At 18, the Finnish child is still expected to keep doing assessments at the youth clinic - but they're sick of it. They break away and get on the list for the adult gender clinic. By 19 they're able to start hormone therapy.

Now: Would you be surprised if the Finnish kid has worse mental health?
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Comparing notoriously harsh Finnish clinics to our American clinics is apples to oranges.

Sure, Finnish researchers are probably playing methodological games, but you don't need to know that to see that their data has no bearing on gender affirming care, bc affirming care isn't offered in Finland.
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Speaking as an American with a Finnish parent, affirmation is not part of their model of care, period. Approval is expressed by saying "you have disappointed me less today, but don't get cocky."
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The absolutely sickest part, to me, is that Finland is producing these studies that they say show their approach doesn't work and might even be harmful, and then they're using it to advocate for other countries to take the same approach to care that Finland does.
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