A new report details how the Human Rights Campaign, the nation’s largest LGBT lobby, pressures hospitals into child genital mutilation and castration.
A new report from Do No Harm (DNH) titled, “How the Human Rights Campaign’s Healthcare Equality Index Infects Pediatric Hospitals with Gender Ideology,” details how HRC and its charity branch, the Human Rights Campaign Foundation (HRCF), uses a scoring index to measure a hospital’s “compliance with various tenets of gender ideology.” Hospitals lose points if they do not offer or encourage dangerous and anti-human transgender procedures such as male genital amputation, breast amputation, and fake genital construction for children.
“It is time to expose and root out the Human Rights Campaign’s vast influence over healthcare systems. Our report sheds light on how the HRC weaponized its so-called ‘Healthcare Equality Index’ to pressure pediatric hospitals into chemically and surgically castrating children,” said report author Kurt Miceli, MD, in a statement. “By capitulating to the HRC’s political scheme, hospitals have utterly betrayed patients, especially children struggling with gender dysphoria. If health systems care about providing high-quality pediatric care, then they should distance themselves from the HRC and its Index.”
According to the report, 41 children’s hospitals and numerous pediatric operations inside different health systems have actually asked for HRC approval by participating fully with the harmful criteria in its Healthcare Equality Index (HEI).
The HEI is the hospital version of a broader pressure campaign HRC puts on schools, corporations, and others to comply with anti-reality sexual ideology. That index uses five criteria: “Non-Discrimination and Staff Training,” “Patient Services and Support,” “Employee Benefits and Policies,” “Patient and Community Engagement,” and “Responsible Citizenship.”
When it started in 2008, the HEI had 88 participants. In 2024, 1,065 facilities participated. The index primarily targets “inpatient facilities that provide general medical and surgical care.”
Health facilities can win awards from the sexual extremist organization by obeying their policy demands. The top award is “LGBTQ+ Healthcare Equity Leader,” and second place is the “LGBTQ+ Healthcare Equity High Performer.” Ranking criteria include staff training, offering “transgender” medical services, and working toward starting a gender clinic if one does not already exist. Hospitals are also required to allow those claiming to be “transgender” to use the restrooms of their choice.
Among the requirements, the “responsible citizenship” criterion is probably the most influential, says the report. It is where the HRC can “deduct” points, for “major” minus-25 point reasons, or “minor” minus-five point reasons.
“The deduction of 25 points is for major offenses that come to the attention of the HRC Foundation,” HRC states, “such as revoking LGBTQ+ inclusive policies and practices or having policies in place and/or engaging in proven practices that are contrary to the organization’s written LGBTQ+ patient or employment policies…Fortunately, there are currently no healthcare facilities that have received this deduction.”
Ranking systems like these, the report says, is how HRC can bully doctors into compliance, and attempt to destroy them if they speak up about the harm done by queer medical interventions. Minor deductions occur if doctors or hospitals “either follow a religious directive or have a policy in place” that does not allow for procedures like elective hysterectomies or mastectomies for people with gender dysphoria. This means the policy penalizes hospitals for religious commitments.
HRC wrote a booklet with the 2024 name Supporting Transgender, Non-binary, and Gender-Expansive Children for parents and people who work with children ages five to ten, the Do No Harm report notes. The booklet claims young children, even “sometimes in preverbal stages,” can be different genders, no gender at all, or constantly changing their gender. It also claims a child’s “well-being depends on their ability to express their gender freely,” says the report.
That contradicts reality that is also confirmed by scientific research, such as the United Kingdom’s Cass Report, and the Department of Health and Human Services (HHS) comprehensive review of the medical interventions. Both detail the dangers, irreversible nature, and adverse outcomes of supporting a child in thinking he can be a different sex. Other Western countries have also independently written reports on the harms.
HRC’s manual also falsely claims a “lack of support” for mutilating children can cause them mental distress. That contradicts a finding from Finland, and mirrored all over the world, that 75 percent of would-be pediatric gender transition patients had “severe mental health problems” before displaying gender dysphoria.
“The HRC takes to heart the child-led model of pediatric gender medicine. Yet, the reality is that children and adolescents undergo significant cognitive development, particularly in areas of the brain responsible for impulse control, long-term planning, and understanding consequences,” the Do No Harm report states. “As a result, adolescents do not fully weigh irreversible outcomes, especially those resulting from sex trait modifications. Rather, they are quite susceptible to emotional and social influences.”
HRC advocates for putting children on puberty blockers to stop natural growth, and incorrectly states the effects of stunting a child’s puberty are not only “fully reversible,” but can actually “dramatically improve these children’s lives.”
HRC also published a guide to establish “comprehensive care clinics,” which streamline a child’s experience with doctors and “gender specialists” to more quickly push them toward “transition” drugs and ultimately mutilation surgery. According to Do No Harm, contact with “gender specialists” doubles the use of cross-sex hormones.
HRC also pushes their extremist, anti-reality ideology in schools, which can often be an incubator for, as the report puts it, a “social contagion and the increased prevalence of co-occurring mental illness in youth.” DNH suggests activist initiatives such as HRC’s “Welcoming Schools” program may be “largely responsible for the increase in the diagnosis of gender dysphoria.”
“Through the Trojan Horse of bullying prevention and by tapping into young children’s desire to please adults and empathize with their peers, the HRC introduces impressionable minds to confusing concepts of sexuality and gender,” DNH states.
The lobbying group also coerces large corporations into publicly opposing legislation that would protect children from genital mutilation and chemical castration using a similar “index” model for big businesses, the report notes. HRC does this with two other indexes, the “State Equality Index” and the “Corporate Equality Index.”
The first pressures companies to publicly oppose child protection legislation, and the other pressures the companies into internal policies that favor cross-sex intervention. To earn a higher score on these indexes, businesses must implement and encourage LGBT policies that endanger children.
The Corporate Equality Index requires companies to offer “transgender inclusive health care coverage,” which means paying for puberty blockers and often other transgender procedures. As of 2024, 1,449 companies employing more than 22 million people have decided to participate in HRC’s pressure campaign that encourages self-mutilation, child mutilation, and other coarsening effects on American private and public life.
Breccan F. Thies is a correspondent for The Federalist. He previously covered education and culture issues for the Washington Examiner and Breitbart News. He holds a degree from the University of Virginia and is a 2022 Claremont Institute Publius Fellow. You can follow him on X: @BreccanFThies.
