The DOD Instruction stipulates that if a person “self-identifies” as a person of the opposite sex, and if the Defense Enrollment Eligibility Reporting System (DEERS) changes a person’s bureaucratic “gender marker,” a man claiming to be a woman must be treated as a woman, and vice versa.
Military commanders, doctors and nurses, chaplains, and military men and women at all levels must endorse and act on this ideological belief or suffer career penalties if they don’t. Alleged “biases against transgender individuals,” which are prohibited, could include anything from “misgendering” people with the wrong pronouns to expressions of concern about medically questionable hormone treatments or surgeries for adults or military-dependent children.
Individuals who are confused about gender identity deserve compassionate counseling, competent medical care, and complete information about the serious risks and irreversible consequences of “gender-affirming” treatments that do not change biological sex. Instead, a self-diagnosis of gender dysphoria permits only one course of treatment, pushing the service member toward life-changing, often-irreversible transgender “transition,”
without an independent “second opinion.”
Commanders are directed to consult with designated “experts,” called Service Central Coordination Cells. The SCCCs have no responsibility for military operations or any obligation to put the needs of the patient first.