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Good analogy! Right around the same time the AMA and Surgeon General changed their tune and decided to do the right thing and strongly admonish everyone for smoking, based on medical evidence, they also began to support transgender patients. This began the decades of research until now that form their stance is based on a solid body of study in everything from genetics to endocrinology and from neurology to fetal development and so on.

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There is Marxism involved. I'm an old radical, not a reactionary. This is strange but true

Here is one startling example:

https://www.youtube.com/watch?v=fHPo6t5h0lU

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