Category: medicine and health

The Atlantic takes on “affirmative care”

July 2, 2025 • 11:02 am

One sign that there has been a sea change in America’s gung-ho enthusiasm for “affirmative care” of minors with gender dysphoria is the mainstream media’s recent critiques (or just objective analyses) of the problems with such care. These critiques have exposed the lies promulgated about such care, largely by the “progressive” Left. The new article in The Atlantic by staff writer Helen Lewis is one such journalistic corrective (read it by clicking on the screenshot below or by reading it archived here). And you should read it.

One of the factors prompting the article appears to have been the Supreme Court case The United States v. Skrmetti, which upheld a Tennessee law banning the use of hormones or puberty blockers for “gender affirming care” in cases of gender dysphoria in minors. Such care was allowed, however, if modification of sexual traits was necessary to allow an individual with a disorder of sex determination to “conform to their sex assigned at birth” (Wikipedia’s words, not mine).  The case was decided along ideological lines by a 6-3 vote, but in general I agreed with the decision, having felt that medical treatment for transition should be permitted only if a person with gender dysphoria was old enough to have mental maturity to decide. (I waffle between 16 and 18 on this one, but it’s 18 in Tennessee).

Author Lewis, in fact, was willing to allow medical transitioning to begin in younger children with dysphoria, but changed her mind after seeing WPATH, progressives, doctors, and government officials repeatedly lie about the condition and how to fix it. To quote her (all the article’s quotes are indented):

I have always argued against straightforward bans on medical transition for adolescents. In practice, the way these have been enacted in red states has been uncaring and punitive. Parents are threatened with child-abuse investigations for pursuing treatments that medical professionals have assured them are safe. Children with severe mental-health troubles suddenly lose therapeutic support. Clinics nationwide, including Olson-Kennedy’s, are now abruptly closing because of the political atmosphere. Writing about the subject in 2023, I argued that the only way out of the culture war was for the American medical associations to commission reviews and carefully consider the evidence.

However, the revelations from Skrmetti and the Alabama case have made me more sympathetic to commentators such as Leor Sapir, of the conservative Manhattan Institute, who supports the bans because American medicine cannot be trusted to police itself. “Are these bans the perfect solution? Probably not,” he told me in 2023. “But at the end of the day, if it’s between banning gender-affirming care and leaving it unregulated, I think we can minimize the amount of harm by banning it.” Once you know that WPATH wanted to publish a review only if it came to the group’s preferred conclusion, Sapir’s case becomes more compelling.

Here are three of the issues that Lewis raises:

1.) Lying or misleading people about gender dysphoria and its treatment.

ACLU lawyer Chase Strangio was guilty of promulgating the lie that failure to effect gender transition in dysphoric children would lead to their suicide. He in fact made this statement when he argued Skrmetti before the Supreme Court, and had to admit under questioning that there was acxtuallyno evidence for this assertion:

“We often ask parents, ‘Would you rather have a dead son than a live daughter?’” Johanna Olson-Kennedy of Children’s Hospital Los Angeles once explained to ABC News. Variations on the phrase crop up in innumerable media articles and public statements by influencers, activists, and LGBTQ groups. The same idea—that the choice is transition or death—appeared in the arguments made by Elizabeth Prelogar, the Biden administration’s solicitor general, before the Supreme Court last year. Tennessee’s law prohibiting the use of puberty blockers and cross-sex hormones to treat minors with gender dysphoria would, she said, “increase the risk of suicide.”

. . . But there is a huge problem with this emotive formulation: It isn’t true. When Justice Samuel Alito challenged the ACLU lawyer Chase Strangio on such claims during oral arguments, Strangio made a startling admission. He conceded that there is no evidence to support the idea that medical transition reduces adolescent suicide rates.

At first, Strangio dodged the question, saying that research shows that blockers and hormones reduce “depression, anxiety, and suicidality”—that is, suicidal thoughts. (Even that is debatable, according to reviews of the research literature.) But when Alito referenced a systematic review conducted for the Cass report in England, Strangio conceded the point. “There is no evidence in some—in the studies that this treatment reduces completed suicide,” he said. “And the reason for that is completed suicide, thankfully and admittedly, is rare, and we’re talking about a very small population of individuals with studies that don’t necessarily have completed suicides within them.”

Here was the trans-rights movement’s greatest legal brain, speaking in front of the nation’s highest court. And what he was saying was that the strongest argument for a hotly debated treatment was, in fact, not supported by the evidence.

Strangio is one of the biggest proponents of affirmative care, and even took to Twitter advocating censoring Abigail Shrier’s book on gender dysphoria, Irreversible Damage. (Strangio is a trans-identified female.) Imagine an ACLU lawyer advocating censorship!

The “Dutch Protocol” (see below) was often cited by American organizations like the World Professional Association for Transgender Health (WPATH) or by physicians to justify affirmative care of minors. But the Dutch Protocol (affirmative care with medical intervention in children of younger ages) is basically without convincing clinical evidence:

Perhaps the greatest piece of misinformation believed by liberals, however, is that the American standards of care in this area are strongly evidence-based. In fact, at this point, the fairest thing to say about the evidence surrounding medical transition for adolescents—the so-called Dutch protocol, as opposed to talk therapy and other support—is that it is weak and inconclusive. (A further complication is that American child gender medicine has deviated significantly from this original protocol, in terms of length of assessments and the number and demographics of minors being treated.) Yes, as activists are keen to point out, most major American medical associations support the Dutch protocol. But consensus is not the same as evidence. And that consensus is politically influenced.

There’s an article at the site of Our Duty that discusses the shortcomings of the Dutch protocol, and is accompanied by a video of Dr. Patrick Hunter  testifying before the Florida Board of Medicine; it’s a summary of the flaws of that protocol, which was applied to children much younger than 18. Here’s the video, which is short (9 minutes):

2.) Demoniziong those who question “affirmative care”.

There’s Strangio, of course, who tweeted this (and later removed it):

And this:

Marci Bowers, the former head of the World Professional Association for Transgender Health (WPATH), the most prominent organization for gender-medicine providers, has likened skepticism of child gender medicine to Holocaust denial. “There are not two sides to this issue,” she once said, according to a recent episode of The Protocol, a New York Times podcast.

Boasting about your unwillingness to listen to your opponents probably plays well in some crowds. But it left Strangio badly exposed in front of the Supreme Court, where it became clear that the conservative justices had read the most convincing critiques of hormones and blockers—and had some questions as a result.

. . .Trans-rights activists like to accuse skeptics of youth gender medicine—and publications that dare to report their views—of fomenting a “moral panic.” But the movement has spent the past decade telling gender-nonconforming children that anyone who tries to restrict access to puberty blockers and hormones is, effectively, trying to kill them. This was false, as Strangio’s answer tacitly conceded. It was also irresponsible.

Questioning affirmative care has been something that marks you as “transphobic” (I myself have been called that), but when all the facts are in, I suspect that this demonization of people who want to know the scientific and medical truth will be seen as oppressive and, given its medical results, even barbaric. As Lewis notes, the British Cass Review that resulted in closing all but one gender clinic in the UK has been falsely demonized as being discredited. It has not been discredited.

3.) Withholdiong research that doesn’t support “affirmative care”.

This is the other side of the Dutch Study coin. First you promulgate bad research that supports your side, then you are slow to publish better studies that do not support your side. The author notes that WPATH comissioned reviews of the flawed Dutch protocols and, apparently because the protocols were weak, tried to block their publication.

And then there’s the infamous study by Dr.  Johanna Olson-Kennedy on the effect of puberty blockers on mental health (remember, blockers were touted as essential to prevent depression and suicide in children with gender dysphoria). Olson-Kennedy, a big proponent of affirmative care, didn’t find what she hoped for, and so withheld the study for several years!

The Alabama disclosures are not the only example of this reluctance to acknowledge contrary evidence. Last year, Olson-Kennedy said that she had not published her own broad study on mental-health outcomes for youth with gender dysphoria, because she worried about its results being “weaponized.” That raised suspicions that she had found only sketchy evidence to support the treatments that she has been prescribing—and publicly advocating for—over many years.

Last month, her study finally appeared as a preprint, a form of scientific publication where the evidence has not yet been peer-reviewed or finalized. Its participants “demonstrated no significant changes in reported anxious/depressed, withdrawn/depressed, somatic complaints, social problems, thought problems, attention problems, aggressive behavior, internalizing problems or externalizing problems” in the two years after starting puberty blockers. (I have requested comment from Olson-Kennedy via Children’s Hospital Los Angeles but have not yet heard back.)

And note, this is in an unreviewed preprint.

Withholding evidence that doesn’t support your favored hypothesis is scientifically unethical, somewhat akin to falsifying data. That’s because doing this means you’re simply allowing false conclusions to persist when you have evidence for their falsity. And that means that medical practice based on those false conclusions also persists, and, in this case, children were being treated on the basis of untested ideas.

There’s a lot more in this article to chew on, but the important thing is that it was published in a reputable (and left-leaning) magazine. The NYT has had similar articles about the weak evidence for “gender affirming care.”  (In my view, Pamela Paul’s 2024 critique of this care in the NYT was a big factor in her being let go by the paper. They thus lost one of their best heterodox writers.)

To paraphrase Walter Cronkite, an advocate of gender-affirming care might say, “When we’ve lost The Atlantic and the New York Times, we’ve lost America.”

I don’t oppose the use of hormones or blockers when the decision to use them is made by adolescents with sufficient mental maturity. If you’re 18 and want to change, well, go ahead and take the hormones and cut off pieces of your top or bottom. But not in minors—not until we have evidence that that this practice actually helps them—and we don’t. Lewis closes her piece this way:

Some advocates for the Dutch protocol, as it’s applied in the United States, have staked their entire career and reputation on its safety and effectiveness. They have strong incentives not to concede the weakness of the evidence. In 2023, the advocacy group GLAAD drove a truck around the offices of The New York Times to declare that the “science is settled.” Doctors such as Olson-Kennedy and activists such as Strangio are unlikely to revise their opinions.

For everyone else, however, the choice is still open. We can support civil-rights protections for transgender people without having to endorse an experimental and unproven set of medical treatments—or having to repeat emotionally manipulative and now discredited claims about suicide.

Gender-altering surgery raises the incidence of mental illness in those with gender dysphoria

March 3, 2025 • 11:00 am

Here’s a new article in the Journal of Sexual Medicine that investigated the effects of gender-changing surgery on both males and females (over 18) with a diagnosis of gender dysphoria.  The results won’t make gender extremists happy, as in both cases rates of mental distress, including anxiety, and depression, were higher than those having surgery than those not having surgery after two years of monitoring. However, this doesn’t mean that the surgery shouldn’t be done, as the authors note that other studies show that people undergoing surgical treatment are, over the longer term, generally happy with the outcome.  The main lesson of the paper is that people who do undergo such surgeries should be monitored carefully for post-surgical declines in mental health.

Click the headline below to read.

The authors note that there are earlier but much smaller studies that show no decline in mental health after surgery, but these are plagued not only by small sample size, but also by non-representative sampling reliance on self-report, and failure to diagnose other forms of mental illness beyond gender dysphoria before surgery. The present study, while remedying these problems, still has a few issues (see below).

The advantages of this study over earlier ones is that the samples of Lewis et al. are HUGE, based on the TriNetX database of over 113 million patients from 64 American healthcare organizations. Further, the patients were selected only because they had a diagnosis of gender dysphoria and no record of any other form of mental illness (of course, it could have been hidden). Patients were divided into four groups (actually six, but I’m omitting two since they lacked controls): natal males with gender dyphoria who had or didn’t have surgery, and natal females with and without surgery. Here are the four groups, and I’ve added the sample size to show how much data they have:

  • Cohort A: Patients documented as male (which may indicate natal sex or affirmed gender identity), aged ≥18 years, with a prior diagnosis of gender dysphoria, who had undergone gender-affirming surgery.

  • Cohort B: Male patients with the same diagnosis but without surgery. [Cohorts A and B had 2774 patients.]

  • Cohort C: Patients documented as female, aged ≥18 years, with a prior diagnosis of gender dysphoria, who had undergone gender-affirming surgery.

  • Cohort D: Female patients with the same diagnosis but without surgery. [Cohorts C and D each had 3358 patients.]

A and B are the experimental and control groups for men, as are C and D for women.  Further, within each comparison patients were matched for sex, race, and age to provide further controls.  And here are the kinds of surgeries they had:

To be included, all patients had to be 18 years or older with a diagnosis of gender dysphoria, as identified by the ICD-10 code F64. This criterion was chosen based on literature highlighting elevated mental health concerns for transgender and nonbinary patients with gender dysphoria [15, 16]. Gender-affirming surgery cohorts consisted of patients with a documented diagnosis of gender dysphoria who had undergone specific gender-affirming surgical procedures. For transmen, this primarily included mastectomy (chest masculinization surgery, CPT codes 19 303 and 19 304), while for transwomen, this encompassed a range of feminizing procedures such as tracheal shave (CPT code 31899), breast augmentation (CPT code 19325), and vaginoplasty (CPT codes 57 335 and 55 970). These surgeries were identified using clinician-verified CPT codes within the TriNetX database, allowing for precise classification.

Note that there were a lot more “bottom” surgeries for trans-identifying men (as the authors call them, “transwomen”) than for trans-identifying women (“transmen”). Men prefer to change their genitals more often than women, even though, if you know how vaginoplasties are done, you have to be hellbent on getting one. (I don’t know as much about the results of getting a confected penis.)

I’ll be brief with the results: in both comparisons, those patients who had surgery had a significantly higher postsurgical risk of depression, anxiety, suicidal ideation, and substance abuse. But surgery had no effect on body dysmorphia: the obsession with flaws in one’s appearance.  Here are the tables and statistical comparisons of cohorts A vs. B and C vs. D, and the effect of surgery is substantial (results on women are similar though differences are smaller).  Some of the differences are substantial: anxiety in men, for example, was nearly five times higher in those who had surgery than those who did not.

As you see, there are significant differences for everything save body dysmorphia, for which there are no differences at all. The authors conclude that yes, at least over the two-year measurement period (again, mental states were monitored by professionals, and were not due to self report). Given that surgery does seem to improve well being over the long term, as the authors note twice, they conclude that the results provide more caution about taking care of patients who have transitional surgery:

The findings of this study underscore a pressing need for enhanced mental health guidelines tailored to the needs of transgender individuals following gender-affirming surgery. Our analysis reveals a significantly elevated risk of mental health disorders—including depression, anxiety, suicidal ideation, and substance use disorder—post-surgery among individuals with a prior diagnosis of gender dysphoria. Importantly, however, our results indicate no increased risk of body dysmorphic disorder following surgery, suggesting that these individuals generally experience satisfaction with their body image and surgical outcomes. Notably, the heightened risk of mental health issues post-surgery was particularly pronounced among individuals undergoing feminizing transition compared to masculinizing transition, emphasizing the necessity for gender-sensitive approaches even after gender-affirming procedures.

Possible problems. There are two main limitations of the study noted by the authors. First, individuals electing surgery may have higher levels of distress to begin with than those who didn’t, so the elevated rate of mental disorders in the surgery group could be artifactual in that way. Second, patients who have had surgery may be wealthier or otherwise have more access to healthcare than those who didn’t, and so higher rates of mental distress could result simply from a difference in detectability.

Now I don’t know the literature on long-term effects of surgery on well-being, so I’ll accept the authors’ statement that they are positive, even though patients with greater well being could, I suppose, still suffer more depression and anxiety. But those who are looking to say that there should be no surgery for those with gender dysphoria will not find support for that in this paper. What they will find is the conclusion that gender-altering surgery comes with mental health risks, and those must be taken into account. It’s always better, when dealing with such stuff. to have more rather than less information so one can inform those contemplating surgery.

New book argues that Alzheimer’s research is flawed, fraudulent, and incompetent

February 13, 2025 • 11:00 am

I have a friend with Alzheimer’s so I was especially depressed to read Jesse Singal’s discussion of a new book, Doctored, claiming that research on both Alzheimer’s disease and drugs that purport to ameliorate is all badly flawed, even fraudulent. You can read Singal’s discussion below (free access by clicking on the headline), and access the book on Amazon by clicking on the cover below.

An excerpt from Singal:

In his book, Piller, an investigative reporter at Science magazine, presents copious evidence of severe fraud, negligence, and buck-passing in Alzheimer’s research. From fabricated images published in major research journals (many of them still unretracted) to data manipulation conducted by pharmaceutical companies to the complete negligence of federal watchdogs, Piller’s reporting demonstrates indisputably that the field of Alzheimer’s research is in sorry shape.

Things are so bad, in fact, that the dominant theory that has guided researchers’ efforts this century — that Alzheimer’s symptoms are caused by the buildup of proteins called “amyloid plaques” in the brain — is now in serious question. That might explain why, as Piller notes, a recent meta-analysis of the available research found no evidence that any of the available Alzheimer’s drugs cause noticeable improvements in the cognition or daily functioning of patients. We’re two decades and many billions of dollars into the modern era of Alzheimer’s research, and we have precious little to show for it — a particularly dire state of affairs given that this dread condition is only going to hit us harder as America’s population continues to age. Piller’s book, which was released February 4, tells the story of a wild and heartbreaking goose-chase.

While Doctored is gripping in its own right, it also serves as a warning about the collapse of trust in expert authority. Thanks to the capacious new markets for crankery carved out by social and “alternative” media — not to mention a worldwide populist revolt against “the establishment” in general — there’s more grifting and science-denial than ever before, and the worst purveyors of pseudoscientific sludge rake in millions precisely by positioning themselves in opposition to mainstream science.

The lesson for scientists is to clean up their act and to stop misleading people about their work. I mean, I never had any doubt whatever that Alzheimer’s was caused by plaques in the brain.  Now that is not at all certain; the plaques could be a byproduct or a correlate and not a cause. If there’s that much uncertainty about it, why haven’t I heard about it.  Of course, journalists are responsible for this, too, but good scientific journalism is a species going extinct.

I believe that Singal has already been demonized on BlueHairSky, though he hasn’t been banned. The reason: the place is full of immigrants from Twitter who are “progressive” liberals and couldn’t stand the free speech on X. Singal described his apostasy: 

The background here is that a subset of users on Bluesky disagree with my reporting on youth gender medicine—a subject I’ve been investigating for almost a decade, and have written about frequently, including in The Atlantic and TheEconomist. (I’m currently working on a book about it, commissioned by an imprint of Penguin Random House.) I’m not going to go deep here, but I’d argue that my reporting is in line with what is now the mainstream liberal position: See this Washington Post editorial highlighting “scientists’ failure to study these treatments slowly and systematically as they developed them.”

But perhaps because I wrote about this controversy earlier than most journalists, and have done so in major outlets, I’ve become a symbol of bigotry and hatred to a group of activists and online trolls as well as advocacy orgs like GLAAD that push misinformation about the purported safety and efficacy of these treatments, and attempt to punish journalists like Abigail Shrier for covering the controversy at all.

Bluesky appears to have attracted a particularly high number of these trolls, and even before I arrived on the platform, some of them were making sure I wouldn’t feel welcome there. Nora Reed, an online influencer and cultural critic, wrote in November that “I think we need a plan for if Jesse Singal shows up here in advance.”

Back to his own Substack, though; Singal won’t win many friends by arguing that both scientists and liberals have exacerbated the problem, the former by acting precipitously or even duplicitously (the attempt to dismiss a lab-leak theory for the covid virus by scientific officials in the Biden ambit is a good example), while the left-wing public by always saying “trust the science” without realizing that a. scientists are human, with all the good and bad behavior that implies and b. science like investigating covid moves quickly, and what is true today could be false tomorrow.

But I shouldn’t exculpate the Right as well. After all, that’s the side of the political spectrum that still pushes creationism as well as quacks like RFK Jr. And Trump and his cronies are busy slashing scientific research almost willy-nilly. Singal, though, concentrates on the Left, perhaps because that’s where he resides:

At a time of such uncertainty and such dangerous overcorrection, it can feel awkward or difficult to point out, as Piller does in Doctored, just how broken some of our cherished mainstream scientific institutions are. Isn’t that playing right into Trump’s hands?

I don’t think so. The strategy adopted by many mainstream liberals in response to the populist surge — effectively, plugging our ears and chanting “trust the science” over and over — might be comforting, in that it offers a Manichaean worldview in which improving the world is a relatively straightforward matter of convincing people of their own ignorance so that they will board the science train with the rest of us.

But this effort has clearly failed. Some populist distrust of mainstream science is unwarranted and harmful, such as most strains of vaccine skepticism, but in plenty of instances, they are more or less correct not to automatically trust mainstream scientists, even if they arrive at that conclusion for reasons some of us might find uncouth. (Update: I added ‘automatically’ post-publication because I think it’s an important modifier here.)

In other words, while it’s easy to accuse those red-staters out there of exhibiting an alarming lack of faith in science, especially now that their wrecking-ball avatar is in power, it’s harder — and arguably just as important — to ask whether perhaps we have too much faith in it. The scientific establishment hasn’t exactly covered itself in glory in recent decades, given the replication crises that have roiled multiple fields, the data-fraud scandals popping up everywhere from cancer research to business-school psychology, and the frequently overconfident proclamations experts made about thorny Covid-era issues like mask mandates and school closures. And yet liberals tend to continue to reflexively trust many institutions that haven’t earned it, to the point where some of us have turned this sentiment into a mantra: “Science is real,” you will see on signs planted in front of many liberal homes.

I will read this book, as I’m particularly interested in how “fraud” was involved in Alzheimer’s research. Here’s one bit from Singal:

Piller’s book provides numerous damning examples of the difference between science as we idealize it and science as it is practiced by real-life human beings. For example, much of the data fraud in Alzheimer’s research, alleged and proven, involves doctored images. This fraud was uncovered not by journal editors or peer-reviewers — the individuals supposedly responsible for such quality-control — but by unpaid sleuths “who use pseudonyms to post comments” online, as he writes, in the hopes of someone who matters noticing and acting. (One notable exception is Elizabeth Bik, a Dutch microbiologist and legendary image sleuth who has taken on Alzheimer’s fraud.)

Who would have thought that we’d be catching so much fraudulent work by analysis of published images. One might conclude that reviewers of manuscripts aren’t doing their work, but I suspect that a lot of the fraud involves the same images repeated in different papers, and no reviewer has time to compare images in a submitted manuscript to other images by the same authors, but in different journals.

Doctored was released February 4 of this year.

To avoid making this post too long, I’ve put the book-publisher’s (Simon and Schuster’s) description below the fold. Click “read more” to see it:

Continue reading “New book argues that Alzheimer’s research is flawed, fraudulent, and incompetent” →

Washington Post calls for research on puberty blockers and other affirmative treatment; notes lack of improvement in some studies

December 16, 2024 • 11:45 am

This WaPo article below (click headline to read, or find the piece archived here), discusses the new case about gender transitioning being adjudicated by the Supreme Court. It’s judging the constitutionality of a Tennessee law that, according to the paper, “bans the use of puberty blockers and hormones for gender-transition treatments in minors on the grounds that it unlawfully discriminates based on sex.” (23 other states have similar laws). I’m not sure how a ban on blockers can discriminate on the basis of sex if the hormones are banned in both males and females, but I’ll leave that up to the lawyers.

What’s important here is that the dispute about the blockers is now being discussed openly, in an Editorial Board op-ed in the Washington Post, while previously such discussion was taboo. Even questioning the use of such “affirmative treatments” was seen as “transphobic,” though there wasn’t good clinical evidence that they had good outcomes. They could even have been harmful, and in light of a lack of efficacy, they’re now banned in the UK and regarded as experimental treatments in much of Europe.

What we need, as the paper says, are “gold standard” studies: large controlled studies (double blind ones would be impractical given that the drugs have easily discernible effects) over a fairly long period of time.

Read below, and I’ll give some quotes (indented):

This unresolved dispute is why Tennessee has a colorable claim before the court; it would be ludicrous to suggest that patients have a civil right to be harmed by ineffective medical interventions — and, likewise, unconscionable for Tennessee to deny a treatment that improves patient lives, even if the state did so with majestic impartiality. The issue is subject to legal dispute in part because the medical questions have not been properly resolved.

Multiple European health authorities have reviewed the available evidence and concluded that it was “very low certainty,” “lacking” and “limited by methodological weaknesses.” Last week, Britain banned the use of puberty blockers indefinitely due to safety concerns.

“Children’s healthcare must always be evidence-led,” British Health and Social Care Secretary Wes Streeting said in a press release. “The independent expert Commission on Human Medicines found that the current prescribing and care pathway for gender dysphoria and incongruence presents an unacceptable safety risk for children and young people.”

An early Dutch study of blockers showed “promising results”, but the sample was too small to give definitive results, and wasn’t replicable:

Yet as other doctors began copying the Dutch, clinical practice outraced the research, especially as treatment protocols rapidly evolved. A British study attempting to replicate the Dutch researchers’ success with puberty blockers “identified no changes in psychological function” among those treated.

Some clinicians appear reluctant to publish findings that don’t show strong benefits. The British lackluster results were published nine years after the study began, after Britain’s High Court ruled that children younger than 16 were unlikely to be able to form informed consent to such treatments.

And here is the unconscionable censorship on the part of both the American government and the WPATH organization that I haven’t yet written about:

Internal communications from the World Professional Association for Transgender Health [WPATH] suggest that the group tried to interfere with a review commissioned from a team of researchers at Johns Hopkins University

Johanna Olson-Kennedy, medical director of the Center for Transyouth Health and Development at Children’s Hospital of Los Angeles, told the New York Times that a government-funded study of puberty blockers she helped conduct, which started in 2015, had not found mental health improvements, and those results hadn’t been published because more time was needed to ensure the research wouldn’t be “weaponized.” Medical progress is impossible unless null or negative results are published as promptly as positive ones.

Weaponized?  WEAPONIZED? The study is done, but the results aren’t ideologically pleasing to gender activists, and so the study languishes, unpublished. That is unethical, for whether or not one uses blockers can have permanent effects on the well being and future fertility of adolescents.

And so we have one more example of science being suppressed because it didn’t give the results activists wanted. But this story isn’t over. As the Post recommends, Congress should fund larger and wlll-conducted trials of blockers with followups on adults who have gone on to estrogen or testosterone therapy. Given the increasing number of people who want to transition, such studies are imperative. But now we lack evidence, and without that the use of blockers should, I think, be stopped. Anecdotal evidence is not enough.

New MIT course to indoctrinate students in all aspects of woke ideology that colonize medicine

November 24, 2024 • 11:00 am

This new course, to be offered next spring at MIT, was first singled out on The Babbling Beaver site, which calls attention to “fake news” at the university that usually turns out, as in this case, to be real news.  The Beaver said this about the course.

Feminist theory, disability justice, critical race theory, queer theory, anti-colonial thought, and trans liberation movements provide the foundation for a new approach to medical education now being taught at MIT.

A proselytizing professor dispatched from Harvard is on a mission to spread wokeism to all corners of STEM. Unable to penetrate MIT’s School of Science or Engineering, the Gender, Culture, Women, and Sexuality program hosted by MIT’s School of Humanities, Arts and Socialist Scientism let him in.

Now students can learn how Marxist, psychoanalytic, and anarchist frameworks can inform debates in bioethics, public health, and environmental justice.

Why is racism so prevalent in hospitals and other health care settings? What unique challenges do trans and gender-diverse youth face in seeking medical care as a result of recent transphobic laws and policies? How are community organizers advocating for the end of medical neglect, abuse, and torture in prisons and migrant detention facilities? This largely discussion-based course will explore these questions and many others.

Special attention is paid to the structuring force of anti-Blackness in various clinical and research settings, the development and racialization of transgender medicine, and what it means to view state violence as an issue in public health and the medical humanities.

The Beaver apologizes for his inability to make this funny rather than alarming, and confesses to copy-pasting most of the above directly from the course description.

Yep, the course description can be seen by clicking on the screenshot below:

I’ve put in the course description all aspects of “progressivism” that have colonized this course:

SPRING 2025, Thursdays, 5:00-8:00PM; MEETS AT MIT

Why is racism so prevalent in hospitals and other health care settings? What unique challenges do trans and gender-diverse youth face in seeking medical care as a result of recent transphobic laws and policies? How are community organizers advocating for the end of medical neglect, abuse, and torture in prisons and migrant detention facilities? In this largely discussion-based course we explore these questions and many others. Social approaches to medicine and public health challenge and expand contemporary debates in the medical humanities by centering issues of gender, race, and sexuality.  This class provides an overview of the theoretical landscape and social movements that ground recent developments in the field. In particular, the course engages feminist theory, disability justice movements, critical race theory, queer theory, anti-colonial thought, and trans liberation movements. The seminar will also explore how debates around race, gender, and medicine are conceptualized in Latin America and Africa. This includes an overview of racism and religion in Brazilian gynecological spaces, as well as how legal theorists from Kenya and Uganda critique pertinent public health issues like vaccine nationalism and the coloniality of gender.  Special attention is paid to the structuring force of anti-Blackness in various clinical and research settings, the development and racialization of transgender medicine, and what it means to view state violence as an issue in public health and the medical humanities.

You already know from the description that the course is designed to inculcate students with “progressive” viewpoints rather than let them think for themselves.  Descriptions like “transphobic laws and policies”, “critical race theory”, “vaccine nationalism”, and so on are all issues that should be debated, not presented as realities. One would think that such a piece of propaganda would be limited to the humanities and social sciences, and indeed, it’s offered in the “Gender, Culture, Women, and Sexuality” program hosted by MIT’s School of Humanities, Arts and Socialist Sciences.  But have no doubts: there are courses like this in science departments and medical schools as well. While some of the social issues mentioned above do need fixing, the purpose of college is supposed to be education, not fixing social problems identified by a particular ideology.

And the professor’s description includes this (my bolding):

Roberto Sirvent, JD, PhD is a political theorist who studies race, law, and social movements. He also works at the intersection of ethics, philosophy of religion, and science and technology studies (STS). Roberto’s research considers how Marxist, psychoanalytic, and anarchist frameworks can inform debates in bioethics, public health, and environmental justice. Central to his scholarly interests are the ways that colonialism, imperialism, and US militarism fuel various health injustices and ecological crises around the globe. Roberto is especially interested in helping bioethics professionals find creative ways to engage the theoretical work of disability justice advocates, queer and trans liberation movements, Black Studies scholars, mutual aid networks, and anti-colonial revolutionary struggles.

Roberto’s current research examines the prevalence of medical neglect, abuse, and torture in prisons and migrant detention centers. He is also working on a community resource guide exploring the intersection of education policy, critical pedagogy, and students’ mental health, as well as a study that draws on theories of libidinal economy and the “psychopolitics of race” to address recent controversies in sports and bioethics. Some of Roberto’s most recent scholarship invites students of comics and graphic medicine to consider how narratives of slave revolts and prison rebellions contribute to Black liberation struggles for health justice. His work in clinical ethics explores how anti-Black racism functions in Latinx and Latin American communities and the impact it has on everyday clinical encounters between patients, doctors, and other medical professionals.

“Latinx”: a term that virtually no Latinos use or want to use.

I could write more about this course and what its offering connotes about modern America, but there are so many of these these things that I don’t want to wear out my precious neurons thinking about them. Just be aware that the kids who take this stuff are going to leave MIT spreading their brainwashed mindset through the greater society.

h/t: Anna

Doctors Without Borders Accused of violating its own policy of political neutrality to impugn Israel, and my cessation of donations

July 21, 2024 • 9:40 am

A while back I was a big fan of Doctors without Borders (or “MSF”, for “Médecins Sans Frontières”).  It was put in my will to get a big bequest, and when I auctioned of a copy of Why Evolution is True, autographed by many famous scientists and nonbelievers, and illustrated and illuminated by Kelly Houle, every penny of the $10,000+ we got on eBay went to MSF.

Then I heard that the organization was anti-Israel (this was well before October 7 of last year). Checking up on the Internet, I found some confirmation of that claim, including several reports that MSF refused to cooperate with Israeli medical teams working in the same location. This, from the article below, may be what I remember (Rossin is named as “secretary general of MSF in the 1970s”)

Rossin recalled his experience in 2010 on a mission to Uganda when an MSF Holland contingent refused to interact with a fellow Israeli medical NGO team dispatched to help. Rossin remembered it as an episode of “one-way empathy,” where prejudice had poisoned the MSF team’s ability to cooperate with Israel in their shared goal of helping civilians.

(See also here, though MSF denies all these allegations.)

I subsequently wrote MSF asking them if they ever used Israeli doctors in their relief efforts.  I got no reply, even though in the letter I told them I was a donor. Their ignoring me after the dosh I’d given them was, well, uncharitable.

Now I can’t really criticize MSF’s humanitarian efforts: they’ve done a great deal of wonderful medical work during crises all over the world.  No, here I’m pointing out an article in Canada’s National Post that documents a pervasive anti-Israel—a former MSF secretary calls it “antisemitic”—attitude on the part of the organization, an attitude reflected in its refusal to criticize Hamas for the terrorist’s group own blocking or hijacking medical aid and turning Gaza hospitals into terror centers.  In the piece below, quite a few former directors and employees of MSF, not to mention donors, weigh in criticizing the organization on this account.

My own decision, based on what I’ve read over the years, is to stop donating to MSF, and I’ve taken them out of my will, replacing them with other humanitarian organizations (and that is a fair amount of dosh!).  Read the article below for yourself (click on the headline) and decide if you want to support them.  The article is free, and you can also find it archived here.

I’ll simply give a number of quotes from the article. According to its charter, MSF is supposed to be politically neutral and impartial, but former executives, donors, and employees say that when it comes to Israel, that’s not the case.

Former leaders and a major Canadian donor of Doctors Without Borders are distancing themselves from the venerable aid organization after its employees celebrated the October 7 atrocities, gave aid to the Hamas-run Ministry of Health, ran a one-sided social media feed and internally circulated articles accusing Israel of creating Palestinian “death worlds.”

“To be frank, I was very, very, surprised because it’s not the MSF I knew,” Alain Destexhe, the secretary general of the organization, popularly known by its French acronym MSF, from 1991 to 1995, told National Post.

Destexhe said MSF’s messaging throughout the Israel-Hamas war is markedly different than past conflicts.

“We used to make statements, you know, in Bosnia and Rwanda, but not taking sides like this,” he said. “We always took into account the political context, but not to take sides from one group to another. In the Gaza War, I really got the feeling that MSF was totally biased.”

From a donor:

Destexhe wasn’t the only MSF loyalist to have an October 7 wake-up call. One major Canadian Jewish donor told the Post he urged his mother to support the group despite pushback from family members cautioning him against MSF’s reputation of being institutionally biased against Israel.

“I think most people know that they have a history of not being the friendliest towards Israel,” the philanthropist, who spoke on the condition of anonymity, told the Post.

He said he reassured his mother, following conversations with MSF Canada’s leadership, that the organization was duty-bound to be apolitical and strictly adhere to its mission of providing aid and observation. However, the inconsistencies between their initial promise and their treatment of Israel reached a boiling point in November 2023 when the patron confronted MSF Canada’s executives.

“I will be honest,” the donor told then-executive director Joe Belliveau in an email shared with the Post, “the more I review MSF public communications (Instagram, specifically), the evidence is overwhelming that the MSF stance has a pronounced bias. There is still not one single mention of the 200+ civilian hostages; not one mention of Hamas’ indiscriminate rocket fire into civilian centers, both of which are war crimes and violations of the Geneva conventions,” he wrote in late November.

. . . and a former MSF executive:

The donor’s November 2023 email rattled Byron Sonberg, who’d proudly served as MSF Canada’s treasurer for two years. He’d begun to sense the organization straying from its principle of impartiality, especially after he was copied on the donor’s email chain expressing growing frustration with the group. But the final straw came in mid-February 2024 when he, and hundreds of MSF global leaders, were forwarded an article: “Israeli necropolitics and the pursuit of health justice in Palestine.” [JAC: I found some of that article here; just read the “summary box”]

It was shared by Ruby Gill, president of MSF Canada’s board of directors, to provide “more insight” into the ongoing conflict. It argued that “framing Palestinian violence on October 7 as provocation and Israeli violence as response is ahistoric and indicates indifference to the everyday violence experienced by Palestinians.”

In other words, Israel “had it coming” on October 7. And the article was apparently sent out by MSF!  More:

Hamas receives a single passing reference in the piece, while Israel is cited nearly eighty times to bolster the claim that the Jewish State’s military response is unjustifiable. It accuses Israel of creating “death worlds” for Palestinians. The ideas expressed in the article, and the silence of MSF’s leadership, disturbed Sonberg, a self-described political moderate.

This concentration on Israel and complete neglect of Hamas is distressing in light of the fact that Hamas repeatedly impedes medical efforts in Gaza, including highjacking medical supplies, turning hospitals into terror bases, and even shooting Gazan civilians.

From another former MSM executive:

Richard Rossin, who served as secretary general of MSF in the 1970s and later co-founded Médecins du Monde (Doctors of the World), said that he perceived a tone shift within the organization several decades ago.

“I think it was perceptible around the beginning of the ‘80s,” Rossin told the Post by phone from his home in southern Israel. Antisemitism within MSF “began under the cover of anti-Zionism.”

See the quote from Rossin in the opening paragraphs.

One of the most distressing parts of this narrative is that MSF blamed Israel for the attack on the al-Ahli Hospital on October 17 of last year, an “attack” that did not involved Israel at all, but came from a misfired rocket from Palestinian Islamic Jihad that landed in the hospital’s parking lot, with the casualties greatly exaggerated by Hamas. MSF never retracted its accusation, which has been abandoned by everyone familiar with the evidence, including the Associated Press (no fan of Israel), which summarizes the evidence. (there’s also a telling conversation between two Hamas operatives saying the rocket was “from us).

By comparison, after the al-Ahli Hospital blast on Oct. 17, 2023, MSF rushed to blame Israel.

“We are horrified by the recent Israeli bombing of Ahli Arab Hospital in #Gaza City, which was treating patients and hosting displaced Gazans. Hundreds of people have reportedly been killed. This is a massacre. It is absolutely unacceptable,” MSF International wrote on X on the day of the explosion.

Although the blast was the result of a misfired rocket from Gaza, likely launched by a Palestinian group, MSF never corrected the record. The post, as well as several Instagram posts published by major chapters — including Spain, Canada, Brazil, and France – remain active. No apology or correction has been issued.

To a scientist, refusal to retract an accusation like this is shameful. But that’s MSF. Here’s their tweet, still up on X, but with “context corrections”:

More:

After Hamas invaded and killed over a thousand people, MSF did not release a single post addressing the worst killing of Jews since the Holocaust and it has not called for the return of kidnapped Israelis. Five days after the terrorist attack, the group issued a statement drawing a moral equivalence between Hamas and Israel. [JAC note: I think the link is meant to go to the MSF “X” feed, not to just one post.)

“We are horrified by the brutal mass killing of civilians perpetrated by Hamas, and by the massive attacks on #Gaza now being pursued by Israel,” MSF International wrote on Oct. 12. The remainder of the thread denounced Israel for “indiscriminate violence and the collective punishment of Gaza.” Two days later, the group called on Israel to “show humanity.”

The tone set by MSF International trickled down to its chapters across the globe.

By Oct. 17, MSF Canada wrote, “unconditional humanity needs to be restored in Gaza,” calling Israel’s response “unimaginable” and “inhumane.” The statement made no reference to Hamas or their invasion, which ignited hostilities.Before October 7, several nations facing humanitarian issues were highlighted in MSF Canada’s social feeds – including Malawi, Venezuela, Sudan, Haiti and Burkina Faso – but its coverage following the Hamas attack veered near-exclusively to covering Israel. At one point, in early November 2023, MSF Canada’s Instagram account was blanketed with six red-bolded calls for an immediate ceasefire, something not previously done as part of its advocacy for Sudan or Ukraine.

No calls on Hamas to “show humanity,” not just towards Israel but to civilian Gazans?

Despite the fact that the Gaza Ministry of Health, run by Hamas, is known to exaggerate death tolls, which have been revised strongly downward by even the UN, MSF continued to use them. Another comment from MSF’s former secretary-general:

MSF’s relationship with the Hamas-run Ministry of Health was another major reason why Destexhe lost faith. Their failure to admit “health facilities (are) being used by Hamas and by soldiers,” he told the Post, left him “really sad, and then I became angry.”

More:

MSF International’s Instagram page was comparatively muted in February 2022 following the Russian invasion of Ukraine, calling the situation “extremely worrying.” Within a month, the organization’s focus had quickly shifted to Libyan refugees, midwives in South Sudan, and social workers in the Palestinian Territories.

The messaging inequality was studied by Gerald Steinberg, founder and leader of NGO Monitor, a watchdog organization based in Jerusalem, who combed through MSF’s X feed. He found over a hundred tweets between the Hamas invasion and late November, “not one (solely) mentions Israeli victims.” There were five instances when Israelis were mentioned, but always alongside Palestinians.

Steinberg has grown accustomed to this discrepancy. “MSF is both a humanitarian and advocacy organization, and on Israel and the Palestinians, the partisan dimension is dominant and destructive,” Steinberg told the Post by email. He recalled the group showing similar favouritism during an earlier flare-up in 2009.

Finally, there are further claims in the article that a sizable percentage (a third) of MSF staffers celebrated the October 7 massacre, that some MSF employees have been linked to terror groups, and that MSF had donated to Gaza’s Ministry of Health but refused to respond when asked how MSF ensured that medical supplies weren’t getting hijacked by Hamas.

And a final comment by another former secretary general of MSF:

Rossin, a former secretary general who predated Destexhe, remains pessimistic that MSF can take a more balanced approach to Israel and Gaza moving forward.

“It cannot be fixed,” he said, exasperated. “How can you fix antisemitism, which is not an opinion but a mental disease?”

Although I long ago decided to give no more money to MSF, but divert it to organizations that have a “more balanced approach”, readers may wish to have a look at this article.  I was angered by MSF’s failure to even respond to my email about Israel, despite Kelly Houle and I having given them a substantial lump of money. (I haven’t asked Kelly for her opinion on this article.)

If you’re looking for reputable organizations that do good humanitarian health work without constantly impugning Israel and making unretracted false claims, I’d suggest you do what I did: go to Peter Singer’s list of reputable charities called The Life You Can Save. It shows a number of charities (not all involved with health), all of which have been vetted by Singer’s uncompromising criteria of providing the most assistance for the least money. The second time Kelly and I did an eBay auction of an autographed and illustrated book, my Faith Versus Fact, we deep-sixed MSF and gave all the money to Helen Keller International, a charity that prevents blindness and death in children by giving them inexpensive vitamin A supplements. The charity provides a lot of bang for the buck.

And you can bet that in my rewritten will, the part that goes for children’s health and poverty (the other parts go for wildlife conservation and purchasing lands for reserves) isn’t directed to MSF, but to Singer’s charities.

Repost with evidence: Health New Zealand “encourages” its employees to say Māori prayers daily

July 18, 2024 • 9:30 am

NOTE:  I put this post up the other day, but then got a very irate email from a Kiwi saying that no, I was WRONG: Health New Zealand, he asserted, never sent around any notice to employees encouraging them to say spiritual prayers (karakia) during the day: a Māori custom.  I objected to this as a mixing of religion and government (governmental health efforts), as well as a partial sacralization of indigenous practices. Because of the correspondent’s objection, and because I had no original evidence for such a notice being sent out—just a reader’s assertion—I pulled the post. I also informed a NZ outlet, which had asked to republish my post, to hold off until they could get evidence that such a notice about karakia was indeed circulated.

The organization in NZ has now procured such evidence, so I’m reposting what I took down, but have added the notice (with a link) verifying the government’s urging employees to pray.  And to the person who told me in very strong terms that no such notice existed, well, this is a family site and I won’t tell him what to do—but you can guess.

My post, now with the notice and a link to it:

This item, from the Breaking Views website in New Zealand, is one of the rare cases of a Kiwi speaking up against forcible adherence to Māori customs on the job—in this case, saying Māori prayers. First, “Health New Zealand,” the organization in question, is a government agency that, according to its own description:

. . . . will manage all health services, including hospital and specialist services, and primary and community care. Hospital and specialist services will be planned nationally and delivered more consistently across the country. Primary and community services will be commissioned through four regional divisions, each of which will network with a range of district offices (Population Health and Wellbeing Networks) who will develop and implement locality plans to improve the health and wellbeing of communities.

And the author of this short plaint, A. E. Thompson, is described as “a working, tax-paying New Zealander who speaks up about threats to our hard-fought rights, liberties, egalitarian values, rational thinking and fair treatment by the state.”  He or she is also courageous! (It’s not clear whether Thompson is employed by Health New Zealand; if so, that won’t be for long!)

The beef is that the government sent out a notice to Health New Zealand’s staff encouraging them to say Māori prayers daily.  From the site:

I was made aware that Health New Zealand recently sent an email to its staff as follows:

“We encourage everyone to incorporate karakia daily. To help support you with this we have created some pre-recorded videos to learn karakia. Our resource is designed to give you some options that will enable you to learn and develop your confidence and skills. Note over time we will be adding more recordings for you to choose from.”

The word ‘karakia’ surely must be a Maorified way of saying ‘prayer’, but it seems very difficult and may be impossible to determine whether the term was used before Europeans arrived or if there were other terms that iwi used for their incantations, chants and verbal offerings of respect to their various spiritual entities. Regardless, karakia almost always involve references to supernatural forces whether they be Christian (in practice, they usually end with ‘amine’), pagan or spiritualist. They often involve communication intended for (usually unspecified) long-dead ancestors.

Massey University assistant lecturer Te Rā Moriarty was quoted as saying: “Karakia allow us to continue an ancestral practice of acknowledging orally the divine forces that we, as Māori, understand as the sources of our natural environment. We call these forces atua. So, it is a way to connect through the words of our tūpuna to the world that we live.”

Here’s the notice that the NZ news site that was going to publish my post eventually found. And yes, it is real, and came with a note:

NAME REDACTED tells me she has been advised that an email was sent to employees and invited them to view the message in their browser.

Click the notice to see the announcement—on a Health New Zealand website. The “you can read more” link doesn’t work for me; it apparently requires credentials to access. But the notice says exactly what my informant claimed.  Yes, the New Zealand government is urging some of its employees to pray daily.

In the Māori dictionary, “karakia” is defined this way:

(noun) incantation, ritual chant, chant, intoned incantation, charm, spell – a set form of words to state or make effective a ritual activity. Karakia are recited rapidly using traditional language, symbols and structures. Traditionally correct delivery of the karakia was essential: mispronunciation, hesitation or omissions courted disaster. . . . .

So what we have is a government agency “encouraging” its staff to chant to supernatural powers in hope of connecting to one’s ancestors (tūpuna). This encouragement, of course, violates the separation of church and state, and is an unwarranted sop to the indigenous people. (New Zealand, of course, doesn’t have a First Amendment.)  It’s one more sign of how the sacralization of the oppressed is spreading in New Zealand.  Of course these prayers have no effect, and encouraging the descendants of “colonists” to say them is to force one’s beliefs on others who may not share them.

Thompson has a few words about this:

We can choose not to attend places where the religious practices feel offensive or intolerant to us, and the hosts in those places can exercise similar choice about visiting our spaces.

However, when we are employed and rely upon that employment for our survival, we don’t have the choice to avoid our place of employment. Being employed in a state service under a secular government, workers should have choice over whether they participate even passively in practices involving claimed spiritual entities or supernatural beliefs. Expecting employees to participate denies their right to choose to follow their own religion or philosophical belief and not other people’s, a characteristic of totalitarian rule.

This is especially true in New Zealand, where refusal to sacralize the presumed “oppressed” is sometimes punished severely, with threats of losing one’s job. Thompson’s piece continues:

Sure, the email to health staff only used the word “encourage” but really, when your employer issues an email saying that, you know it will be expected and that ignoring or opposing it will be held against you and may cost you your job.

Pressuring state employees and even private company employees to participate in karakia sets a dangerous precedent in eroding separation between state and religion. As we speak, Muslim immigrants in Europe are deliberately imposing their religious practices on non-Muslim populations by having their distorting loudspeakers call dozens or hundreds of faithful to prostrate themselves in prayer on public footpaths and roadways (even though nearby mosques are plentiful). The practice reflects their belief that Islam is so important that everyone either needs to convert to it or be discriminated against or killed.

As usual, I was sent this with the assumption that the sender would remain anonymous. Thompson, however, clearly has some guts, for even if he/she doesn’t work for Health New Zealand, it’s a huge risk to publish something like this anywhere.