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.
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.
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.
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.?
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.
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.
Once again, we are saved by the truth of “if something can’t go on forever, it won’t”
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