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This is like saying there needs to be a minimum age for ADHD medications or birth control. Doctors are not giving minors sex changes all willy nilly and the procedures that they do provide like hormone suppression are proven safe, effective, and reversible.
Why does the general public or politicians need to pick an age for medical care that doesn't involve them and doesn't harm anyone?
Because I don't think a 2 year old should be given Adderall without a parent knowing?
I personally am pretty open minded about these things, I was able to get birth control with my partner when I was 15 without her Catholic parents knowing. That was very important, but I recognize that if we were 10 it maybe becomes a different conversation involving parents.
You might say a parent could be included but you also have cases of divorced parents where one parent is for and another is against and there is a question of if the childs opinions are theirs or their parents. What age should the child be able to make the call? 15? 10? 5?
What a totally reasonable and not completely fictional scenario that shows you are discussing in good faith.