Bigmouth Strikes Again: Carrie Marshall's blog

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Category: Bullshit

Pernicious nonsense and other irritants

  • Doctors speak out against Cass

    The ongoing wrecking spree by Hilary Cass continues, but it’s getting significant pushback from medical experts. As Erin Reed reports, “both the American Academy of Pediatrics and the Endocrine Society have categorically rejected the review as a justification for bans on care and have challenged many of its alleged findings.”

    Every time Cass speaks to the press things get worse: she’s now suggesting that trans healthcare shouldn’t be measured in satisfaction or regret rates (which are exceptionally high and exceptionally low respectively compared to other forms of healthcare) but in factors such as “employment”, which suggests that she’s either completely unaware of or couldn’t care less about the discrimination that means one in three UK employers say that – despite it being illegal – they would refuse to hire trans people. And more details of the people in her review board are starting to emerge; many have links with pseudoscientific anti-trans organisations. Cass herself met with people from Ron DeSantis’s anti-trans administration and appears to have lied about it.

    As the Endocrine Society says in a strongly worded statement:

    “We stand firm in our support of gender-affirming care. Transgender and gender-diverse people deserve access to needed and often life-saving medical care. NHS England’s recent report, the Cass Review, does not contain any new research that would contradict the recommendations made in our Clinical Practice Guideline on gender-affirming care… Medical evidence, not politics, should inform treatment decisions.”

  • Balance

    Lee Hurley of Trans Writes has been tracking trans-related articles in the UK press: The Guardian, The Observer, The Times, The Sunday Times, The Daily Telegraph, The Sunday Telegraph, The Daily Mail, The Mail on Sunday and Private Eye.

    In the 23 days since 16 April there have been 126 articles about trans people in those publications.

    121 of them were negative.

    5 were neutral.

    0 were written by trans people.

  • Snitches

    In Utah this week, the Republican administration introduced a snitch line, an online form for bigots to report any cases of trans or non-binary people using the single-sex facilities appropriate to their gender.

    It’s easy to point at this as an example of US right-wing bigotry, but for anyone thinking such vicious idiocy couldn’t happen here: on the very same day the UK Equalities Minister, Kemi Badenoch, introduced a snitch line, an online form for bigots to report organisations offering “bad guidance” about letting trans people use the single-sex spaces appropriate to their gender.

  • Illegal and cruel

    I’ve been loath to post about the current cavalcade of cruelties the Tories are heaping on trans people right now, but I wanted to point out something about the proposed NHS guidance that would force trans women out of single-sex wards: it’s illegal under multiple laws, especially for trans women who have gender recognition certificates. Not for the first time, the party of law and order is attempting to undermine the law by issuing guidelines encouraging organisations to practice illegal discrimination.

  • Snakes in the Cass

    The Cass review is a lengthy document and it’ll take time for detailed criticisms to emerge, but there’s already plenty of evidence to indicate that the worst fears of trans people and allies were correct. The review team included people vocally opposed to trans healthcare, applied different standards of evidence to trans-supportive and trans-antagonistic studies, is happy to accept anecdote and hearsay provided it is not trans-supportive, and appears to advocate conversion therapy and demand that doctors be involved in social transition, which is not a medical matter.

    This, by Trans Safety Network, is an excellent overview of some of the most blatant problems with the report.

    the Cass Review final report seems to assume, as an unspoken starting point, that growing up to be a trans person is a bad thing, and the rest of the conclusions follow from that assumption.

    …We have previously identified a number of professionals involved in both the Cass Review and the NHS Gender Dysphoria Working Group which helped commission the review who are involved either in lobbying efforts against trans affirmative healthcare, or who have actively promoted conversion therapy. 

  • The endgame

    In the US, the people who want to ban abortion will tell you that they don’t want to ban abortion; they just want to put some protections around some of it. This is a lie.

    Also in the US, the people who want to ban healthcare for all trans people – who, not coincidentally, are usually people who want to ban abortion – will tell you that they don’t want to ban healthcare for all trans healthcare; they just want to protect children. This too is a lie.

    We know these lies are lies because the people telling them admit it. For example in January, US Republican legislators discussed the importance of disguising their “endgame”, which was to ban all healthcare for trans adults. It was important to focus initially only on trans kids, the legislators said, because “what we know legislatively is we have to take small bites.”

    As one of the legislators said:

    we have to be looking at the endgame simultaneously, maybe even using that to move the window to say that this isn’t just wrong 0-18, it’s wrong for everyone and we shouldn’t be allowing that to happen.

    This is how you ban people’s healthcare: slowly, and with small bites.

    Here in the UK, we’re told that nobody wants to ban trans adults’ healthcare. This is a lie.

    In the wake of the Cass review into teen healthcare, a review that prioritised anti-trans junk science and anti-trans activists over actual science and medical expertise, it has now been announced that there will be a review into the provision of trans healthcare for adults. If it too prioritises anti-trans junk science and anti-trans activists, then like the Cass review it will conclude that trans healthcare – which after years of underfunding and now political attacks is barely functioning, with people dying on waiting lists that in some cases are now decades long – needs to be restricted too, despite overwhelming evidence to the contrary.

    This is dangerous not just for trans people, but for everybody. Because the Cass review now has people openly discussing a ban on trans healthcare for anyone under 25 to “protect children”, even though 18 to 25 year olds are adults, on the spurious (and untrue) grounds that brains are not fully developed until then. In effect, the claim is that you cannot consent to healthcare until you’re 25.

    So far, this is only being discussed in relation to trans people. But if we establish the precedent that under-25s do not have bodily autonomy, women’s reproductive rights are next.

    That’s the endgame.

  • No surprises

    You’ll see a lot in the papers about the Cass review of NHS care for gender-questioning kids today, as the report is finally released. What you won’t see are any suggestions that it’s a political project, not a medical one. Its job was to undermine healthcare for trans people, and that’s exactly what it’s delivered.

    The review’s conclusion, that there isn’t enough evidence to support affirming treatment for trans teens, was arrived at by discounting nearly 100% of the available research into affirming care (101 out of 103 studies) for spurious reasons; it centred the views of people and organisations opposed to trans healthcare, some of which believe that trans people don’t exist, while refusing to consider evidence from trans-supportive people or organisations as they would be biased; it applied different standards of evidence to pro- and anti-trans studies; and its core analyst is a supporter of conversion therapy and has previously supported the anti-trans pressure group Genspect. And while the review’s scope does not extend to adult healthcare, it’s nevertheless being used to demand restrictions on healthcare for adults until they’re 25.

    The problems with the Cass review have been apparent for some time, and Trans Safety Network has been particularly good at highlighting them. This piece, from late March, is a good overview. It’s telling that freedom of information requests regarding conflicts of interest have been refused.

    The tories will be out of power soon, and rightly so. But the damage they have done will take years, and perhaps decades, to undo.

  • Complete fiction

    I’ve been away for a bit, and while I was out of the country we had yet another completely invented scandal around trans people. This time it was around the new Scottish hate crime legislation, which does not make it an offence to misgender trans people. Despite it not being an offence to misgender trans people, it has been widely reported that the law would make it an offence to misgender trans people.

    Here’s Assigned Media.

    Presenter Justin Webb began his interview with the member of Scottish Parliament by asking, “Is misgendering a crime under this act?” Brown’s answer? “No. Not misgendering. Not at all.”

    …During their back and forth, Brown explains that if a report of a hate crime is made it would be the police’s job to determine if a crime has taken place.

    The latter doesn’t contradict the former, but that didn’t stop pretty much the entire UK press from reporting that misgendering was now a hate crime despite – as I may have mentioned – misgendering not being a hate crime.

    Bad faith scaremongering about legislation is a favourite tactic of the evangelical right, and in Scotland we previously saw it over the smacking ban – which, child-whacking arseholes told us, would see the prisons full of parents wrongly convicted of assaulting their kids. It’s also been used to attack women’s and LGBTQ+ people’s rights in other countries, such as in Spain.

    As ever, it doesn’t matter if the press amplifies bullshit through malevolence or incompetence, because the result is the same: newspapers and broadcasters are misleading their readers, listeners and viewers and doing real damage in the process.

  • A shameful sham

    The news that NHS England is banning the prescription of puberty blockers to trans teens (but not cis teens) is surprising if you look at the results of the consultation into that very plan: the overwhelming majority of responses were against the ban, pointing out that it flew in the face of all available evidence and was contrary to international best practice. The PDF is here if you fancy a look; it’s pretty damning of the proposals.

    But the point of the consultation, like many other sham consultations, was not to change a decision that had already been made. The ban we’re reading about this week was previously decided on and announced in the summer of 2023, months before the consultation was opened.

    The purpose of the consultation was to enable the NHS, and the government, to say that there has been a consultation – secure in the knowledge that nobody is going to report that the consultation overwhelmingly demonstrated that the decision chose to ignore medical expertise in favour of scaremongering and moral panic.

  • Freedom to choose

    There’s an interesting and provocative piece in New York Magazine by Andrea Long Chu, in which she advocates for trans people’s freedom. It’s a long read and quite dense in places – and I don’t think she makes it clear enough that the only medical intervention available to trans kids is puberty blocking, which is fully reversible – but she’s very good on the role of transphobic liberals in laundering far-right views for a more mainstream audience.

    The most insidious source of the anti-trans movement in this country is, quite simply, liberals.

    Liberals are the ones “just asking questions” in the pages of newspapers, pretending to be objective when they’re just as biased against trans people as the most rabid right-wingers.

    The very simple fact is that many people believe transgender is something no one in their right mind would ever want to be… If the liberal skeptic will not assert in mixed company that there should be fewer trans people, he still expects us to agree on basic humanitarian grounds that at least there should not be more.