I don't know. There is a lot of willful ignorance going on here, especially for people who claim to espouse "science-based medicine." It's not hard to simply recognize and acknowledge that every major systematic evidence review has shown that the evidence of benefit is extremely weak, while the long list of known risks and permanent harms are extensive.
For the
@ScienceBasedMed people, this is less an issue of being factually incorrect and more one of cowardice. They abandoned their principles because they know their audience would rebel against them and accuse them of transphobia, bigotry, and (gasp!) being "right-wing."
All the evidence is out there for them to observe if they weren't too cowardly to look at it objectively and update their worldview accordingly.
Claiming ignorance may have been somewhat justified a decade ago, but not in 2026. The Science-Based Medicine people aren't stupid. And they can no longer claim ignorance. The simplest explanation is that they're cowards.
And I get it. Social ostracism is a uniquely unpleasant experience, to say the least. We're a social species, and remaining on good terms with those in your tribe is a massively adaptive. Not too long ago in our species' past, social exclusion meant death. In some societies, it still can.
I lost probably 90% of my friends when I started speaking out against pediatric "gender-affirming care" and sex spectrum pseudoscience. It was excruciatingly painful. That will likely happen to the Science-Based Medicine folks if they ever speak out against it. It could also financially ruin them. They know this.
I wish this were mostly about "factual error," because then it would be trivially easy to disabuse people of the belief that "gender-affirming care" is medically necessary and life-saving.
They're cowards.