It's damning isn't it? Despite the language of "toxic debate" Cass points outs that "views are often more aggressively voiced than in any other area of clinical care, such that many people are afraid to express an opinion; this is a dangerous situation for both doctors and patients".
While we all know (from #nodebate onwards) that there's only been one source of threats and violence, she very cleverly obscures that in order to encourage others to retreat from the refusal to discuss and debate and cross that golden bridge.
After all these years and millions of NHS funding put into all this, she has to point out that:
"we do not have good predictive tools to determine which young people will benefit from medical intervention, and which might not. The clinician should also ensure that the patient is fully informed about the risks and benefits of the intervention and, again, the weak evidence base makes it difficult to provide the patient with reliable information"