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Culture War Roundup for the week of November 6, 2023

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Still, I can't think of any interventions where the benefit of that intervention is worth the costs and the precedents it sets.

What's wrong with "ban until they're 18"? What precedent is it setting? It's not like we're living in an ancap utopia, the establishment even cracked down on the use of prescribed ivermectin.

I would prefer that we live in an Ancap Utopia actually, with no arbitrary age gating at all.

In principle, I see nothing wrong with anybody of any age changing their sex, it's just that medical science today is unable to cash the cheques that trans activitists write in that regard. No amount of modern surgery or hormones will make you more than a pale facsimile of of the opposite sex, but I don't expect that to last indefinitely, and I dislike age gating anyway.

No amount of modern surgery or hormones will make you more than a pale facsimile of of the opposite sex (...), and I dislike age gating anyway.

Well, there's the rub. If you talk to the pioneers of gender medicine they were pretty explicit that this is just for people feeling massive amounts of distress, that no matter what you do, it will only be a facsimile, that it has serious health consequences, but overall it might be worth it if the distress is so great.

The whole point of age gating is that with kids, all this goes out the window. They don't understand the facsimile thing, and you try explaining the side effects to them, they shrug them off as it all blurs into these quickly-spoken disclaimers at the end of medicine ads.

but I don't expect that to last indefinitely

Yes, I also wish that we were honest about this not ending with transgenderism, so people screaming at me for opposing it can know what they're signing up for. Right now anyone pointing out the transhumanism connection gets treated as a conspiracy theorist.

You're dealing with exceptionally stupid kids if they can't look at existing examples of MTF or even FTM trans people and thinking "oh shit I don't want to turn out like that". They do so despite the evidence to the contrary, because of social indoctrination, but in that regard they're not qualitatively different from adults who transition, who usually end up even more fucked at least in terms of ability to pass if not further health issues.

Yes, I also wish that we were honest about this not ending with transgenderism, so people screaming at me for opposing it can know what they're signing up for. Right now anyone pointing out the transhumanism connection gets treated as a conspiracy theorist.

I wish. Despite surface similarities, the modal transgender activist has little in common with transhumanists, especially in terms of ontology and goals. You might as well lump us in with body builders because we want to improve on the body we were born with, or say Communists and Ancaps are the same because they both seek the dissolution of a capitalist state. I don't even see them as allies of convenience, they're already fucking inconvenient to say the least..

You're dealing with exceptionally stupid kids if they can't look at existing examples of MTF or even FTM trans people and thinking "oh shit I don't want to turn out like that".

If they even manage to advance enough to consider that question, the quick 'n easy answer is "oh no sweetie, that's just the toupee fallacy -- actually there's lots 'n lots of trans people out there that you don't even notice because they pass so well. OBTW that means you need to do this as early as possible!"

You're dealing with exceptionally stupid kids if they can't look at existing examples of MTF or even FTM trans people and thinking "oh shit I don't want to turn out like that".

That's not what they're seeing, though. They're being given the rainbows and unicorns farting sparkles version of it. And drag queens coming in to school to read to them since they're blinkin' two years old, being told by Teacher that this is lovely and wonderful and you! must! approve! Oh, and they're having books like this read to them:

The Pronoun Book

Best for ages 0-3 A board book for our youngest kiddos with gorgeous illustrations of all types of people. There’s no way to know someone’s pronouns unless you ask them, so go ahead!

What we love: This book is simple and has no narrative. It’s perfect for letting young kids discover and notice things for themselv

Things to know: This book is a joyous introduction to people and their pronouns, and how gender expression doesn’t always match someone’s gender identity.

If you got a solid ten years of conditioning like that, and you were any way feeling like you weren't popular enough, smart enough, sociable enough, and what the hell is this puberty changing my body like a Japanese body-horror movie, of course you're going to fall for "if I'm trans, that's the reason why I don't feel comfortable in my own skin and that's the solution to making everything better".

The "my kid was trans and knew it age two" set of parents, in my view, are mostly the ones who are doing the Stage Mother bit (such as Rose Hovick who put her infant daughter on stage to earn a living):

After Hovick and Brennerman divorced, June supported the family by appearing in vaudeville, being billed "Tiniest Toe Dancer in the World" when she was only 2 1⁄2.

Yeah, you've convinced me your 10 year old kid walking the runways knew they were trans when they were 2 (not):

To anyone who asks how a child knows they are transgender at just 10, Dee said she has an answer ready.

“At 2 years old, she started telling us she wasn’t a boy. At 4.5, she socially transitioned and at 7 she legally transitioned.”

Then completely coincidentally, at 7 'she' was put out to work:

“Noella’s first show was Chicago Fashion Week at 7 years old,” her parent, Dee, told Forbes earlier this year. “An out trans teen told her about open auditions, and she watched YouTube videos to prepare. She booked two designers at her very first audition. Since then she has been in two Chicago Fashion Weeks and a handful of smaller shows.

The parents who aren't Stage Mothers and living by proxy through their kids are being steered into it by the 'experts' telling them that if their toddler pulls the hairclips out of their hair, that means they're trans, and if they don't support them to transition, then they'll end up with a dead child because of the trans suicide rate.

You're dealing with exceptionally stupid kids if they can't look at existing examples of MTF or even FTM trans people and thinking "oh shit I don't want to turn out like that".

No, because their information environment is largely controlled by adults who will be feeding them the opposite. Sure, nowadays, it's likely they can break out to some degree, but what would you call a child who believed stuff from randos on the Internet over their teachers?

Depends on what kind of randos. I might potentially call him a promising young man. If the kid is spending his time online absorbing "aliens built the pyramids"-type stuff then maybe a teacher would be better. But if the kid is reading a variety of sources, even if he's just reading Wikipedia, then I'd say that has a high chance of being better for his education than the average teacher.

You're dealing with exceptionally stupid kids if they can't look at existing examples of MTF or even FTM trans people and thinking "oh shit I don't want to turn out like that".

No, you're dealing with completely average kids, but it just so happens that in many ways kids are exceptionally stupid, hence age gating (which also includes things like driving, drinking, ability to sign contracts, etc., etc., etc.)

Looking up existing examples of MTFs or FTMs is easy, but the thought has to occur to you to search for it, and it does not occur even to an average adult (and this is a common behavior on all issues, not just this one). All the kids see is TikToks glamorizing the whole thing, parents don't know what the fuck is even going on, and even if they figure it out, and they'll show it to the kids, they'll be promptly ignored because "you just don't get it mooom", and medical professionals are either ideologically captured, or see the whole situation through green-colored glasses with $$$ signs on them, so they'll also undermine the parents who manage to figure things out.

but in that regard they're not qualitatively different from adults who transition, who usually end up even more fucked at least in terms of ability to pass if not further health issues.

But if it's a social contagion and/or discomfort with puberty and/or with atypical sexuality, they'll get over it, and will not want to transition as adults. Before ideological capture, something like 80% dysphoric kids were desisters.

Also, if you end up changing your mind, your prior ability to pass fucks you up too, to say nothing of the body parts you hacked off. As for health issues, you're the doctor, but the idea that being exposed to puberty blockers and hormone treatment earlier rather later, results in better health outcomes, strikes me as a bit counter-intuitive.

I wish. Despite surface similarities, the modal transgender activist has little in common with transhumanists, especially in terms of ontology and goals.

Where would you say you part ways with them?

Where would you say you part ways with them?

They have an ontology where "gender" exists as an ethereal entity entirely divorced from one's physical form, for one. Or that you can simply claim to be the opposite gender without passing as it, and then have everyone treat you as such. While I endorse the hypothetical of people switching sexes, that's only when they succeed, points for effort are minimal.

hence age gating (which also includes things like driving, drinking, ability to sign contracts, etc., etc., etc.)

You will note that in most of those examples, parents are allowed to either grant them liberty to do so, or sign them on their behalf. I believe that the argument upstream was all about kids, parents and trusted authorities all colluding to make teen transitions feasible.

They have an ontology where "gender" exists as an ethereal entity entirely divorced from one's physical form, for one. Or that you can simply claim to be the opposite gender without passing as it, and then have everyone treat you as such. While I endorse the hypothetical of people switching sexes, that's only when they succeed, points for effort are minimal.

Meh. That seems orthogonal to transhumanism, not in contradiction to it.

You will note that in most of those examples, parents are allowed to either grant them liberty to do so, or sign them on their behalf. I believe that the argument upstream was all about kids, parents and trusted authorities all colluding to make teen transitions feasible.

Letting your kids drink or drive will get you in trouble in most countries, so society is perfectly happy to limit that liberty

But I'm callous enough to let progressive parents fuck up their kids, if that's what they want to do. My issue is with normie parents who sign off on it under duress. "Would you rather have a happy daughter, or a dead son", this is shit "gender experts" actually tell parents. Even doctors bow out of responsibility for the decision. So I'm saying the scenario as outlined is not representative of what's going on.

If a ban is too much for you, I gave another suggestion to simply add liability.

What's wrong with "ban until they're 18"?

The canonical answer is "it works worse with age". I don't know how accurate that is, though it certainly seems plausible to me that delays will result in worse patient outcomes among those who do transition.

What precedent is it setting?

I'm not aware of any medical interventions that are banned even when the patient wants them, and their guardian approves it, and a doctor recommends it, but which are allowed once the patient reaches the age of majority.

It's not like we're living in an ancap utopia, the establishment even cracked down on the use of prescribed ivermectin.

Yes, and that was bad. I would prefer fewer things like that, not more things like that.

The canonical answer is "it works worse with age". I don't know how accurate that is, though it certainly seems plausible to me that delays will result in worse patient outcomes among those who do transition.

How is it plausible that a mastectomy works better when you're 14 than when you're 18?

If you're referring to puberty blockers only, other than accuracy of "works worse with age" (which is indeed under question), there's also the issue with diagnosis. Even if the treatment worked as advertised, there's a fundamental question of whether we can actually tell "trans kids" apart from "non-trans kids".

Yes, and that was bad. I would prefer fewer things like that, not more things like that.

But it happened, the precedent is already set.

patient wants them, and their guardian approves it, and a doctor recommends it

There's a massive question mark under each of these components. The patients in question are minors, respectfully, they don't know what the hell they want. Some guardians approve it, but many have their arm twisted into it by dishonest statistics about risk of suicide. Doctors also mostly wash their hands of the responsibility, your family doctor, endocrinologist, even a run-of-the-mill psychologist and psychiatrist will say "I don't know anything about this gender stuff, go to a gender specialist", and the "gender specialist" ends up being a crank who believes in "gender angles".

Why is it beyond the pale to regulate an industry that functions this way?

What on earth are “gender angles”??

It comes from Dr. Dianne Ehrensaft, one of my favorite characters in this entire saga. She first came to prominence during the Satanic Panic that OP mentioned, not satisfied of only having it on her track record, she decided to jump on the gender bandwagon. I originally heard the term without further explanation, in a video from some trans-care conference, so I had to look it up. Luckily it is now used in academic literature:

Chapter 1, “From Gender Identity Creativity to Gender Identity Creativity: The Liberation of Gender-Nonconforming Children and Youth,” written by clinical and developmental psychologist Diane Ehrensaft, presents the story of the still ongoing liberation of gendernonconforming children from the realms of pathologization and provides glimpses into a new gender-creative world, where gender ghosts (i.e., “internalized thoughts, attitudes, feelings, beliefs, experiences that draw us toward culturally arbitrated binary gender boxes and make us anxious when we or anyone else strays from those boxes,” p. 22) can be and will be replaced by gender angels (“internalized thoughts, attitudes, feelings, beliefs, experiences that allow us to be gender creative and live or accept others living outside of culturally defined binary gender boxes,”

You might also be interested in other terms she promoted like "gender minotaur", "gender Prius", "gender Tesla", "gender smoothie", or "gender Tootsie Roll Pop".

The patients in question are minors, respectfully, they don't know what the hell they want.

And then when they turn 18 they become legal adults, famous for making good decisions that align with their long-term interests.

Some guardians approve it, but many have their arm twisted into it by dishonest statistics about risk of suicide. Doctors also mostly wash their hands of the responsibility...

Yeah this is pretty terrible, and the "the statistics on how things actually tend to go in practice are shit to begin with and then further obscured by biased parties on all sides" bit means that it's very hard to make a well-informed decision here. Such is life in an environment of imperfect and sometimes hostile information, but it still sucks.

Why is it beyond the pale to regulate an industry that functions this way?

I don't think it's beyond the pale, I just expect that the costs of regulation here, as it is likely to be implemented in practice, exceed the benefits. I don't actually think it's a good thing that a bunch of teenagers feel like they're trapped in the wrong body and that their best shot at happiness is major medical interventions, I just expect that any attempts by our current regulatory apparatus to curb the problem will cause horrible "unanticipated" problems.

If you have some statistics that show that, actually, regulation here is likely to prevent X0,000 unnecessary surgeries per year, which in turn will prevent Y,000 specific negative aftereffects, I might change my mind on that. But my impression as of now is that this is a small enough problem, and regulation a large and inexact enough hammer, that it's not worth it.

And then when they turn 18 they become legal adults, famous for making good decisions that align with their long-term interests.

You're not wrong, adult detransitioners are quite bitter about people going "you made your decision when you were 18+? Well, fuck you then, I guess!". I'd be happy with banning the practice from mainstream medicine entirely, if this is what you're offering, but what I offer is a compromise.

Such is life in an environment of imperfect and sometimes hostile information, but it still sucks.

No, it's not, actually. An environment of imperfect information is one where everybody gets to make their case, and everybody gets to make their decision, not one where one side gets to pretend they're The Science, and hound all skeptics and dissidents.

If you have some statistics that show that, actually, regulation here is likely to prevent X0,000 unnecessary surgeries per year, which in turn will prevent Y,000 specific negative aftereffects, I might change my mind on that.

Yeah, there are statistics that show the dstience rate was above 80%, before activists took over the field. Do you have any statistics to show any of these surgeries are necessary to begin with?

But my impression as of now is that this is a small enough problem

Tuskagee was a spit in the bucket compared to what's happening, not to mention George Floyd, or MeToo. If you can link to making that s sort of argument about these cases, I'll believe that you actually made this argument in good faith.

Tuskagee was a spit in the bucket compared to what's happening, not to mention George Floyd, or MeToo. If you can link to making that s sort of argument about these cases, I'll believe that you actually made this argument in good faith.

Huh, apparently reddit is more of a tire fire than I thought, because I definitely made the "what exactly do you hope to accomplish, how does what's currently going on accomplish that, and are there any downsides to normalizing looting unrelated businesses and homes in response to injustice" point during the 2020 riots. But apparently it's been memory-holed. IIRC it was my second most downvoted comment ever.

I've got quite a lot of "measures to contain covid have costs as well as benefits, and I've seen no evidence that the benefits exceed the costs and quite a bit of evidence of the reverse" of you're interested in that.

Honestly though, you will probably not have much success modeling me as "on your side" or "against your side" - I would like to grill, and I object to moral busibodies who get between me and my grill with their schemes to make society better. And I especially object when those schemes aim to solve tiny problems that affect a few thousand people in a country of hundreds of millions, or when those schemes obviously won't help with the problem they're supposedly trying to solve, or when the cure is clearly worse than the disease.

Honestly though, you will probably not have much success modeling me as "on your side" or "against your side"

That's no fun, how am I supposed to dunk on you then?

I would like to grill, and I object to moral busibodies who get between me and my grill with their schemes to make society better.

I can sympathize. I still have a libertarian temperament, even I don't think modelling people as free-floating atoms is either accurate, or something to aim for.

And I especially object when those schemes aim to solve tiny problems that affect a few thousand people in a country of hundreds of millions

I think this is the part I object to the most. While your response to BLM was laudable, it doesn't exactly touch on what I was trying to get from you. BLM was objectionable regardless of whether the way the police treated black people was a big problem or not. It's exactly the idea that things that don't affect a large enough proportion of the population shouldn't be talked about, or have any action taken to stop them, that I have a problem with. You could probably justify several genocides on the grounds that the targeted ethnicity was tiny compared to the global population.

or when those schemes obviously won't help with the problem they're supposedly trying to solve, or when the cure is clearly worse than the disease.

These are fine arguments to bring up, but obviously I disagree they apply in this case.

How is it plausible that a mastectomy works better when you're 14 than when you're 18?

The idea is that it’s far easier for a person who transitions at 14 to pass as the gender of their choice than it is for a person who transitions at 18, especially for MTFs. I don’t think they’re actually wrong about this. At 14, most boys and girls are still fairly androgynous; by 18, most boys are clearly young men: tall, prominent jaw line, Adam’s apple, facial hair, muscular structure, etc. If a gender dysphoric boy wants to transition and pass as a girl, puberty blockers at as young an age as possible are his best shot. The same holds true for girls but in reverse.

Cool, but how is it plausible that a mastectomy works better when you're 14 than when you're 18? You are aware this is a thing that is actually being done?

The same holds true for girls but in reverse.

Not really. You can take testosterone when you're a full-grown adult, and you'll pass pretty well. And like I said in the other comment, to the extent this helps trans people, it hurts people who decide to detransition.

A mastectomy specifically? I assume there’s no medical benefit to doing it earlier (though maybe it heals better the younger you do it?). I imagine the proponents of that procedure are solely focused on the psychological benefits—reducing the “trauma” of seeing your body change in ways you don’t want it to. They probably also don’t consider detransitioning to be a real future concern, so why not just get it over with?

That’s the best I can come up with; I’m not actually in favor of such things myself.