The Guardian (USA)

South Dakota lawmakers vote to jail doctors for treating trans teens

- Guardian staff and agency

South Dakota lawmakers voted in favor of a law that would see doctors jailed for giving puberty-blocking drugs to transgende­r children, the latest in a slew of such bills sweeping the United States.

The bill, which cleared the South Dakota house of representa­tives on Wednesday but still has to clear the state’s senate, would bar doctors in the state from providing anyone under 16 with the drugs, which can temporaril­y stop the body from producing the hormones that lead to puberty, a reversible process.

Critics of the proposed ban say the drugs play a crucial role in allowing trans children struggling with the onset of puberty to hit pause.

“One of the biggest problems for these kids is … their sense of who they are isn’t matching their body,” Anne Dilenschne­ider, a South Dakota psychologi­st, told the Thomson Reuters

Foundation.

“They’ve got a body developing in a way that is causing a huge crisis. And they want it to stop,” said Dilenschne­ider, warning this could make young people suicidal.

Studies have found that young trans people have a much higher suicide rate than their peers.

Proponents of the bill, which would also ban treatments rarely performed on children such as sex reassignme­nt surgery and hormone therapy as well as puberty blockers, say these can harm young people, who may not fully grasp the risks.

Fred Deutsch, a South Dakota Republican representa­tive, described the procedures ahead of the vote as “criminal acts against vulnerable children who are too young to understand the impact”.

The legislatio­n has sparked national backlash from doctors and activists across the country, who say it is rooted in misinforma­tion and seeks to outlaw standards of care outlined by the American Academy of Pediatrics and other major medical organizati­ons.

The bill follows the introducti­on in South Carolina of measures that could see the licenses of doctors who treat trans children revoked, one of a series of such measures in conservati­ve US states.

Lawmakers in Missouri are considerin­g a law that would see parents who allowed such treatments reported to child welfare, while Republican legislator­s in Texas, Georgia and Ken

tucky have proposed banning gender reassignme­nt treatment for minors. The Trump administra­tion has also launched attacks on trans rights with a number of discrimina­tory policies.

Experts and parents of trans children warn such restrictio­ns could harm young people already struggling with the challenges of adolescenc­e and gender dysphoria.

A study of 20,619 trans adults published earlier this month found those who wanted and received pubertyblo­ckers were less likely to have a history of suicidal thoughts or suicide attempts by their mid-30s.

South Dakota resident Rob has a 14year-old daughter who has been on puberty blockers for about a year.

Rob, who asked to be identified only by his first name, said puberty blockers had “made all the difference in the world for my child”, who had been selfharmin­g before she began taking the drugs.

“She changed as a person, back into this friendly, fun-loving child,” said Rob, who describes himself as “100% Republican” but said he was frustrated that politician­s would try to prevent his daughter from accessing the treatment.

“I don’t think the government has any right to step in and dictate what a person does with their own body,” he said. “They’re not protecting anybody.”

The ban passed with 46 votes to 23 in the state’s Republican-controlled house of representa­tives. It will still have to clear the senate, where it may face greater opposition. The state’s governor would have the final say.

 ?? Photograph: Michael Reynolds/EPA ?? A proposed ban would see South Dakota doctors jailed for treating transgende­r teens with puberty-blocking drugs.
Photograph: Michael Reynolds/EPA A proposed ban would see South Dakota doctors jailed for treating transgende­r teens with puberty-blocking drugs.

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