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April 15, 2025 13 mins

Why is gender-affirming care expected to be flawless when no other area of medicine is? In this episode, we unpack what “perfection” really means in this context—the idea that even one bad outcome is treated not as an individual case to learn from, but as evidence that the entire system is broken.

In most areas of medicine, unusual outcomes are examined as outliers. But with gender-affirming care, those rare exceptions often overshadow the thousands of positive, life-saving experiences. We explore how that double standard fuels fe

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