Print this article A medical examination room at a Kaiser Permanente health clinic located in San Diego, Calif., November 17, 2014 (Mike Blake/Reuters) Certain issues have been deemed by our betters among the elite as undebatable. One is climate change. But the fervor over that issue pales next to the attempt to prevent open debate about the propriety and safety of blocking the puberties of children diagnosed with gender dysphoria. This issue matters because the future health, wellbeing, and even lives of children are on the line. That is why a “Perspective” column published in the New England Journal of Medicine is so disturbing. The article condemns Arkansas for criminalizing such interventions in children under 18. Reasonable people can differ on that approach to protecting children. But doing so would require that the authors acknowledge the profoundly unsettled scientific understanding about this issue, and the best approaches to helping such children.