On Monday, a North Carolina appeals court will consider a question much bigger than one case, one plaintiff or even one state. It will decide whether those harmed by ideology in the guise of medical care are entitled to justice.
We believe the answer should be yes.
As a teen with emotional problems, I, Prisha Mosley, found myself turning to dark places on the internet. Sucked in by chat rooms and subreddits, the addictive, seductive culture of inclusivity captivated my young, impressionable mind. As I struggled with multiple psychiatric diagnoses and an eating disorder, I came to believe that what was really wrong with me was that I was born in the wrong body.
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I was told that instead of embracing my biological gender, I could turn myself into a boy. This seemed like the only way out at the time, especially at the insistence of my doctors, who quickly agreed that this was what was wrong with me. They pressured me to believe that because I was already struggling with suicidal thoughts, I needed to complete the transition as soon as possible because my life could be in danger. I was told there was an easy and acceptable solution to my problems: testosterone injections and the surgical removal of my healthy breasts.
My doctor even told me that as a boy, taking testosterone would cause me to go through puberty. This was a lie. This was medical fraud.
Prisha Mosley is an Independent Women ambassador and detransitioner. (Independent women)
The system that should have been designed to protect me instead threw me to the wolves. Instead of looking at my personal traumas and carefully considering the best way to resolve them, my doctors and therapists signed off on the complete mutilation of my body before I had even gotten a driver’s license.
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I received a deceptive confirmation, not a medicine. My psychological suffering became even worse than before my transition, exacerbated by the loss of my healthy, functioning body and body parts. And these consequences will never be reversible.
My doctors and therapists signed off on the complete mutilation of my body before I even had a driver’s license.
For this reason, I contacted Campbell Miller Payne attorneys to file a medical malpractice lawsuit.
As her counsel, I, Josh Payne, spent years investigating the ins and outs of Prisha’s case – the first of its kind in the country to go to trial – and now others are liking it. Prisha’s case is unfortunately not unique. Across the country, vulnerable minors and young adults with complex mental health conditions are being targeted for life-changing medical interventions without the rigor, skepticism, or informed consent that our legal and medical systems require.
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When Prisha sought help, she was entitled to the most basic protections in both law and medicine: evidence-based treatment based on transparency and the core medical principle of “do no harm.” But instead, her doctors told her a false story that she could change her gender, and mutilated her body to serve that lie.
In 2023, Prisha filed suit against the medical providers who facilitated her transition, alleging fraud, negligence and malpractice. But her case has yet to be decided by a jury of her peers. It was rejected due to a procedural technicality: time.
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The court ruled that her claims came too late. But this is precisely the injustice at the heart of this call. Prisha was completely unaware that the testosterone and surgery the defendants had imposed on her as ‘treatment’ could potentially harm her. Cases like Prisha’s do not lend themselves to strict statutes of limitations because the patient trusts her medical professionals to care for her fairly. When that trust is violated through deception, the damage is not immediately visible. In fact, this is often overshadowed by the authority and ideology that determines these decisions.
Recognizing this, North Carolina lawmakers extended the statute of limitations for these cases, recognizing that justice must take into account delayed understanding in cases with profound medical implications. But despite this legislative victory, Prisha’s claims were dismissed with prejudice, meaning she was never able to present her case before a jury.
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Courts are there to investigate disputed facts, not to rule them out. In Prisha’s case, there are legitimate questions that require investigation. What did her doctors know? What did they announce? And did they meet the standard of care owed to a vulnerable patient? These questions deserve an answer and are exactly why we have filed an appeal.
We will argue that appeal on Monday, April 13, in our written contribution to the court.
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This is primarily about principles. The issue is whether the law will recognize that vulnerable patients cannot meaningfully consent to interventions whose consequences they cannot understand. At issue is whether medical professionals can promote unproven treatments without accountability. We are told that cases like Prisha’s are rare. But whether they are or not, rarity is no defense against negligence. There is no law to protect negligent and fraudulent behavior. The law exists to protect people from harm.
Our case is not just about justice for one individual, but also about setting a precedent for other similar cases across the country. It sits at the intersection of medicine, ethics and responsibility in an age when these three sometimes conflict. If our appeal is successful, it will not guarantee victory, but it will guarantee something much more fundamental: the right of people who have stopped their transition to be heard.
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A successful appeal will prove that responsibility does not end when the medical procedure does. Following Fox Varian’s $2 million judgment this year, this would prove that justice for detransitioners across the country is on the way.
On Monday, the court will consider our arguments and determine whether justice can be furthered in our case. We believe that this does not have to be a difficult decision.
Joshua Payne is an attorney representing Prisha Mosley and co-founder of Campbell Miller Payne, a law firm dedicated to representing detransitioners and others harmed by medical transition procedures.
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