The Megyn Kelly Show - May 26, 2025


Inside the 409-Page Trump Administration Report Challenging "Gender-Affirming Care": AM Update 5⧸26


Episode Stats

Length

16 minutes

Words per Minute

142.98622

Word Count

2,321

Sentence Count

143

Misogynist Sentences

2

Hate Speech Sentences

3


Summary

A special Memorial Day edition of the AM Update takes a deep dive into the explosive 409-page HHS report exposing the risks of controversial medical treatments given to children with gender dysphoria. Whistleblower Dr. Itan Haim breaks down the findings.


Transcript

00:00:00.000 Good morning, everyone. I'm Megan Kelly. It's Monday, May 26th, 2025, and this is your special
00:00:08.600 Memorial Day edition of the AM Update. A deep dive into the explosive 409-page HHS report
00:00:16.540 exposing the risks of controversial medical treatments given to children with gender dysphoria.
00:00:22.540 Even adult men can hardly tolerate it, and we're giving it to 11-year-old children?
00:00:26.780 Whistleblower Dr. Itan Haim breaks down the findings.
00:00:30.280 Then we're going to absolutely have now a stronger scientific basis to say that this is not an
00:00:36.960 appropriate use of Medicaid money. Deputy Assistant to the President,
00:00:40.840 May Mailman, lays out what this means for federal funding and the political fight ahead.
00:00:46.080 All that and more coming up in just a moment on your AM Update.
00:00:49.080 We'll be right back.
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00:01:46.240 In January, President Trump signing an executive order titled Protecting Children from Chemical and
00:01:55.800 Surgical Mutilation, marking a major step toward a key priority of the administration,
00:02:01.380 ending what it calls a dangerous medical trend harming America's youth.
00:02:06.520 Among its directives, a full scientific review of current medical guidance.
00:02:10.740 That review released in early May, a 409-page report titled Treatment for Pediatric Gender
00:02:17.960 Dysphoria, Review of Evidence and Best Practices. According to the report, quote,
00:02:23.520 an estimated 3.3 percent of adolescents in the U.S. identify as transgender, and an additional
00:02:30.240 2.2 percent question whether they might be. A growing number of these minors receiving drastic,
00:02:36.120 often permanent, medical interventions pitched as necessary, even life-saving. The report covering
00:02:43.380 the risks, outcomes, and scientific basis behind puberty blockers, hormone therapy, and gender
00:02:49.600 surgeries on children, ultimately concluding that the evidence supporting these treatments is low quality
00:02:55.440 and the potential for irreversible harm is high. It also includes testimony from whistleblowers who say
00:03:02.620 children are being rushed into life-altering procedures without proper safeguards. One chapter taking
00:03:09.120 aim at major medical groups like the World Professional Association for Transgender Health,
00:03:15.520 known as WPATH, the American Academy of Pediatrics, and the Endocrine Society, for using vague,
00:03:22.640 ideologically loaded language that obscures biological reality. Quote,
00:03:27.440 Proponents of medicalization go to extraordinary lengths to avoid the plain use of the words male
00:03:33.380 and female and related words such as boy and girl. When sex is defined, the definition is rarely
00:03:40.000 correct, and in any case, the preferred phrase is sex assigned at birth. That's a phrase HHS says
00:03:47.060 is medically inaccurate. Medical organizations endorse this vague language as a means of destigmatizing
00:03:53.620 gender dysphoria and promoting what they call gender-affirming care. But the report argues this
00:03:59.900 language manipulation is misleading, ideologically driven, and obscures the biological reality at the
00:04:06.160 heart of the debate. We spoke to Dr. Itan Haim, one of the whistleblowers cited in the report. He says this
00:04:13.180 language is not just misleading, it is deliberately deceptive. Sex assigned at birth is another euphemism
00:04:20.440 they use to bully people into ignoring what they know to be true. That's a completely insane,
00:04:28.800 non-medical, it's essentially witchcraft. Gender-affirming care is a meaningless phrase
00:04:34.520 that has no definition. They never define gender, they never define affirming, and then it's unclear how
00:04:45.300 they're caring for these patients. So that's one thing I think that's great about this HHS report
00:04:50.240 is that they use language that better defines what's actually happening. Dr. Haim says terms like
00:04:57.160 gender-affirming care and top surgery used to describe double mastectomies on healthy teenage girls
00:05:04.060 are euphemisms meant to sanitize radical, potentially devastating procedures. That's what's really
00:05:10.780 concerning as a surgeon is the euphemisms they use for these very radical surgeries. What
00:05:17.160 quote-unquote top surgery involves is the resection of all of the breast tissue in a female. And who
00:05:27.380 they're recommending this to is not only adult patients, but pediatric patients, children who are 15,
00:05:36.360 16, 17 years old. According to a 2023 study published by the American Medical Association,
00:05:43.060 between 2016 and 2020, at least 3,215 patients between the ages of 12 and 18 underwent breast or
00:05:52.040 chest procedures as part of gender transition surgeries. The HHS report also scrutinizing
00:05:58.520 puberty blockers, promoted by activists as safe, temporary, and fully reversible.
00:06:03.980 WPATH describes puberty blockers as a pause button, giving children time to explore their
00:06:09.820 gender identity without the pressure of ongoing physical development. But the HHS report strongly
00:06:15.540 challenges that framing, citing studies that show over 90% of children who begin puberty blockers go on
00:06:22.640 to the more invasive interventions like cross-sex hormones, whereas if left alone, most children will
00:06:29.340 grow out of their gender dysphoria. The report also takes aim at one of the most common talking points,
00:06:35.720 that puberty blockers are reversible, which Dr. Haim calls medically dishonest.
00:06:41.160 The language they often use is reversible. And that, again, is a euphemism. It's a euphemism for
00:06:47.640 something much more sinister. Because with medicine and surgery, there's nothing that is technically
00:06:53.740 reversible. What's more accurate is to say the effects can be minimized. So say a child receives
00:07:01.100 one round of puberty blockers, if they go back to, you know, withdraw themselves from these gender
00:07:07.560 clinics, go back into puberty, it's not reversible. What you would say is that the effects are minimal.
00:07:15.160 Rather than pressing pause, the report suggests these drugs act more like a fast track toward
00:07:20.480 permanent medical transition. Dr. Haim explaining how puberty blockers affect the body.
00:07:25.420 They were originally used for advanced prostate cancer. Even adult men can hardly tolerate it. And
00:07:31.420 we're giving it to 11-year-old children. It's like doing a million microsurgeries on your cells every
00:07:36.040 single day for years. If you block Tanner's stage two, they will become infertile. They will not develop
00:07:43.760 their secondary sexual characteristics. When you block the progression of puberty, you will have
00:07:48.740 permanent changes to your bone density. You will withdraw the sex hormones required for brain
00:07:55.700 development. Despite their widespread use, the HHS report makes clear the long-term effects of
00:08:01.940 puberty blockers and other medical interventions for gender dysphoria remain largely unknown. Dr.
00:08:08.460 Haim says WPATH's influence reaches far beyond its own ranks, shaping the policies and guidance of nearly
00:08:15.180 every major medical association in the country. What looks like a medical consensus, Dr. Haim argues,
00:08:21.640 is actually a closed loop, where activist-driven guidelines are recycled, repackaged, and passed
00:08:27.380 off as settled science. All of these guidelines, right, all of these statements about gender, quote-unquote,
00:08:36.640 gender-affirming care being medically necessary, it comes from WPATH. They use their activists and their
00:08:43.880 so-called experts, then they launder out those activists and experts to other organizations.
00:08:51.800 And that's one thing that the HHS report demonstrates beyond a reasonable doubt. The WPATH experts are
00:08:58.180 laundered out to the American Academy of Pediatrics, the Endocrine Society, the American Medical Association,
00:09:05.840 and then these other organizations then use the same flawed talking points from WPATH to create the
00:09:14.040 perception of a consensus. WPATH reps exposed last year in leaked videotape acknowledging that children
00:09:21.340 cannot possibly give informed consent to these procedures, which can cause sterility and loss of
00:09:27.380 all sexual function. So we're often explaining these sorts of things to people who haven't even had
00:09:32.000 biology in high school yet. I think when we're doing informed consent, I know that that's still a big
00:09:36.760 lacuna. We try to talk about it, but most of the kids are nowhere in any kind of a brain space to
00:09:41.440 really, really, really talk about it in a serious way. WPATH has responded to the HHS report saying it,
00:09:48.360 quote, misrepresents existing research and disregards the expertise of professionals who have been working
00:09:54.080 with transgender and gender-diverse youth for decades. Dr. Haim explains why so many doctors with
00:10:00.160 years of medical training fall in line with guidance that to outsiders can seem extreme or even
00:10:06.460 irrational. You know, we work by professional guidelines. Whatever direction the mainstream
00:10:12.160 of medicine is going, most doctors will abide by because there is a massive risk in breaking away
00:10:18.940 from that mainstream. That risk is, you know, being professionally ostracized, being fired, having your
00:10:25.940 credentials, you know, looked at by, you know, your state medical organization, which will absolutely
00:10:32.900 happen if you do break away from the mainstream. While the HHS report does not call to implement
00:10:37.820 specific laws or regulations, its findings speak volumes. The evidence for medical transition in
00:10:43.940 children is weak. The risks are extremely serious and therapy remains the safest path forward.
00:10:50.120 Coming up, what's the point of a 409-page report if it does not make any specific recommendations?
00:10:57.740 Deputy Assistant to the President, May Mailman, joins us to explain how this report could still
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00:12:10.860 The executive order commissioning HHS's Treatment for Pediatric Gender Dysphoria, Review of Evidence,
00:12:17.320 and Best Practices used bold language, accusing medical providers of, quote,
00:12:21.860 maiming and sterilizing a growing number of impressionable children. We spoke to deputy
00:12:27.360 assistant to the president, May Mailman, a key architect behind the Trump administration's
00:12:31.540 gender-based executive orders, who explained the approach the administration took to the executive
00:12:37.240 order and the report. Well, the report itself is meant to speak to both a medical and an audience
00:12:46.840 that hasn't made up their mind yet. So maybe you're somebody and you feel like your kid might be going
00:12:53.920 down this path. Maybe you're a judge. Maybe you're a policymaker. Maybe you're on the left. And this
00:13:01.200 report should be approachable to you as a truly balanced, non-triggering, readable, usable document.
00:13:11.560 And so the language is attempted to be truly neutral. While the report does not spell out specific
00:13:18.180 policy changes, Mailman says it gives lawmakers, regulators, and even private institutions
00:13:23.740 a new scientific foundation to revisit their medical guidelines. The report offering a neutral
00:13:29.700 counterweight to the ideologically driven recommendations of groups like WPATH, a leading
00:13:34.960 pusher of so-called gender-affirming care, and one of the strongest voices trying to normalize
00:13:40.840 radical medical interventions on children. One of the problems is that not only doctors, but judges,
00:13:49.120 government entities, state and local governments, we're oftentimes relying on the WPATH or sort of
00:13:57.880 politically charged, very pro quote-unquote transition medical material. I use medical
00:14:04.120 pretty loosely there. Now you've got some basis to go look at that. But from an administration
00:14:12.100 perspective, if we're looking at where our Medicaid money is going, for example, and there are hospitals
00:14:19.700 that are trying to harm kids, but to have life-altering interventions for kids who the vast majority of them
00:14:30.740 are going to grow out of their gender dysphoria, then we're going to absolutely have now a stronger
00:14:37.620 scientific basis to say that this is not an appropriate use of Medicaid money. Mailman also
00:14:44.580 saying the report could strengthen future legal action, especially for child detransitioners who
00:14:50.180 later feel they were misled by doctors or pushed into irreversible procedures. By exposing what she
00:14:56.400 calls the weak scientific basis behind today's so-called standards of care, Mailman saying the findings
00:15:02.600 could help patients like Chloe Cole, who had a double mastectomy at age 15 and who later detransitioned,
00:15:09.560 hold doctors and institutions accountable, giving courts a framework for challenging what many now see
00:15:15.460 as experimental medicine. My hope is that the way to fund Chloe Cole and other detransitioners
00:15:24.380 who do deserve strong legal representation is if there's money on the other side, right? If they can sue and if they
00:15:33.300 can win, that is what this document, what the Gender Dysphoria Review will help with, because it basically
00:15:40.900 shows that doctors who are relying on WPATH or other junk science, that they know that they know that this is based on
00:15:49.820 nothing. That the WPATH is not only a political document, but a lot of the quote-unquote standards
00:15:55.060 of care that are being pushed right now in the United States are not based on scientific evidence.
00:16:01.460 That'll do it for your AM update. I'm Megan Kelly. Join me back here for a brand new Megan Kelly show
00:16:06.360 today, live on SiriusXM Triumph Channel 111 at noon east, on youtube.com slash Megan Kelly, and on all podcast platforms.