The interstate pipeline facilitating medical interventions for children under the guise of "gender-affirming care," propelled by ideological fervor, constitutes an ethical travesty that implicates all who remain passive. Certain parents, driven by a narcissistic impulse resembling Munchausen syndrome by proxy, assert that their 5- or 7-year-old children, still navigating Piaget’s preoperational stage and reliant on parental validation, are transgender […] These children, too young to comprehend basic tasks, let alone complex identity constructs, are assigned new pronouns and names, their malleable minds shaped by adults seeking social capital or emotional fulfillment. […] Those who acquiesce or remain indifferent to this legal violation of childhood innocence bear responsibility. Their silence perpetuates a system that prioritizes ideology over evidence, leaving children to endure the consequences of collective inaction. This systemic failure demands urgent attention, as the harm inflicted is both quantifiable and profound.

The harm is not theoretical but a tangible violation of childhood, compromising physical and psychological integrity, sanctioned by Oregon’s Health Authority […], which mandates affirmation without exploration […] and California’s judiciary, which endorses interstate relocations for medical access […] As an individual who identified as transgender and has since detransitioned, I have witnessed the aftermath: regret, fractured identities, and lives derailed by adults who failed to exercise due diligence […] This pipeline persists due to societal complicity, as individuals avert their gaze while children are transported across state lines, not in physical restraints but through judicial mandates, their futures traded for ideological validation. […] Accountability is imperative, as this state-sanctioned framework, cloaked in compassion, conceals a troubling reality.