Articles written by Alfonso Oliva Md

Alfonso Oliva MD|Oct 14, 2026

The debate over gender identity has expanded far beyond medical care. It now reaches schools, locker rooms, and athletic fields, where we face a narrower question: should girls’ sports remain organized according to biological sex? Washington’s Initiative 638 addresses that question directly. The measure would establish sex-based eligibility standards for girls’ athletic categories in schools. The initiative is a clear attempt to preserve a distinct competitive category for female athletes. The underlying concern is physiological. Male puber...