Robert Marshall
Pod Save the World
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Comments by "Robert Marshall" (@robertmarshall2502) on "What do the Trans community need most right now? Abigail Thorn u0026 Freddy McConnell | Pod Save The UK" video.
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Oh BTW I will read through the trans actual ideas about the Cass Review when I have time but there are immediate obvious false claims in the summary such as it dismissing almost all evidence. A claim literally shown as false in your interview.
The first footnote cited are someone's tweets...
There is no part of the Cass Review that says being trans is an undesirable outcome.
It would also be interesting for these guys to hold other, clearly far weaker, studies and reports to the same standards. But clearly they don't because they support the supposed conclusions.
Edit: I've now read it. It is ludicrous.
Many claims have zero footnotes and sources and are outlandish opinions.
Others involve circular reporting with other "pro-trans" articles which actually disprove the claim!
They also blame the Cass Report for things like staffing of GIDS which is clearly not its role.
The tweets from the neuroscientist talk about waiting until you are physically able to reproduce, something which logically would rule out puberty blockers. This is ignored as it is being used to counter a spurious alarmist claim about under 25s that isn't in the report.
The claim that trans people were barred from being on the panel goes unevidenced and unexplained.(I'd be really interested to know what this means and why they say it?)
It disingenuously makes it seem like only 2/103 studies were used instead of the majority. It doesn't explain that ruling out very low quality studies is standard practice in a systematic review and how you get a higher quality overall picture. It also assumes that those excluded would show only one view which is categorically false. All of this can be literally seen for yourself by reading. There are long explanations of precisely how this process was undertaken which took multiple steps. Frankly this presentation is simply lying and wilfully presenting what it knows is a false version of events.
It doesn't question why 5/6 adult gender clinics didn't provide info and instead finds a problem with us having more details with a spurious claim of privacy. They weren't interested in naming people but analysing data, obviously. The footnote actually shows that the opinion presented is false. The only ethical concern (the rest weren't ethical ones and sound like excuses for them not following up correctly something they should do for the benefit of their patients) was allowing people to have an "opt out" which, while it would be better to have all the data and some data could be provided without affecting personal privacy (overall numbers, ages etc.), I see no issue with letting people know and giving them the option.
There's a claim about graphs which is literally explained in the same section. It puts "exponentially" in quotes as if this can be mathematically disputed. It can't for the period they are referring to. It explains how later years we can be less certain of data for in the report. Then this essay presents that info without caveats to present a biased view, something it just accused the report of doing but which it didn't.
It disputes the blatantly obvious truth that most of the evidence we have for people of third or transgender in History demonstrates they were overwhelmingly male. Claiming, lol, that no evidence exists. If that is true then no one can claim that trans people have always existed! This is not a disputed idea amongst historians of third gender.
One of the criticisms is that puberty blockers don't help gender dysphoria, this essay agrees with that but doesn't seem to understand that some people claim they do help with this and with mental health. This is in the section about inconsistencies and yet is laughably inconsistent with the view of the writer. (lol just came back to this, it literally does it itself after! It successfully says, no one does x and then does x in the same document!)
It again falsely equates the good idea of following up with 18-25s automatically and not just making them reapply to adults services as if they automatically will end all care for this group. If someone is partway through transition why is it better to have them drop off one service and reapply to another and have to go through another waiting list? This is clearly designed to make young trans ppl fearful, which is disgusting.
Claims that reasons for mental health screening being needed aren't explained when there are literally pages and pages of reasons given why such a holistic approach makes sense. The only way it doesn't make sense is if you think these are cosmetic procedures rather than aimed at helping people. The former would not be part of the NHS. Even then mental health screening of some sort should be standard for cosmetic procedures.
Lots more claims that are literally explained in the document. Does the writer have a literacy issue?
It blames the view that kids should take longer to explore options on detransitioners when clearly this is also a reasonably common view amongst trans people. Particularly older trans ppl. Clearly misunderstands this view due to black and white, either you're with us or against us, thinking. It might look at what we know about fertility regret from older trans ppl for example.
Complains about not dealing with problems of going through puberty just after highlighting that puberty blockers have no positive effects on body image compared to those who go through it. Absolutely brain dead.
Highlights surgeries with basically no studies behind them after complaining about lack of good evidence which it also criticised the report for not including bad evidence. Complete hypocrisy.
The summary at the end doesn't match the "executive summary" which was a bunch of rambling hysterical nonsense. I can't actually find how most of the stuff in the "executive summary" relates to the details provided. Where did they show it was "fundamentally flawed" for example? I expected this to come up but actually they couldn't attack about 90% of the actual report so they just plain ignored it and said, please, whatever you do, don't read this.
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I think claiming that third party groups are not teaching gender identity in schools is silly.
Particularly when you also simultaneously claim that they should be taught this and also this is not "contested".
We've all heard of the likes of mermaids, the gengerbread man, the gender unicorn, there are parents who've shared some of the inappropriate resources from third party groups who also advertise sex shops on the same website.
Sex is not "assigned" in the UK. It's also clearly objective to say there are two sexes. Take that away and trans ppl cease to exist conceptually.
I'm sorry did he just claim to have changed sex?! Absolutely ludicrous.
This version of gender dysphoria outlined, while at least personal, clearly negates all claims that we need any medical intervention for trans ppl. Logically you'd argue against "affirmative care" if you held this view.
Claiming that the NHS is putting a clinical label on it but only when trans ppl have it is objectively false.
Waiting lists are clearly linked to the 100x increase in ppl identifying as trans and being diagnosed with gender dysphoria. It's also obvious that if you don't think gender dysphoria should be pathologized then there should be no appointments whatsoever.
The claim of coroner reports is wildly false. All the available evidence suggests "affirmative care" has no impact on this if I'm being kind and exacerbates it if I'm being more accurate.
Its noticeable that there is no objective criticism of this trans identified male because he identifies as trans. Clearly no journalistic integrity when you don't apply the same standards to everyone.
The "informed consent" model is the least studied and most speculative one which also appears to have the worst long term results. It's also clear from the Cass review and Wpath files that the patients are not being fully informed and clearly children simply can't be fully informed. This route is being used on non-verbal autistic children. Children need to go through puberty in order to gain the cognitive ability to do so. It's clearly not possible for them to consent to future lack of fertility or possible lack of sexual sensation or development when they have no idea what that means in real terms.
Also the "informed consent" route is clearly not about medical intervention but personal aesthetic choice and therefore can't be expected to produce positive mental health outcomes. Medicine is not, give the patient what they want. Clear correlations with chopping off limbs.
Comparing the menopause to what trans ppl go through is disingenuous and frankly misogynistic. The ones going through menopause are the teen girls being put on testosterone. Clearly no "cis" male or female is able to say I have x symptoms and get hormone replacement therapy. They have to be a menopausal woman. BTW there's a lot of evidence we overprescribe those drugs but also women aren't getting them because of the exponential growth in adult males taking them.
"Conversion therapists" another extremist purposefully disingenuous claim goes by completely unchallenged.
Wpath's guidance is obviously not best practice and so has been abandoned by all countries that do systematic reviews of the evidence. The Cass review showed its level of scientific rigour to be frankly pathetic. The trans identified actually entirely disagrees with it in large parts. It would have been interesting to explore which parts they all agree with, transition of non-verbal autistic children? Transition of ppl with the pseudoscience of "multiple personalities"? Eunuchs based on a website where they fantasize about castrating young boys? Completely unstudied "non-binary" surgeries? The initial age limits removed without reason given after trans activist pressure? What about the Wpath files which contradict what they say publicly? Or the fact they just decided to call themselves the World's Professional organization with no real evidence why they are having been based on a verifiable quack's original ideas?
The issues we had at the Tavistock are directly linked to the Dutch protocol and Wpath guidance. Claiming they ignored it is ludicrous. We tried it. It was terrible, to the point we have a study showing negative mental health outcomes.
There is absolutely zero evidence of the NHS openly practicing "conversion therapy" in the sense quoted. Blatant lie again. Unless you mean that almost all of those transitioned are same sex attracted.
Some wild conspiracy therapies about personal vendettas.
Ludicrous to complain about lack of evidence when literally none has been presented in this whole discussion.
Calling them ideologues is also incredible.
The nonsense of why not abortion why not IVF is ridiculous. You're comparing your desire to transition as if it's a right.
False claims of not wanting ppl to exist.
If you want Nish we could teach kids of the horrible misogynistic homophobic history of third gender societies. Oh, no, you don't.
"Biological women" comes from you guys falsely eroding the objective reality of being female.
No investigation of what happens when you end single-sex female spaces. Misogyny.
"No evidence it harms anyone". Except the justice systems in every single Western country. Or the access to sport. Utterly ludicrous claim. Particularly from a country where a victim of r was gaslit after being told there were no men on her female only ward and therefore she wasn't a victim. It ends the existence of single-sex female rights. How can that possibly not have an effect?! BTW we've also had trans identifying females die in hospitals because the details of sex are obscured so trans ppl don't get adequate care.
Basically said anyone who proved me wrong is spreading misinformation. We all know what happened in the Scottish women's prison. You can't just pretend it didn't.
Why would anyone think Mermaids are worth listening to?
You can't just claim that ppl are members of "pro conversion therapy" when clearly not one has ever said they are pro conversion therapy. What you're actually saying is that you're against basic mental health and offering holistic therapy for distress.
The review also used the University of York which has an excellent reputation and you can't claim they're all biased. The review is based on the data found. Sorry but the picture from the Tavistock is very very clear that trying to repeat the Dutch protocol failed to produce even neutral results.
Hahahaha it exists to be cited rather than actually read! None of you read it as seen from all these comments. It is absolutely full of quotes from trans ppl and ppl who went through Tavistock.
"The deaths they've caused" citation needed again. It's literally part of the Cass Review to cover deaths.
More wild claims of "conversion therapy" when talking about a document showing 81/89% of those at Tavistock were same-sex attracted. You can't just claim ppl are doing evil things, you have to justify that evidence. But you can't because it doesn't exist. The Cass review and all of the members specifically explicitly say that no intervention should try to change someone's identity. Why lie? Except that the truth is too difficult to confront.
So yes falsehoods were spread about 98% throughout the trans community and still exist on reddit boards as the principle criticism. Why no exploration of the fact that the studies are not good enough and we need better ones? Oh cos it doesn't fit the, give anyone anything they want narrative which requires no medical input whatsoever.
Everything spoken about here clearly shows none of you read the Cass review. Wow that was a completely strawman representation of her words that had no connection whatsoever.
60% of ppl but I doubt that's parents nor are they thinking about young children.
"Wrong side of History" is a position of historical ignorance.
More false claims of deaths directly connected to trans care. This hysteria of trans=victim or - cide is very very harmful to trans ppl.
Terrible comparison of blood infection. Physical and Mental health aren't the same.
Lol "debunking" when did that happen.
So your hero is ppl who illegally sell drugs to children and adults! After you said we need "informed consent"! Well you just destroyed your own position and revealed that you think we need a free for all where any child can get anything with zero basic safeguarding. It's also a position which makes more sense if you are only thinking about males who suffer fewer side effects.
It's a shame you didn't explore how adult gender clinics refused to share their information with the Cass Report
At no point did they defend their identity. They might have been asked to defend how their views are not fundamentally sexist and homophobic.
"Suppressing conversations" is what trans activists do. They won't appear in open discussion because their ideas get ripped to pieces.
Also when did Nish start identifying as a comedian?
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@Snuzzled Can you point me to where "social dysphoria" is recognized as a medical issue/diagnosis.
Your response shows that you see "social dysphoria" as a part of gender dysphoria. One that is exacerbated by society's gender norms. You've said that boys and girls get differing amounts of alleviation based on how accepting society is. Logically without those norms the "social dysphoria" would dissappear meaning that gender dysphoria is, in part at least, caused by the society around you.
That's the logical conclusion of your opinion.
This doesn't explain the 4000/10000% increase but I'm still not sure if you purposefully misrepresented the figure or just didn't realize that you were wrong. Logically based on your ideas girls wouldn't be as subjected to as much stress for non-conformity so we would see far fewer of them in gender clinics. But if your general idea that dysphoria is affected by society is true then we'd know that teen girls are most affected by social influences as seen in body dysmorphia, eating disorders, tics, "multiple personality disorders", cutting etc.
Cough
Social Contagion
Cough
The physical discomfort makes sense as falling under the umbrella of body dysmorphia just centered in specific sexed areas. Logically it should have a similar style of treatment as related, and far more dangerous, mental health issues such as anorexia.
If I follow your logic on "she" then it's not transphobic to call someone "he" when your innate ability to tell what sex someone is tells you that someone is male. I'm sure you'd argue against this point however because you have no logical coherency and will keep moving arguments around to serve the idea you like best and not follow them where they lead.
Calling someone "she" when you perceive them to be a "woman" can be sexist depending on what woman means to you. If it's Mr A Long Chu then clearly it's sexist to use the term "she" for example. Unfortunately trans ppl regularly explain their identity in sexist tropes. Or sometimes homophobic ones too such as Ellen Page's position.
Fundamentally if you use she or he or they based on gender not sex then you're being sexist. Because you're judging men and women on gender norms, roles, sexist stereotypes not on the innate objective characteristic. If you think society is making ppl feel worse by not accepting gender non-conformity then just cut out the middle man and abolish gender. Don't enable ppl trying to conform to another gender instead.
Feel free to come back to argue against your own ideas as I present them back to you. We'll take the parts where you skip points made as concessions.
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@Unknown-ov2kz The average height of a trans woman is equal to a man.
Height is a factor in sporting success.
Trans women have the same hip and bone joints as men.
The hip positioning in women makes them slower and more susceptible to specific types of running injury.
Women deal with issues like menopause and menstruation. Trans women do not.
Weight is a factor in sporting success. Trans women weigh on average the same as men.
Males have about a 50% advantage in lifting weights. They also have similar advantages in explosive muscle groups. They also have 50-150% advantage in grip strength. There is no evidence of this reducing in trans women.
The difference in males and females can be seen from age 8 (depending on sports, e.g. this is swimming) and becomes far larger from puberty onwards.
Unsurprisingly the trans women that compete do so in sports where these are major factors. Many of them are 10/20/30 years older than the age we would expect for women.
The claim that trans ppl were allowed to compete since 2004 is obscuring the rules in place that meant almost no trans ppl could compete. Then they changed it to mainly hormonal based and it prevented some female athletes from competing. When female coaches and athletes were asked about the issue (which they hadn't been previously) it was unanimously overturned so we won't have that farce again.
It also shows an incredible lack of following of sport which is common amongst trans activists. We've seen trans people compete and win all kinds of titles but common ones are weightlifting (e.g. Pacific Games held by son of a millionaire aged 43 who didn't take up the sport until much later and beat a Samoan 16 yr old who comes from a culture with a third gender but where people of that gender never compete in women's sports), cycling such as Rachel Mckinnon/Victoria Ivy (name changed after celebrating someone's death), Running and Running in the Paralympics (Italian who says misogynistic things) Running where numerous scholarships in the USA have gone to "trans women" who don't even want to compete in sport later in life. There are other sports that have been devastated, we had the farce of a trans woman in women's tennis years ago, darts, snooker, pool, skateboarding where a man beat a 13-yr-old into silver.
We have FEMALE sport for very good reasons. People want to watch an all female competition. The difference between female and male is apparent to everyone and you have to purposefully blind yourself in order to pretend it isn't.
I genuinely think the VAST number of trans people agree that a female sporting category should exist and that trans women shouldn't compete in it.
If we say we make males "equal" to females and then allow them to compete then why not all males? Why not let males carry extra handicaps or inject drugs to reduce their performance and let them compete? Why not do the same with youth or Paralympic sports? If I identify as disabled can't I take some drugs to reduce my ability and play wheelchair basketball or compete in swimming for those who have lost limbs?
The whole "dominating" or "not dominating" thing is stupid and means that logically if trans people start dominating then you guys would then demand they all left the sport. The fact is males have multiple unfair advantages and people who watch sport want to watch fair all-female categories. Hence why they don't care if a non-binary woman is a hypocrite because she has no advantages and her internal beliefs are not important.
But before we even get to those ethical questions then the onus would be on studies PROVING that males become equal to females. This has never been done. Because it can't be done. Trans activists are constantly demanding evidence, then ignoring it, against ludicrous positions. You are the guys with the extremist beliefs and therefore you guys need to present your case. If what you've provided is your case then I could genuinely provide a better case for all kinds of ludicrous positions in sports.
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@Alan_Duval Well, if I believed that "conversion therapy advocates" were involved I'd be right there with you.
I followed the trans activist sources back and the best I get is a tweet from a trans person saying that someone not massively involved in the review was in favour of gender exploratory therapy. They then said this was basically conversion therapy. That is my absolute best attempt at steelmanning the viewpoint.
I am 100% open to any other info to follow up this line of inquiry.
"On the other end, it's important to situate the statistics and scientific findings with the lived experiences of actual trans people, both as data points (interviews and such) and as part of the entire information-gathering process (the core team)." If you're an activist yes. If you're interested in the treatment of gender dysphoria then no, the last part isn't a requirement. It's like saying any review of help for people with Down syndrome or in a coma needs to include people in those circumstances. It's also obvious that trans ppl were included to an extraordinary level, I've never seen a review of evidence like it.
How do we even know the gender identity of all the people involved in the review?!
"I agree that the exclusion criteria for puberty blocker research seem designed to exclude the majority of research."
Sorry but that doesn't even make sense, they included 60% of research and it's based on systematic review which commonly do this. Transactual also plain lied about the claim. Go look at another systematic review for something nothing connected to this.
Your ideas on off-label seem to miss a few things. There is increasing evidence that we shouldn't use puberty blockers in any but the most extreme cases of precocious puberty. The other claims also make sense when not applied to children. We rarely use drugs off-label for children unless we use them for the same condition in adults.
You've purposefully hidden what part of your sources you're referring to. Is this called a Gish Gallop or does it have another name. NICE has one reference to "off-label" and one to FDA as "background information". But from what I read, none of this is relevant. Bizarrely you've gone to major measures on this part but fuck all on anything else. Your point is that because the American system of massively overprescribing anything is absolutely fucked we should blindly follow their lead. I mean they still allow asbestos. Your domino effect twattery is idiotic. Please note that these drugs are NOT used for precocious puberty in anything other than an off-label way. So this whole line of argument falls to pieces.
It also takes into account absolutely zero medical evidence which is ludicrous.
The usage in precocious puberty is completely different to using them in children much later for "affirmative care" where no one seems to actually define the actual purpose of the drugs. I know people say "time to think" but not one study uses that as its basis.
Anyway, your main problem with this seems to be a bunch of legal and medical red tape and bureaucracy. Not what the systematic review of evidence actually shows. Presumably because that's more difficult to argue with.
Oh and no, it's ludicrous to argue that pre-16 is precocious puberty. But if it were then that would be beyond the scope of the Cass Review making it entirely irrelevant, again. Your argument does however suggest that trans/gender dysphoria is an incredibly new thing and therefore you'd have to explain why it has massively spiked. Again, the transactual article quotes someone who entirely disagrees with you on the importance of puberty.
But if we summarise your views, you disagree with the Cass Review on the following medical points:
-
End
I still don't understand how you found the link helpful when they gave you zero evidence for the claims you took from them.
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@Alan_Duval Sorry but it's a long reply. Part 1. You're all over the place because you keep acting like gender dysphoric=trans.
It is not anti-trans to have the alleviation of gender dysphoria as the goal. Especially when the majority of those with gender dysphoria grow up non-trans and trans and we don't know who is who.
It's also not pro-trans to give kids puberty blockers who likely wouldn't grow up trans (as is the case in 95% of the original cohort in the Tavistock and later in 80% of those not on puberty blockers). Or even those who are trans but who would likely lose gender dysphoria without them.
It's not a smoking gun unless you're a conspiracy theorist.
And you didn't deal with my point of what the purpose of the puberty blockers is. They aren't time to think (they stop you developing cognitively to think better, they concretise the gender identity), there's no evidence they prevent - cides and they most certainly are awful for gender dysphoria. So you aren't even arguing for them with a clear idea of why.
You also didn't touch the point of the difference in usage.
Mate if that's your evidence for conversion therapy, that the aim is alleviate gender dysphoria, then you'll believe anything. I'm still waiting for the actual evidence of these claims. When we say the evidence base is weak for your guys point of view it is exactly this. Nothing concrete, choosing to purposefully assume the worst in people who have spotless records and in the Cass have a proven record of moral and ethical integrity such as being a whistleblower.
I think we can safely say the claim in that article is bollocks. Being that you refuse to defend it and I've followed it to what I believe to be its origin.
Your interpretation of the mental state of pre-pubertal children is ludicrous. Kids aren't like that. We also know that GPs send kids to the gender clinics assuming that they'll investigate with them deeply but as the Tavistock got overwhelmed by an entirely new cohort of teen girls and waiting lists extended many kids got locked into affirmative care as the only solution thanks to trans activist lies and when they got to the gender clinics quickly got moved on to the next stage of the medicalisation conveyor belt.
Far from being the young boys who had gender dysphoria from age 5. This is the group who get it coinciding with the first elements of puberty. There's no logical reason to think we treat them exactly the same.
No, your argument isn't medical. It was based on the idea that we use precocious puberty on label and therefore can use it on label for what you see as the same use. The problem being that it's clearly not the same use. I just filled in extra context to show why medically that is also stupid. But you argued based on a bureaucratic version based on a lack of understanding of how puberty blockers are used and a false supposition.
You have now abandoned this position. Proving once again that it was a bad argument.
If we want to be really generous we can say you argued on the medical basis that precocious puberty=affirmative care. But personally I think that's more insulting to your level of intelligence than what the bulk of your argument was.
Puberty age drops when you have a regular balanced diet. It takes longer if you struggle to get enough calories on a regular basis. In the past puberty was earlier in the better off classes but not in the peasant classes who had poor diets. It was arguably earlier in non-agrarian societies whose diets are worse than agrarian societies too. The move to agrarian societies had trade offs.
Sure we can add a whole load of other factors (although not most of your insane ones like that the religious right make kids start puberty early) and we can investigate why it is early but that is irrelevant to the point in hand.
Precocious puberty isn't just "early". They don't prescribe unless you are two years below the accepted range of puberty which means age 7 or 8. Nowhere near 15. I don't need to cite anything for something I assumed you had the most minimum understanding of. If you don't know what a precocious puberty diagnosis entails you can look it up. You will find that it isn't, are you under 16 and have started puberty? As the person making that claim which outside of accepted understanding you'd be the one who would have to provide the sources that the medical community agree with you. They don't.
And if I follow this argument logically then you're saying we should prescribe puberty blockers to gender dysphoric kids to pause their precocious puberty. Which is monumentally laughably idiotic. It would also logically involve prescribing puberty blockers to basically the majority of kids age at some point starting 10-15. Another utterly bonkers idea. But then you don't actually believe your argument which is why you keep abandoning them and looking for another and hoping it will stick.
That link doesn't work for me. If I understand what you're saying in that paragraph, which I am not clear on without that context, your point is that it should take into account other uses of puberty blockers and the evidence we have about those groups too. WHICH IT DOES.
The fact you didn't read the Cass Review failed you again mate.
I will agree that they could have added a bit more strongly that it would appear puberty blockers are related to body image issues. If they'd have done that however trans activists would be moaning that there isn't good enough evidence of that. These ideas also go against your, we need to put every kid on puberty blockers, idea. That's an actual example of a contradiction.
Your ideas about the numbers of trans ppl like your ideas of autism don't fully explain the full picture. Clearly the latter isn't just public knowledge of the issue. Interestingly enough undiagnosed autism is part of the picture of gender dysphoria with certain elements of autism better explaining the symptoms.
You are disingenuously ignoring the complete change in cohort from effectively only young boys, mainly gay to this group being now third behind teen girls and adult males.
The time line is also off. If there was a gender clinic in the 1930s and surgeries in the 60s and 70s and in the UK a gender clinic with a consistent flat number of patients, the same as the Netherlands, the same as Sweden, the same as anywhere you look but then it all spiked around the same time and with teen girls then the stats don't fit the narrative.
You can say it's part of the picture but clearly it doesn't explain the teen girls or adult males.
It also doesn't explain why kids with gender dysphoria are more likely to have suffered abuse or a traumatic loss or grown up in care or without a parent or be same sex attracted. I think you think it's innate which doesn't fit the evidence.
Particularly given the new non-binary group which outnumber the trans men in females now. An identity restricted to the 21st century West. That doesn't fit your pattern. Also ppl have known about third gender societies (not similar to non-binary except in superficial ways) for centuries in the West and studied them in History, sociology, anthropological. We still didn't have anyone identifying as hijra or fafafine who is not in that society. Because these are socio-cultural identities.
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@Preciouspink Sorry but your statement was indeed false but mine wasn't.
You just claimed that "by every study and metric" what I said is false. A frankly silly claim. Especially as you mentioned a handful of metrics. I'm also not sure if you mention -cidality to obscure -cide rate or because you mistakenly think these are the same.
Yes, the Swedish study is one part of the best available evidence we have as a longitudinal study. Every single metric showed incredibly poor outcomes including ones that in theory according to many (I assume you, but I don't know) should be solved or alleviated by "affirmative care". Things like mental health or physical health which were absolutely atrocious. Sure we can take into account that comparing to non-trans ppl we might not expect them to do as well. But for them to do so absolutely appallingly bad? We can also compare things like -cide rates to gender dysphoric people and see they are higher. Way higher. You're also disingenuously making it seem like the study is just about the 1970s when it included ppl discharged as late as 2003 and then looked at outcomes. It also shows that, far from being worse early on (as you'd expect if your theory were true), the biggest divergence came around 10 years after transition. Another way to say this would be "long term". The mortality rate sparks alarmingly after this point.
There is another longitudinal study from Denmark which again shows very very poor rates of everything, particularly mental health, even though it's scope is closer to today. Both countries are among the best in the world for acceptance and tolerance.
Then we have all the systematic reviews of evidence from multiple countries independently which all come to the same general conclusions. These are incidentally in the places where we've done this types of medical interventions for the longest and where most of the studies come from. We also know the origin of this in children is the Dutch protocol and when the Tavistock tried to repeat the results they got negative mental health outcomes whereas previously they used to get 95% of children to no longer have gender dysphoria (which later dropped to 80% when affirmative care became an option).
These are the best types of evidence we have.
While it's fair to say we don't have the full picture of many the side effects of puberty blockers, hormones, surgeries. The ones we've learnt of up to this point are pretty shocking such as osteoporosis in children, lack of any sexual sensation (possibly forever) in males if started early enough, massive increases in likelihood of things like heart disease in those taking testosterone, vaginal atrophy, early menopause, the numbers of complications particularly for females in "bottom surgeries" are incredible (I think the highest of any surgery but I might be wrong), incontinence, obviously infertility/sterility etc. To be fair we don't yet know much about the "non-binary" surgeries yet. Because none of the clinics seem to be interested in long term follow up. I wonder why that is?
The 24 major medical organisations will most likely be a list of mainly American ones (massive outliers at this point) or ones who reference Wpath which is a frankly bizarre organisation that I have, as yet, got not one pro-affirmative care person to agree with in terms of their standards of care. If you share the list I will probably recognise it as a copy paste job from reddit. Btw saying "there are reasons" followed by an appeal to authority is incredibly weak. Particularly as I can say what the reasons are why multiple countries come to the same conclusions and base it on systematic reviews of evidence.
Please note you've actually given zero evidence for your position. I am more than willing to read any study you have. From what you wrote you have lots of long term high quality evidence to share so I look forward to that.
Please don't call me ignorant for having a different opinion. Based on the best available evidence.
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