San Francisco Chronicle

Conservati­ve group suing Kaiser over transgende­r care

- By Erin Allday Reach Erin Allday: eallday@sfchronicl­e.com; Twitter: @erinallday

The conservati­ve nonprofit Center for American Liberty said Thursday that it has filed a lawsuit against Kaiser Permanente alleging that it provided inappropri­ate gender hormone therapies and surgical procedures to a teenager who later de-transition­ed.

The teenager at the center of the lawsuit is Chloe Cole, 18, who has been outspoken nationally about her experience­s with gender dysphoria, which led to her starting puberty blockers and hormone therapy at age 13 and getting a double mastectomy at 15. She decided to de-transition when she was 17.

In the time since, her case has become a political touchstone for conservati­ve groups pushing against transgende­r rights and access to gender-affirming care for young people.

The lawsuit, filed in San Joaquin Superior Court in Manteca on Wednesday by the Center for American Liberty along with the Dhillon Law Group and LiMandri & Jonna LLP, states that Cole was diagnosed with gender dysphoria at age 9 and was treated at Kaiser clinics in the Bay Area between ages 13 and 17.

She said she decided to de-transition after realizing she might want to have children someday and she wouldn’t be able to breastfeed them.

De-transition­ing is uncommon, according to the National Center for Transgende­r Equality. In a 2015 survey, about 8% of transgende­r respondent­s said they had de-transition­ed at some point, though in most cases it was temporary and they later resumed transition­ing. Only about 0.4% of respondent­s said they detransiti­oned because they had realized gender transition was not what they wanted.

“Research tells us that the overwhelmi­ng majority of people who transition medically are satisfied with their decision to do so,” said Rodrigo Heng-Lehtinen, executive director of the National Center for Transgende­r Equality, in a statement. “Of the small number of people who have de-transition­ed, more than 80% did so because of external pressures such as rejection from family and discrimina­tion in education or employment.”

Conservati­ve groups have held up de-transition­ing as a reason for delaying or restrictin­g access to gender-affirming care for children and adolescent­s.

Cole has become a poster child for rightwing resistance to transgende­r care, making appearance­s on conservati­ve media and offering testimony on transgende­r legislatio­n in several states, including California. In September, she spoke against a bill, introduced by Sen. Scott Wiener, D-San Francisco, to make California a sanctuary state for children seeking gender-affirming care. The bill was passed and the law went into effect in January.

 ?? Drew Angerer/Getty Images ?? Chloe Cole is at the center of a transgende­r care lawsuit filed by Center for American Liberty against Kaiser.
Drew Angerer/Getty Images Chloe Cole is at the center of a transgende­r care lawsuit filed by Center for American Liberty against Kaiser.

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