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LC Sharkey (they/them)'s avatar

There is one argument I don't remember ever seeing made, but it seems important to me. I would be curious to hear from others why it is not discussed, because I think I must be missing something:

Why do we debate the reality of "gender" at all, in the context of providing gender-affirming health care? The science is solid, and virtually undeniable: people - and especially children - who receive the care they say they need are much more likely to thrive than those who don't. While all the discussion and research around gender is necessary in general, in regards specifically to whether or not various modes of health care should be provided, none of the discussion impacts that decision. Let's say, for the sake of argument, that gender is really just a social construct (it's not, but let's pretend for a moment it is). If that were the case, it would still be verifiable fact that the current health care modalities have the best outcomes. People who receive it benefit greatly from it, and much more so than any alternative treatments (eg, conversion therapy). That being the case, the whole debate should be moot. A health related issue is resolved successfully, and no other path offers comparable success rates. End of discussion. It should be available to anyone who believes they need it, and nobody but that person and, possibly their health care providers, has any business questioning or demanding justification for it. Why do we feel the need to convince terfs of the reality of gender in order to defend people's right to access gender-affirming health care?

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Melody (she/her)'s avatar

I find myself often having to make the point in trans spaces, because even ourselves and our allies have heard the talking point "gender is a construct" so many times in other contexts in early feminist spaces where identity was never the point of the conversation and never separated from roles (and subsequently co-opted by terfs) they've accepted that as a truth.. A case of "repeat it often enough...".

No, I say, gender ROLES are a social construct.

Gender IDENTITY is an intrinsic characteristic.

We're not just fighting terfs on this. We are pushing back against a formulation that was just not inclusive (as opposed to the terf exclusive) simply because the people who created it were unaware of trans folk, and particularly women who were trans, in the first place.

In those days we were misgendered as a matter of course by the mental health and medical communities who'd not bothered to actually understand us before shoehorning us into their then limited model of what we would now understand as gender role non-conformity when we were something else entirely.

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