Breaking the Code of Silence on Gender Medicine | RealClearPolitics

RealClearPolitics

by James Meigs, Wall Street Journal

February 14, 2026

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Breaking the Code of Silence on Gender Medicine | RealClearPolitics A recent article in *RealClearPolitics* raises critical questions about the delayed response from medical associations regarding gender transitions for minors. The piece highlights growing concerns that such procedures may not always be in the best interest of young patients, despite earlier support from major medical organizations like the American Medical Association (AMA) and the American Psychiatric Association (APA). These groups have only recently begun to question the efficacy and safety of certain transition practices, sparking debates over why it took so long for such doubts to surface. The article explores the evolving landscape of gender medicine, noting that while some professionals have long criticized the rush to prescribe puberty blockers or perform surgeries on minors. Recent policy shifts, such as those in Texas and Florida restricting access to gender-affirming care, have further divided opinions. Critics argue that these actions are driven by political motivations rather than medical evidence. Meanwhile, medical associations are under increasing pressure to provide clearer guidelines based on rigorous research. The delay in addressing these concerns can be attributed to a complex interplay of factors, including the desire for consensus within the medical community and the fear of backlash from advocacy groups or the media. Additionally, the highly charged political climate has made it difficult for doctors and researchers to speak openly about their findings without being labeled as biased or anti-transgender. The implications of this silence are significant, particularly for those interested in politics

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Originally published on RealClearPolitics on 2/14/2026