The narrator repeatedly steps in to assure listeners that these individuals are “different” from transgender people in America today, emphasizing that their “protocol” was different. The intent is transparent: to cast the progress in gender medicine and the increased accessibility of care in a negative light rather than a step forward.

It’s no surprise, then, that the podcast builds toward what feels like its ultimate argument: that the truth doesn’t lie with Jamie Reed or with trans advocates, but rather with Dr. Hillary Cass in the United Kingdom. Cass is granted an entire episode to present a one-sided view of transgender care.