The medical profession is at a crossroads. For decades, the medical establishment has insisted that so-called “gender-affirming care” for minors is settled science, despite weak evidence. Now, as the truth about the dangers is becoming impossible to ignore, a recent change from a California hospital system is signaling a shift from ideological obedience to evidence-based accountability in the medical profession.

Sutter Health, a health system with 25 acute care hospitals and over 200 clinics across northern and central California, quietly announced on Nov. 20 that it will stop providing “gender-affirming care” services to minor patients under age 19, beginning on or around Dec. 10.