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. 2024 Oct 23;24:1270. doi: 10.1186/s12913-024-11731-4

Table 3.

Changepoints (credible intervals) and their probabilities in the proportion of active duty service members with newly and historically documented diagnoses corresponding to gender dysphoria, January 2015 – August 2022

Newly
Documented
Historically Documented
Changepoint
(Credible Interval)
Pr. Changepoint
(Credible Interval)
Pr. Salient Events

July 2016

(June 2016 – September 2016)

98%

May 2016

(March 2016 – July 2016)

> 99%

July 2015: DoD Secretary Ash Carter releases a statement reflecting that policies related to open service are “outdated” and initiates study and action to develop new policy.

June 2016: First Department of Defense policy allowed open service.

July 2017

(February 2017 – April 2018)

68%

September 2017

(May 2017 – October 2017)

> 99%

July 2017: Presidential tweet announced plan to reinstate bar to active duty service for most trans people; legal delays to enacting.

March 2018: Secretary Mathis’s plan regarding service accepted by President. Plan challenged and went to Supreme Court.

May 2019

(November 2018 – October 2019)

80%

April 2019

(February 2019 – September 2019)

96%

January 2019: Supreme Court indicates the plan can go into effect.

April 2019: DTM-19-004 again barred most open service.

February 2021

(January 2021 – March 2021)

> 99%

December 2020

(October 2020 – February 2021)

> 99%

January 2021: EO 14,004 directed removal of bar to open service.

April 2021: Revision of DoDI again allowed open service. Service-specific policies released over several months.

Pr. Probability, DoD Department of Defense, DoDI Department of Defense Instruction, EO Executive Order