Perspect Biol Med. 2024;67(2):244-260. doi: 10.1353/pbm.2024.a929021.
Legislation banning gender-affirming medical care (GAMC) for minors is inconsistent with the Consensus Recommendations for Pediatric Decision-Making (Salter et al. 2023). Gender dysphoria is a medical condition, and GAMC promotes adolescents' health interests. The evidence for GAMC is comparable to the evidence for other types of pediatric medical care. Parents are permitted to consent for similar risks in the treatment of other conditions. Evaluation of the potential benefits, risks, and treatment alternatives is contingent on individual patients' clinical conditions and adolescents' and their parents' values and preferences. Such decisions are within the scope of parental discretion and should be made through shared decision-making with health-care providers. Parents' declining GAMC does not inherently create a significant risk of serious imminent harm required to justify state intervention. Usurping parental discretion for GAMC is unjust: it treats this medical care differently than other comparable types of medical care without sufficient justification.
立法禁止未成年人接受性别肯定医疗（GAMC）与儿科决策共识建议（Salter 等人，2023 年）不一致。性别焦虑是一种医疗状况，而 GAMC 则促进了青少年的健康利益。GAMC 的证据与其他类型的儿科医疗护理的证据相当。在治疗其他疾病时，父母可以同意类似的风险。对潜在益处、风险和治疗替代方案的评估取决于个体患者的临床状况以及青少年及其父母的价值观和偏好。这些决策在父母的酌处权范围内，应通过与医疗保健提供者共同决策来做出。父母拒绝 GAMC 本身并不会造成严重的、迫在眉睫的伤害风险，因此不需要国家干预。篡夺父母对 GAMC 的酌处权是不公正的：它对这种医疗护理的处理方式与其他可比类型的医疗护理不同，而没有足够的理由。
