The founder of the evidence-based movement 1.) did a comprehensive review of the evidence on pediatric gender medicine and rated the evidence base "low quality." So far so good. But 2.) after years of bullying by trans activists, he issued a paper last week stating that despite the low quality of the evidence, patient autonomy should supercede the demand for evidence-based care. That is to say, he 3.) threw out the principles that it was his life's work to promulgate in order to appease activists seeking sanction to keep doing non-evidence based procedures on children.