The reaction to the Review has been wild. I'm finding it boggling - but then I am in agreement with the basic idea that there should be evidenced-based care for trans identified children and young people (and adults).
But I am wondering what my response would be if the report had found good evidence from the same mix of high and medium quality studies that puberty blockers improve life outcomes overall for the majority of patients - albeit with some instances of negative outcomes around bone density or prolonged disphoria/ confusion (as we know there are at the least). And it had found that instant social affirmation was the best approach (perhaps because for example it being a generally lower stakes thing would make desisting lower stakes?)
I'm not arguing for that BTW, just trying to hypothesise for my wider point. Which is that I for one might have felt very challenged and would have still found it hard to let go of my resistance to mass gender affirmation both for children (on the basis of competemce) and adults (on the basis of impact on women in policy terms) because my basic position on trans - namely that you can't change sex, there are no innate inborn genders - is not challenged by even finding that gender affirming health care leads to the best outcomes.
I think I would and will still accept that gender affirming health care is the best approach for gender distressed individuals (if that is where the long term data leads) But I would be advocating for essentially third space accommodations because I just don't and can never see myself accepting that being a female body is not existentially, socially, and politically meaningful; and that the difference between myself and someone who has experienced sex reassignment surgery is not immaterial or unimportant in social, political and existential terms.
All of this is just a wind up to say that I can very well see people on my side of the argument beclowning themselves in the way the TRA side has post Cass. And there are far right supremacist groups that would have threatened her if the report had found in favour of the trans-kids-now side.
Looking at the reaction from TRAs, it's clear that they are so ideologically committed, no evidence would change their view. And I'm wondering what evidence would change people's minds on our side. I actually can't think of any that would change my fundamental positions on sex and gender.