NHS England will no longer allow puberty blockers for gender dysphoria, while the updated cross-sex hormones policy suggests a move toward caution awaiting the final Cass report due April 2024.
My understanding is that PBs aren't *illegal* in the UK; the NHS just won't pay for 'em. Folks can go to private clinics and still get these drugs, but I imagine that the NHS ban will make them practically unavailable to many people. The US lacks a centralized healthcare system, so banning PBs would be a LOT harder. Each state would have to pass legislation--that's at least fifty bills--and the federal government would have to do the same, and try getting THAT past a filibuster!
If the US had Medicare for All a similar prohibition *might* be possible, but no such program exists.
Yes TrackerNeil NHSE have excluded new patients access to PBs ( there is still some confusion over NHSE access to CSHs , which may become clarified with Hillary Cass’ pending extended report late April) but NHS Scotland is independently acting and given the Scottish government’s support of social justice activism why would we not expect to see English families moving over the border? Liz Truss, meanwhile in England is moving to outlaw PBs ( for children with GD) in a bill to parliament, which would cover non NHS/ private access, however it is reported some of her party are either ambivalent or not supportive. Reminiscent of some of our own “ LINOs” e.g., senator Jane Hume has disappointed recently.
You write that countries with strong centralized publicly funded health systems seem to be be bending the moral arc away from reckless gender-woo faster than consumerist countries. Then Canada will have to be the exception that tests the rule. Canada’s system is the most publicly centralized in the world: all care by physicians and surgeons other than purely cosmetic work must be done in the publicly funded system. Privately paid medical care is illegal. Yet our system managers and commissars are as completely captured as the consumerists in the United States have captured theirs. Part of this is geography. We are so close that cultural trends and fashions spill over here. “Anti-racist” DEI is fashionable here, for example, even though we never had slavery and all black people here were (or are descended from) voluntary immigrants. Having taken hold it shows no signs of abating even as the Americans are starting to back away from it especially in their much more robust and vibrant private sector. So what happens is that trans activists want PBs and wrong-sex hormones and surgery freely available to everyone, just like in the U.S. In Canada they just want the government to pay for it all and punish doctors who won’t play along, which the current government is happy to oblige.
Having a dictator instead of the consumer market make these decisions bends the moral arc only if the dictator makes the right call.
Excerpt: "In early Canada, the enslavement of African peoples was a legal instrument that helped fuel colonial economic enterprise. The buying, selling and enslavement of Black people was practiced by European traders and colonists in New France in the early 1600s, and lasted until it was abolished throughout British North America in 1834."
Just stop. Canada wasn’t a self-governing country with the Parliamentary power to make its own laws until 1867. If you want to play that historical game, there was slavery in the Americas before the Europeans even got here and nobody here tried to stamp it out. Besides, this article isn’t about picking at the old scab of long-ago slavery. It’s about why the decision-making authorities have been captured by trans-rights biology deniers.
The Atlantic Slave trade was abolished and signed by Thomas Jefferson in 1807. 17 of the 32 union states abolished slavery before 1860. There were still 488k slaves in those 15 states and 4 million in the south.
DEI does not automatically mean race. DEI covers sex, gender, LGBTQ, disability, ethnicity, all sorts of things. Please stop conflating black people with anything you don't like about it. It reeks of hostility to black people.
And All black people in Canada were not voluntary immigrants. Some were refugees who fled enslavement in US, others were people who fought with the British against the colonists. Their reward was right to live in Canada
Yes, DEI means special treatment to all sorts of special groups but the effect is no less pernicious for that: it still privileges identity over merit, which I’m sure you understand so don’t go nit-picking. However the only measure of diversity (“our strength”) that anyone cares about is how black the organization is, the National Basketball Association being among the most diverse outfits in America, second only to the Historically Black Colleges and Universities. I don’t care if you smell hostility to black people. I really don’t. As the old public school saying goes, “He who smelt it, dealt it.”
If you think a fleeing slave and a mercenary who accepted land for fighting for the enemy against his country don’t count as “voluntary”, then you and I are using words differently. Whatever, there wasn’t a self-governing Canada when those events happened.
This is the updated WHO definition of "gender incongruence" included in the ICD diagnostic system. The U.S. has been using the ICD 10 while Europe has advanced to the ICD 11.
"Gender Incongruence of Adolescence and Adulthood is characterised by a marked and persistent incongruence between an individual´s experienced gender and the assigned sex, which often leads to a desire to ‘transition’, in order to live and be accepted as a person of the experienced gender, through hormonal treatment, surgery or other health care services to make the individual´s body align, as much as desired and to the extent possible, with the experienced gender. The diagnosis cannot be assigned prior the onset of puberty. Gender variant behaviour and preferences alone are not a basis for assigning the diagnosis."
The reason why this is not a valid diagnostic construct is that there is no such thing as "an individual's experienced gender." In fact, there is no such thing as "gender," even if it is defined as a stable, accurate, subjective sense of one's actual biological sex. People develop an accurate sexual identity when they are old enough to recognize the physical differences between males and females. Nobody has some inner sense of self that is gendered apart from that. Not only do we not have one experientially, but it is theoretically impossible. I cannot ever have a sense of what a man's personal sense of himself is like because I am not a man.
I assume that most of a man's experience is human rather than male, but I don't know that. When men say that they don't "feel like a man," it usually turns out to mean that they don't feel adequate, whole, strong, etc. When women say they don't "feel like a woman," they often mean they don't feel adequately attractive, motherly, or some other quality that women consider to be important. Both of these add up to comparing oneself negatively to an internalized set of standards about what men or women should be. If we were to ask even these people on a random basis what gender they are as they are walking down the street, most of the time they wouldn't be able to answer the question. People who claim to be "trans," "gender dysphoric", etc., cannot answer this question, either. How could a man who is not and never will be a woman have any idea about what a woman might feel in any situation?
How is it that activists tell a child they are born in the wrong body? The psychological damage of that is then compounded by mutilation and drugging of children. Wait until all the tortured start asking for euthanasia. It will be the same people who led them on this destructive path that will call them brave and fund their deaths. It will be places like Oregon and Washington that are already laying that foundation with the sanctuary status policies.
Rishi Sunak is turning the UK`s NHS into a Third World Abbatoir by use of Short Staffing,
using "Assistants " instead of Trained Doctors, Blocking Access to GP`s by Patients,
Overflowing Accident and Emergency Departments at Hospitals, Long waits for Emergency Ambulances, NICE Denying Access to New Drugs for Cancer, etc. Is Sunak a Member of the Bill Gates "World Depopulation" Gorefest ?
A big step in the right direction, but one that needs to be replicated in in America and Canada.
Ordinary people are appalled by the social demands made by trans rights activists, and most medical professionals are perfectly well aware that there is no evidence for, and much against, the use of dangerous drugs for this bizarre purpose. But so few dare speak out. We live in a climate of fear of cancellation, and it is hard enough to get by without losing your job over someone else's problems. Who dares to say these things:
Sex is observed, not assigned, at birth.
Biological sex is real, and there are two sexes only.
A woman is an adult human female.
Troubled children need proper assessment and advice, not automatic transition.
Single-sex spaces should not be invaded by men.
Men do not belong in women's sports.
Transitioning children who would grow up to be gay is conversion therapy.
And once we have that straightened out, those old enough and certain enough may transition with my blessing. I wish them well and hope they can make the best of their condition.
So we will still have 70 children having their normal development blocked and 16-17 year old males receiving puberty blockers. The whole lot should go.
This SEGM generated post might be reminiscent of Neil Armstrong in 1969 as he stepped from the lunar landing module “ one small step….” There sure is a way to go , but it is a start and let’s hope Hillary Cass can mop up the residual confusion over CSH policy position. Even so, if NHSE can finally extricate it’s self from the influence of our social science colleagues ( who lead us , in the first place , into the therapeutic nightmare of “ gender affirmative action” care) why won’t NHS Scotland fall over themselves to pick up the slack? The Scottish parliament has well and truly put its stake in the ground in recent days and declared fulsome support for gender identity/ fluidity ideology, and backs it up with proposed punitive legislation for all miscreants who might just offend sensibilities if they just dare to publicly verbalize dissent!. In Australia we will have to contend with needing a State by State recalibration, being a Federation where Health is firmly a sovereign State responsibility. Let’s say the LNP can do a NHSE- like turn around, the ACT and Victoria, for starters, would love to help Queensland’s public children’s gender clinic’s “ clients” out.
1. My democratically elected representatives are doing the best they can to help the body politic create a life of prosperity and dignity.
a. yes
b. no
c. undecided
2. My city government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
3. My county government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
4. My state government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
5. My national government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
6. I believe that the earth is being visited by extraterrestrial intelligence from either another star system or dimension not of our world.
a. yes
b. no
c. undecided
7. Presently, the Federal Government takes about four months of an American’s labor as TAX.
QUESTION: How much of their pay checks should the American workers be allowed to keep?
a. 100%
b. 90%
c. 80%
d. 70%
e. 60%
f. 50%
g. 40%
8. In 1976 The United Nations conducted a study and found that four people could live comfortably in a 600 sq. ft. shelter with one bath and one toilette. As part of the UN's efforts to make things better for humanity, they plan to shelter hundreds of millions of deserving third world homeless people in the under utilized houses located in the industrialized world. For example, a retired American couple with an 1,800 sq. ft. house will be required to take in ten homeless people. The UN has publicly stated its plans to enforce this program as soon as possible....
QUESTION: So, how do you feel about getting some exotic new house guests?
a. this is a good thing, sharing
b. I shall pretend that it isn't happening
d. your lying, they would never do this to us
e. I will ignore your hatred
f. I will get active politically and fight this insanity
Congress and the Legislative Branch
9. Is the following statement true:
The voting members of the US Congress and the State Legislatures vote 100 times a day, every five minutes, while in session.
a. yes
b. no
c. undecided
10. Is the following statement true:
Many of the laws they vote on are in excess of two thousand pages.
a. yes
b. no
c. undecided
11. Is the following statement true:
Since the Representative cannot evaluate 200 thousand pages of law speak per day, they vote the way their advisors tell them to vote.
a. yes
b. no
c. undecided
12. Is the following statement true:
Thus, the Representatives have forfeited their delegated obligation to represent us.
a. yes
b. no
c. undecided
13. Is the following statement true:
Representative government is obsolete, it does not work for us.
a. yes
b. no
c. undecided
14. Are you willing to read, comprehend and vote on ten pages per day of a 2000 page law in order to assist your democratically elected representative in the legislative operation that will determine the conditions of your future life? (making new laws?)
a. yes
b. no
c. undecided
15. Do you agree:
Before a new law, tax, or expenditure can be put on the books it must first be Ratified by the Citizens.
a. yes
b. no
c. undecided
16. Do you agree:
Existing laws can be Annulled by the same super majority required to Ratify them.
Which, of course, begs the question of why are puberty blockers for gender dysphoria still allowed in the U. S.?
My understanding is that PBs aren't *illegal* in the UK; the NHS just won't pay for 'em. Folks can go to private clinics and still get these drugs, but I imagine that the NHS ban will make them practically unavailable to many people. The US lacks a centralized healthcare system, so banning PBs would be a LOT harder. Each state would have to pass legislation--that's at least fifty bills--and the federal government would have to do the same, and try getting THAT past a filibuster!
If the US had Medicare for All a similar prohibition *might* be possible, but no such program exists.
Yes TrackerNeil NHSE have excluded new patients access to PBs ( there is still some confusion over NHSE access to CSHs , which may become clarified with Hillary Cass’ pending extended report late April) but NHS Scotland is independently acting and given the Scottish government’s support of social justice activism why would we not expect to see English families moving over the border? Liz Truss, meanwhile in England is moving to outlaw PBs ( for children with GD) in a bill to parliament, which would cover non NHS/ private access, however it is reported some of her party are either ambivalent or not supportive. Reminiscent of some of our own “ LINOs” e.g., senator Jane Hume has disappointed recently.
Of course, Peddy Joe loves to help the kids.
You write that countries with strong centralized publicly funded health systems seem to be be bending the moral arc away from reckless gender-woo faster than consumerist countries. Then Canada will have to be the exception that tests the rule. Canada’s system is the most publicly centralized in the world: all care by physicians and surgeons other than purely cosmetic work must be done in the publicly funded system. Privately paid medical care is illegal. Yet our system managers and commissars are as completely captured as the consumerists in the United States have captured theirs. Part of this is geography. We are so close that cultural trends and fashions spill over here. “Anti-racist” DEI is fashionable here, for example, even though we never had slavery and all black people here were (or are descended from) voluntary immigrants. Having taken hold it shows no signs of abating even as the Americans are starting to back away from it especially in their much more robust and vibrant private sector. So what happens is that trans activists want PBs and wrong-sex hormones and surgery freely available to everyone, just like in the U.S. In Canada they just want the government to pay for it all and punish doctors who won’t play along, which the current government is happy to oblige.
Having a dictator instead of the consumer market make these decisions bends the moral arc only if the dictator makes the right call.
About "... all black people here [in Canada] were (or are descended from) voluntary immigrants."
See The Canadian Encyclopeida, https://www.thecanadianencyclopedia.ca/en/article/black-enslavement :
Excerpt: "In early Canada, the enslavement of African peoples was a legal instrument that helped fuel colonial economic enterprise. The buying, selling and enslavement of Black people was practiced by European traders and colonists in New France in the early 1600s, and lasted until it was abolished throughout British North America in 1834."
Just stop. Canada wasn’t a self-governing country with the Parliamentary power to make its own laws until 1867. If you want to play that historical game, there was slavery in the Americas before the Europeans even got here and nobody here tried to stamp it out. Besides, this article isn’t about picking at the old scab of long-ago slavery. It’s about why the decision-making authorities have been captured by trans-rights biology deniers.
The Atlantic Slave trade was abolished and signed by Thomas Jefferson in 1807. 17 of the 32 union states abolished slavery before 1860. There were still 488k slaves in those 15 states and 4 million in the south.
https://www.statista.com/statistics/1010169/black-and-slave-population-us-1790-1880/
We had slavery, just not to the great extent the US had it. We abolished slavery in 1809.
Well I hope not! The entire population of Canada in 1811 was 77,000 people. And you couldn't grow much.
DEI does not automatically mean race. DEI covers sex, gender, LGBTQ, disability, ethnicity, all sorts of things. Please stop conflating black people with anything you don't like about it. It reeks of hostility to black people.
And All black people in Canada were not voluntary immigrants. Some were refugees who fled enslavement in US, others were people who fought with the British against the colonists. Their reward was right to live in Canada
Yes, DEI means special treatment to all sorts of special groups but the effect is no less pernicious for that: it still privileges identity over merit, which I’m sure you understand so don’t go nit-picking. However the only measure of diversity (“our strength”) that anyone cares about is how black the organization is, the National Basketball Association being among the most diverse outfits in America, second only to the Historically Black Colleges and Universities. I don’t care if you smell hostility to black people. I really don’t. As the old public school saying goes, “He who smelt it, dealt it.”
If you think a fleeing slave and a mercenary who accepted land for fighting for the enemy against his country don’t count as “voluntary”, then you and I are using words differently. Whatever, there wasn’t a self-governing Canada when those events happened.
This is the updated WHO definition of "gender incongruence" included in the ICD diagnostic system. The U.S. has been using the ICD 10 while Europe has advanced to the ICD 11.
"Gender Incongruence of Adolescence and Adulthood is characterised by a marked and persistent incongruence between an individual´s experienced gender and the assigned sex, which often leads to a desire to ‘transition’, in order to live and be accepted as a person of the experienced gender, through hormonal treatment, surgery or other health care services to make the individual´s body align, as much as desired and to the extent possible, with the experienced gender. The diagnosis cannot be assigned prior the onset of puberty. Gender variant behaviour and preferences alone are not a basis for assigning the diagnosis."
The reason why this is not a valid diagnostic construct is that there is no such thing as "an individual's experienced gender." In fact, there is no such thing as "gender," even if it is defined as a stable, accurate, subjective sense of one's actual biological sex. People develop an accurate sexual identity when they are old enough to recognize the physical differences between males and females. Nobody has some inner sense of self that is gendered apart from that. Not only do we not have one experientially, but it is theoretically impossible. I cannot ever have a sense of what a man's personal sense of himself is like because I am not a man.
I assume that most of a man's experience is human rather than male, but I don't know that. When men say that they don't "feel like a man," it usually turns out to mean that they don't feel adequate, whole, strong, etc. When women say they don't "feel like a woman," they often mean they don't feel adequately attractive, motherly, or some other quality that women consider to be important. Both of these add up to comparing oneself negatively to an internalized set of standards about what men or women should be. If we were to ask even these people on a random basis what gender they are as they are walking down the street, most of the time they wouldn't be able to answer the question. People who claim to be "trans," "gender dysphoric", etc., cannot answer this question, either. How could a man who is not and never will be a woman have any idea about what a woman might feel in any situation?
Please don't share any more comments that make sense. It confuses some people.
How is it that activists tell a child they are born in the wrong body? The psychological damage of that is then compounded by mutilation and drugging of children. Wait until all the tortured start asking for euthanasia. It will be the same people who led them on this destructive path that will call them brave and fund their deaths. It will be places like Oregon and Washington that are already laying that foundation with the sanctuary status policies.
Once again, we are saved by the truth of “if something can’t go on forever, it won’t”
Rishi Sunak is turning the UK`s NHS into a Third World Abbatoir by use of Short Staffing,
using "Assistants " instead of Trained Doctors, Blocking Access to GP`s by Patients,
Overflowing Accident and Emergency Departments at Hospitals, Long waits for Emergency Ambulances, NICE Denying Access to New Drugs for Cancer, etc. Is Sunak a Member of the Bill Gates "World Depopulation" Gorefest ?
In the same week:
* NHS/Cass report that gender affirmation does harm and shows little evidence of benefit
* NAIA bans "trans" athletes in collegiate sports competition
* the Vatican declares that gender ideology is immoral
I'd say we've hit a watershed.
A big step in the right direction, but one that needs to be replicated in in America and Canada.
Ordinary people are appalled by the social demands made by trans rights activists, and most medical professionals are perfectly well aware that there is no evidence for, and much against, the use of dangerous drugs for this bizarre purpose. But so few dare speak out. We live in a climate of fear of cancellation, and it is hard enough to get by without losing your job over someone else's problems. Who dares to say these things:
Sex is observed, not assigned, at birth.
Biological sex is real, and there are two sexes only.
A woman is an adult human female.
Troubled children need proper assessment and advice, not automatic transition.
Single-sex spaces should not be invaded by men.
Men do not belong in women's sports.
Transitioning children who would grow up to be gay is conversion therapy.
And once we have that straightened out, those old enough and certain enough may transition with my blessing. I wish them well and hope they can make the best of their condition.
So we will still have 70 children having their normal development blocked and 16-17 year old males receiving puberty blockers. The whole lot should go.
This SEGM generated post might be reminiscent of Neil Armstrong in 1969 as he stepped from the lunar landing module “ one small step….” There sure is a way to go , but it is a start and let’s hope Hillary Cass can mop up the residual confusion over CSH policy position. Even so, if NHSE can finally extricate it’s self from the influence of our social science colleagues ( who lead us , in the first place , into the therapeutic nightmare of “ gender affirmative action” care) why won’t NHS Scotland fall over themselves to pick up the slack? The Scottish parliament has well and truly put its stake in the ground in recent days and declared fulsome support for gender identity/ fluidity ideology, and backs it up with proposed punitive legislation for all miscreants who might just offend sensibilities if they just dare to publicly verbalize dissent!. In Australia we will have to contend with needing a State by State recalibration, being a Federation where Health is firmly a sovereign State responsibility. Let’s say the LNP can do a NHSE- like turn around, the ACT and Victoria, for starters, would love to help Queensland’s public children’s gender clinic’s “ clients” out.
As Neil said” one small step..”
Citizen Voter general questions
1. My democratically elected representatives are doing the best they can to help the body politic create a life of prosperity and dignity.
a. yes
b. no
c. undecided
2. My city government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
3. My county government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
4. My state government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
5. My national government is run as if the decision-making officials are friends and share the same common fate with all the citizens.
a. yes
b. no
c. undecided
6. I believe that the earth is being visited by extraterrestrial intelligence from either another star system or dimension not of our world.
a. yes
b. no
c. undecided
7. Presently, the Federal Government takes about four months of an American’s labor as TAX.
QUESTION: How much of their pay checks should the American workers be allowed to keep?
a. 100%
b. 90%
c. 80%
d. 70%
e. 60%
f. 50%
g. 40%
8. In 1976 The United Nations conducted a study and found that four people could live comfortably in a 600 sq. ft. shelter with one bath and one toilette. As part of the UN's efforts to make things better for humanity, they plan to shelter hundreds of millions of deserving third world homeless people in the under utilized houses located in the industrialized world. For example, a retired American couple with an 1,800 sq. ft. house will be required to take in ten homeless people. The UN has publicly stated its plans to enforce this program as soon as possible....
QUESTION: So, how do you feel about getting some exotic new house guests?
a. this is a good thing, sharing
b. I shall pretend that it isn't happening
d. your lying, they would never do this to us
e. I will ignore your hatred
f. I will get active politically and fight this insanity
Congress and the Legislative Branch
9. Is the following statement true:
The voting members of the US Congress and the State Legislatures vote 100 times a day, every five minutes, while in session.
a. yes
b. no
c. undecided
10. Is the following statement true:
Many of the laws they vote on are in excess of two thousand pages.
a. yes
b. no
c. undecided
11. Is the following statement true:
Since the Representative cannot evaluate 200 thousand pages of law speak per day, they vote the way their advisors tell them to vote.
a. yes
b. no
c. undecided
12. Is the following statement true:
Thus, the Representatives have forfeited their delegated obligation to represent us.
a. yes
b. no
c. undecided
13. Is the following statement true:
Representative government is obsolete, it does not work for us.
a. yes
b. no
c. undecided
14. Are you willing to read, comprehend and vote on ten pages per day of a 2000 page law in order to assist your democratically elected representative in the legislative operation that will determine the conditions of your future life? (making new laws?)
a. yes
b. no
c. undecided
15. Do you agree:
Before a new law, tax, or expenditure can be put on the books it must first be Ratified by the Citizens.
a. yes
b. no
c. undecided
16. Do you agree:
Existing laws can be Annulled by the same super majority required to Ratify them.
a. yes
b. no
c. undecided
What on earth is #6 doing in there? A way of excluding the barely sane from the results?
It is there to gauge who knows what.
It is similar to asking someone, "What country borders the USA to the south?"
Quite disappointing to hear their replies...