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Paul Hruz, joined an amicus brief in another proceeding asserting transgender individuals have only a "false belief" in their gender identity-that they are maintaining a "charade" or "delusion." Another defense expert, Dr. And so, for example, one of the defendants' experts, Dr.

Still, an unspoken suggestion running just below the surface in some of the proceedings that led to adoption of the statute and rules at issue-and just below the surface in the testimony of some of the defense experts-is that transgender identity is not real, that it is made up. In this litigation, the medical defendants have explicitly acknowledged that this view is wrong and that pushing individuals away from their transgender identity is not a legitimate state interest. Many people with this view tend to disapprove all things transgender and so oppose medical care that supports a person's transgender existence. He addressed the issues conscientiously, on the merits, rather than as a biased advocate.ĭespite the defense admissions, there are those who believe that cisgender individuals properly adhere to their natal sex and that transgender individuals have inappropriately chosen a contrary gender identity, male or female, just as one might choose whether to read Shakespeare or Grisham. Levine, the only defense expert who has actually treated a significant number of transgender patients. At least one defense expert also has admitted it.

The medical defendants, speaking through their attorneys, have admitted it. The elephant in the room should be noted at the outset. This order refers to individuals whose gender identity matches their natal sex as cisgender. This order refers to such a person who identifies as female as a transgender female and to such a person who identifies as male as a transgender male. For more than 99% of people, the external sex characteristics and chromosomes-the determinants of what this order calls the person's natal sex-match the person's gender identity.For less than 1%, the natal sex and gender identity are opposites: a natal male's gender identity is female, or vice versa. As the person goes through life, the person also has a gender identity-a deeply felt internal sense of being male or female.

With extraordinarily rare exceptions not at issue here, every person is born with external sex characteristics, male or female, and chromosomes that match. This order grants a preliminary injunction…. The treatments at issue are GnRH agonists, colloquially known as "puberty blockers," and cross-sex hormones. This action presents a constitutional challenge to a Florida statute and rules that (1) prohibit transgender minors from receiving specific kinds of widely accepted medical care and (2) prohibit doctors from providing it.

Ladapo, decided today by Judge Robert Hinkle (N.D.