The Facts
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Sources
- One-party control (governor + legislative trifecta):
“Gov. Booth Gardner… 1985–1993, Democratic … Gov. Jay Inslee… 2013–2025, Democratic.” — National Governors Association (former WA governors)
https://www.nga.org/former-governors/washington/ (National Governors Association) - “Washington has a Democratic trifecta… The Democratic Party controls the offices of governor … and both chambers of the state legislature.” — Ballotpedia
https://ballotpedia.org/Party_control_of_Washington_state_government (Ballotpedia) - Gas prices near the top:
“Washington average gas prices — Current Avg. $4.403.” — AAA (state average)
https://gasprices.aaa.com/?state=WA (AAA Fuel Prices) - “As of Aug. 12, 2025, the highest average gas price is in California ($4.50)… Hawaii ($4.46) and Washington ($4.41) follow.” — LendingTree roundup
https://www.lendingtree.com/credit-cards/study/us-gas-prices/ (LendingTree) - Homelessness (third-highest, rising):
“Washington state had the third-highest homeless population in the U.S. in 2024… rose 12.5% from 28,036 to 31,554.” — Axios (citing HUD 2024 PIT)
https://www.axios.com/local/seattle/2025/01/09/washington-homeless-2024-count-report (Axios)
(Background: HUD 2024 AHAR Part 1) - “The number of people experiencing homelessness on a single night in 2024 was the highest ever recorded (771,480).”
https://www.huduser.gov/portal/sites/default/files/pdf/2024-AHAR-Part-1.pdf (HUD User) - Public safety (police staffing last in the nation):
“Washington state has ranked last in the U.S. for police staffing… according to FBI data analyzed by WASPC.” — Axios (Aug. 13, 2025)
https://www.axios.com/local/seattle/2025/08/13/washington-police-staffing-2024-fbi-data (Axios) - Local hits in Spokane (tax & utilities):
“Effective April 1, 2025, local sales and use tax within the City of Spokane will increase one-tenth of one percent (.001).” — WA Dept. of Revenue notice
https://dor.wa.gov/sites/default/files/2025-01/SpokaneCity_PST-Q2_25.pdf (Washington Department of Revenue) - “The rate adjustment in 2025 is 4.88%… about $7/month. In 2026 the increase will be an additional 5.47%… $8.40/month.” — City of Spokane, 2025 Utility Rates Brochure
https://static.spokanecity.org/documents/publicworks/utilitybilling/2025-utility-rates-brochure.pdf (static.spokanecity.org)
- One-party control (governor + legislative trifecta):
Setting the Record Straight
Crime & Policing
No family should worry about break-ins, car theft, or walking kids past drug use downtown. When crime feels unchecked, small businesses suffer and neighborhoods empty out at dusk.
Our plan is simple: put more officers on the street, focus on the worst offenders, and back lawful police pursuits so repeat criminals don’t get away. We’ll show the results—publicly—so everyone can see Spokane getting safer.
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The Facts
The facts & the Spokane GOP plan
- Targeted policing works. Spokane PD already uses a data-driven CompStat model to identify hot spots and the most active offenders. We’ll double down on that approach and measure outcomes. (Spokane City)
- We’re understaffed—by a lot. The Spokane County Sheriff’s Office sits at about 0.89 law-enforcement personnel per 1,000 residents in unincorporated areas—the lowest sheriff staffing rate in Washington. We will recruit, retain, and field more deputies—fast. (Spokesman-Review)
- Restore sensible pursuits and catch repeat offenders. Washington adopted Initiative 2113 (2024), which returned pursuits to a “reasonable suspicion” standard when a person has violated the law and poses a threat. We support clear rules, strong training, and using this authority to stop high-harm criminals. (Law Files, Ballotpedia)
- Publish the numbers—monthly. SPD already releases operational CompStat/NIBRS snapshots. We’ll expand this county- and city-wide: response times, case clearance, and crime trends, so leadership owns results and the public sees progress. (Spokane City)
Bottom line: Safer streets aren’t about slogans. They’re about more boots on the ground, smarter deployment, lawful pursuits, and hard numbers the public can track.
Sources (quoted)
- Spokane PD on CompStat: “The Spokane Police Department is committed to reducing crime using proven, data driven crime and offender analysis. Our CompStat model identifies the most active offenders… and the location in which crimes are occurring.” https://my.spokanecity.org/police/prevention/compstat/ (Spokane City)
- Sheriff staffing level: “…the Spokane County Sheriff’s office had 0.89 law enforcement personnel per 1,000 unincorporated residents, the lowest rate of any county sheriff’s office in the state.” https://www.spokesman.com/stories/2025/aug/17/the-spokane-county-sheriffs-office-needs-more-depu/ (Spokesman-Review)
- Pursuit standard (I-2113 official report): “Expands authorization for vehicular pursuits by allowing an officer to conduct a vehicular pursuit where there is reasonable suspicion a person…” https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/I2113%20SIB%20APS%2024.pdf (Law Files)
- Ballot description of I-2113: “…allowing them upon conditions including an officer’s reasonable suspicion a person has violated the law and poses a threat to the safety of others.” https://ballotpedia.org/Washington_Initiative_2113%2C_Remove_Certain_Restrictions_on_Police_Vehicular_Pursuits_Initiative_(2024) (Ballotpedia)
- SPD operational reports (for public stats): “The CompStat report is designed for operational use… Official statistics… can be found on WASPC & FBI websites once available.” https://static.spokanecity.org/documents/police/prevention/compstat/2025/05/compstat-report-2025-05-19.pdf (Spokane City)
Homelessness & Addiction
It isn’t compassion to watch people spiral on the streets and call it “help.” It isn’t compassion to stack people in rooms and hope addiction heals itself. Spokane has tried “housing first only”—and too many neighbors are still stuck. We also know not everyone can quit today. That’s real life. So we’ll meet people where they are, offer treatment the moment they’re ready, and set clear standards that move them toward sobriety, stability, and work. Housing matters. Treatment matters. Standards matter. We will do all three—at the same time.
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The Facts
How recovery actually works (our approach)
- Meet people where they are → move them forward. Low-barrier entry to shelter and stabilization with same-day offers for detox, medication for opioid use disorder (MAT), and behavioral health. If someone says “not yet,” we keep engaging—and try again tomorrow.
- Fast starts matter. Aim for treatment starts within 24–72 hours of contact; use warm handoffs (outreach → clinic → bed) so no one “falls between the cracks.”
- Milestones, not warehousing. Recovery housing with clear steps (attendance, testing, counseling, job readiness). Slip-ups trigger immediate re-engagement, not a return to the street.
- Accountability with compassion. Use drug court and SB 5536 diversion tools so treatment is the on-ramp—and consequences exist for open drug use and repeated harm.
- Order in public spaces. After Grants Pass, Spokane can enforce time/place/manner camping rules that regulate conduct (not status) while offering shelter and services—care with boundaries.
- Fund what exits people from the street. Spokane’s latest data: 1,806 people counted; among surveyed adults 52% reported a substance use disorder, 43% serious mental illness; 70% were Spokane County residents before becoming homeless; 16% of beds (165) sat vacant that night; encampment closures saw ~80% referrals to housing. We’ll scale what’s working and sunset what isn’t.
How we’ll track progress
- 72-hour treatment start rate after first contact
- 30/90/180-day treatment retention
- Permanent housing exits and 12-month returns
- Encampment resolution placements and public-space compliance (paired with offers of shelter/treatment)
Bottom line: Real compassion changes outcomes. Spokane will move fast to house people, deliver treatment that sticks, and keep shared spaces usable—so neighbors can get off the street and stay off.
Sources (quoted with links)
- HUD (Evidence Matters, 2023 — Housing First review)
“No clear differences existed between Housing First and [treatment as usual] for mental health, quality of life, and substance use outcomes… “…with no significant differences in either drug or alcohol use.”
https://archives.huduser.gov/portal/periodicals/em/spring-summer-23/highlight2.html - City of Spokane (2025 PIT release)
“…surveyed 1,806 individuals…”
“…43 percent of adults…serious mental illness; 52 percent…substance use disorder…”
“…70 percent of people surveyed lived in Spokane County before becoming homeless…”
“There was a 16 percent vacancy rate (165 emergency shelter and inclement weather beds)…”
“…closed four encampments…with an 80 percent success rate of referrals to housing…”
https://my.spokanecity.org/news/releases/2025/07/14/spokane-countys-homeless-population-shows-overall-decrease/ - U.S. Supreme Court — City of Grants Pass v. Johnson (2024)
“Grants Pass’s public-camping ordinances do not criminalize status. The public-camping laws prohibit actions undertaken by any person…”
https://www.supremecourt.gov/opinions/23pdf/23-175_19m2.pdf - Washington drug law (SB 5536) explainer
“The bill makes it a gross misdemeanor to… knowingly use [a controlled substance] in a public place.”
https://mrsc.org/stay-informed/mrsc-insight/may-2023/new-law-on-drug-possession-use
Housing & Property Taxes
Families shouldn’t lose a home they’ve already paid for because government can’t live within its means. Seniors on fixed incomes aren’t ATMs. Spokane Republicans will guard your home with three commitments: stop the local tax creep, focus budgets on core services, and automatically connect every eligible senior/disabled homeowner to real relief. We’ll steward your dollars the way you do—so you can stay rooted in the home you built.
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The Facts
What’s broken
- Washington’s “1% cap” limits how much a district’s regular levy can grow—not your individual bill. Your bill can rise faster if values shift or if voters approve add-ons.
- Levy lid lifts let collections grow beyond 1% when voters say yes. That’s why disciplined budgeting matters.
What we’ll do
- Protect seniors and disabled homeowners. Proactively pre-screen records, mail “you likely qualify” notices, and staff one-stop sign-ups. The state program freezes taxable value and removes excess levies for eligible seniors/disabled neighbors—let’s make sure every eligible household gets it.
- Discipline before taxes. Hold to the 1% levy limit, avoid banked capacity, sunset add-ons, and prioritize police, fire, and roads—period. If a levy is truly necessary, pair it with offsets and a hard sunset.
- Keep people housed. Alongside exemptions, help fixed-income owners use deferrals when needed (state pays now; lien repaid later). It’s a safety net—not a first resort.
Bottom line: Government must steward your dollars like you do. We’ll cut the fluff, tell the truth, and keep seniors and families in their homes.
Sources (quoted with links)
- WA Dept. of Revenue — 1% levy limit (what it actually caps):
“It limits increases in taxes by individual taxing districts to 1% annually…” and
“Does that mean my property taxes cannot rise more than 1%…? No, not necessarily. Individual tax bills are based on… how much your property changes in value… and whether voters approve tax increases beyond the levy limit.”
https://dor.wa.gov/forms-publications/publications-subject/tax-topics/property-tax-how-1-property-tax-levy-limit-works - WA Dept. of Revenue — Homeowner’s Guide (levy limit & add-ons):
“The levy limit applies to a taxing district’s levy amount, and not to increases in the assessed value of individual properties.” and
“Voter-approved special levies… are in addition to this amount.”
https://dor.wa.gov/sites/default/files/2022-02/HomeOwn.pdf - MRSC — levy lid lifts:
“A levy lid lift ballot measure is a mechanism for voters to approve an increase in a taxing district’s total levy by more than the 101% limit…”
https://mrsc.org/stay-informed/mrsc-insight/october-2022/using-levy-lid-lifts - WA Dept. of Revenue — Senior/Disabled Exemption (what it does):
“You will not pay excess levies or Part 2 of the state school levy… it freezes the taxable value of the residence the first year you qualify… levies you pay will be based on the frozen value not the market value.”
https://dor.wa.gov/sites/default/files/2022-02/PTExemption_Senior.pdf - WA Dept. of Revenue — Deferral safety net:
“If qualified, you can defer your property taxes… in an amount up to 80% of the equity in your home… interest rate… 5%.”
https://dor.wa.gov/sites/default/files/2022-02/HomeOwn.pdf
Cost of Living
Families across Washington feel the squeeze every month. From gas at the pump, to the cost of rent or a mortgage, to utility bills climbing higher each year, the basics of life cost far more than they should. The truth is simple: one-party rule in Olympia has made Washington one of the most expensive states to live in. When families are choosing between groceries and gas, or when seniors can’t afford to stay in homes they already own, it’s clear the system is broken.
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The Facts
Deep dive
- Gas prices: Washington consistently ranks in the top three most expensive states, averaging $4.40/gallon in August 2025. Only California and Hawaii are higher.
- Housing: The statewide median home price is $592,000, with Spokane’s median at $417,000. Rent averages $1,731/month, and the median mortgage is $2,396.
- Overall cost of living: Washington is about 34% more expensive than the U.S. average. Housing is 53% higher, transportation 24% higher, and groceries and healthcare are above average too.
- Utilities: Electricity bills jumped 12.6% in just one year (May 2024–May 2025), and Spokane households face additional city utility rate hikes: +4.88% in 2025 and +5.47% in 2026.
- Household burden: Washington families spend nearly 37% of income on essentials like rent, utilities, and insurance—about $2,468/month, nearly $5,000 more a year than the U.S. average.
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Stop fee creep. Freeze unnecessary local utility hikes and audit rate-setting practices.
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Tie costs to accountability. Link any utility or tax increases to measurable improvements in reliability and service.
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Protect families, not bureaucracies. Oppose new taxes that punish seniors and working families already stretched thin.
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Prioritize housing affordability. Push reforms that expand supply responsibly and cut red tape to lower rent and home prices.
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Energy policy with common sense. End costly mandates that drive up gas and power prices for households.
Sources
- AAA — “Washington average gas prices: Current Avg. $4.403” (Aug. 19, 2025)
https://gasprices.aaa.com/?state=WA - LendingTree — “California ($4.50)… Hawaii ($4.46) and Washington ($4.41) follow” (Aug. 2025 gas ranking)
https://www.lendingtree.com/credit-cards/study/us-gas-prices/ - SoFi — “Median home value is about $592,000 statewide; Spokane median $417,000”
https://www.sofi.com/cost-of-living-in-washington/ - RentCafe — “Washington cost of living is 34% higher than national average; housing 53% higher”
https://www.rentcafe.com/cost-of-living-calculator/us/wa/ - Axios — “Electricity bills up 12.6% in Washington from May 2024 to May 2025”
https://www.axios.com/local/seattle/2025/08/12/washington-utility-bill-increase-electric-grid-energy-demand - City of Spokane — “The rate adjustment in 2025 is 4.88%… in 2026 the increase will be an additional 5.47%”
https://static.spokanecity.org/documents/publicworks/utilitybilling/2025-utility-rates-brochure.pdf - United for ALICE Report — “Average Washington household spends nearly 37% of income on essentials… $2,468 per month”
https://www.unitedforalice.org/Attachments/AllReports/state-of-alice-report-Washington-2025.pdf
In-Person Voting
Elections should happen in person, in public, and on paper—so every voter sees the process and trusts the result. Ballots shouldn’t sit in apartment lobbies or pile up in old mailboxes. Most democracies still make you show up to vote, and they use mail ballots only when you truly can’t be there. That’s our position: in-person as the default, with mail ballots limited to medical necessity and voters temporarily away (military, students, work).
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The Facts
Deep dive
Why most countries don’t use universal mail voting
- Global practice: International IDEA’s comparative data show that only 27% of OECD countries allow in-country postal voting for all voters (another 24% allow it only for some voters). In Europe specifically, 13 countries (30%) allow in-country postal voting, and just 7 of those open it to everyone. In much of the world, in-person remains the norm. (International IDEA)
- Major democracies that rejected it:
- France banned domestic mail voting in 1975 after fraud problems and relies on proxy voting for those who can’t attend. (Sénat)
- Australia offers postal votes only for specific reasons (illness, travel, caring duties, etc.). Their election office even advises: “Voting early in-person may be a better option than voting by post.”
Why mail-in voting is vulnerable (and best kept exceptional)
- Secrecy & coercion risks: Europe’s election commissioner (Venice Commission) warns postal voting “may be prohibited… owing to the danger of fraud,” should be used only where the post is secure, and “should not be widely encouraged” because of family-voting/undue influence risks—while allowing it for patients, people in custody or with restricted mobility, and electors abroad. (Venice Commission)
- Documented fraud cases: A UK election judge found “widespread fraud” with postal votes—“an open invitation to fraud… [that] would disgrace a ‘banana republic’.” (The Guardian)
- Bipartisan U.S. warning: The Carter–Baker Commission (co-chaired by Jimmy Carter and James Baker) concluded: “Absentee ballots remain the largest source of potential voter fraud.” (Baker Institute)
- Postal system delays: Even election officials have flagged mail performance problems that could disenfranchise voters if not fixed. (Stateline)
The Spokane GOP plan
- Make in-person voting the default. More neighborhood vote centers and ample early in-person days.
- Limit mail ballots to exceptions: medical necessity and voters temporarily away (military, students, work assignments).
- If the state keeps broad mail voting for now: tighten chain-of-custody, forbid third-party collection (“harvesting”), require robust observer access, and publish real-time stats on challenged ballots and cures.
- Paper trails & public audits: hand-marked paper ballots, public observation, and post-election audits you can actually watch.
Bottom line
Show up, vote on paper, watch the count. Mail ballots only when you truly can’t be there.
Sources
- International IDEA (global comparisons):
“In Europe, 13 countries (30%) allow in-country postal voting… [with] 7 countries… for all voters… In OECD countries… 27% allow in-country postal voting for all voters, 24% for some.”
https://www.idea.int/data-tools/tools/special-voting-arrangements (International IDEA) - Council of Europe (Venice Commission):
“Postal voting… may be prohibited… owing to the danger of fraud… [and] should not be widely encouraged [due to] family voting… Allowed for hospital patients, persons in custody, persons with restricted mobility, and electors resident abroad.”
https://www.venice.coe.int/webforms/documents/default.aspx?pdffile=CDL-AD(2004)012-e (Venice Commission) - France ended mail voting (fraud concerns):
“France abolished postal voting in 1975 because of the incidence of fraud.” (ACE Project summary)
https://aceproject.org/ace-ar/topics/va/context-of-voting-from-abroad/mobile_browsing/onePag (aceproject.org)
“Supprimé en 1975 en France au profit du vote par procuration [postal voting abolished in 1975 in favor of proxy voting].” (French Senate brief)
https://www.senat.fr/lc/lc293/lc293.pdf (Sénat) - Australia limits postal votes (prefer in-person):
“You can apply for a postal vote if… you are seriously ill… travelling…” and “Voting early in-person may be a better option than voting by post.”
https://www.aec.gov.au/faqs/postal-voting.htm - UK postal-vote fraud rulings:
“…widespread fraud…” and the system “an open invitation to fraud.”
https://www.theguardian.com/society/2005/apr/04/localgovernment.politics ; https://www.theguardian.com/uk/2005/apr/05/politics.localgovernment (The Guardian) - Carter–Baker Commission (bipartisan):
“Absentee ballots remain the largest source of potential voter fraud.”
https://www.bakerinstitute.org/events/2219/ (Baker Institute) - Mail performance concerns (U.S.):
“Some people who vote by mail may be disenfranchised this fall if the issues are not addressed, the officials said…”
https://stateline.org/2024/09/16/voting-by-mail-election-workers-are-worried-about-issues-at-the-postal-service/ (Stateline)
Schools: Back to the Basics
Classrooms are for learning, not ideology. Parents—not bureaucrats—belong in the driver’s seat. We oppose DEI mandates that sort kids by identity; it’s harmful, inappropriate, and when it elevates race over merit and character it becomes a kind of neo-racism. Our goal is real school choice—let money follow the student, give families control, and make every school compete on reading, math, and results.
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The Facts
What’s going wrong (and what we’ll change)
- DEI mandates crowd out academics. State law forces educator/board trainings aligned to “cultural competency, diversity, equity, and inclusion.” We support equal dignity—but turning class time into ideology is nonsense when reading and math lag. We’ll refocus training on instruction, not indoctrination.
- Identity-first curriculum requirements. Districts must “adopt inclusive curricula” and update policies by Oct. 1, 2025 to match the state’s model. We’ll keep politics out of lessons and keep parents in—full transparency and easy access to materials.
- Race-centered add-ons expand while basics suffer. The state issued an Ethnic Studies framework and the State Board adopted a resolution of intent for an ethnic-studies graduation requirement. If districts go this route, families deserve choice and clear opt-outs.
- Scoreboard reality. Only 32% of WA 4th-graders are NAEP Proficient in reading; 40% in math. In 8th grade: 31% reading, 30% math. Back to basics—now.
Our Spokane GOP plan
- Teach the fundamentals, measure monthly. Require structured literacy (explicit phonics), early screening, targeted interventions K–3; publish simple reading/math dashboards by school.
- Parents in charge—no secrecy. Post syllabi and core materials online; enforce the Instructional Materials Committee (with a parent member) and a real complaint/review process.
- REAL school choice. Reopen charter authorization; pilot Education Scholarships/ESAs so a portion of funding follows the student—saving money versus WA’s ~$18.3k per pupil and raising performance through competition.
Sources
- Educator DEI standards (RCW 28A.410.260):
“The Washington professional educator standards board shall: (a) Develop or update cultural competency, diversity, equity, and inclusion standards of practice [for school district staff].”
https://app.leg.wa.gov/rcw/default.aspx?cite=28A.410.260 - School-board governance training aligned to DEI (RCW 28A.345.120):
“The Washington state school directors’ association shall identify or develop… governance training programs that align with the cultural competency, diversity, equity, and inclusion standards for school director governance….”
https://app.leg.wa.gov/rcw/default.aspx?cite=28A.345.120 - Model policy—“inclusive… diverse, equitable” curricula & Oct. 1, 2025 deadline (RCW 28A.345.130):
“By October 1, 2025, school district boards of directors must amend the policy and procedures… to conform with the model policy… [to] adopt inclusive curricula and select diverse, equitable, inclusive instructional materials….”
https://codes.findlaw.com/wa/title-28a-common-school-provisions/wa-rev-code-28a-345-130/ (Full chapter PDF: https://app.leg.wa.gov/rcw/default.aspx?cite=28A.345&full=true&pdf=true) - Ethnic Studies framework (OSPI):
“The Washington State Ethnic Studies Framework is intended to support educators… implementing Ethnic Studies in grades K–12.”
https://ospi.k12.wa.us/sites/default/files/2023-08/washingtonethnicstudiesframework.pdf - SBE intent for an ethnic-studies graduation requirement:
“In March 2021, the Board adopted a resolution of intent to establish an ethnic studies graduation requirement within the current credit framework.”
https://sbe.wa.gov/ethnic-studies-graduation-requirement - NAEP proficiency, Washington (2024):
“Grade 4 Reading… Proficient… 32 percent (2024).” — “Grade 8 Reading… Proficient… 31 percent (2024).”
https://ospi.k12.wa.us/sites/default/files/2025-01/naep-snapshot_red_2024_wa_4.pdf https://ospi.k12.wa.us/sites/default/files/2025-01/naep-snapshot_red_2024_wa_8.pdf - Structured literacy guidance (OSPI, 2024):
“Screen students in grades K–2… [and] provide evidence-based multisensory structured literacy interventions to students… at risk for reading difficulties.”
https://ospi.k12.wa.us/sites/default/files/2024-06/dyslexia-guidance-reporting-2024.pdf - What WA spends vs. choice program costs:
“Totals: … 18,313 [expenditures per pupil] (FY 2022–23).” — OSPI
https://ospi.k12.wa.us/sites/default/files/2023-12/2022-23_section_one_statewideaveragefinancialtablesandcharts.pdf
“Average award… $8,200” — Florida ESA (FES-EO)
https://www.fldoe.org/core/fileparse.php/18766/urlt/FES-EO-FAQs.pdf
“Average award… $9,895” — Arizona ESA
https://www.azleg.gov/Briefs/Senate/EMPOWERMENT%20SCHOLARSHIP%20ACCOUNTS%202024.PDF
Protecting Kids
Children deserve a safe childhood—not life-changing drugs and surgeries. Putting a minor on puberty blockers, cross-sex hormones, or removing healthy body parts is irreversible and, in our view, child abuse. Real compassion means protecting kids, helping families, and giving time and counseling until they’re adults. Many distressed kids grow out of it as they mature. Our job is to guide—not push.
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The Facts
What some progressives say
“Puberty blockers are harmless and reversible; early hormones and surgeries prevent suicide. Opposing this is cruel.”What the Spokane GOP says
Protect kids. No medicalization of minors. Therapy-first care, total parental transparency, and real support for underlying mental-health needs. When the best evidence is weak, we don’t experiment on children—we protect them.Why we take a therapy-first, “wait-and-see” approach
- The strongest reviews don’t show clear benefits. NHS England’s policy, informed by NICE, found “no statistically significant difference in gender dysphoria, mental health, body image and psychosocial functioning” with puberty blockers and rated the evidence “very low certainty.” (NHS England)
- UK: puberty blockers now off-limits outside research. After the independent Cass Review, the UK government made the blocker ban for under-18s indefinite; NHS England stopped routine prescribing in March 2024. (GOV.UK, NHS England)
- Sweden (national guidelines, 2022): Hormones for minors should be limited to research or exceptional cases, given risks likely outweigh benefits. (Socialstyrelsen)
- Finland (COHERE, national guidance): For children, psychosocial support is first-line; “cross-sex identification in childhood… generally disappears during puberty,” and “no irreversible treatment should be initiated.” (segm.org)
- Latest systematic reviews echo caution. A 2025 review in Archives of Disease in Childhood concluded evidence for puberty blockers’ benefits is very low-certainty. (BMJ Advances in Chronic Kidney Disease)
Why medicalization is risky for minors
- Irreversibility & fertility loss. Long-term cross-sex hormones “may… lead to infertility,” especially when started young; mastectomy is permanent and irreversible. (nhs.uk, Mayo Clinic, Breastcancer.org)
- Bone health concerns with blockers. NHS notes blockers can “reduce the expected increase in… bone density during puberty.” (NHS England)
Our policy (what we’ll do)
- Ban local facilitation of puberty blockers, cross-sex hormones, and surgeries for anyone under 18.
- Therapy-first care: expand access to counseling and treatment for co-occurring issues (anxiety, depression, trauma, ASD).
- Parental rights: no secrets; parents are full partners.
- Follow the best global evidence: align with UK/Sweden/Finland—psychosocial support first, research-grade standards, and no irreversible procedures on kids.
Bottom line
Spokane’s standard is simple—protect children, strengthen families, and keep medicine rooted in real evidence. Until kids are adults, no irreversible drugs or surgeries.Sources & quotes
- NHS England clinical policy (Mar 12, 2024):
“No statistically significant difference in gender dysphoria, mental health, body image and psychosocial functioning… evidence… very low certainty… We have concluded there is not enough evidence to make [puberty blockers] routinely available.”
Link: https://www.england.nhs.uk/wp-content/uploads/2024/03/clinical-commissioning-policy-gender-affirming-hormones-v2.pdf (NHS England) - UK Government — puberty-blocker ban made indefinite (Dec 11, 2024):
“Legislation will be updated… to make the order indefinite… The NHS stopped the routine prescription of puberty blockers… in March 2024.”
Link: https://www.gov.uk/government/news/ban-on-puberty-blockers-to-be-made-indefinite-on-experts-advice (GOV.UK) - NHS England page (policy summary):
“Puberty suppressing hormones (PSH) are not available as a routine commissioning treatment option for… children and young people who have gender incongruence/gender dysphoria.”
Link: https://www.england.nhs.uk/publication/clinical-policy-puberty-suppressing-hormones/ (NHS England) - Sweden — National Board of Health & Welfare (2022 guidelines, English summary):
“At group level… the risks of puberty blockers and gender-affirming treatment are likely to outweigh the expected benefits… treatment should occur within research or exceptional cases.”
Link (summary/PDF): https://www.socialstyrelsen.se/publikationer/care-of-children-and-adolescents-with-gender-dysphoria--summary-of-national-guidelines--december-2022-2023-1-8330/ (PDF: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/kunskapsstod/2023-1-8330.pdf) (Socialstyrelsen) - Finland — COHERE national recommendation (2020; English translation):
“Cross-sex identification in childhood… generally disappears during puberty… The first-line treatment… is psychosocial support… No irreversible treatment should be initiated [in minors].”
Link (PDF translation): https://segm.org/sites/default/files/Finnish_Guidelines_2020_Minors_Unofficial%20Translation.pdf (official Finnish page: https://palveluvalikoima.fi/sukupuolidysforia-alaikaiset) (segm.org, palveluvalikoima.fi) - Systematic review — Archives of Disease in Childhood (2025):
“Best available evidence… was mostly very low certainty… we cannot exclude the possibility of harm.”
Links: PubMed https://pubmed.ncbi.nlm.nih.gov/39855724/ Full text: https://adc.bmj.com/content/110/6/429 (PubMed, BMJ Advances in Chronic Kidney Disease) - NHS (patient guidance) — infertility risk with hormones:
“Long-term cross-sex hormone treatment may… lead to infertility, even if treatment is stopped.”
Link: https://www.nhs.uk/conditions/gender-dysphoria/treatment/ (nhs.uk) - Mayo Clinic — infertility risk increases when started young:
“The risk of permanent infertility increases with long-term use… particularly if started before puberty.”
Link: https://www.mayoclinic.org/tests-procedures/masculinizing-hormone-therapy/about/pac-20385099 (Mayo Clinic) - Mastectomy irreversibility (patient education):
“Prophylactic mastectomy is permanent and irreversible… [with] significant loss of sensation.”
Link: https://www.breastcancer.org/treatment/surgery/mastectomy/types/prophylactic (Breastcancer.org) - Cass Review (Final Report, Apr 2024) — overall evidence base weak:
“There is not enough evidence on the long-term outcomes of interventions to manage gender-related distress.”
Link (archived/hosted PDF): https://donoharmmedicine.org/wp-content/uploads/2024/04/CassReview_Final.pdf (Do No Harm)