I sat down with medical doctor and public health specialist Dr. Vincent Carroll to discuss a watershed moment in healthcare policy.
A shift that Irish institutions—the doctors and teachers to which we entrust our children—are largely ignoring:
The Cass Report.
A comprehensive four-year scientific review that’s reshaping transgender & gender identity care for young people across the UK.
The stakes couldn’t be higher for Irish children and families.
Our closest neighbours have pivoted to evidence-based approaches.
Yet Irish schools and healthcare providers remain tethered to outdated ideological frameworks that the Cass Report explicitly warns against.
Several alarming points from our chat:
The Cass Report, commissioned by the NHS and led by eminent paediatrician Dr. Hilary Cass, represents gold-standard medical science.
Ireland’s current gender-affirming model, based on 1979 WPATH guidelines, lacks scientific evidence and may be actively harmful to children.
Irish institutions face potential legal liability for continuing practices the Cass Report identifies as harmful.
Third-party advocacy groups are entering Irish schools without proper risk assessment or scientific backing.
The data is particularly concerning.
There’s been a 27-fold increase in children presenting with gender-related issues from 2009-2020, with 75% being female (reminded of the surge of eating disorders among women in the 70s and 80s).
Yet Ireland continues to follow an affirmation-first approach that the UK Health Secretary described as “too affirmative, too narrow and bordering on ideological.”
What might practical leadership actions looks like for us?
Board members and leaders of schools, sports clubs, and youth organisations must review the Cass Report immediately.
Develop new policies aligned with current scientific evidence.
Implement proper risk assessments before allowing third-party groups to interact with children.
Consider legal and insurance implications of ignoring best-practice medical guidelines.
The path forward requires courage from community leaders to prioritise children’s wellbeing over ideological pressures.
As Dr. Carroll emphasises, “You cannot vote science in or vote science out. Science is science.”
For those in leadership positions, the time for manufactured ignorance is over.
The science is clear, comprehensive, and compelling.
The question now is: Who will step forward to protect Irish children with evidence-based policies?
And for those who want to understand the roots of what is going on here, read my book Breaking Totalitarianism, bringing together 4+ years of research and 20+ expert interviews for free.
Wishing you all a healthy and prosperous new year,
Eddie