Inside the 409-Page Trump Administration Report Challenging "Gender-Affirming Care": AM Update 5⧸26
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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
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Good morning, everyone. I'm Megan Kelly. It's Monday, May 26th, 2025, and this is your special
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Memorial Day edition of the AM Update. A deep dive into the explosive 409-page HHS report
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exposing the risks of controversial medical treatments given to children with gender dysphoria.
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Even adult men can hardly tolerate it, and we're giving it to 11-year-old children?
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Whistleblower Dr. Itan Haim breaks down the findings.
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Then we're going to absolutely have now a stronger scientific basis to say that this is not an
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appropriate use of Medicaid money. Deputy Assistant to the President,
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May Mailman, lays out what this means for federal funding and the political fight ahead.
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All that and more coming up in just a moment on your AM Update.
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In January, President Trump signing an executive order titled Protecting Children from Chemical and
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Surgical Mutilation, marking a major step toward a key priority of the administration,
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ending what it calls a dangerous medical trend harming America's youth.
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Among its directives, a full scientific review of current medical guidance.
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That review released in early May, a 409-page report titled Treatment for Pediatric Gender
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Dysphoria, Review of Evidence and Best Practices. According to the report, quote,
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an estimated 3.3 percent of adolescents in the U.S. identify as transgender, and an additional
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2.2 percent question whether they might be. A growing number of these minors receiving drastic,
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often permanent, medical interventions pitched as necessary, even life-saving. The report covering
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the risks, outcomes, and scientific basis behind puberty blockers, hormone therapy, and gender
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surgeries on children, ultimately concluding that the evidence supporting these treatments is low quality
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and the potential for irreversible harm is high. It also includes testimony from whistleblowers who say
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children are being rushed into life-altering procedures without proper safeguards. One chapter taking
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aim at major medical groups like the World Professional Association for Transgender Health,
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known as WPATH, the American Academy of Pediatrics, and the Endocrine Society, for using vague,
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ideologically loaded language that obscures biological reality. Quote,
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Proponents of medicalization go to extraordinary lengths to avoid the plain use of the words male
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and female and related words such as boy and girl. When sex is defined, the definition is rarely
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correct, and in any case, the preferred phrase is sex assigned at birth. That's a phrase HHS says
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is medically inaccurate. Medical organizations endorse this vague language as a means of destigmatizing
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gender dysphoria and promoting what they call gender-affirming care. But the report argues this
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language manipulation is misleading, ideologically driven, and obscures the biological reality at the
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heart of the debate. We spoke to Dr. Itan Haim, one of the whistleblowers cited in the report. He says this
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language is not just misleading, it is deliberately deceptive. Sex assigned at birth is another euphemism
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they use to bully people into ignoring what they know to be true. That's a completely insane,
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non-medical, it's essentially witchcraft. Gender-affirming care is a meaningless phrase
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that has no definition. They never define gender, they never define affirming, and then it's unclear how
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they're caring for these patients. So that's one thing I think that's great about this HHS report
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is that they use language that better defines what's actually happening. Dr. Haim says terms like
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gender-affirming care and top surgery used to describe double mastectomies on healthy teenage girls
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are euphemisms meant to sanitize radical, potentially devastating procedures. That's what's really
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concerning as a surgeon is the euphemisms they use for these very radical surgeries. What
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quote-unquote top surgery involves is the resection of all of the breast tissue in a female. And who
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they're recommending this to is not only adult patients, but pediatric patients, children who are 15,
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16, 17 years old. According to a 2023 study published by the American Medical Association,
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between 2016 and 2020, at least 3,215 patients between the ages of 12 and 18 underwent breast or
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chest procedures as part of gender transition surgeries. The HHS report also scrutinizing
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puberty blockers, promoted by activists as safe, temporary, and fully reversible.
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WPATH describes puberty blockers as a pause button, giving children time to explore their
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gender identity without the pressure of ongoing physical development. But the HHS report strongly
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challenges that framing, citing studies that show over 90% of children who begin puberty blockers go on
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to the more invasive interventions like cross-sex hormones, whereas if left alone, most children will
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grow out of their gender dysphoria. The report also takes aim at one of the most common talking points,
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that puberty blockers are reversible, which Dr. Haim calls medically dishonest.
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The language they often use is reversible. And that, again, is a euphemism. It's a euphemism for
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something much more sinister. Because with medicine and surgery, there's nothing that is technically
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reversible. What's more accurate is to say the effects can be minimized. So say a child receives
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one round of puberty blockers, if they go back to, you know, withdraw themselves from these gender
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clinics, go back into puberty, it's not reversible. What you would say is that the effects are minimal.
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Rather than pressing pause, the report suggests these drugs act more like a fast track toward
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permanent medical transition. Dr. Haim explaining how puberty blockers affect the body.
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They were originally used for advanced prostate cancer. Even adult men can hardly tolerate it. And
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we're giving it to 11-year-old children. It's like doing a million microsurgeries on your cells every
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single day for years. If you block Tanner's stage two, they will become infertile. They will not develop
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their secondary sexual characteristics. When you block the progression of puberty, you will have
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permanent changes to your bone density. You will withdraw the sex hormones required for brain
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development. Despite their widespread use, the HHS report makes clear the long-term effects of
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puberty blockers and other medical interventions for gender dysphoria remain largely unknown. Dr.
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Haim says WPATH's influence reaches far beyond its own ranks, shaping the policies and guidance of nearly
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every major medical association in the country. What looks like a medical consensus, Dr. Haim argues,
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is actually a closed loop, where activist-driven guidelines are recycled, repackaged, and passed
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off as settled science. All of these guidelines, right, all of these statements about gender, quote-unquote,
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gender-affirming care being medically necessary, it comes from WPATH. They use their activists and their
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so-called experts, then they launder out those activists and experts to other organizations.
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And that's one thing that the HHS report demonstrates beyond a reasonable doubt. The WPATH experts are
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laundered out to the American Academy of Pediatrics, the Endocrine Society, the American Medical Association,
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and then these other organizations then use the same flawed talking points from WPATH to create the
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perception of a consensus. WPATH reps exposed last year in leaked videotape acknowledging that children
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cannot possibly give informed consent to these procedures, which can cause sterility and loss of
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all sexual function. So we're often explaining these sorts of things to people who haven't even had
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biology in high school yet. I think when we're doing informed consent, I know that that's still a big
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lacuna. We try to talk about it, but most of the kids are nowhere in any kind of a brain space to
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really, really, really talk about it in a serious way. WPATH has responded to the HHS report saying it,
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quote, misrepresents existing research and disregards the expertise of professionals who have been working
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with transgender and gender-diverse youth for decades. Dr. Haim explains why so many doctors with
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years of medical training fall in line with guidance that to outsiders can seem extreme or even
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irrational. You know, we work by professional guidelines. Whatever direction the mainstream
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of medicine is going, most doctors will abide by because there is a massive risk in breaking away
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from that mainstream. That risk is, you know, being professionally ostracized, being fired, having your
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credentials, you know, looked at by, you know, your state medical organization, which will absolutely
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happen if you do break away from the mainstream. While the HHS report does not call to implement
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specific laws or regulations, its findings speak volumes. The evidence for medical transition in
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children is weak. The risks are extremely serious and therapy remains the safest path forward.
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Coming up, what's the point of a 409-page report if it does not make any specific recommendations?
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Deputy Assistant to the President, May Mailman, joins us to explain how this report could still
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The executive order commissioning HHS's Treatment for Pediatric Gender Dysphoria, Review of Evidence,
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and Best Practices used bold language, accusing medical providers of, quote,
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maiming and sterilizing a growing number of impressionable children. We spoke to deputy
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assistant to the president, May Mailman, a key architect behind the Trump administration's
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gender-based executive orders, who explained the approach the administration took to the executive
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order and the report. Well, the report itself is meant to speak to both a medical and an audience
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that hasn't made up their mind yet. So maybe you're somebody and you feel like your kid might be going
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down this path. Maybe you're a judge. Maybe you're a policymaker. Maybe you're on the left. And this
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report should be approachable to you as a truly balanced, non-triggering, readable, usable document.
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And so the language is attempted to be truly neutral. While the report does not spell out specific
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policy changes, Mailman says it gives lawmakers, regulators, and even private institutions
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a new scientific foundation to revisit their medical guidelines. The report offering a neutral
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counterweight to the ideologically driven recommendations of groups like WPATH, a leading
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pusher of so-called gender-affirming care, and one of the strongest voices trying to normalize
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radical medical interventions on children. One of the problems is that not only doctors, but judges,
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government entities, state and local governments, we're oftentimes relying on the WPATH or sort of
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politically charged, very pro quote-unquote transition medical material. I use medical
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pretty loosely there. Now you've got some basis to go look at that. But from an administration
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perspective, if we're looking at where our Medicaid money is going, for example, and there are hospitals
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that are trying to harm kids, but to have life-altering interventions for kids who the vast majority of them
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are going to grow out of their gender dysphoria, then we're going to absolutely have now a stronger
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scientific basis to say that this is not an appropriate use of Medicaid money. Mailman also
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saying the report could strengthen future legal action, especially for child detransitioners who
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later feel they were misled by doctors or pushed into irreversible procedures. By exposing what she
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calls the weak scientific basis behind today's so-called standards of care, Mailman saying the findings
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could help patients like Chloe Cole, who had a double mastectomy at age 15 and who later detransitioned,
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hold doctors and institutions accountable, giving courts a framework for challenging what many now see
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as experimental medicine. My hope is that the way to fund Chloe Cole and other detransitioners
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who do deserve strong legal representation is if there's money on the other side, right? If they can sue and if they
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can win, that is what this document, what the Gender Dysphoria Review will help with, because it basically
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shows that doctors who are relying on WPATH or other junk science, that they know that they know that this is based on
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nothing. That the WPATH is not only a political document, but a lot of the quote-unquote standards
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of care that are being pushed right now in the United States are not based on scientific evidence.
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That'll do it for your AM update. I'm Megan Kelly. Join me back here for a brand new Megan Kelly show
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today, live on SiriusXM Triumph Channel 111 at noon east, on youtube.com slash Megan Kelly, and on all podcast platforms.