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Cass says only children with “long-standing gender incongruence” will be put through this unethical experiment. One must believe the pseudo-religious belief that some people have a “gender that doesn’t match their sex” to think such children even exist. She also uses the argument that we should prescribe children puberty blockers because they might try to get them “on the street” if we don’t. That logic would justify prescribing almost any dangerous substance to minors simply because they could potentially obtain it illegally otherwise. The existence of a black market doesn’t determine whether a medical procedure is ethical or necessary.