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Culture War Roundup for the week of November 11, 2024

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Well, Alexandria Ocasio-Cortez removed her pronouns from her twitter bio. Does this represent Democrats coming to see the extremes of gender ideology as a political liability? In addition to her we have a representative from Massachusetts, Seth Moulton facing criticism over expressing sympathy with the anti-trans in women's sports position, and in part blaming the election loss on some of the demands of ideological purity on this issue in particular.

Even Reddit seems to be sensing this shift and top comments are reflecting unease with trans orthodoxy. Even the comments from many Democrat supporters on Reddit seem to be avoiding a full-throated defense of trans orthodoxy and instead blaming Republicans for making an issue out of something that hardly affects anyone.

Is this a sign of things to come? Will they actually move against gender orthodoxy or just make it slightly less visible while pursuing the same policy goals behind the scenes?

Edit: Just wanted to share this clip as well as it seems germane

I've long since lost the reference, but probably 6 years ago I saw some segment on The Hill about a study done by a trans advocacy group. And basically it was a policy document pointing out that putting penises in women only spaces, especially women only spaces with minors, is about the most unpopular policy you can possibly run on. So what needs to happen is that trans friendly politicians need to lie, and then quietly do it anyways. Don't worry, trans friendly advocates in media, and trust and safety teams on social media will cover for you.

No matter what mouth sounds Democrats make, I will never trust them on this subject ever again. And unfortunately for them, until all my children are over 18, it's literally my number one priority. We already live in a world where Democrats sanctioned the state taking kids away from parents, and putting them on a path towards mutilation and sterilization. You don't just get to walk away from that and hope nobody brings up all those children you sterilized.

We already live in a world where Democrats sanctioned (...) putting them on a path towards mutilation and sterilization.

I really doubt you can find anything from a major politician that supports that claim. This isn't even "making sweeping generalizations to vilify a group you dislike", it's just plain making things up.

  • -23

There is written record of the Secretary for Health demanding that the WPATH removes minimum age requirements from their Standards of Care so that the Biden administration can better pursue their goals related to trans issues. WPATH did comply, in violation of their own procedures of how the SOC is supposed to be determined.

Removing obstacles from a path is not "putting them on a path". Do you object to roads, because they put criminals on the path towards bank robbery?

Which "mutilations" had the minimum age requirements changed? What are the new requirements?

Removing obstacles from a path is not "putting them on a path". Do you object to roads, because they put criminals on the path towards bank robbery?

It sounds like arguing semantics to me. If one hand the public health administration is removing obstacles, and on the other the education system is telling kids they might be "born in the wrong body" if they don't fit into a given mold, and than hide the information about the child's transition from parents, that sounds like it all adds up to putting children on a path to transition.

Which "mutilations" had the minimum age requirements changed? What are the new requirements?

Draft of SOC8:

The following recommendations are made regarding the requirements for gender affirming medical and surgical treatment:

(...)

F. The adolescent has reached Tanner 2 stage of puberty for pubertal suppression.

G. The adolescent is the following age for each treatment:

  • 14 years and above for hormone treatment (estrogens or androgens), unless there are significant, compelling reasons to take an individualized approach, considering the factors unique to the adolescent treatment frame.
  • 15 years and above for chest masculinization; unless there are significant, compelling reasons to take an individualized approach, considering the factors unique to the adolescent treatment frame.
  • 16 years and above for breast augmentation, facial surgery (including rhinoplasty, tracheal shave, and genioplasty) as part of gender affirming treatment; unless there are significant, compelling reasons to take an individualized approach, considering the factors unique to the adolescent treatment frame.
  • 17 and above for metoidioplasty, orchidectomy, vaginoplasty, and hysterectomy and fronto-orbital remodeling as part of gender affirming treatment unless there are significant, compelling reasons to take an individualized approach, considering the factors unique to the adolescent treatment frame.
  • 18 years or above for phalloplasty, unless there are significant, compelling reasons to take an individualized approach, considering the factors unique to the adolescent treatment frame"

H. The adolescent had at least 12 months of gender affirming hormone therapy, or longer if required to achieve the desired surgical result for gender-affirming procedures including, Breast augmentation, Orchiectomy, Vaginoplasty, Hysterectomy, Phalloplasty metoidioplasty and facial surgery as part of gender affirming treatment unless hormone therapy is either not desired or is medically contraindicated.

vs. published SOC8

6.12.f- The adolescent has reached Tanner stage 2 of puberty for pubertal suppression to be initiated.

6.12.g- The adolescent had at least 12 months of gender-affirming hormone therapy or longer, if required, to achieve the desired surgical result for gender-affirming procedures, including breast augmentation, orchiectomy, vaginoplasty, hysterectomy, phalloplasty, metoidioplasty, and facial surgery as part of gender-affirming treatment unless hormone therapy is either not desired or is medically contraindicated.

There's also points A-E, but everything about minimum ages has been removed.

Edit: I think they mention the 18 years for phalloplasty when they elaborate on the chapter.

So, again, for starters: none of that is mutilation, just regular surgery.

Second, right there in the guidelines: this is the section for adolescents. Children is section 7. When your actual source makes the distinction between kids and teenagers, I feel like it's a bit disingenuous to keep calling them "kids"

Third, that's the section on "treatments requested by the patient". It's not putting someone on a path when they are already on that path and merely asking for help.

I don't see how this is different from anyone else trying to get medical treatment for their illness. Would you be horrified to learn that we also let children be treated for cancer and depression? Should there be a minimum age for those, too?

  • -15

none of that is mutilation, just regular surgery.

There is nothing "regular" about surgery to remove healthy organs and tissue with the ultimate goal of ameliorating psychic distress. You're welcome to defend this practice, but don't pretend it isn't a major departure from the common practice of surgery as generally understood.

So, again, for starters: none of that is mutilation, just regular surgery.

Unnecessary surgery that removes healthy body parts is mutilation, as are unnecessary hormonal treatments.

Second, right there in the guidelines: this is the section for adolescents. Children is section 7. When your actual source makes the distinction between kids and teenagers, I feel like it's a bit disingenuous to keep calling them "kids"

When people say "kids" they mean "minors", performing these treatments on even younger children is even worse, but a mastectomy performed on a 16 year old girl is still atrocious.

Third, that's the section on "treatments requested by the patient".

No one cares, the patient is a minor that doesn't know anything about what they're talking about.

I don't see how this is different from anyone else trying to get medical treatment for their illness.

There is no evidence that any illness is involved. The only criteria necessary to get a dysphoria diagnosis is:

  • Say you're trans

  • Don't change your mind for a few months

Even those loose criteria aren't always followed.

Would you be horrified to learn that we also let children be treated for cancer and depression?

Cancer has proper diagnostic criteria, so no on that, but if a doctor insisted I have to give drugs to 14 year old for "depression" (or "anxiety" or ADHD) I'd find it absurd.

Should there be a minimum age for those, too?

Probably. Psychology is very unrigorous, and we should not let these kind of doctors make decisions about children, that go against the wishes of parents.

Unnecessary surgery that removes healthy body parts is mutilation, as are unnecessary hormonal treatments.

I certainly didn't think it was unnecessary. What makes you the expert here?

No one cares, the patient is a minor that doesn't know anything about what they're talking about.

That might be believable if there was a huge number of people who regretted these decisions, but people actually seem pretty consistent. I challenge the idea that a 16 year old doesn't have any idea what they want - 16 is young enough to be tried as an adult or apply for emancipation. In most states, two 16 year olds can have sex, get pregnant, and have a child - a massively life changing decision that involves significantly more severe medical risks. We even allow kids to drive! Traffic accidents are one of the top ten leading causes of death, but we trust kids with it.

Are you saying that's all a mistake? We need to keep kids away from any sort of responsibility or freedom until they're a legal adult?

There is no evidence that any illness is involved.

There's plenty of evidence that this intervention results in positive outcomes. You're talking to one of the positive outcomes right now. I'm not sure what else to call it when you do a medical intervention and it fixes a problem?

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we should not let these kind of doctors make decisions about children, that go against the wishes of parents.

What if the parents are wrong?

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