In news that makes you slap your forehead and yell “No way” in the most sarcastic tone possible, a case manager is alerting the world that “gender affirming” care is “morally and medically appalling. Anybody with the brains of a pound of hamburger could have told you that feeding cross hormones and lopping the healthy body parts off of pre-pubescent children was a sign of mental illness on the part of the adults. But, here we are.