Bigmouth Strikes Again: Carrie Marshall's blog

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Category: Health

Scare stories and newspaper nonsense

  • Killer conspiracies

    The BBC reports that members of an “anti-establishment cult” have been jailed for trying to kidnap a coroner. What the BBC hasn’t clearly reported (and neither has The Guardian or The Telegraph, the latter of which devoted three pages to the case) is why they were doing it. They intended to enact a “death sentence” on the coroner for supposed crimes related to “gender reassignment” in children and railed against “the transgender movement” in their radicalisation videos.

    Here’s Trans Safety Network’s Mallory Moore:

    Here’s the fake death warrant the group issued regarding the Essex coroner, directly claiming linking the coroner to supposed child mutilation relating to gender reassignment, authorising a “death sentence” for the targetted victim.

    [image or embed]

    — Mal-eficent (Sin #60) (@mall.bsky.social) October 29, 2024 at 9:23 AM

    As Mallory says, “so much of this rhetoric is impossible to differentiate from common [“gender critical”] rhetoric about trans people.” Which is perhaps why the BBC and The Guardian, both of which generally act as uncritical mouthpieces for anti-trans activists, have been so reticent about drawing attention to it.

    Sometimes the anti-LGBTQ+ links are too hard to ignore, however. Last month, a Scots neo-nazi was found guilty of planning a series of terrorist crimes – specifically including an attack on a Falkirk LGBTQ+ group. “They have been pushing their luck for years, now they will pay in blood,” he wrote. “We should get masked up and go do a few of them at their little gay club.” When the police arrested him, they found weapons including a crossbow with telescopic sights, fourteen knives, machetes, a tomahawk, a Samurai sword, knuckledusters, an extendable baton and a stun gun.

    We like to pretend that we’re not like America. But in an age of global media, bigotry and conspiracism are global too. I’ve long written about the parallels between UK anti-trans activism, neo-Nazism and QAnon; rhetoric that’s laundered in the broadsheets becomes murderous in the streets.

  • A brief history of torture

    There is a long and horrific history of conversion therapy being used against LGBTQ+ people, and we’ve known for a very long time that it’s dangerous, damaging quackery. This article by Mallory Moore is a good introduction and comes with a ton of content warnings; it describes some very awful things done by supposedly respectable doctors and psychiatrists.

    As Moore points out, the history is intertwined with so-called “race realism”, aka white supremacy; homosexuality and gender non-conformity were practiced by “savages” and “primitive races”, or were evidence of degeneracy among white people.

    Even if you accept the core assumption that being LGBTQ+ is unnatural, which of course it isn’t, we have decades of evidence proving beyond any doubt that conversion therapy, whether in the form of violent aversion therapy, electro-shock therapy or “pray the gay away” therapy, just doesn’t work. It’s simply abuse.

  • The real trans healthcare scandal

    More than 200 trans people (that we know of) in the UK have been refused basic healthcare by their GPs, in many cases after years of receiving that healthcare. A new report (PDF) by TransActual goes into detail: in most cases it’s not that new requests are being refused; it’s that existing healthcare is being stopped unilaterally by GPs. Almost half of the people who spoke to TransActual had been receiving the care for more than 5 years.

    I’m one of the people who’s been refused healthcare, and like many others I’ve been told it’s because of guidelines by the Royal College of General Practitioners, now clarified to make it clear that trans people’s healthcare should not be stopped. Others – adults – have been told that it’s because of the Cass Review, which was a (worthless, politicised) study of adolescent services and didn’t look at adult healthcare at all. Some have been told that their GP “doesn’t believe in” gender clinics.

    In Edinburgh, the gender clinic has stopped all surgical referrals for adults under 25 – again, citing the Cass Review. Meanwhile at current clearance rates the Glasgow gender clinic will see you for a first healthcare appointment seven years after you’re first referred, if indeed your GP will refer you; the reason we had self-referral, which has now been stopped, was because bigoted GPs were refusing to refer trans people.

    Stopping or refusing basic trans healthcare isn’t just dangerous and unethical. It is in defiance of the General Medical Council, which tells doctors that “you must not refuse to provide a patient with medical services because the patient is proposing to undergo, is undergoing, or has undergone gender reassignment.” And it’s the result of endless scaremongering and demonisation in the press and by politicians.

    You’d think that GPs deciding to stop treating hundreds of patients would be news. But of course, the papers who should be reporting this are the ones responsible for it.

    In the 1990s, the Labour government had to be dragged kicking and screaming through the European courts to give trans people basic human rights. It looks like history is repeating. And in the meantime, trans people will suffer.

    I try not to wish ill on people. But I hope that every so-called gender-critical columnist, celebrity and politician experiences all of the pain they want to inflict on trans people. May they never know peace.

  • Spot the difference

    The UK isn’t the only place where “reasonable concerns” over trans healthcare have sparked official reviews. It’s happened in Queensland too, sparking a review very similar to NHS England’s Cass Review. But despite reviewing very similar evidence, this review resulted in a doubling of funding for trans healthcare. Here in the UK, the Cass Review has been used to stop trans healthcare for teens, and it’s increasingly being used to demand the end of healthcare for trans adults.

    The difference? The Queensland review didn’t prioritise quacks and bigots over healthcare experts. As one doctor explains:

    “If you were reviewing a neurosurgical service, you’d need to have some neurosurgeons on the review panel,” she said.  

    “You don’t put faith healers on it.  

    “You have to have people who understand how it works.” 

    The UK seems to be the only country where expertise in healthcare is simply dismissed in favour of ignorance and ideology.

  • Anatomy of a scandal

    This, by Lydia Polgreen, is superb: The Strange Report Fueling the War on Trans Kids. It’s about the Cass Review.

    As much as Cass’s report insists that all lives — trans lives, cis lives, nonbinary lives — have equal value, taken in full it seems to have a clear, paramount goal: making living life in the sex you are assigned at birth as attractive and likely as possible. Whether Cass wants to acknowledge it or not, that is a value judgment: It is better to learn to live with your assigned sex than try to change it. If this is what Cass personally believes is right, fair enough. It can charitably be called a cultural, political or religious belief. But it is not a medical or scientific judgment.

  • State-sanctioned harm

    Scientific American reports that the Cass Review has led to “a plethora of abuses and humiliations” for young trans people, which for some includes forced detransition.

    We estimate more than 1,000 trans adolescents in the U.K. now find that their treatment is illegal. Families risk an up to two-year prison sentence for supporting a child’s continued access to private medication. These adolescents face a state-mandated medical detransition, forcing them to go through a puberty they have fought hard to avoid. The alternative is to flee the country or take greater risks: continue blockers under threat of prosecution or receive alternative medication with more frequent and severe side effects. Families are telling us that fear is driving trans children to discontinue routine hormone monitoring checks and to disengage with wider health care services.

    Healthcare for trans adults is next in the firing line.

    As with abortions, ideologically-driven healthcare bans won’t stop people transitioning. What they can do, though, is make trans people’s lives much more painful and dangerous. The cruelty appears to be the point.

  • Cass: MMR all over again

    I think in years to come the Cass Review, and the media’s complicity, will be viewed in much the same way as Andrew Wakefield’s infamous MMR scare and its promotion by Private Eye and UK newspapers. Unfortunately like Wakefield, it will continue to harm people until and long after it’s been fully discredited and its author a pariah.

    One of the countries who provided supposedly expert guidance to Cass was Finland, whose Dr. Riittakerttu Kaltiala was on the Cass advisory board. Dr Kaltialia has testified in favour of banning trans-related care in Florida and a new report by Assigned Media reveals the horrific abuse and medical malpractice carried out by her gender clinics. The Cass Review has multiple other links to anti-trans activism.

    The British Medical Association has now announced it will review the Cass report and has made some mild criticisms of it already, and the bigots are furious – which makes you wonder what it is they’re so scared of. After all, if the Cass Review is so scientific, the BMA review will just confirm that. Right?

    There is already a very long list of Cass Review critiques, which have repeatedly demonstrated that this was an ideological project. Dr Ruth Pearce has been tracking them on her website and it’s already quite the collection. Even if you do as Cass did and ignore the voices of trans healthcare experts as biased, it’s hard to argue that the Endocrine Society or the American Academy of Pediatrics are trans activists. But then, this was never about listening to the experts.

  • Hypocrisy

    The Daily Mail, as I’m sure you’re aware, has spent many years now demonising “cross-sex hormones” and the people who take them for reasons such as not wanting to die.

    This is from tomorrow’s front page.

  • Ignore the experts

    There’s a good piece about the puberty blocker ban in The Guardian by Aidan Kelly, a doctor, in which he explains how we’ve ended up in the farcical situation where fashion writers, bigoted journalists and arrogant celebrities are considered experts in trans healthcare but clinicians and prestigious medical organisations are not.

    In this area of healthcare, like no other I know of, the professionals with the requisite expertise are positioned by their critics as having been “captured by ideology” and therefore lacking in credibility. Meanwhile, those without the expertise are positioned as “independent”, which critics argue makes them better able to evaluate the evidence – despite having never worked in the field and having no understanding of its complexities.

    This simply wouldn’t happen in any other kind of healthcare, but in the UK the entire discussion has been given over to people who get their information from Twitter. Which perhaps explains why there’s been virtually no reporting on the international condemnation of the Cass Review from health professionals, or of the extensive analyses that demonstrate that the government is prioritising ideology over evidence in its healthcare policies.

    There’s a good overview here, from the US organisation FAIR:

    Though there is much more evidence now to support gender-affirming care than in 2008, there is also a much stronger anti-trans movement seeking to discredit and ban such care.

    British media coverage has given that movement a big boost in recent years, turning the spotlight away from the realities that trans kids and their families are facing, and pumping out stories nitpicking at the strength of the expanding evidence base for gender-affirming care. Its coverage of the Cass Review followed suit.

     

  • Whitewashing

    If it weren’t so horrific it’d be funny: to counter whistleblowers’ claims that since the puberty blocker ban more than 16 young people on waiting lists have taken their own lives, the new government hastily commissioned a report to disprove their claims by, er, discounting the deaths of people on waiting lists.

    The report’s author follows many anti-trans activists and anti-trans journalists on social media (but not, as far as I can tell, any trans-supportive voices) and, as Professor Stephen Whittle points out, “makes no count of those lives [lost by people] on waiting lists, or [of] coroner’s reports or deaths reported in the media. That is not academic, it is a whitewash.”

    It’s very clear that despite the change of government, there has been no change of policy: dead kids are just collateral damage in this lethal culture war.