Gender Affirming Care - McNamara vs Grossman & Crenshaw - Health Subcommittee Hearing (6/14/2023)

Video Description

The US Committee on Energy and Commerce held hearings on 14 June, 2023 which included debate over a proposed amendment which would restrict graduate medical education funding to pediatric hospitals that performed certain gender affirmative care. The bill was sponsored by Texas rep Dan Crenshaw and a lively debate over the issue took place in the hearing. Testimony given and questions taken by: Dr. Meredithe McNamara, MD, MS, FAAP, Assistant Professor, Yale School of Medicine Dr. Miriam Grossman, MD, Child, Adolescent, and Adult Psychiatrist Key Moments - Chapters: 00:00 Master Edit 00:00 McNamara Testimony 00:09 Professional Background 00:57 Medical Political Issue 02:05 5 Categories of Misinformation 02:33 Gender Dysphoria Medical Condition 03:13 Medical Trainees 04:00 Banning Transgender Kids 04:32 Trans Teen Example 05:15 Grossman Testimony 05:31 Professional Background 05:47 Sex Assigned at Birth 06:31 European Halt on Intervention 08:05 Suicide 08:32 Psychotherapy 08:54 Debate Over Standards of Care 09:59 Experimental Care 10:38 Question to Dr McNamara 12:36 Misinformation 13:01 Conversion Therapy 13:28 Suicidality 14:12 Correction regarding precocious puberty 14:20 Growth of Affirmative Care Clinics 14:37 Q: Is the US an outlier? 14:59 Clarification on Precocious Puberty 17:30 Q: What are the long term impacts? 17:35 New Population 18:24 Q: Shifting Population and Long Term Outcomes 18:42 ROGD Population 19:13 Parental Rights and Privacy 19:42 Question Dr McNamara 20:22 Q: What would be the impact on Care? 22:14 Q: Impact on Training? 23:19 Q: Impact on Pediatric Workforce? 24:16 Question McNamara 24:16 Q: Importance of Pediatric and Mental Health care 26:02 Question Dr. McNamara 26:07 Statement on Politicization 27:36 Statement on Suicide 29:07 Q: How does Affirmative Care improve outcomes? 31:12 Question McNamara 31:12 Q: What impact will bill have on Trans Youth and Peds Workforce? 34:04 Question Dr. Grossman 35:40 Q: What treatments for dysphoria are backed by data? 39:42 Question McNamara 39:46 Statement on Government Role in Healthcare 42:46 Q: Please Explain Informed Consent in Affirmative Care 45:21 Statement from Vice Chair 45:58 Statement on Partisan politics 47:03 Q: What is age appropriate gender affirming care? 48:19 Q: Do Professional Associations Support Affirmative care? 48:33 Q: Is the US an outlier? 50:52 Question McNamara 50:58 Statement about partisan politics 53:06 Q: Anything to add or correct? 54:48 Statement Crenshaw 59:35 Statement on Politicization 01:01:04 Q: What type of care would be disrupted? 01:01:54 Statement regarding Boston Children's Hospital and Surgery 01:02:45 Q: What of the dangers to healthcare workers? 01:04:05 Statement 01:05:59 Crenshaw Statement about Culture War 01:06:35 Q: Concern for unknown long-term effects of affirmative care? 01:07:00 Q: What do you mean by cherry-picked data? 01:07:41 Q: Wouldn't you want strong evidence of benefits for therapy? 01:08:18 Q: Is there any strong evidence of benefit at all? 01:08:51 Question McNamara and Grossman 01:09:24 Q: Is an XY Chromosome Assigned at Birth? 01:10:26 Q: Have there been controlled trials of the benefit of affirmative care? 01:12:06 Crenshaw Statement on Affirmation 01:14:16 Q: What of the lack of evidence? 01:15:01 Q: How have professional associations been affected by activists? 01:16:11 Question McNamara 01:17:15 Q: What of Low Quality evidence for Standards of Care ? 01:19:12 Q: What is the process that patients and families go through to get care? 01:19:58 Q: What is the importance of having both medical and mental care? Sources: - https://energycommerce.house.gov/events/health-subcommittee-legislative-hearing-examining-proposals-that-provide-access-to-care-for-patients-and-support-research-for-rare-diseases - Bill text: https://crenshaw.house.gov/_cache/files/7/3/7394a6ec-0490-4e34-a160-cc485e4628c1/99A1262D6DC8161B24BCD8C7C684784C.chgme-reauth-02-xml-35-.pdf