2026年8月14日 美国东部时间凌晨12:50 / 福克斯新闻频道
美国卫生与公众服务部报告指控医院推行性别确认治疗存在经济激励，并存在欺诈性 billing 行为
作者：兰登·米恩 福克斯新闻
特朗普政府终止对青少年性别确认治疗的联邦资助，医疗保险与医疗补助服务中心负责人穆罕默德·奥兹博士警告称此举存在严重的长期健康风险。认证整形外科医师艾拉·萨韦茨基博士加入安斯利·厄哈特的节目，对该举措表示赞赏，称针对数千名未成年人进行的不可逆手术缺乏临床证据支持。
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根据美国卫生与公众服务部委托发布的一份新报告，三名变性后悔者声称，他们在年轻时曾受到医生和医院的施压，要求进行性别确认治疗，其中两人在未成年阶段就接受了医疗干预。
克莱门汀·布林、索伦·阿尔达科和卢克·希利的故事被收录在卫生与公众服务部周四发布的《白大褂下的狼：医生与医院如何推动“性别医学”骗局并从中牟利》报告中。这份由HHS委托的报告指控，经济激励促使医院和医生提供性别确认治疗，并指出了可能存在不当行为或需要进一步调查的保险计费行为。
布林当时年仅12岁，正经历青春期身体变化，且此前遭受过性虐待，留下未愈合的创伤。她在网上了解到性别确认相关内容后，向洛杉矶儿童医院的医生求助。据HHS的报告，医生告诉布林的父母，这名学龄前儿童“100%是跨性别者”，若不进行医疗干预，自杀风险极高。
根据报告，布林在12岁时开始服用青春期阻断剂，13岁时开始注射睾酮，并在14岁时接受了双乳房切除术。
HHS官员警告不可逆风险 特朗普政府限制青少年性别确认手术 funding
三名变性后悔者称，在懵懂的青少年时期，他们曾受到医生和医院的施压，要求接受性别确认治疗。(iStock)
报告显示，布林后来的心理健康状况恶化，18岁时在接受治疗后意识到，性别认同相关的痛苦与早年创伤有关，于是停止注射睾酮。布林表示，自己仍遭受疼痛和月经不调的困扰，需要补充雌激素。
当布林后来寻求乳房重建手术时，医生质疑她的精神稳定性，有些医生甚至不再回复她，报告称。
“她在14岁接受乳房切除术时，并未受到同样的审查，”报告写道。HHS还表示，布林在医疗记录中发现了声称她“终身存在性别烦躁”的信件。
目前在加州大学洛杉矶分校攻读戏剧专业的布林在报告中表示，治疗和手术至今仍对她的身体造成影响。
“如果没有人去确认孩子是否理解失去生育能力或哺乳能力意味着什么，她怎么能同意这样的手术呢？”布林说道。
阿尔达科称，青春期期间出现了与性别相关的痛苦情绪，网络社区将性别确认描述为应对这些感受的“恰当方式”，报告称。
在与一名医生沟通后，阿尔达科被开具了睾酮处方，多名专科医生为这名青少年治疗性别烦躁，但报告指出，阿尔达科未发现任何迹象表明医疗人员考虑过所谓“性别排斥”模式之外的替代治疗方案。
阿尔达科在接受切除乳房组织的双乳房切除术之前就开始注射睾酮。术后，阿尔达科遭遇了严重的并发症，带来了这名年轻人称“我想我永远都不会忘记”的痛苦。
克莱门汀·布林、索伦·阿尔达科和卢克·希利的故事被收录在卫生与公众服务部《白大褂下的狼：医生与医院如何推动“性别医学”骗局并从中牟利》报告中。(斯特凡妮·雷诺兹/彭博社通过盖蒂图片社拍摄)
“尽管出现了这些负面情况，医疗人员并未启动对其治疗计划的结构化重新评估，”报告称，并补充道，治疗结束后获得的支持，与推动他们做出改变人生的决策时的支持体系相比，显得微不足道。
“索伦的经历反映了这类病例的医疗失衡，”报告写道。“她进入‘性别排斥医疗化’的路径涉及多名医疗人员的协调转诊、批准和干预，但脱离该路径的过程却没有同等的支持体系。”
据HHS的报告，希利首次接触到成人讨论跨性别身份的在线社区时年仅10岁。
三年内，希利称自己认同为女性。在与父母讨论后，希利被带去看心理咨询师。
“唯一认真询问过他痛苦根源的人是他的父母，”报告写道。“与此同时，机构人士……将他的新身份视为既定事实，并迅速采取肯定态度。”
“卢克的父母拒绝在他未成年时为他开具青春期阻断剂或激素，”报告补充道。“卢克如今称，他们的拒绝是他们做过的最勇敢的事情之一。”
18岁时，希利仍想成为女性，于是开始寻求变性治疗。
希利先开始服用雌激素，并开始接受手术治疗咨询，之后才逐渐意识到这些治疗并未缓解心理压力。
JD·万斯呼吁司法部起诉青少年变性治疗中的所谓欺诈行为
洛杉矶儿童医院的医生告诉克莱门汀·布林的父母，这名学龄前儿童“100%是跨性别者”，若不进行医疗干预，自杀风险极高。(美联社照片/在焕·洪)
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“每一次干预都会带来进一步干预的压力，”报告写道。“在他看来，整个模式的核心是不断升级，而非解决问题。”
希利最终开始质疑医生推荐的手术程序。
“一名医生为面部女性化手术向他报价约20万美元。另一名医生，他称，像汽车销售员一样和他交谈，同时鼓励他做气管剃须手术，”报告称。“卢克逐渐意识到，自己被推销的是手术程序，而非心理帮助。”
希利没有继续追求成为女性的计划，而是专注于解决在此过程中出现的药物滥用问题，戒酒戒毒。
“他意识到，性别意识形态中存在着与成瘾相同的强迫性、破坏性模式，”报告写道。
Detransitioners reveal how doctors pushed them toward life-altering treatment as teens
August 14, 2026 12:50am EDT / Fox News
An HHS report alleges hospitals had financial incentives to push gender transition treatments and fraudulent billing
By Landon Mion Fox News
The Trump administration ends federal funding for youth gender transition treatments as CMS Chief Dr. Mehmet Oz warns of serious long-term health risks. Board-certified plastic surgeon Dr. Ira Savetsky joins Ainsley Earhardt to applaud the move, citing a lack of clinical evidence for irreversible surgeries performed on thousands of minors.
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Three detransitioners claim they were pressured by doctors and hospitals when they were young to pursue gender transition, including medical treatment in two cases while they were minors, according to a new HHS-commissioned report.
The stories of Clementine Breen, Soren Aldaco and Luke Healy were featured in the Department of Health and Human Services’ “Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine” report released on Thursday. The HHS-commissioned report alleges financial incentives encouraged hospitals and doctors to provide gender transition treatments and identifies insurance billing practices that it says may be improper or warrant further investigation.
Breen was only 12 years old and struggling with a changing adolescent body and unresolved trauma from earlier sexual abuse when the then-minor learned about gender transition online. Breen alleges, according to the HHS report, that doctors at Children’s Hospital Los Angeles told Breen’s parents the preteen was “100% trans” and at high risk of suicide without medical intervention.
According to the report, Breen began puberty blockers at 12, testosterone at 13 and underwent a double mastectomy at 14.
HHS OFFICIAL WARNS OF IRREVERSIBLE RISKS AS TRUMP ADMIN RESTRICTS FUNDING FOR YOUTH GENDER PROCEDURES
Three detransitioners claim they were pressured by doctors and hospitals as impressionable teenagers to undergo gender transition treatment.(iStock)
Breen’s mental health later deteriorated, and the teen stopped taking testosterone at 18 after therapy led Breen to conclude that the distress surrounding gender identity was connected to earlier trauma, according to the report. Breen reported experiencing pain and irregular menstrual cycles and requiring estrogen.
When Breen later sought breast reconstruction, doctors questioned the teen’s mental stability, and some stopped responding, according to the report.
“She did not face this same scrutiny when seeking a mastectomy at 14,” the report states. HHS also said Breen discovered letters in the medical record claiming a lifelong history of gender dysphoria.
Now studying theater at UCLA, Breen said in the report that the treatments and surgery continue to have physical consequences.
“How can a child consent to losing fertility or the ability to breastfeed if no one checks whether she even understand what that means?” Breen said.
Aldaco said gender-related distress emerged during adolescence and that online communities framed gender transition as the “appropriate response” to those feelings, according to the report.
After talking to a doctor, Aldaco was prescribed testosterone with several specialists treating the then-teen for gender dysphoria, and the report says Aldaco gave no indication that providers considered alternative treatment options outside what it calls a “sex rejection” model.
Aldaco began taking testosterone before receiving a double mastectomy to remove breast tissue. Aldaco then began suffering severe complications after surgery, causing pain the young person said “I don’t think I’ll ever forget.”
The stories of Clementine Breen, Soren Aldaco and Luke Healy were featured in the Department of Health and Human Services’ “Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine” report.(Stefani Reynolds/Bloomberg via Getty Images)
“Despite these negative developments, providers did not initiate a structured reassessment of her treatment plan,” the report says, adding that the support received after treatments was insufficient compared to the systems that pushed the life-altering decisions.
“Soren’s experience reflects the imbalance of care for cases like hers,” the report reads. “While her pathway into sex rejection medicalization involved coordinated referrals, approvals, and interventions across multiple providers, the pathway out involved no comparable system of support.”
Healy was just 10 years old when first learning of an online community where adults discussed transgender identities, according to the HHS report.
Within three years, Healy says he came to identify as a girl. After discussing the issue with his parents, Healy was taken to a counselor to talk about it.
“The only people who seriously asked what might have caused his distress were his parents,” the report reads. “Meanwhile, institutional figures … treated his new identity as settled and moved quickly to affirm it.”
“Luke’s parents refused to consent to puberty blockers or hormones while he was still a minor,” the report added. “Luke now describes their refusal as one of the bravest things they ever did.”
Still wanting to be a girl at 18, Healy began pursuing transitioning treatments.
Healy started with estrogen and began receiving consultations for surgical treatments before slowly starting to realize that the treatments were not easing psychological stress.
JD VANCE CALLS ON DOJ TO PROSECUTE ALLEGED FRAUD IN TEEN TRANSGENDER TREATMENT
Doctors at Children’s Hospital Los Angeles told Clementine Breen’s parents pre-teen was “100% trans” and at high risk of suicide without medical intervention.(AP Photo/Jae C. Hong)
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“Each intervention led to pressure for further intervention,” the report reads. “In his view, the model was built around escalation rather than resolution.”
Healy eventually began to question the procedures doctors were recommending.
“One doctor quoted him approximately $200,000 for facial feminization surgery. Another, he says, spoke to him like a car salesman while encouraging tracheal shave,” the report said. “Luke came to realize he was being sold procedures, not psychological help.”
Rather than continuing the efforts to become a girl, Healy focused on battling the substance abuse problems developed during the process, quitting drinking and drugs.
“He recognized the same obsessive, destructive pattern in gender ideology that he had seen in addiction,” the report reads.
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