The plan is causing deep concern among many researchers and in the LGBTQ+ community. NPR discussed the memo with some researchers and advocates.
"What they're looking for is a political answer not a scientific one," says
Adrian Shanker, who served as deputy assistant secretary for health policy at HHS under President Biden. "That should be an alarm for everyone who cares about the scientific integrity of the National Institutes of Health."
Among the red flags in the directive is the language, Shanker and others say.
"Chemical or surgical mutilation? These are deeply offensive terms," says
Harry Barbee, an assistant professor at the Johns Hopkins Bloomberg School of Public Health.
"This terminology has no place in serious scientific or public health discourse," Barbee says. "The language has been historically used to stigmatize trans people. Even the phrase
'regret' and 'detransition' can be weaponized."
Many researchers say there is already a solid body of evidence that the level of regret after transition and the decision to reverse the transition is very low.