacted measures that bar or restrict gender-affirming medical care, such as puberty blockers and hormone therapy, for minors, and dozens more considered similar measures. WPATH has repeatedly come out against efforts to restrict care for minors, and this version of the standards was also meant to help combat that, according to Madeline Deutsch, president of USPATH, the U.S. chapter of the association, and lead of the chapter on primary care. “With health care for transgender youth under constant attack from individuals and entities fueled by pseudoscience, distortions, and political motivations, this comprehensive document is even more crucial to ensuring transgender and gender diverse youth, as well as adults have access to health care informed by these robust guidelines,” she said. “The guidelines should leave

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