Bias, not evidence dominates WPATH transgender standard of care

When looking at the WPATH committee who worked on the current SOC document, a cursory examination of the members reveals that every one of the members have significant COIs.  All of them either receive income based on recommendations in the guidelines, work at clinics or universities who receive funds from advocacy groups, foundations, or pharmaceutical companies who heavily favour a certain treatment paradigm, or have received grants and published papers or research in transgender care. The majority of the members are from the US, and six of them have affiliations with the same university–the University of Minnesota Program in Sexuality, which is primarily funded by a transgender advocacy organization (Tawani Foundation).

Eli Coleman, the committee chair for the WPATH SOC, who IOM guidelines stipulate should be completely free of conflict of interest, has his very position at the University of Minnesota funded by Jennifer Pritzer, a trans person and head of Tawani.

[E]ven though only 6 to 23% of gender dysphoric children will persist into adulthood, WPATH, with no rationale given, endorses suppressing puberty as soon as it starts.

In fact, no rationale is given as to why a medical model of affirmation is recommended in the first place. 

When someone says “transition-related care is safe, effective, and supported by the entire mainstream of the medical community”, they are basing their faith unquestioningly on guidelines that were developed by people and organizations with conflicts of interest, with no systematic review, and with no evidence of safety or efficacy of treatment. These “guidelines” do not meet inclusion criteria for any clinical guideline database and have not received an endorsement from any professional body in Canada. And yet, WPATH guidelines are given as the rationale to support the unthinkable: to physically harm a distressed and vulnerable population.

Source: Bias, not evidence dominates WPATH transgender standard of care – CANADIAN GENDER REPORT

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