Misconception and reality

Clinical experience is what makes expertise legitimate

Dr Helen Webberley on Times Radio: puberty blockers, with Andrew Neil, Times Radio

What people think

The clinicians who actually treat trans patients every day are too close to the work to be trusted. Their experience is a conflict of interest, not a qualification. The people with real authority are the ones who reviewed the evidence from a distance.

What is actually true

I think this gets expertise exactly backwards. The physicians who make up WPATH are treating people in their clinics every single day. That is not a bias to be discounted; that is the thing that makes their knowledge real. When Andrew Neil suggested they lacked authority compared to the Cass Review precisely because they had skin in the game, I wanted to say: yes, they do, and that is the point. A cardiologist's authority over heart disease is not undermined by the fact that they see cardiac patients. It is built on it. Clinical experience is not a disqualifier. It is what expertise actually is.

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