This Catholic League report details why the greatest child abuse scandal of our time—”transitioning” the sexual identity of minors—is so prevalent. It exists largely because of the policies adopted by elites in education and medicine.

Elite Education Organizations

Assoc. of Univ. Professors

In 2022, the AAUP issued a statement saying “academic freedom cannot be understood to support misgendering—referring to someone using a word or pronoun that does not reflect that person’s gender identity—or otherwise serve as an excuse for transphobia or the diminishment of trans, intersex, gender-nonconforming, and nonbinary persons and their lives.”

National Education Association

In 2018, the NEA released a report, “NEA Guidance on Transgender Students’ Rights,” that was meant as a resource to teachers. It offered legal advice on how to best advance these rights.

Elite Medical Associations

American Medical Association

In 2025, the AMA issued a document, “Transgender Individuals’ Access to Public Facilities,” that said that proper medical treatments for transgender persons include “genderaffirming hormone care, puberty suppression and/or gender confirmation surgeries.”

American Academy of Pediatrics

In 2025, a resolution entitled “Recognizing Transgender Patients and Providing Gender Affirming Care,” was ranked as the most important priority for its members.

American Psychological Association

In 2025, it said that treatment for transgender youth “should aim to help children and adolescents explore and understand, rather than change, their gender identity.”

American Psychiatric Association

It defines gender-affirming therapy as “a therapeutic stance that focuses on affirming a patient’s gender identity and does not try to ‘repair’ it.”

Elite Medical Schools

Harvard Medical School

Offers “Gender Affirming Care” to Minors: Yes

Mass General is the teaching hospital of Harvard Medical School. It has a specialized gender-affirming care unit that “performs a variety of highly specialized gender-affirming surgical procedures tailored to meet the needs of transgender and gendernonconforming patients.”

Johns Hopkins Medicine

Offers “Gender Affirming Care” to Minors: Yes

It has a clinic that is “designed to improve the health and wellbeing of gender variant, gender diverse and transgender youth and young adults.” These clinical services are available at the age of 5.

Stanford Medicine

Offers “Gender Affirming Care” to Minors: No

Its Obstetrics and Gynecology claims “to be a leader in providing gender-affirming surgery.”

University of Pennsylvania Perelman School of Medicine

Offers “Gender Affirming Care” to Minors: No

However, it has a code of conduct that forbids “refusing to use the name or pronouns with which a person self-identifies” and “refusing to allow people to use single-gender facilities or programs most closely aligned with their gender identity.”

Columbia University’s Vagelos College of Physicians & Surgeons

Offers “Gender Affirming Care” to Minors: Yes

Columbia extols people to recognize “a person’s gender identity and using their correct pronouns” and demands the use of “gender inclusive language.” It has a section on youth and gender-affirming care for “children as young as 4.”

The David Geffen School of Medicine at UCLA

Offers “Gender Affirming Care” to Minors: Yes

It specializes in “Facial Gender-Affirming Surgery.” It also gives these fellows some experience in chest and genital “reconstruction.”

Yale Medicine

Offers “Gender Affirming Care” to Minors: No

While Yale has scaled back its Gender Program, it still promotes transgender ideology.

Duke University School of Medicine

Offers “Gender Affirming Care” to Minors: Yes

It provides gender-affirming hormone therapy for children 16 and older. For younger children, it offers therapies to “delay puberty.”

NYU Grossman School of Medicine

Offers “Gender Affirming Care” to Minors: Yes

Although NYU initially indicated it would comply with President Trump’s executive order preventing child mutilation, it has since reversed course.

Washington University of St. Louis

Offers “Gender Affirming Care” to Minors: No

While it stopped providing “gender affirming care” to minors in 2023, its transgender center continues to provide “gender affirming care” to adults.

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