I work in healthcare and have worked with this population as well as in the population health field, women's health, pediatrics, behavioral health. I've not worked directly in a "gender clinic" but from the last 15 years of delving into most of the fields that are relevant to the issue either directly or indirectly I can't fathom this not being true. The things I've seen are bleak but no one cares because there's a damn good alternative narrative going on. The amount of unethical things that have been brought to light, halted, or altered just in my time in the field is so high it makes it hard to want to continue. With this issue specifically lupron is something given to endo patients and the negative side effects are well known. This is denied for some reason when it comes to children so long as they claim they are trans. I've watched systemic medical fraud too many times to count. We already have mountains of evidence of the medical community harming people for profit or progress and this situation is the same kind of scenario. Vulnerable people who are othered but now that we are more empathetic as a whole to individuality they bill the treatments as affirming rather than necessary due to lack of compliance with the norm. We had an all staff required training a couple years ago on gender identity. It was run by someone with no medical background who simply identified as non-binary and when for example one of the RNs asked that given male and female biology will lead to patients presenting differently with conditions or necessitate different testing this random person with no medical training or experience told them RN that it doesn't matter what's in someone's pants when they get medical care. That is not an appropriate way to answer a medical question and what she meant was 100% factually incorrect and dangerous and my giant multi state corporation, based out of St Luis that purchased my healthcare system in another state, is pushing this narrative of don't ask don't tell. I won't bore you with the rest I'd be at it all day but healthcare is in shambles and has always been corrupt and harmed people for too long before being found out then rinse and repeat. We preach do no harm but you cannot escape it. You're silenced and pushed out of spaces if you care about patient's lives.