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Assisting a gender dysphoric patient in “transitioning” without laying out the full panoply of medical, psychological, and social consequences violates the physician’s ethical obligation to obtain truly informed consent. The first of two essays.
We signed up to be doctors, but now we are sent into the battlefield. This means that young doctors like me need to grow in the virtues essential to all physicians, especially fortitude and prudence.
This is a fundamental human experience that we're having. Plagues have been described for a very long time. It's just that we ourselves are not used to having it. I would happily stay at home for three months if it meant that my neighbors are not going to die.

This interview is adapted from the Webinar conversation “Pandemic! What Do and Don’t We Know? Robert P. George in Conversation with Nicholas A. Christakis.
As we prepare for the worst and hope for the best, we have daily opportunities to make meaningful impacts on each other and on our communities. We have come together in a new way, and I suspect this will ultimately reshape the future landscapes of our medical practice and our health-care system.
In the next few weeks, as the pandemic perhaps reaches its zenith, we will have the opportunity to decide once again what sort of society we intend to be. We should eschew all invidious discrimination and recommit ourselves to treating all who are ill as bearers of profound, inherent, and equal worth and dignity.
Hadley Arkes and Robert Miller go one more round on the moral norms that govern speech and the government’s authority in prohibiting immoral speech.
Physician-assisted suicide pithily and precisely names the act of a doctor prescribing a lethal drug at his terminally ill patient’s request. However, its advocates reject this name and propose euphemisms in its place, such as “death with dignity” and “end of life option.” These amount to advertisements for the disputed practice and ought to be rejected as imprecise, inaccurate, and jargonistic.
Through the stories we tell and the wisdom of traditions we know, professors should invite students to rethink their lives as a creative call to move outside themselves into relationships with goods, work, and people that are fulfilling and fruitful.
A pattern begins to emerge as we survey some of the best and longest outcome studies on gender transition: the longer the studies and the better the methods, the more negative the results.
Why would Scientific American urge a ban on therapies that may free some from an identity associated with greater depression and suicide, and yet never question “treatments” for gender dysphoria that lead to increased confusion, depression, and suicidal tendencies?
The unstated mythology of therapeutic “abortion care” is that pregnancies come in only two types: wanted pregnancies, all of which children are delivered, and unwanted pregnancies, all of which children are aborted. But that’s not true. At least one in seven abortions in the U.S. are of children that the mother reports were wanted. I recently found that the risk of depression, suicidality or anxiety disorders from such abortions was almost four times higher than for women who had aborted a child in an unwanted pregnancy. Mine is the first empirical study ever to examine these more distressing, invisible abortions.
The Pediatric Endocrine Society recently issued a statement claiming that the effects of puberty-blocking medications on normal puberty are reversible. Has the FDA determined that there is scientific evidence to validate this claim? Have there been any rigorous long-term studies addressing this question? Is social transition truly harmless? Is it ethical to continue this experiment on children? The answer to all of those questions is no.
The team at Public Discourse doesn’t pretend to have all the answers, but we do think we’re asking the right questions, and getting the right thinkers to propose some of the answers. That’s one thing that we hope will always be our hallmark: thoughtful, reasoned discourse, which is rigorous yet still accessible to the educated layman.
Rather than teaching children to identify based on how well they fit prevailing cultural expectations on sex, we should be teaching them that the truth of their sexual identity is based on their bodies, and that sometimes cultural associations attached to the sexes are misguided or simply too narrow. There is a wonderfully rich array of ways of expressing one’s embodiment as male or female.
Patient freedom would not survive a single-payer federally controlled health care system. The right to life would not survive a single-payer health care system. The right of religious freedom and faithfully Catholic health care would not survive such a federally controlled single-payer system.
Given the risks of assisted reproductive technologies and gene-editing technologies for both individuals and society as a whole, a hands-off, libertarian approach to these issues is ethically irresponsible. Because these technologies imply a radical transformation in our understanding of the meaning of parenthood and our approach to the next generation, we must ask ourselves what sort of world these technologies are creating, and whether it is the sort of world that we want for our children and grandchildren.
Data from a new study show that the beneficial effect of surgery for transgender people is so small that a clinic may have to perform as many as 49 gender-affirming surgeries before they could expect to prevent one additional person from seeking subsequent mental health treatment. Yet that’s not what the authors say. That the authors corrupted otherwise-excellent data and analyses with a skewed interpretation signals an abandonment of scientific rigor and reason in favor of complicity with activist groups seeking to normalize infertility-inducing and permanently disfiguring surgeries.
In amicus briefs to the Supreme Court in cases about sex, sexual orientation, and gender identity, some American Muslims argue from their beliefs while others push LGBT causes. This contrast provides non-Muslims a window into the teachings of Islam, and a ringside seat for intra-Muslim conflicts. At stake is whether truth claims or identity politics will prevail.
Why do transgender activists so strongly reject the concept of autogynephilia, in which a man wants to be a woman because of an erotic attachment to the idea of himself as a woman? Shutting down scientific inquiry via political pressure impedes the objective advancement of science. Further, denying the validity of the autogynephilia theory can harm gender-dysphoric patients by denying them access to therapies that could help them overcome their specific problems.
When it comes to healthcare, economics tells us that we can do better. Distributive justice demands from us that we do better. A judicious combination of market forces, regulation, and transfers can provide us with more efficient healthcare for all, at a cheaper price.
At stake in the Harris Funeral Homes case is whether the physical reality of sex will be deemed a mere stereotype—whether, for all public and practical purposes, everyone’s “identity” is arbitrarily and accidentally related to his or her body as ghost to machine.
The constitutional framers knew that not everyone would always agree on how other people exercised their fundamental rights, such as property and religious liberty, which was precisely why those rights were enshrined in the Constitution. However, modern progressives have sought to undermine that constitutional consensus.
A new study purports to prove the harms of “conversion therapy” for those who identify as transgender. But there are at least four good reasons for being leery of the results appearing therein.
Christians cannot support so-called “Fairness For All” for this overarching reason: it is grounded in an unbiblical conception of the human person. The Scripture will not allow us to see any ungodly “orientation” or “identity” as essential to our humanity, as directed toward our flourishing, and thus enshrined in law as a protected category.