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"Gender-Affirming Care" and the so-called 'Transgender Agenda' is running rampant in North Carolina. The medical-industrial-complex in that state is targeting toddlers as young as two years of age for surgical sex changes, hormone blockers, and sterilization.
Unfortunately, this is not an isolated situation, as dozens of 'Gender Clinics' targeting children and adolescents popup up throughout the United States to serve a market that has grown in lockstep with a relatively recent tidal wave of anti-scientific propaganda coming simultaneously from the major media, government, and corporations which propose your sexual identity is determined by your psychological identification with a gender (or otherwise a non-binary status), and not your biological sexual characteristics.
A recent investigation by journalist Sloan Rachmuth reveals that three leading medical schools in North Carolina are now transitioning toddlers as young as two years of age, as well as training future primary care doctors on how to perform these experimental treatments, justified as they are by the egregiously fallacious notion that a toddler or young child's still inchoate and uncertain gender identity should preempt biologically determined sexual characteristics and require the permanent deconstruction of the biological basis for their sexuality and reproduction through a suite of largely irreversible medical procedures and lifelong pharmaceutical products such as hormone blockers.
For example, in this questionable medical and psychiatric model, a female toddler as young as two could be identified as "gender dysphoric" for having a preference for playing with trucks instead of dolls, and therefore be referred to a transitioning program if her parents and their medical providers believe it is in her best interest.
For example, UNC Health's 2019 "Transgender Health Program" (since removed from their website but available through WayBackMachine) lists 10 different surgical procedures in their "Gender-Affirming Care" offerings: