Pulitzer Prize-winning critic Andrea Long Chu delivers a characteristically provocative essay that skewers the anti-trans movement, including people she calls trans-agnostic reactionary liberals, or TARLs. She also asserts that trans advocates could, and should, make their cause more expansive:
The TARL will typically acknowledge the existence of a group of fully developed adults whose medically verified gender dysphoria is so persistent and distressing that the argument for compassionate care outweighs the Hippocratic prohibition on harming a perfectly healthy body. The basic strategy here is to create a kind of intake form with exactly two boxes on it. Every trans-identified person is either a participant in a craze or certifiably crazy. (Checking both boxes is permitted.) There is a touch of genius to this approach. It draws a bright line between the kids who say they are trans and the kids who really are while pathologizing all of them as either delusional or dysphoric. This line is as old as gender medicine itself, which for decades was careful to distinguish impersonators and fetishists from the “true transsexual.” So in most cases of gender variance, the TARL informs parents that it is perfectly healthy for boys to wear dresses and for girls to climb trees regardless of their biological sex, which need not be altered after all. He reassures them that the risk of suicide among trans-identified youth has been inflated by cynical activists trying to blackmail the public; what he means by this is that he does not think most kids are suicidal enough to be trans. In those rare instances of true misery, he advises the practice of “watchful waiting,” preferring to see the patient through the often-irreversible changes of puberty to adulthood, when her childhood experience of gender incongruence will finally acquire the weight of medical evidence. If only she had said something sooner!
This is obviously not a vision of justice; it is a response plan for an epidemic. This should not surprise us. The very simple fact is that many people believe transgender is something no one in their right mind would ever want to be. The anti-trans bloc has in general targeted children because Americans tend to imagine children both as a font of pure, unadulterated humanity and as ignorant dependents incapable of rational thought or political agency. This has allowed the movement to infantilize not just kids but all trans people, whom it only wishes to shepherd through the ravages of mental illness and the recklessness of youth. If the liberal skeptic will not assert in mixed company that there should be fewer trans people, he still expects us to agree on basic humanitarian grounds that at least there should not be more. It is quite possible, for instance, to believe that cancer patients should have access to aggressive treatments with potentially life-altering effects while also sincerely believing that, in a perfect world, no one would have cancer.
We will never be able to defend the rights of transgender kids until we understand them purely on their own terms: as full members of society who would like to change their sex. It does not matter where this desire comes from. When the TARL insinuates again and again that the sudden increase of trans-identified youth is “unexplained,” he is trying to bait us into thinking trans rights lie just on the other side of a good explanation. But any model of where trans people “come from”—any at all—is a model that by default calls into question the care of anyone who does not meet its etiological profile. This is as true of the old psychiatric hypothesis that transsexuality resulted from in utero exposure to maternal sex hormones as it is of the well-meaning but misguided search for the genes that “cause” gender incongruence. It is most certainly true of the current model of gender identity as “consistent, insistent, and persistent,” as LGBTQ+ advocates like to say. At best, these theories give us a brief respite from the hail of delegitimizing attacks; they will never save us. We must be prepared to defend the idea that, in principle, everyone should have access to sex-changing medical care, regardless of age, gender identity, social environment, or psychiatric history. This may strike you as a vertiginous task. The good news is that millions of people already believe it.
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