Jamie Reed is an American anti-transgender activist who wants to eliminate gender affirming healthcare for adolescents and young adults. Reed is also part of the LGB separatist movement, founding the anti-trans organization LGB Courage Coalition in 2023.
Reed’s anti-trans activism has been heavily promoted by other anti-trans activists, including Bari Weiss, Jesse Singal, Azeen Ghorayshi, Jonathan Chait, Andrew Bailey, Emily Yoffe, Stella O’Malley, Sasha Ayad, Konstantin Kisin, Francis Foster, as well as conservative trans activists Aaron Terrell and Aaron Kimberly of Gender Dysphoria Alliance.
In December 2024, Reed became a co-host of the podcast Informed Dissent with Ben Appel, Corinna Cohn, Lisa Selin Davis, and “Eliza Mondegreen.”
Background
Jamie Lynn Smith was born in June 1980. After marrying Joshua David Rickly (born 1982), Jamie began using the name Jamie Lynn Smith-Rickly. During this time, Jamie was apparently using the email [email protected].
In 2009, Jamie Smith-Rickly, Zachary Smith, and Byron Case founded the Midwestern Liberty Foundation, but it was dissolved by the state of Missouri the following year for failure to submit required documents.
The couple had two children and later divorced.
Jamie then married librarian Tiger Reed, who at the time identified as a transgender man. They have Jamie’s two children from the first marriage as well as three foster children. In 2024, after announing a “detransition,” Tiger Reed began using the name Roxxanne Reed.
Reed earned a bachelor’s degree from the University of Missouri St. Louis and a master’s degree from Washington University in St. Louis. Reed began working at Washington in 2016.
Anti-trans activism
From 2018 until late 2022, Reed was a case manager at the Washington University Pediatric Transgender Center at St. Louis Childrenâs Hospital.
Reed became increasingly upset that the clinic was not doing more psychological and psychiatric gatekeeping. As with many providers, Washington relied on patients to find a local therapist who would recommend them for treatment to reduce backlogs and improve patient care.
Reed was against prescribing hormone options for minors. Like many other people opposed to youth gender affirming care, Reed considers puberty blockers less problematic than hormones, but opposes those as well. Puberty blockers are a rarely-used short-term option prior to prescribing hormones. Some people opposed to gender affirming care would prefer trans youth to stay on puberty blockers until they are adults, rather than start hormones.
Like many other people opposed to gender affirming care, Reed cites the conservative “Dutch protocol” that used extensive gatekeeping under a nationalized healthcare system.
In an affidavit presented to anti-trans Attorney General Andrew Bailey dated February 7, 2023, Reed stated:
I witnessed staff at the Center provide puberty blockers and cross-sex hormones to children without complete informed parental consent and without an appropriate or accurate assessment of the needs of the child. I witnessed children experience shocking injuries from the medication the Center prescribed. And I saw the Center make no attempt or effort to track adverse outcomes of patients after they left the Center.
[…]
One patient came to the Center identifying as a âcommunist, attack helicopter, human, female, maybe non binary.â The child was in very poor mental health and early on reported that they had no idea their gender identity.
[…]
Most children who come into the Center were assigned female at birth. Nearly all of them have serious comorbidities including, autism, ADHD, depression, anxiety, PTSD, trauma histories, OCD, and serious eating disorders.
[…]
last year Dr. [Chris] Lewis and Dr. [Sarah] Garwood told the Missouri legislature, âat no point are surgeries on the table for anyone under 18â and also, âsurgeries are not an option for anyone under 18 years of age.â This was a lie. The Center regularly refers minors for gender transition surgery. The Center routinely gives out the names and contact information of surgeons to those under the age of 18. At least one gender transition surgery was performed by Dr. Allison Snyder-Warwick at St. Louis Childrenâs Hospital in the last few years.
[…]
The Center had two in-house psychologists. They were Dr. Alex Maixner and Dr. Sarah Girresch-Ward as well as several outside therapists.
[…]
Doctors knew that many of our former patients had stopped taking cross-sex hormones and were detransitioning. Doctors did not share this information with parents or children.
[…]
Children come into the clinic using pronouns of inanimate objects like âmushroom,â ârock,â or âhelicopter.â Children come into the clinic saying they want hormones because they do not want to be gay. Children come in changing their identities on a day-to-day basis. Children come in under clear pressure by a parent to identify in a way inconsistent with the childâs actual identity.
[…]
I created a âred flagâ list of children where other staff and I had concerns. The doctors told me I had to stop raising these concerns. I was not allowed to maintain the red flag list after that. During the time I was creating the red flag list, noting my concern that these children were not good candidates for permanent, irreversible medication treatment, the doctors would simply send these children to our in-house therapists. Those therapists would inevitably provide letters to the doctors, and then the doctors would say there canât be any concern over these children because another therapist was fine with prescribing puberty blockers or cross-sex hormones.
[…]
One doctor at the Center, Dr. Chris Lewis, is giving patients a drug called Bicalutamide. I know of at least one patient at the Center who was advised by the renal department to stop taking Bicalutamide because the child was experiencing liver damage. The childâs parent reported this to the Center through the patientâs online self-reporting medical chart (MyChart). The parent said they were not the type to sue, but âthis could be a huge PR problem for you.â
[…]
the Center has prescribed puberty blockers or cross-sex hormones hundreds of times where they should not have.
Reed (2023)
Particularly upsetting to Reed are young people whose identities are fluid:
Patient was on hormones and had decompensating mental health, outlandish name changes, self-diagnosis of multiple personalities (DID).
[…]
Patient has desisted in male identity to a vague non binary with their own self-diagnosis of autism. Patient has changed their name numerous times and is clearly struggling with thoughts about desistence,
[..]
Patient changed to non-binary identity, then changed preferred name and stated that their identity was shifting day to day.
Reed (2023)
Reed gave several other vivid anecdotes, including one about a youth sex offender, and others about youths with history of self-harm, sexual trauma, forced cross-dressing, factitious blindness, and “gender identities that were likely the result of social contagion.”
2023 Free Press piece
Two days after the affidavit was signed, Reed repeated these allegations for anti-trans activist Bari Weiss.
- “clinics like the one where I worked are creating a whole cohort of kids with atypical genitalsâand most of these teens havenât even had sex yet.”
- “Some weeks it felt as though almost our entire caseload was nothing but disturbed young people.”
- “Another disturbing aspect of the center was its lack of regard for the rights of parents.”
- “In 2019, a new group of people appeared on my radar: desisters and detransitioners.”
- “I believe that to ensure the safety of American children, we need a moratorium on the hormonal and surgical treatment of young people with gender dysphoria.”
Reed and the clinicâs nurse, Karen Hamon, kept a private spreadsheet, which they called the âred flag list.â Following a 2021 review that contained criticisms and a 2022 retreat where Reed was allegedly told âGet on board, or get out,â Reed transferred to a different department.
2023 New York Times profile
Azeen Ghorayshi of the New York Times presented Reed as part of a long-running “cisgender person under siege” series the paper has been running since the early 2000s.
Ghorayshi mentioned the following people:
- Jamie Reed, former case manager at a youth gender clinic at Washington University in St. Louis
- Bari Weiss, anti-trans activist who first published Reed’s allegations
- Andrew Bailey, Missouri’s anti-trans Attorney General
- Colleen Schrappen, reporter at St. Louis Post-Dispatch
- Annelise Hanshaw, reporter at Missouri Independent
- Andrew D. Martin, Washington University in St. Louis Chancellor
Reporter Evan Urquhart wrote, “unlike other stories covering these allegations, the Times downplays the falsehoods and seeks to make a case that despite Reedâs lies thereâs something to be taken seriously in her attacks on a highly-regarded, University-linked clinic serving transgender youth.”
Lawsuits
In 2024 a subpoena was issued to Reed in the matter of Noe v. Parson (Missouri case # 23AC-CC04530). In it, Lambda Legal Defense and Education Fund, Inc. and ACLU of Missouri Foundation requested communication between Reed and Karen Hamon, as well as any communication with Missouri officials and families at Washington University Pediatric Transgender Center at St. Louis Childrenâs Hospital.
The subpoena also requested “All communications, including any documents exchanged, concerning Gender-Affirming Care involving media or between you and any media outlet or any member of the media,” as well as specifically requesting communications with Jesse Singal. Those requests were later removed.
The subpoena also requested any communication with the following organizations:
- Alliance Defending Freedom
- America First Legal
- American College of Pediatricians
- Do No Harm
- Ethics and Public Policy Center
- FAIR in Medicine
- Family Policy Alliance
- Family Research Council
- Gays Against Groomers
- Gender Exploratory Therapy Association
- Genspect
- Heritage Foundation
- LGBT Courage Coalition
- Manhattan Institute
- Missouri Family Policy Council
- Promise to Americaâs Children
- Society for Evidence-Based Gender Medicine
- Therapy First
References
Conlon, Rose (January 28, 2025). Transgender Kansans urge lawmakers to reject bill banning gender-affirming care for youth. KMUW https://www.kmuw.org/2025-01-28/transgender-kansans-urge-lawmakers-to-reject-bill-banning-gender-affirming-care-for-youth
Schrappen, Colleen (November 2, 2024). Her life changed after calling out transgender care at WashU. But sheâs pushing ahead. St. Louis Post-Dispatch https://www.stltoday.com/news/local/government-politics/article_ca9fa3a6-9588-11ef-8910-6f3a4a9697f9.html
Urquhart, Evan (Oct 4, 2024). TWIBS: Tiger Reed Tells All. Assigned Media https://www.assignedmedia.org/breaking-news/tiger-reed-tells-all
Suntrip, Jack (October 1, 2024). Jamie Reed testifies in defense of Missouri state law on transgender health care. St. Louis Post-Dispatch https://www.stltoday.com/news/local/government-politics/article_416bc1de-7f33-11ef-b125-e37291fc739f.html
Urquhart, Evan (August 22, 2024). How Conservative Officials Are Using Private Medical Records For Their Anti-Trans Agenda. them https://www.them.us/story/trans-patients-medical-records-anti-trans-agenda
Graham, Michael (February 27, 2025). Gender Clinic Whistleblower to Testify Before NH House Committee Monday. NH Journal https://nhjournal.com/gender-clinic-whistleblower-to-testify-before-nh-house-committee-monday/
Hanshaw Annelise (September 30, 2024). Former caseworker testifies in defense of Missouri transgender health care ban. Missouri Independent https://missouriindependent.com/2024/09/30/former-caseworker-testifies-in-defense-of-missouri-transgender-health-care-ban/
Lovelace, Eric (September 30, 2024). St. Louis gender clinic whistleblower testifies in Noe v. Parson. KOMU https://www.komu.com/news/midmissourinews/st-louis-gender-clinic-whistleblower-testifies-in-noe-v-parson/article_2f612e3c-7f53-11ef-ad63-abba11ecb77e.html
Reed, Erin (October 13, 2023). Family Of Missouri Trans Kid: Jamie Reed Lied About Liver Damage, Caused By COVID Drug And Not HRT. Erin in the Morning https://www.erininthemorning.com/p/family-of-missouri-trans-kid-jamie
Urquhart, Evan (August 23, 2023). NYT Treats Key Sourceâs Many Lies as an Aside in Latest Anti-Trans Smear. Assigned https://www.assignedmedia.org/breaking-news/nyt-treats-key-sources-many-lies-as-an-aside-in-latest-anti-trans-smear
Sapir, Leor (May 2, 2023). Nothing to See Here: After a suspicious internal report, a truly comprehensive and impartial investigation of Washington Universityâs Transgender Center is needed more than ever. City Journal https://www.city-journal.org/article/nothing-to-see-here
Yurcaba, Jo (April 24, 2023). St. Louis gender clinic accusations âunsubstantiated,â internal investigation finds. NBC News https://www.nbcnews.com/nbc-out/out-news/st-louis-gender-clinic-accusations-unsubstantiated-internal-investigat-rcna81233
Hanshaw, Annelise (April 24, 2023). Former employee of St. Louis transgender clinic reaffirms allegations of misconduct. Missouri Independent https://missouriindependent.com/2023/04/24/former-employee-of-st-louis-transgender-reaffirms-allegations-of-misconduct/
Henry, Vesper; Tirrell, Alyssa (April 13, 2023). Timeline: The unfolding saga between The Free Press and a Missouri gender clinic. Media Matters for America https://www.mediamatters.org/bari-weiss/timeline-unfolding-saga-between-free-press-and-missouri-gender-clinic
Schrappen, Colleen (March 20, 2023). Parents of patients at St. Louis transgender center fear privacy breaches, file complaints. St. Louis Post-Dispatch https://www.stltoday.com/news/local/metro/parents-of-patients-at-st-louis-transgender-center-fear-privacy-breaches-file-complaints/article_6b623743-e441-5119-92a4-27c19547e4b2.html
Urquhart, Evan (March 11, 2023). Jamie Reedâs Misinformation Exposed by Jesse Singal. Assigned Media https://www.assignedmedia.org/breaking-news/jamie-reeds-misinfo-exposed-by-jesse-singal
Singal, Jesse (March 10, 2023). Gender-Clinic Whistleblower Jamie Reed Has Provided A Detailed Account Of Her Most Controversial Claim, Including The Names Of Those Involved. Singal-Minded https://jessesingal.substack.com/p/gender-clinic-whistleblower-jamie
Lynch, James (March 8, 2024). ACLU Targets Whistleblower Jamie Reed in Fight against Missouri Law Banning Transgender Procedures for Minors. National Review https://www.nationalreview.com/news/aclu-targets-whistleblower-jamie-reed-in-fight-against-missouri-law-banning-transgender-procedures-for-minors/
Urquhart, Evan (March 8, 2023). There Are Two Sides to the Debate on Health Care for Trans Kids. Hereâs What Youâre Missing About One of Them. Slate https://slate.com/technology/2023/03/trans-youth-health-care-debate-affirmative-new-york-times-jamie-reed.html
Singal, Jesse (March 7, 2023). Journalists Are Exhibiting Far Too Much Credulousness Toward Jamie Reedâs Critics. Singal-Minded https://jessesingal.substack.com/p/journalists-are-exhibiting-far-too
Cooper, Ryan (March 2, 2023). The Useful Idiots Fueling the Right-Wing Transphobia Panic. The American Prospect https://prospect.org/blogs-and-newsletters/tap/2023-03-02-right-wing-transphobia-panic/
Danner, Chas (March 3, 2023). Whistleblowerâs Claims About a St. Louis Transgender Center Are Under Fire. New York https://nymag.com/intelligencer/2023/03/jamie-reeds-claims-about-transgender-care-are-under-fire.html
Kesslen, Ben (March 2, 2023). Parents hit back at Missouri trans clinic whistleblower Jamie Reed. New York Post https://nypost.com/2023/03/02/parents-hit-back-at-missouri-trans-clinic-whistleblower-jamie-reed/
Hanshaw, Annelise (March 1, 2023), Families dispute whistleblowerâs allegations against St. Louis transgender center. Missouri Independent https://missouriindependent.com/2023/03/01/transgender-st-louis-whistleblower/
Ballentine, Summer (February 10, 2023). Missouri officials investigate transgender youth clinic. AP News https://apnews.com/article/josh-hawley-jamie-reed-st-louis-missouri-health-83953afb898dff7caa2b542c91480069
Burke, Cathy (February 9, 2023). Whistleblower lifts lid on St. Louis kids gender clinic: âMorally and medically appalling.â New York Post https://nypost.com/2023/02/09/whistleblower-lifts-lid-on-st-louis-kids-gender-clinic/
Hanshaw, Annelise (February 9, 2023Â ). Missouri agencies launch investigation into health center for transgender youth. Missouri Independent https://missouriindependent.com/2023/02/09/missouri-agencies-launch-investigation-into-health-center-for-transgender-youth/
Selected publications by the Reeds
Reed, Jamie (January 30, 2025). Iâm a trans-clinic whistleblower â Trump is right to ban sex changes for kids. New York Post https://nypost.com/2025/01/30/opinion/im-a-clinic-whistleblower-trans-kids-ban-will-save-lives/
Reed, Jamie (December 3, 2024). Why I Hope the Supreme Court Upholds the Ban on Child Transition. The Free Press https://www.thefp.com/p/supreme-court-gender-transiton-skrmetti-whistleblower-jamie-reed
Reed, Roxxanne (September 9, 2024). I Spent 13 Years Living as a Man. But After My Spouseâs ExposĂ©, Iâm Detransitioning. The Free Press https://www.thefp.com/p/tiger-jamie-reed-detransition-wash-u-transgender-affirming-care
Reed, Jamie (February 7, 2023). Affidavit of Jamie Reed https://ago.mo.gov/docs/default-source/press-releases/2-07-2023-reed-affidavit—signed.pdf
Reed, Jamie (December 31, 2023). Jamie Reed: The Courage to Admit Youâre Wrong. The Free Press https://www.thefp.com/p/whistleblower-jamie-reed-courage-admit-wrong
Reed, Jamie (February 9, 2023). I Thought I Was Saving Trans Kids. Now Iâm Blowing the Whistle.The Free Press https://www.thefp.com/p/i-thought-i-was-saving-trans-kids
Media
Genetic Literacy Project with Cameron English, Jamie Reed, and Liza Dunn (April 24, 2025). GLP podcast: Common sense âout the window.â Whistleblower Jamie Reed challenges safety, efficacy of âgender-affirming care.â https://geneticliteracyproject.org/2025/04/24/glp-podcast-common-sense-out-the-window-wash-u-whistleblower-jamie-reed-exposes-bad-science-behind-gender-affirming-care/
America Reports (December 4, 2024). Whisleblower implores SCOTUS to uphold the ban on child transition. Fox News https://www.foxnews.com/video/6365541665112
Emily Yoffe (February 14, 2023). Jamie Reed Blows the Whistle on Pediatric Gender Care. The Free Press https://www.youtube.com/watch?v=_6sPG7gleOs
Stella O’Malley and Sasha Ayad (May 5, 2023). EPISODE 112: A Conversation with Gender Clinic Whistleblower, Jamie Reed. Gender: A Wider Lens https://www.youtube.com/watch?v=QafpwKrz-lw
Konstantin Kisin and Francis Foster (April 16, 2023). Trans Clinic Whistleblower Speaks Out. TRIGGERnometry https://www.youtube.com/watch?v=gbuGMbqjsSw
Konstantin Kisin and Francis Foster (June 14, 2023). The Dark Truth: What Happens At a Trans Clinic? TRIGGERnometry https://www.youtube.com/watch?v=ue19IjK3ELA
Gender Dysphoria Alliance [Aaron Terrell and Aaron Kimberly] (March 19, 2023). EP60 – The sound a whistle makes – with Jamie Reed. Transparency https://www.youtube.com/watch?v=N7BkuJBwbUU
Gender Dysphoria Alliance [Aaron Terrell and Aaron Kimberly] (August 6, 2023). EP 71 – The Denton Report – with Jamie Reed. Transparency https://www.youtube.com/watch?v=N7BkuJBwbUU
Resources
Twitter (twitter.com)
YouTube (youtube.com)