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Trump administration probe could upend widely used transgender youth treatment guidelines

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The organization widely regarded as the leading authority on transgender medical treatment is facing allegations from the Federal Trade Commission that it built influential treatment guidelines for minors on evidence its own leaders privately acknowledged was limited and uncertain.

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The complaint, filed in a Texas federal court by the Federal Trade Commission and the attorneys general of Alaska, Iowa, Nebraska and Texas, accuses World Professional Association for Transgender Health (WPATH) of developing and promoting guidance that healthcare providers relied upon when recommending puberty blockers, cross-sex hormones and sex-change procedures for minors.

The case could determine whether the medical guidance that shaped transgender treatment for thousands of children was built on solid evidence or agenda-driven speculation.

FTC Chairman Andrew Ferguson said the lawsuit is a consumer-protection case focused on whether families were properly informed about the risks and benefits of these treatments.

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The FTC sued the World Professional Association for Transgender Health, alleging the organization misled parents and doctors about transgender medical treatments for minors. (Getty Images)

WASHINGTON POST ADMITS SCIENCE BEHIND PUBERTY BLOCKERS AND HORMONES FOR MINORS NOT CLEAR

«Children, but especially their parents, must have complete and truthful information when making decisions to purchase medical services,» Ferguson said in a statement. «For decades, the FTC has taken action against entities that make deceptive and unsubstantiated health-related claims.»

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At the center of the lawsuit are allegations that WPATH publicly described its Standards of Care as evidence-based and rooted in expert consensus while some of the organization’s own leaders privately acknowledged limitations in the available evidence.

The complaint cites a 2023 strategy memo from Standards of Care 8th edition lead author Dr. Eli Coleman stating that «all of us are painfully aware that there are many gaps in research to back up our recommendations.»

People holding signs during Florida Board of Medicine and Osteopathic Medicine joint meeting

People hold signs during a joint meeting of the Florida Board of Medicine and the Florida Board of Osteopathic Medicine to establish new guidelines limiting gender-affirming care in Florida on Nov. 4, 2022. (Ricardo Ramirez Buxeda/Orlando Sentinel/Tribune News Service)

ESSAY EXPOSES CRUMBLING MEDICAL CONSENSUS ON YOUTH GENDER SURGERY

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It also references comments from Dr. Amy Tishelman, lead author of the organization’s chapter on children, who acknowledged in an NPR interview that there was no established «research basis» for determining the best assessments or treatments for «transgender youth.»

Federal regulators further allege WPATH removed age minimums from its 2022 Standards of Care for procedures including breast removal surgeries without scientific justification. According to the complaint, internal discussions revealed some WPATH leaders struggled to identify evidence-based reasons supporting the change.

Kurt Miceli, chief medical officer for Do No Harm, a medical ethics advocacy organization, said the allegations raise serious questions about how the organization’s guidelines were developed.

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PLASTIC SURGEON CITES ‘EMOTIONAL BLACKMAIL,’ POOR EVIDENCE IN WARNING AGAINST YOUTH GENDER SURGERIES

«The conflicts of interest that are within the standards of care are significant, and again, not brought to light, and this is part of that deception, and the concern that WPATH has sort of stated that the science is there behind pediatric medical transition when it is not.»

Federal regulators allege that many of the clinicians and surgeons who helped draft WPATH’s guidelines had financial and professional interests tied to the treatments being recommended.

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«What WPATH did was stack the deck with folks who had a financial invested interest in promoting pediatric medical transition, and subsequently you get guidelines that push hormones, puberty blockers, and surgeries,» Miceli said.

GENDER DYSPHORIA TREATMENTS POSE ‘SIGNIFICANT RISKS’ TO KIDS AND TEENS, HHS REPORT REVEALS

The lawsuit argues WPATH’s influence extends far beyond its membership. Its Standards of Care have been widely cited throughout medicine and have helped shape treatment protocols, insurance coverage decisions and professional guidance across the United States.

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WPATH is a co-sponsoring organization of the Endocrine Society’s widely used clinical practice guideline on gender dysphoria and gender incongruence. The American Academy of Child and Adolescent Psychiatry describes WPATH and Endocrine Society guidance as the two most widely known clinical guidelines used by providers caring for youth with gender dysphoria.

Among the most serious allegations are claims that WPATH promoted pediatric transition procedures as «lifesaving» despite insufficient evidence that such interventions reduce suicide risk.

PROGRESSIVES TRAPPED IN ‘MISINFORMATION BUBBLE’ ABOUT TRANSGENDER YOUTH TREATMENTS, ATLANTIC WRITER ADMITS

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The complaint cites instances in which parents were allegedly asked whether they would «rather have a live daughter or a dead son» when considering treatment options for their children.

«When WPATH says that these are life-saving interventions, and then we hear physicians tell parents, ‘Would you rather have a dead son or a living daughter?’, and we hear that line repeated, which again is not supported by evidence by any means whatsoever,» Miceli said.

«The benefits that WPATH is claiming are there actually aren’t,» Miceli told Fox News Digital. «In fact, the benefits are a very low certainty.»

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CHLOE COLE REVEALS INTENSE PRESSURE TO TRANSITION AS A MINOR, PARENTS WERE TOLD SHE’D ‘PROBABLY DIE’

Graham Linehan holding a placard reading there's no such thing as a transgender child outside Westminster Magistrates Court in London

Graham Linehan poses with a placard reading «There’s no such thing as a transgender child» outside Westminster Magistrates Court in London on Sept. 4, 2025. (Dan Kitwood/Getty Images)

The complaint alleges that some minors who underwent medical transition experienced lasting complications, including chronic pain, sexual dysfunction, urinary incontinence, fertility concerns, nerve damage and ongoing psychological distress.

WPATH rejected the allegations Wednesday, calling the lawsuit politically motivated and legally flawed.

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«This is the second time this year the Trump Administration has abused the authority of its agencies to interfere with Americans’ rights to seek and obtain the healthcare that should be decided between a patient and their physician,» the organization said in a statement.

PRISHA MOSLEY: DOCTORS TOOK MY BODY APART FOR GENDER ‘CARE.’ NOW THEY ADMIT IT WAS WRONG

«For more than 50 years, WPATH has been committed to developing guidelines informed by established scientific standards, expert consensus, and patient centered values.»

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Miceli said the lawsuit should prompt a broader review by medical organizations that have relied on WPATH’s guidance.

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«We need the American Medical Association, the Endocrine Society, the American Academy of Pediatrics, the American Psychiatric Association—the list goes on—we need them to look at the evidence as well, and they need to do that immediately,» he said.

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«The standards of care is terribly flawed, and again it has done considerable harm as a result,» Miceli continued.

health care, surgery, childrens health, medical research, parents

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White House unloads on violent ‘criminal alien’ nabbed after investigators uncover election offense

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A Bahamian national who arrived in the U.S. during President Gerald Ford’s administration and was living with a green card while racking up a violent rap sheet before investigators found he voted illegally in the 2020 election, sparking the deportation process, officials say.

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The case of Anthony Tyrone Higgs is only the latest in a slew of arrests connected to illegal votes cast in recent elections, as the Trump administration engages in a broader crackdown on election integrity-related crimes.

«This alien was a guest in our country who forfeited his right to be in the U.S. when he committed these violent crimes and voted in the 2020 election,» White House spokeswoman Lauren Bis exclusively told Fox News Digital on Friday.

ICE ARRESTS PERUVIAN NATIONAL ACCUSED OF ILLEGALLY VOTING IN 2024 ELECTION AS DHS CITES SIMILAR CASES

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ICE agents assemble in Minnesota, left; Anthony Tyrone Higgs, inset right. (Charly Triballeau/Getty Images; DHS)

«Any non-citizens who vote illegally in our elections will be arrested and removed. American elections are only for Americans.»

Homeland Security Investigations (HSI), a division of DHS, confirmed in a statement that Higgs had illegally voted in the 2020 election.

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FORMER KANSAS MAYOR WHO PLEADED GUILTY TO ILLEGAL VOTING TURNS HIMSELF IN TO ICE

HSI’s Atlanta office arrested Higgs in Decatur, Georgia on September 3, and he is currently in the custody of ERO, the ICE subdivision that handles migrant removal operations.

Higgs was admitted into the U.S. in October 1976 as a Lawful Permanent Resident – commonly dubbed a Green Card holder. The Trump DHS has since placed him in proceedings to revoke his immigration status due to his lengthy rap sheet.

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TRUMP DOJ UNLEASHES LARGEST DENATURALIZATION EFFORT IN DEPARTMENT HISTORY — AND SAYS IT’S ‘ONLY THE BEGINNING’

Sen. Markwayne Mullin speaking to reporters at the Capitol.

Sen. Markwayne Mullin, R-Okla., speaks to reporters at the Capitol in Washington, Thursday, March 5, 2026. (J. Scott Applewhite/AP Photo)

«This criminal alien from the Bahamas has a rap sheet for multiple violent crimes, including armed robbery, domestic violence, and assault on a police officer,» DHS Secretary Markwayne Mullin said.

«On top of all of that, he illegally voted in the 2020 election,» he added.

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MORE THAN A QUARTER-MILLION NONCITIZENS MAY BE REGISTERED TO VOTE IN 4 KEY STATES, DHS ALLEGES

Homeland Security Investigations logo displayed during security preparations for Super Bowl LIX in New Orleans

A Homeland Security Investigations logo is displayed ahead of Super Bowl LIX security operations in New Orleans on Feb. 5, 2025. An HSI special agent has since been indicted on multiple felony charges in Alabama. (Aaron M. Sprecher/Getty Images)

Higgs’ record also includes resisting arrest, two counts of grand larceny and two counts of possession of a weapon during a violent crime.

Of the voting-related charge, Mullin said that just one noncitizen casting a ballot is enough to cancel out an American citizen’s vote.

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«Thanks to the hard work of the men and women of ICE, this criminal will be removed from our country and can never interfere in our elections again,» he continued.

DHS also provided several other recent cases of illegal immigrants or ineligible voters committing or being charged with election-related crimes.

In August, Colombian illegal immigrant Carlos Jaramillo-Grajales was sentenced to three years in prison following an ICE investigation that led to a guilty plea in a case where he was found to have committed identity theft to illegally vote in elections for more than 20 years, according to the agency.

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«Federal immigration laws serve to safeguard our nation’s borders and protect the integrity of our government,» said Gregory Kehoe, U.S. Attorney for the Middle District of Florida.

«Those who seek to circumvent, exploit, or break these laws will be prosecuted fully,» he said in an August statement.

In New Jersey, a Slovakian national was found to have illegally voted in the 2022 midterms, according to HSI – which also cited the case of an Australian national accused of illegally casting ballots in both 2022 and 2024 in Louisiana.

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Mauritanian national Mahady Sacko was busted by an ICE and FBI partnership in Democrat-run Philadelphia, and charged with voter fraud.

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Sacko allegedly voted illegally multiple times going back to 2008. He was already under an order of removal, DHS said in a statement, stating that he «exhausted all appeals» and an immigration board upheld his removal order as of 2002 but he remained in the country.

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Returning to the case of Higgs, Mullin added in a statement: «Thanks to the hard work of the men and women of ICE, this criminal will be removed from our country and can never interfere in our elections again.»

voter fraud concerns, deportation, illegal immigrants, migrant crime, politics, voting, immigration, donald trump, white house

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Mamdani draws fury from 9/11 mourners over Ground Zero appearance: ‘Disrespectful’

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Mayor Zohran Mamdani’s presence at Friday’s 9/11 remembrance at Ground Zero drew criticism from some in the city, including one former police officer who said the mayor «probably should have skipped it» and another mourner who called his appearance «disrespectful» and «very offensive.»

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Mamdani has faced criticism over his associations with controversial political and online figures, as well as his decision to appoint Ramzi Kassem as his administration’s chief counsel. Kassem previously represented a Guantánamo detainee linked to an al Qaeda terrorist plot. 

Former New York Republican Gov. George Pataki, 9/11-era FDNY Commissioner Thomas von Essen and others called on Mamdani to skip the ceremony.

«He showed up anyway. It does bother us,» Walter Matuza, whose father Walter was killed that day, told Fox News Digital.

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MAMDANI HEADS TO 9/11 MEMORIAL DESPITE 110,000-SIGNATURE PUSH FROM VICTIMS’ FAMILIES TO STAY AWAY

New York first gentleman William Hochul Jr., New York Mayor Zohran Mamdani and Gov. Mikie Sherrill  (Hiroko Masuike/Getty Images)

Matuza said he was part of the group of victims’ families that initiated the petition to keep Mamdani away.

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He cited Mamdani’s association with streamer Hasan Piker, who once said America «deserved 9/11,» as well as Mamdani’s appointment of Kassem.

MAMDANI UNDER FIRE AFTER SYMBOLIC 9/11 PEN GOES TO FORMER AL QAEDA DEFENSE LAWYER

New York City Mayor Zohran Mamdani and Police Commissioner Jessica Tisch announce a new memorial honoring victims of 9/11 inside 1 Police Plaza, New York, NY on Wednesday, September 9, 2026.

New York City Mayor Zohran Mamdani and Police Commissioner Jessica Tisch announce a new memorial honoring victims of 9/11 inside 1 Police Plaza in New York, N.Y., Sept. 9, 2026. (Cristina Matuozzi/Sipa USA via Reuters Connect)

Matuza, of Staten Island, said his father was one of dozens at Carr Futures brokerage who died after American Airlines Flight 11 struck the north tower just above their 92nd floor offices.

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Mike, a former New Jersey police officer, told Fox News Digital he recalled watching the terror unfold on television from across the Hudson – and later came to Manhattan to help relieve exhausted NYPD officers stuck at their posts.

«Based on the rhetoric that he’s used in the past. Yeah, he probably should have skipped it,» Mike said of Mamdani.

He added that Mamdani’s appointment of Kassem also troubled him, saying the mayor could’ve handled the situation in a «whole different way.»

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FAMILIES OF 9/11 VICTIMS’ MESSAGE TO MAMDANI: ‘PLEASE DO NOT COME’ TO MEMORIAL CEREMONY

«But, he did it and unfortunately people aren’t going to forget it.»

Another mourner called Mamdani a «communist» when asked about his appearance on Friday, adding that the memorial was «not supposed to be a political event.»

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Steven, who traveled all the way to New York from Hobe Sound, Florida, to attend the remembrance, lambasted Mamdani’s presence as «disrespectful» and «offensive.»

ZOHRAN MAMDANI URGED TO SKIP NEW YORK CITY’S 9/11 MEMORIAL: ‘VILE ANTISEMITE’

«I’ve been following that over the past couple weeks and I saw that I think they had upwards of 700,000 New Yorkers requesting him not to be here. I mean, as the mayor, I would assume he has the right to be here…. But who he represents and the people he’s affiliated with… I feel that he should stay away. I don’t feel that his presence here is wanted, and I think he should honor that as a human being.»

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The petition had garnered more than 110,000 signatures at the time, according to the petition’s tally.

Steven called Kassem’s appointment «hideous» and added that the youngest generation who does not remember or did not live through 9/11 are suffering from «incorrect information» and do not understand the reality of the terror attack.

He said he will educate his children on 9/11 so that they do not go down the same ideological road.

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Attendee John told Fox News Digital that Mamdani does have a right to attend.

John said he lost friends including at now-Commerce Secretary Howard Lutnick’s Cantor-Fitzgerald firm – which lost more than 650 people; the most of any company in the Twin Towers that day – and that as long as Mamdani is respectful to the fallen Americans being remembered, he is «fine» with the Democrat attending.

Fox News Digital reached out to Mamdani for comment.

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In a prior statement, the mayor said he is proud of New York and «love[s] this city [and] country.»

«[W]hat I want this week to be a focus on is on the families whose loved ones were stolen from them 25 years ago in the horrific act of terror of September 11, and a focus also on the first responders who gave everything they could to this city and to the people who came together to try and help their fellow New Yorkers.»

During the ceremony, footage captured Mamdani approaching and greeting his 9/11-era predecessor, Republican Rudolph Giuliani.

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The two could be seen appearing to exchange brief pleasantries before Giuliani turned and sat down and an aide began speaking to the incumbent mayor.

All living former presidents reportedly attended the ceremony, as President Donald Trump instead visited the Pentagon’s remembrance before departing for County Clare, Ireland from nearby Andrews Air Force Base.

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zohran mamdani, september 11, new york city, politics, new york, republicans elections, democrats senate

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At Ground Zero, 9/11 families turn to Trump as Obama’s old decision resurfaces

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On a cloudy morning at the site where two sprawling towers once stood, the loved ones of New Yorkers killed on 9/11 gathered with a message for President Donald Trump: Release the unredacted files they believe could implicate Saudi Arabia.

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Vice President JD Vance attended the ceremony alongside former presidents George W. Bush, Barack Obama, Joe Biden and Bill Clinton, as well as former Secretary of State Hillary Clinton. New York City Mayor Zohran Mamdani and former Gov. Andrew Cuomo were also among those in attendance.

The message was delivered on the main stage by Terry Strada, whose husband, Tom, was killed in the attacks. Speaking from the memorial stage, Strada accused successive administrations of protecting Saudi Arabia instead of supporting the 9/11 families.

Strada called out President Barack Obama, who was at the memorial, for vetoing the Justice Against Sponsors of Terrorism Act, or JASTA, in 2016. Congress later overrode the veto, allowing 9/11 families to sue Saudi Arabia over its alleged role in the attacks.

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TRUMP SET TO HONOR 9/11 VICTIMS, FIRST RESPONDERS AT PENTAGON ON 25TH ANNIVERSARY

Dr. Jill Biden, former President Joe Biden, Laura Bush, former President George W. Bush, Michael Bloomberg and Vice President JD Vance attend the ceremony to commemorate the 25th anniversary of the Sept. 11 terrorist attacks on the World Trade Center. (Hiroko Masuike/Pool/Getty Images)

«Administration after administration, including leaders in front of us here today, chose to protect the Saudis instead of standing with the 9/11 families,» Strada said. «They withheld evidence. They vetoed JASTA. They broke promises, both public and private. It has been one betrayal after another.

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«President Trump can still change that»

She urged the president to tell Saudi leaders «that if they want to be friends with the USA, they cannot continue to deny all of this, all of the pain, all of the destruction that we have all been suffering through.»

«Please carry that message back,» another speaker said, addressing Vance. «Stand with the families. Stand with the survivors.»

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The remarks drew applause from the crowd.

«Administration after administration has not done anything for us. In fact, they’ve blocked, blocked us every step of the way of getting justice,» Dennis McGinley, whose older brother Danny worked on the 89th floor of the South Tower, told Fox News Digital.

«President Trump has a unique, historic opportunity here to be a hero, be our champion, finally close the books on this American nightmare, which is now becoming an American embarrassment. It’s got to start.»

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The appeal came as families marked the 25th anniversary of the attacks with a renewed push for accountability from Saudi Arabia, which they accuse of helping two of the hijackers establish themselves in the United States. The kingdom has repeatedly denied involvement.

The families’ claims center on Omar al-Bayoumi, a Saudi national who helped hijackers Nawaf al-Hazmi and Khalid al-Mihdhar obtain an apartment in San Diego, and Fahad al-Thumairy, an accredited Saudi diplomat and imam at the King Fahd Mosque in California who had numerous contacts with al-Bayoumi.

The 9/11 Commission documented the men’s connections but did not conclude that the Saudi government or senior Saudi officials supported the plot. Its report also said investigators found no evidence that another Saudi national, Osama Bassnan, gave money to the hijackers.

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Newly released investigative material and evidence presented in a long-running civil case have intensified scrutiny of those connections. In August 2025, U.S. District Judge George Daniels allowed claims against Saudi Arabia to proceed, finding that the families had presented enough evidence to move toward trial. The ruling did not determine that Saudi Arabia was responsible for the attacks.

The families say that legal ruling, along with additional FBI and British intelligence material, gives Trump an opportunity to release more records and help resolve what they view as a 25-year-old betrayal.

SON WHO LOST FATHER IN 9/11 ATTACKS SHARES POWERFUL LESSONS 25 YEARS LATER: ‘I’M STILL HERE’

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For Passananti, the demand was inseparable from his own loss. His father, Horace Robert Passananti, was working on the 100th floor of the North Tower. Passananti was 32 when he called his father after hearing that a plane had struck the building.

He never heard from him again.

Mamdani at 9/11 memorial

New York first gentleman William Hochul Jr., New York Mayor Zohran Mamdani and New Jersey Gov. Mikie Sherrill  (Hiroko Masuike/Getty Images)

Passananti said he has attended the ceremony every year but one since the attacks.

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«I wish I wasn’t here, obviously, but I feel like I have to be here every year,» he told Fox News Digital.

Passananti, who is affiliated with the group 9/11 Justice, said families want those responsible for the attacks held accountable.

«We’ve really been on our own — the families — trying to obtain evidence,» Passananti said. «We’ve gotten really no help from our government. We feel like they’ve put Saudi Arabia ahead of the 9/11 families, and we’re hoping that will change.»

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TRUMP CONFIRMS PENTAGON PLANS FOR 25TH ANNIVERSARY OF 9/11 ATTACKS, DISPUTES REPORT ON GROUND ZERO ABSENCE

He described the delays in the case as «a twilight zone.»

«It feels really like a twilight zone and unbelievable that we have to fight for justice for the worst terrorist attack that ever happened on our soil,» Passananti said. «It doesn’t feel real. It’s unexplainable.»

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Trump has previously acknowledged that questions remain unanswered about the attacks. In 2022, while defending his decision to host a Saudi-backed LIV Golf tournament at his New Jersey club amid protests from 9/11 families, Trump said, «Nobody has gotten to the bottom of 9/11.»

But Trump has not publicly said whether he supports releasing additional files concerning Saudi Arabia’s alleged ties to the hijackers.

«President Trump is leading the most transparent administration in history, which is why he authorized the declassification and release of hundreds of pages of documents related to the terrorist attacks on September 11, 2001. The President will always pay tribute to the American heroes we lost in the tragic September 11 attacks, their beautiful family members, and to the acts of heroism that defined that fateful day when the unbreakable spirit of the American people prevailed,» White House spokesperson Olivia Wales said in a statement to Fox News Digital.

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9/11 memorial

People stand next to the reflecting pools before a ceremony to commemorate the 25th anniversary of the Sept. 11 terrorist attacks on the World Trade Center at the National 9/11 Memorial & Museum on Sept. 11, 2026, in New York City. (Jeenah Moon/Pool/Getty Images)

McGinley worked across the Hudson River and called his brother after seeing the first plane hit, believing it was a small aircraft. His brother told him it was a passenger jet and described seeing people jumping from the neighboring tower. McGinley asked Danny if he was evacuating, and he said he’d been told to remain in place just before the South Tower was hit.

McGinley never spoke to him again.

«It is like the wound never healed, and every year we get salt poured back into that wound,» McGinley said.

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The families’ calls for answers extended beyond those killed on the day of the attacks. Relatives of first responders who later died from cancer and other illnesses linked to toxic exposure also gathered at the memorial to honor their loved ones.

Jen Nilsen, whose husband died in the attacks, said the pain remains as strong as ever 25 years later.

«It doesn’t change at the 25th year,» Nilsen said. «The pain is still there.»

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Nilsen said she returns to the memorial because «this is where he is.»

Her message to younger generations was simple.

«Never forget,» she said. «Even though years go on, you never forget. You never get over it. The hurt is always there. The pain is always here.»

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