Yes. And on the disclaimer theme, I'm not an ethicist- (a little knowledge is a dangerous thing!) but I think what you're talking about is something around utilitarianism vs deontology?
Is this what the medical ethicists will have to consider? (Any on here?)
Also. If part of the trial is still to see which children would experience benefit over harm, wouldn't the issues around why almost all children progress to cross sex hormones still be there? (All the obvious, frequently discussed reasons why delayed puberty is more likely to entrench a cross sex identity/cease puberty which is its own resolution for most)
And, as pp noted above- how could the trial differentiate between the benefits of psychological therapy inputs and blockers (as was also flagged re the Dutch protocol) if both are happening simultaneously?
So many questions!
And following them through does maybe lead back to your speculative point Mrs O.
Perhaps things have gone so far, and are so entrenched, that his presents itself to the medical community/goverment as the only and imperfect way forward.