July 14, 2024 - 7:00am

It certainly feels extreme, even to those of us who know it shouldn’t. Labour Health Minister Wes Streeting reportedly plans “to make trans puberty blocker ban permanent”. It’s a decision which, according to the commentator Owen Jones, “will devastate the lives of so many trans people”. The Good Law Project’s Jolyon Maughan goes further, claiming: “these measures will kill trans children.” Vulture Capitalism author Grace Blakely agreed: “Kids are going to die because of this.” Presumably, this is not the speedy end to the culture wars for which Keir Starmer was hoping.

Around 15 years ago, this would have looked very different. Let’s try to imagine it: in response to disturbing reports from whistleblowers, a report finds that vulnerable children — predominantly those who are autistic, have been in care, have experienced sexual abuse and/or would otherwise grow up to be gay — have been given experimental drugs which set them on a path to sterilisation and lifelong health problems. It would be a scandal. Any health minister willing to stop it would be a hero, while those who had facilitated it would be justifiably shamed. And yet here we are, in 2024, with Streeting the one accused of having “blood on his hands”.

It is hard to fathom the degree of misrepresentation and institutional capture that has led us to this point. Fathom it we must, however, if we are to undo all of the harm that has been done. While in the run-up to the election Starmer sought to appeal to both sides in “the trans debate”, suggesting that the only real problem was the “toxicity”, most of us could have told him it was never going to be that easy.

The past decade has seen the medical abuse of gender non-conforming children recast as a progressive cause. The child who fears puberty, hates their sexed body, wishes they had been born the opposite sex — the child, that is, who needs love, support and acceptance as they move through one of the most volatile, difficult life stages — has been reinvented as “the trans child”, whose flight from the self must be validated. Experimental drugs and surgeries are now sold as “gender affirmation”. If we do not affirm these children they will kill themselves, at least according to those who have overseen and endorsed the building of this harmful narrative.

I am all for nuance, compromise and seeing both sides. This is why on 4 July I found myself voting for a party whose position on sex and gender I don’t share. Nonetheless, there is no “both sides” about whether you harm the bodies of vulnerable children instead of helping them through an essential life stage. It is as binary as it gets. By indicating that the ban on puberty blockers first imposed by former health secretary Victoria Atkins could be made permanent, Streeting is recognising this. No one decides to harm children a bit. Either you don’t do it at all, or you do but you lie about it, to yourself and to others.

It remains to be seen whether some of Labour’s more “trans-friendly” MPs finally take a step back. Eventually, they will have to, no matter how implicated — either personally or politically — they have become in the transing of children. The shamefulness of the situation is there for all to see. The construction of the trans child has served a broader political purpose, and once this is dismantled many other central tenets of trans activism will fall apart. It has to happen now, though, regardless of how brutal and lacking in that all-important nuance it feels.

Labour cannot “both sides” this. We either go back to recognising that all children, especially the most vulnerable, have a right to grow, or we move further towards treating drugs, surgeries and lifelong pain as “just the way things are” for some. Streeting was brave and principled enough to change his mind on this issue. Others have to follow. It may not be comfortable, but this is the only way back.


Victoria Smith is a writer and creator of the Glosswitch newsletter.

glosswitch