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Culture War Roundup for the week of February 26, 2024

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I might be misinterpreting you, but given the above I don't know how to interpret statements like that other than "unless the issue affects a statistically significant portion of society (or abolishes the current economic system, I suppose), you should not oppose it". If this is the argument you're making, I want to point out that it's symmetrical. You should have no problem with a complete ban on gender affirming therapies for minors, because the issue is exactly as tiny as those therapies being prescribed to them.

You are misinterpreting. A better construction of my position is a more classical liberal position along the lines of, "We should consider the amount of harm done to unrelated parties before we consider banning a practice." There are plenty of things that are legal that I think are best avoided such as getting a face tattoo, but I recognize that I don't have access to the One True Way of living life or organizing society, and I think that it is best to keep a diversity of experimenting viewpoints within society for the following reasons:

  1. New technologies have cropped up so quickly that we've barely had time to adapt to them as a culture. I think that cancel culture and victim culture are two maladaptive social technologies that have come up in that environment, and I think legally allowing a greater variety of viewpoint and lifestyle diversity makes it more likely that some group will through experimentation create social norms that make for a functional human society alongside modern technologies.
  2. Even without considerations of us adapting socially to new technology, I think that the economic effects of new technologies have also created a need for considering a wider variety of approaches in order to weather the coming storm from automation and a thousand other disruptive technologies. I welcome the idea of dominionist Catholics choosing Exit over Voice in order to form their own small scale societies that might outlast the collapse of society, I welcome the idea of Mormons creating granaries to outlast an ecological disaster, I welcome the idea of young LGBT people attempting to create fulfilling communities and found families within an individualist framework, etc. etc. I might have my bets on which ones are more likely to be around in 100 or 1000 years, but I'm open to the idea that I'm wrong.

At the federal level (speaking in a US context), all I advocate for is that adult trans people have the ability to use public accommodations of their adopted sex, except where that would be biologically impracticable. I get that even this position is controversial, but it makes no metaphysical or scientific commitments that can't be justified, and it leaves the more controversial issues of trans minors and things like trans participation in sports to be dealt with as each state wishes.

For me, it is simply a recognition that if any form our society or species is going to survive, then we can't put all of our eggs in one basket when it comes to how we organize society, and allowing trans people to use their preferred public accommodation is a part of making something like what Scott calls Archipelago a more practicable reality.

I fully appreciate that someone who believes strongly in the social contagion hypothesis might consider the mere idea of trans people to be a form of harm being done to people. Personally, I don't know if the social contagion hypothesis is true, and I don't know if I've seen any evidence that makes it particularly more likely than the:

  • Social Acceptance/Medical Advancement Hypothesis: As social acceptance of trans people has increased, and likelihood of passing has gotten better for people who medically transition, the number of people who already would have had relatively strong, consistent and fixed desires to live as a member of the opposite sex has stayed the same, but appeared to grow since more people are willing to take the risk of being open about it.

Heck, there's nothing stopping some form of both being true. The number of detransitioners is only evidence of us being bad at doing differential diagnoses, and not really evidence of social contagion as the major driving force of the uptick. There will always be hypochondriacs, or people with OCD who obsessively fear they might have some disease or condition, or teenagers learning a bunch of new medical or psychological terms and wondering if one of those explains the trouble they've been having in life.

My response to this is that the scale of the issue is not small at all. The numbers you cited eclipse the number of unarmed black men dying at the hands of the police, they dwarf unethical medical experiments like Tuskagee, and unlike the campus rape epidemic, they are actually happening.

I tend to think most of the other things you listed are also a bit overblown, and in our efforts to "learn from" them and create rules for avoiding them we might have done more harm than good. Do you disagree?

Even then I'm aware of 3 separate clinics - Jaime Reed's, Tamara Pietzke's, and Diane Ehrensaft's. The claim isn't that the children weren't vetted "hard enough", the issue is that they made no attempt to rule out gender dysphoria at all. People running these clinics either belong in jail, or at the very least should have their license to practice medicine stripped from them.

I'm not so naive as to believe doctors will always do the right thing, or that current best practices will always be good for the health and well-being of patients. Lobotomies are the perfect example of a medical scandal that I think we should strive to avoid in the future.

If there are bad clinics, I'm not against the idea of shutting them down, stripping a bunch of people of licensees, and letting families affected sue. I have acknowledged in other posts that I think the replication crisis has undermined the basic trust we might place in medicine, and so I don't find it unreasonable for a given person to weigh the evidence and come out against large portions of trans medicine and healthcare.

However, my basic position is a separate one to almost every other part of the trans debate. I think we could allow trans women to use women's restrooms even in a legal regime where cross-sex hormones and surgeries were 100% illegal. There is no contradiction there at all.

Let the best practices in medicine evolve how they will as more, higher quality evidence emerges. We're always making judgements under uncertainty anyways.

Sure, just like I'm not impressed with claims that there is an ongoing transgender genocide. Now, do you want to take a wild guess which claim is actually being made by activists, and which isn't?

I don't control what bad arguments or bad tactics people broadly "on my side" make. Obviously, if I had my druthers such people would only ever use good, convincing arguments and honorable tactics, and never use bad, unconvincing arguments and dishonorable tactics. It is beyond my power to make that happen. All I can do is try my best to articulate what I think are the better reasons for this position.

I'm open to being convinced that I'm wrong, and I get that people who don't share some of my underlying commitments or values might validly arrive at different positions in spite of us looking at broadly the same evidence base.

That's just not true. We've had this conversation before, I responded to your points. In fact, you were the one that got quiet after that. I don't hold it against you, it's normal for interest in a conversation to drop off if it's going on for too long / you get responses from multiple people, but you shouldn't act like no one ever addressed your claims.

Fair enough. I understand I might not have responded to every point you raised in past posts. As you say, it is often hard to respond when I get too many responses.

A better construction of my position is a more classical liberal position along the lines of, "We should consider the amount of harm done to unrelated parties before we consider banning a practice."

I don't follow. If I want to heavily regulate or ban pediatric gender affirming care, and you point out that the amount of children going through these procedures is small, what does that do to consider the harm done to unrelated parties? Who even are the unrelated parties here? We both seem to be focusing strictly on the children going through gender affirming care. I can understand the disagreement if my claim is that GAC hurts children, and your claim is that it helps them (the usual debate that happens with trans activists), but I don't understand how your "come on, it's just a couple thousand" is supposed to parse as anything other than "it might hurt them, but there's so few of them you shouldn't care".

If you want to say that concerns over children shouldn't limit the rights of adults, I'm mostly with you. I still have plenty to say on the subject, as I don't think the evidence for adult GAC holds up very well either, but I don't think blanket bans are the way to tackle that.

but I recognize that I don't have access to the One True Way of living life or organizing society, and I think that it is best to keep a diversity of experimenting viewpoints within society for the following reasons

At the federal level (speaking in a US context), all I advocate for is that adult trans people have the ability to use public accommodations of their adopted sex, except where that would be biologically impracticable.

That's a fine principle to follow, but for me it would mean no federal policy at all. Let the states sort it out internally. Some will be restrictive, some will be permissive, and time will tell who was right.

Your approach would just result in kicking the can down the road, and people fighting over what is "biologically impracticable" (Is putting male rapists in female prisons "biologically impracticable"? I mean clearly, it can be done).

I tend to think most of the other things you listed are also a bit overblown, and in our efforts to "learn from" them and create rules for avoiding them we might have done more harm than good. Do you disagree?

I don't disagree, but I resent having a wet blanket thrown on a conversation I care about, when I've just been forced to seriously consider several grievances that felt frivolous to me. As for the reaction causing more harm than good, it's all in the reaction, rather than the issue being overblown. Like I said, I think BLM was frivolous, but body cams were a great idea. This is why the numbers conversation feels like such a deflection, if you're worried about a particular policy being an overkill, I'm sure we could hash one out that will be more acceptable to your classical liberal sentiments. In fact, from everything you're saying it doesn't sound like we even disagree on that much when it comes to policy, which is again why it's so frustrating to get served the numbers argument, and have it implied that it somehow refutes my concerns.

Let the best practices in medicine evolve how they will as more, higher quality evidence emerges. We're always making judgements under uncertainty anyways.

In a perfect world, yes, I'd be happy to let science sort itself out. In the current world science is held hostage to ideology, and political action is part of the self-correcting process you're asking me to trust in, so I feel like I have no other choice than to participate in the politics.

I don't control what bad arguments or bad tactics people broadly "on my side" make.

Right, and I'd never demand that from you, but then surely you must understand why I was bemused when asked to answer to some "existential threat" claim that you said was implicit in my position.

Fair enough. I understand I might not have responded to every point you raised in past posts.

That's absolutely fine, it's just the *crickets* bit I took issue with.

"We should consider the amount of harm done to unrelated parties before we consider banning a practice."

I don't think this has ever been anyone's position in the history of getting things banned by a government. A far more consistent way of understanding bans is that they are used as a way of hurting or disadvantaging people that they don't like, or social engineering attempts at removing undesirable behaviors.

People don't give a shit about harm, and when they do at all, it's often the point to maximize harm to the outgroup.

My understanding of why gay marriage was legalized is that it was a power and institutional flex by the ascendant progressive left as a way of hurting their outgroup, the religious right. They saw an opportunity to stamp on some faces after the religious right was used as a political force by Bush 2 to win his elections, and they did it. Had it been any other issue they could have hurt their political opponents on, they would have done it. Gay marriage was an easy low hanging fruit because it had little to no short term economic costs, there was little political capital used in getting it passed if you worked in a heavily urban area, it stimulated a lot of fervor in the voting base, and it expanded the marriage/divorce lawyer clientele.

I don't think this has ever been anyone's position in the history of getting things banned by a government. A far more consistent way of understanding bans is that they are used as a way of hurting or disadvantaging people that they don't like, or social engineering attempts at removing undesirable behaviors.

I mean are you talking about those actually wielding power, like legislators, or the ordinary citizens? Because, while I disagree with you somewhat on both counts, my strongest disagreements come on the topic of non-politicians. I'm sure that politics is an unreflective team sport for many (most?) people, but I do think that one of the "advantages" of being a non-politician is the theoretical (if rarely exercised) ability to have truly consistent principals, since you don't actually have the ability to implement your proposed political program in the real world, and thus never have to deal with the complexities that real world implementation entail.

I do think your theory likely does explain some of why a given politician decides to vote a particular way, but do you really believe that no one has ever wanted to ban something just because they thought society would be better without it? Like, what outgroup did the drunk driving ban target? What outgroup does the FDA target?

I really feel like your theory is a little undercooked.

Fair accusations, but I believe nobody has consistent principles. Having consistent principles is not socially or evolutionarily advantageous in the long run. To navigate a world where power changes hands constantly, fluid principles are a necessary precondition for survival for those without power.

As mentioned, banning drunk driving is an attempt at modification of unwanted behavior. There is also self-preservation strategy; drunk drivers are a hazard to anyone who has to use the street.

And post-COVID I'm not sure anyone believes the FDA is non-politicized anymore. Today, the FDA picks winners and losers w.r.t. the pharmaceutical industry.