Kaiser Permanente, a healthcare company with hospitals across the United States, issued a mandatory training course for all Kaiser employees in Southern California. The course covered topics on “gender-affirming care,” which included information on mastectomies, hysterectomies, vaginoplasties, and phalloplasties. Internal documents indicated that these procedures are allowed to be performed on minors. The training also offered tips for proper binding and tucking.
The presentation began with an introduction on The Platinum Rule: someone is the gender they say they are when they say they are regardless of their transition process. It also emphasized that gender-affirming surgeries or hormones are not necessary for one to transition. Essentially, Kaiser Medical is instructing its nurses to follow arbitrary guidelines rather than the science itself.