U.K. Suit Demonstrates Legal Jeopardy for Virginia Child Transgender Clinics

by James C. Sherlock

You knew it was coming.

The Times of London has reported the inevitable lawsuit.

Tavistock gender clinic ‘to be sued by 1,000 families’

The Tavistock gender clinic (now closed) is facing mass legal action from youngsters who claim they were rushed into taking life-altering puberty blockers.

I have no idea if the firm that plans the suit will get 1,000 families to join the class. Neither do they.

But everyone knew the suit itself was coming. The defense against this suit, if it ever reaches court, will be severely challenged.

Unless the tort bar retires en masse, such suits are coming to Virginia.

The Tavistock gender clinic and the Trust that ran it will be sued for “failing in its duty of care by pursuing an ‘unquestioning, affirmative approach’” towards gender-confused children and prescribing  experimental puberty-blocking drugs.

The “unquestioning, affirmative approach” will need to be proven, but the plaintiff has high-profile whistleblowers ready to testify.

The High Court has already held the puberty-blocking drugs to be experimental and built a high bar over which a defense must jump.

2020 High Court Ruling. In December of 2020, the U.K. High Court ruled

1.the use of puberty blockers and cross-sex hormones in gender dysphoric minors is experimental due to the limited evidence for efficacy and safety.

2. that these hormones should not, in most cases, be administered  to gender dysphoric minors under 16 without court order, adding that such petitioning was also advisable for 16 to 17 year olds.

3. that minors cannot consent.

That adolescents find it difficult to contemplate or comprehend what their life will be like as adults and that they do not always consider the longer-term consequences of their actions is perhaps a statement of the obvious.

4. The High Court used the figures from the same studies cited in the United States to declare puberty blockers and cross-sex hormones a single clinical pathway.

The evidence shows that the vast majority of children who take PBs move on to take cross-sex hormones, that Stages 1 and 2 are two stages of one clinical pathway and once on that pathway it is extremely rare for a child to get off it.

The court asserted: “Indeed, the statistical correlation between the use of puberty blockers and cross-sex hormones supports the case that it is appropriate to view PBs as a stepping stone to cross-sex hormones.”

The discontinuation rate for transition after initiating PBs is low: [1] .4 percent per Wiepjes, et al.,[2] 1.9 percent per Brik, et al., [3] 3.5 percent per Kuper, et al. [4] and 2 percent per Carmichael, et al.

So, the court found that the assertion, universally touted by United States activists, that puberty blockers offer a “pause for reconsideration” before cross-gender hormones are administered occurs in such a tiny percentage of cases as to be disingenuous.

The problems mount for NHS in defense of the lawsuit. It gets worse for the defense.

In July, the Cass Review provided evidence of new dangers of puberty blockers. The FDA has published a new warning. And there are high-profile witnesses for the plaintiff.

From a report derivative of the one in the Times about the aftermath of the lawsuit announcement:

Marcus Evans, who resigned as Governor of the [Tavistock and Portman NHS Foundation] Trust (that ran GIDS) in 2019, tweeted: “I always knew this day would come as legal action for damages would be the inevitable consequence of an experimental treatment that lacks an evidence base.”

Following the announcement, former Tavistock clinician Dr. David Bell and For Women Scotland called for NHS Greater Glasgow and Clyde’s Sandyford clinic to also be shut down.

As at Tavistock, concerns have been raised about the use of puberty-blocking drugs and sex change surgeries by vulnerable youngsters.

Bottom line.

In civil cases in the courts in England and Wales and Scotland, the applicable standard of proof is the “balance of probabilities.” The case, plaintiff or defense, that is more probable succeeds. The court weighs the evidence and decides which version is most probably true. If both seem equally balanced, then the defense prevails.

Settlements are encouraged in the U.K. High Court. We might see one here, but I hope it goes to trial. I’d like a verdict.

This same legal challenge is coming to clinics and doctors in Virginia that treat transgender minors with puberty blockers and cross-gender hormones.

There are at least two legal strategies available.

  • An ‘unquestioning, affirmative approach’ may be alleged but they will want solid data and witnesses to prove it; or
  • It may not need to be alleged for a plaintiff to prevail based on a preponderance of evidence that the process is experimental, dangerous, irreversible and thus inappropriate for children.

Legal strategies being in the eyes of the plaintiff bar, there will be more.

The defense will hope the clinics and physicians have gotten court orders in each case for the treatment of minors. I have seen no evidence they have done so.

The tort bar will be unable to resist.


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Comments

36 responses to “U.K. Suit Demonstrates Legal Jeopardy for Virginia Child Transgender Clinics”

  1. Nancy Naive Avatar
    Nancy Naive

    Anything happening in the Philippines over transgender lawsuits? They much closer to us than the UK.

  2. Teddy007 Avatar

    But the flip side will be the local schools and healthcare being sued by every family that has a trans, bi, queer, or homosexual child who commits suicide. The tort liability when it comes to trans is not a one way street.

    1. LarrytheG Avatar
      LarrytheG

      Yep. And homosexual has been around a LONG time. No?

      And those who think we did not do what was right with homosexuals and now we should do it different/better with trans as well as prior sexual behaviors.

      I just see this as an issue where Conservatives want a “don’t tell” approach and liberals want it all out in the open and policies to address it.

      The fact that most insurance WILL PAY for the procedures influences my thinking. Why would they do that is it was REALLY “experimental”?

      All kinds of things are NOT reimbursable by insurance but this apparently is.

      1. Teddy007 Avatar

        The argument would be not over the experimental part but over the inappropriate part and the failure to explain the risks part.

        1. LarrytheG Avatar
          LarrytheG

          on an industry basis? a class action?

          1. Teddy007 Avatar

            On a practitioner basis. Example: a 13 y/o female starts having some gender issues and the parents take their daughter to a specialist. However, if the specialist never discusses doing nothing or the possibility of regrets and depression later in life from going through chemical/surgical transitioning, the female and the parents have a strong case.
            Any physician who is a defacto cheerleader for always transitioning could be an easy target for a lawsuit.

          2. LarrytheG Avatar
            LarrytheG

            Okay, but that happens with a lot of different medical things and does not implicate everyone doing that procedure.

            right?

            As long as they follow the standard of care and meet the requirements of insurance reimbursement?

            For me, if insurance would not reimburse, a lot of doctors would never do this unless the parents paid for all of it and even then, I can see all kinds of required liability waivers involved.

            no?

          3. Teddy007 Avatar

            There is no such thing as a liability waiver. One cannot sign away one’s ability to sue under tort law. Look it up.

          4. LarrytheG Avatar
            LarrytheG

            For sure. You can always sue and folks do but those signed waivers are hard to keep out of the proceedings.

            But again, are we talking about an entire medical profession where all of them will be found guilty/culpable or are we talking about individuals that varied from what most other doctors were doing?

            Doctors are pretty adverse to liability as are the companies that insure them. Most of them are guided by what their own insurance will cover and what the patient’s insurance will pay for.

          5. Teddy007 Avatar

            If one is harmed by a breach of duty by someone, it does not matter how many documents one has signed. Look it up. And not all medical professionals will be found liable. Just those who refuse to practice defensive medicine and are cheerleaders for transitioning everyone who expresses any interest.

          6. LarrytheG Avatar
            LarrytheG

            I totally agree but I’m asking is this an individual thing that we’d see across the board but small percentage… or is it industry wide for a given procedure?

            Sherlock seems to be arguing that it’s a systemic/industry-wide wrong… I’m not convinced it is especially if insurance will cover it and insurance won’t pay if it is not done according to standard of care policies.

            I just don’t see how this procedure gets determined to be an industry-wide liability issue….that then invalidates it as a legitimate procedure.

            seems like a stretch…

          7. James C. Sherlock Avatar
            James C. Sherlock

            “That then invalidates it as a legitimate procedure (on minors)”. Bingo.

          8. LarrytheG Avatar
            LarrytheG

            Well again – no Doctor is going to do it if his/her insurance does not cover it .

            And if insurance won’t reimburse the procedure, most people are not going to have it.

            If this is really so terrible, no insurance company would have anything to do with it.

          9. Chrissy Taylor Avatar
            Chrissy Taylor

            There used to be a safeguard and vetting process in place called the “The Transgender Standards of Care” that all medical practitioners in the field of gender dysphoria and treatment used to have to abide by. But the radical trans activist pretty much put an end to it…. Claiming that it was “gatekeeping and transphobic” to deny care to anyone who claims that they’re trans. No matter what age they were! Now the doctors feel like their hands are tied for fear of retaliation from the woke mob, and the neo Marxist entity known as the Democratic party. So the doctors have literally become just another rubber stamp. And it’s destroying countless children’s lives.

          10. Chrissy Taylor Avatar
            Chrissy Taylor

            And that’s exactly what they do nowadays! They don’t question and do their due diligence to weed out people who are actually suffering from gender dysphoria… And those that are just having some mental issues. They have all become “De-facto cheerleaders” for full gender transition! 🤦‍♀️ And it’s the radical activist arm of the neo Marxist Democratic party that has pretty much bullied and shamed these practitioners into not properly vetting each case. The activists claim that it is “gatekeeping and transphobic” to question a child or parents intentions when it comes to gender dysphoria and the proper treatment of it. They pretty much want the doctors to have a one size fits all approach to treatment. And frankly the activists don’t care how many children it ruins….. So long as they’re able to get there narrative and agenda across! They won’t tell you the obscene number of detransitions, regret, and suicides that are occurring as a result of this big push to medicate and surgically alter any boy who wants to play with a Barbie! 🤦‍♀️ That’s how bad it’s gotten! They have pretty much gotten rid of the vetting process altogether. And the only way to stop this is for the courts to impose some severe material losses on these unethical doctors and the radical Marxist activists that push this nonsense. As a Transwoman myself….. I’ve seen the change in ethics occur first hand! And it all started ever since the trans Community sold its sovereignty to the evil Democratic party

          11. Chrissy, you have a different perspective on the transgender issue than most Bacon’s Rebellion readers. Insofar as you are comfortable telling it, I’d be interested to know your story, how active you are in transgender issues, and with what authority you make statements about the excesses in treating young people for gender dysphoria. — Jim Bacon, publisher, Bacon’s Rebellion

          12. There is no basis to believe that the physicians are not doing due diligence other than talking points from right of center partisans.

        2. James C. Sherlock Avatar
          James C. Sherlock

          Using drugs off-label on large groups of children is an experiment, Teddy. There is a reason the FDA will not approve those uses, especially in children.

          With the evidence available as to the known dangers (and, most importantly, not available for the admittedly unknown long term effects) of the drugs, convincing a jury that the practice is malpractice should not prove a big hill to climb.

          The un-admitted but demonstrable sterilization effects should seal the deal.

          1. Teddy007 Avatar

            No, it is not an experiment. Clinical research is defined by the collect of the data, not by the off label use. That is just the practice of medicine. The companies have probably never gone for childhood approval because getting the clinical trials approved would be almost impossible and would cause protestors and a media fire storm for any clinic that actually tried to do medical research. And puberty blockers have been around for years. The issue would be having 17 y/o on sex hormones but it would not be malpractice given the diagnosis of gender dysphoria resulting in the need for medical interventions. It would be just as much malpractice to have an adolescent going though gender dysphoria and to not treat the child but to just tell them to sit down, shut up, and do what they are told.

          2. LarrytheG Avatar
            LarrytheG

            how does private insurance approve it then?

  3. Randomized double-blind trials for ivermectin, but puberty blockers and cross-sex hormones? Eh, whatever. I wonder what Anthony Fauci has to say.

    1. Nancy Naive Avatar
      Nancy Naive

      Well, aside from the fact that Ivermectin is 100% ineffective against COV-2, what would you want to hear?

  4. Eric the half a troll Avatar
    Eric the half a troll

    So would this be the kind of “frivolous’ lawsuit that Conservative would like to limit as a part of their medical tort reform they routinely champion…? If so, do you think it is still a great idea? Just wondering…

    1. LarrytheG Avatar
      LarrytheG

      oh… frivolous tort lawsuits! funny! Yes… indeed.. the reason why health care costs are so high… but haven’t heard that argument for awhile and certainly Sherlock is not using it.

      Conservatism is changing…. a LOT…. apparently.

    2. James C. Sherlock Avatar
      James C. Sherlock

      “Frivolous” lawsuit to save children from medical experimentation and sterilization. Sign me up.

      1. LarrytheG Avatar
        LarrytheG

        You want the govt to overrule the parents?

        1. Eric the half a troll Avatar
          Eric the half a troll

          Only when he disagrees with them.

      2. Eric the half a troll Avatar
        Eric the half a troll

        So you are saying you are now against medical tort reform….?

        1. James C. Sherlock Avatar
          James C. Sherlock

          Tort suits are the only way the medical profession gets cleansed of incompetent practitioners.

          1. Eric the half a troll Avatar
            Eric the half a troll

            Hey! We agree on something!!

          2. Chrissy Taylor Avatar
            Chrissy Taylor

            It’s not so much the doctors pushing this nonsense as it is the radical liberal activists! Most of these doctors are just going with the nonsense because they are afraid of retaliation from the woke mob and the Demoncratic party. I would know…. I’m a Transwoman myself!! And I have seen the change over the last 10 years. It’s causing a huge number of detransitions, regret, and suicide among the population that have been coerced/pushed by the modern, woke medical community into seeking this form of treatment at such a young impressionable age.

  5. those who don’t want hormones/chemicals in their beef and chicken are okay with such in others’ children…interesting….

  6. LarrytheG Avatar
    LarrytheG

    Some basic things.

    At what age can someone have such procedures done without consent of their parents?

    If the parents consent, where is the tort?

    How many people would have these procedures if insurance would not pay for it? If insurance pays
    for it – whose business is it then?

    I’ll just state again. I do not understand folks who want to do this, clearly a different way of thinking.

    And I can understand conservatives and religious not liking it.

    But if the procedure is allowed as a legal “right” AND insurance will pay for it then how do other folks want to stop it on grounds other than legal, insurance reimbursable and personal right ( even if regretted
    later?)

    1. Teddy007 Avatar

      The argument is not about consent but about malpractice. The families will argue that they were not given an explanation of all of the treatment options with the possible negative outcomes of each treatment option.

      1. LarrytheG Avatar
        LarrytheG

        All of them or most of them – around the world?

  7. Donald Smith Avatar
    Donald Smith

    “Unless the tort bar retires en masse, such suits are coming to Virginia.”

    Or, the tort bar could en masse shy away from such suits, because they don’t want the heat.

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