“Trans children don’t exist. Only sick parents, doctors, or teachers”: Congresswoman Nancy Mace’s remark that reopened the debate about childhood and gender

Por Macarena Salinas
14 October, 2026

Nancy Mace didn’t soften the message.

The U.S. representative argues that children should not be treated as transgender and that no adult—parent, teacher, doctor, or activist—should push them toward an identity or medical decisions that, she says, they are too young to understand. She used harsh language to describe it, speaking of an ideology imposed on minors.

AP Photo/J. Scott Applewhite, File

But the issue combines questions that are often confused. Changing one’s hairstyle, clothes, name, or pronouns is not the same as taking medication, and medication is not the same as surgery. What schools should tell parents is a separate discussion. Medical organizations, families, lawmakers, and advocacy groups remain divided, and each state has very different laws.

Kent Nishimura/Getty Images

There’s another detail: years ago, Mace herself distinguished between social exploration, such as clothing or pronouns, and permanent medical changes, which she said should wait until adulthood.

Her critics respond that broad restrictions intrude on decisions that families should make together with health professionals. So where would parental authority end, and at what age can a young person decide about their own body?

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