Pamela Paul has written an excellent opinion piece for the New York Times entitled, “The Medical Establishment Closes Ranks, and Patients Feel the Effects”.
I hope no one gets their medical advice (or any other advice) from the New York Times. Once a great source of independent, and only slightly biased news, it has become a tool of its advertisers and agenda-holders. Even the peanut allergy thing is likely a lie. There’s plenty of evidence that peanut oil has been used in vaccines, and that as the childhood vaccine schedule exploded in the early 90’s / 2000’s, peanut allergies increased proportionally, since vaccines intentionally create an immune response to the ingredients in them. So no, NYT did not inadvertently leave out “gender-affirming care” from their list of medical mistakes. They wrote the article as cover to essentially say, “Some of our sponsors’ profit-motivated medically destructive interventions have become too obvious and embarrassing to hide, so we’ll fess up to those as a mia culpa to delude our trusting readers into believing future medical bullshit.”
I appreciate your summary. I will take your word for it without clicking on anything that NYT has to say.
That newspaper is the conductor of the massive orchestra of fake news. Do not forget that they are clever at sucking in readers with articles that seem sympathetic to a non-leftist cause. They know you will be exposed to their destructive influences and thereby get hooked.
Board member Irene Lawrence and several other volunteers from the feminist organization WDI USA (Women's Declaration International USA) participated in a protest at the American Academy of Pediatrics Conference in Orlando, FL, from September 28th-29th, with a broad coalition of groups telling the AAP to stop the medical transition of children.
Thanks for posting. X (twitter) has become one of the places where people can witness real events directly from the source without the filter of biased reporting. This is why mainstream media so often writes hit pieces about Elon Musk.
Excellent piece. I heard Dr. Makary talking about his new book when he was interviewed recently on a podcast. Of course, his primary claim to fame is his opposition to the way Covid was handled. He was one of the heroes who paid a big price professionally for standing up to government-instigated fear-mongering that became known as "the pandemic." In reality, it was a "scam-demic" designed to destroy the presidency of Donald Trump. I'm no fan of Trump, but it was obvious to me, as a medical professional, that covid policies were politically motivated. Of course, a whole encyclopedia could be written about the Big Gov-Big Pharma oligarchy behind vaccines. But that's another story. Meanwhile, the medical establishment continues to destroy its credibility by insisting that "gender-affirming" care is based on "the science." Just about all of science has been co-opted by special interests. God help us.
As a plastic surgeon, I’m repulsed by the trend toward pediatric surgery for these children. The. ASPS has been the first society to come out with any kind of opposition.
There are health care professionals who’ve spent the weekend at the Pediatrics Academy’s conference in FL. They are fighting for you & your children. Please know that.
I’m uncertain of outspoken pediatricians. There are other advocates under the health care umbrella that are fighting. Also, detransitioners. This population is most actively shunned, shamed, silenced, censored.
There are plenty who are not OK with it, but they are not being very vocal about it...yet. A lot of their "literature" pushes the affirmation model, even though deep down in their gut, they don't believe it to be best practice.
As a pediatrician disgusted by gender ideology and the AAP’s vile stand on this. It’s about more than money for pediatricians. Maybe money for surgeons but for pediatricians there are some deep ideological blinders. Really deep.
What does one do when parents have encouraged a 5 yo to explore his gender spectrum? Our grandson now wants to be called Princes peach and use girl pronouns even tho he says he kows he is a boy?
Maybe because they never have to see the after effects of gender medicine. They just refer the kids to the ‘experts’ ie gender clinics and by the time there’s any health implications or regrets, the kids have aged out of paediatric care.
The AAP policy statement is even worse than I expected, which I didn't think was possible. There is 0 evidence cited. They shrewdly give tons of citations which makes it all look science-y and oh-so-much-evidence (94 citations! How impressive! The science is surely settled!). However, if you look at the actual articles they cited for the ineffectiveness of conversion therapy for gender dysphoria, none are actually studies of the effectiveness of therapy. Literally zero! They cite articles about sexual orientation conversion therapy, which is obviously a completely different issue but ... shoot, they don't even give clear , number-based scientific evidence for ineffectiveness of that!
He did! I haven't read the book myself, but a friend sent me a photo of where I'm mentioned in the book. She said there are three pages on the gender nonsense.
The "all about money" line in such a conversation needs to get retired. A vial of testosterone for a few months is perhaps $5 cost or less - you can buy the powder version by the kilo very cheaply, it's made from cholesterol for use in animal husbandry very inexpensively. A prescription vial from a compounding pharmacy is $20-$50 depending on where you might go to. The money angle is negligible.
The issue is giving a powerful steroid to a woman who has not finished puberty and will irrevocably alter her body, to "treat" an acquired delusion.
The chemical does not alter the delusion nor assuage the underlying unhappiness with puberty. An anti-anxiety medication would be far more valuable with no irreversible effects.
The problem is the "therapy" has been promoted by delusional non-medical people via WPATH and unquestioned.
Nobody, I repeat nobody gets wealthy on testosterone. It's the aspirin of steroids.
I rely on data from NIH on clinics, about half the states restrict all intervention leaving perhaps 100. Separately, onky 70 in the country are only surgical.
Again, you can Google average cost on non-reconstructive mastectomy and orchiectomy. Surgery is cheaper than a Used Toyota.
You can do the math on the market 5m 18-year-olds enter the population each year, 0.3% will at some time identify as trans (the trans-friendky Williams Institute) and 97% never use surgery.
That means 450 a year may use surgery if they all do so every year. Even if the surgery costs as much as a heart valve replacement (seriously folks) the most expensive sugery in the US, the market is 0.4% of the heart market.
* Average trans does not cost as much as a heart valve replacement, they are relatively simple procedures. "Outpatient" - folks it doesn't even require hospital stay.
* There are 450 people who identify as medically needy disabled trans within their lifetime - every year by the most generous estimates by trans researchers.
Combining the two., It's a tiny market. It costs money of course - hey if someone has a delusion they need care! But it is not heart valve replacement
And! And! Anyone above the 450 resolve - 95% - by their 20's.
450 people persistently deluded. Disabled, requiring medical intervention, demanding surgery which costs $5K - $20K over their lifetime.
I know big business. $3M a year surgery is not big business. Sorry, numbers don't add up.
When 1,000,000 people a year ask for that $10K surgery surgery I'll pay attention. There aren't 3 million persistent trans in the entire country.
Just look at the numbers. Trans surgeries are a rounding error as a medical treatment.
First.
It's a tiny market. Tiny.
Around 5M kids turn 18 each year.
0.3% of 18 year old will be disabled level trans.
3% of those will elect for surgery.
An entire 450 people.
Think about that.
450 people.
Second.
The most common surgeries are less than a used Toyota, orchiectomy and non-reconstructed mastectomy.
Just Google the price. It's not a big secret. It's also not big money. Averaging the two it's $7000
It's not in the top 20 most expensive procedures (or top 50).
Big money is a $100k-$150k surgery for heart valve replacements done 100,000 times a year in the US.
Small money is $7000 surgery
Big money is the US medical industry revenue of $400B a year.
$7000 x 450 people is around $3M per year.
Double the cost ass get a total revenue of $6M. Double again. $12m double again. $24m. Double it again to $48m
Even if you had $100,000 surgeries for all patients, that's around 0.024% of medical revenue, or a rounding error.
$15 Billion for heart valve surgery is big.money, 7.5% of all medical revenue.
$7M for average top or bottom is 0.001% - 0.02% of revenue. A rounding error.
Nobody will get wealthy for trans, it's not a big market it will never be a big market. it's not big money. It's a rounding error.
Third.
Three medical malpractice lawsuits for average permanent disabling damage of $1M will wipe out the total revenue in the US for all trans surgeries in a given year.
Who would take that risk.
It's not a big business but it will be a terrible business.
The posts included a video of one VUMC doctor in 2018 saying these “types of surgeries bring in a lot of money” and later saying that female-to-male bottom surgeries are “huge money makers.” A separate video shows another staffer warning that if employees do not want to participate in transgender treatments then they “probably shouldn't work at Vanderbilt," and warned that objections should be met with “consequences.”
See.my note below - take the 450 new people - double it over and over and over and over "exponential" - its a rounding error still. Surgeoma aren't economists or business planners, and definitely not epidemiologists. A tiny market of small money. It's the used Toyota Celica of surgeries for all 450 people who go trans this year.
Don't believe the hype... It's like the "trans death Armageddon" - where are all the trans deaths? The one? The two?
I think it's a bit more sinister than that. I'm over making excuses for the rotten behavior of these so called professionals who vowed to "First do no harm". It's more about saving their paychecks than anything noble. We have got to stop giving these people the benefit of the doubt. There is none.
Pediatricians are at the bottom of the food chain when it comes to salary. Most of them don't know what to do with a kid claiming they were born in the wrong body....so they send them out for a Psychology visit or to a gender clinic where they think these kids are going to get the"help" that they need. Psychology is social "science" (faux science) that needs to be held accountable for this mess. Pop Psychology is pretty awful and one doesn't even need to meet great expectations in order to "ply" their trade on the internet or through some large group practice.
That is a gem of a response from your daughter's place of "higher ed." What idiots! I only got silence from the student health center at my daughter's place of cult indoctrination, aka her university. UCSF is perhaps the national headquarters of the industry, the cult headquarters, that is maiming countless people and has been since the days of AIDS. The lie is so blatantly false. Yet it proceeded almost unchecked until many children's hospitals had opened gender clinics thanks to massive funding and orchestration among the industry insiders.
We are in trouble when medical associations don't follow best practices in medicine, as doctors are too busy to research all the conditions they see in patients even in a single day!
Combine that with the fact that us gender clinics follow the now rejected in countries with evidence based policies affirmative model and you get our disaster.
I tried to explain to a GP that sending a kid to a gender clinic made it very likely they would be affirmed rather than explored, and she said, oh,go to the clinic and ask for therapy? And it was hard to communicate that the clinics were a one way street in a narrow (in contradiction with evidence iny opinion!) approach!
I hope no one gets their medical advice (or any other advice) from the New York Times. Once a great source of independent, and only slightly biased news, it has become a tool of its advertisers and agenda-holders. Even the peanut allergy thing is likely a lie. There’s plenty of evidence that peanut oil has been used in vaccines, and that as the childhood vaccine schedule exploded in the early 90’s / 2000’s, peanut allergies increased proportionally, since vaccines intentionally create an immune response to the ingredients in them. So no, NYT did not inadvertently leave out “gender-affirming care” from their list of medical mistakes. They wrote the article as cover to essentially say, “Some of our sponsors’ profit-motivated medically destructive interventions have become too obvious and embarrassing to hide, so we’ll fess up to those as a mia culpa to delude our trusting readers into believing future medical bullshit.”
I appreciate your summary. I will take your word for it without clicking on anything that NYT has to say.
That newspaper is the conductor of the massive orchestra of fake news. Do not forget that they are clever at sucking in readers with articles that seem sympathetic to a non-leftist cause. They know you will be exposed to their destructive influences and thereby get hooked.
Board member Irene Lawrence and several other volunteers from the feminist organization WDI USA (Women's Declaration International USA) participated in a protest at the American Academy of Pediatrics Conference in Orlando, FL, from September 28th-29th, with a broad coalition of groups telling the AAP to stop the medical transition of children.
A highlight was Lauren Leggieri, a member of the WDI lesbian caucus, disrupting Admiral Levine’s speech: https://x.com/JamieWhistle/status/1840434170754924635
Thanks for posting. X (twitter) has become one of the places where people can witness real events directly from the source without the filter of biased reporting. This is why mainstream media so often writes hit pieces about Elon Musk.
God bless Elon Musk and his quirky, genius, one-of-a-kind brain.
& Detransitioners
Do you feel comfortable sharing the name of the university/college your daughter attends?
Excellent piece. I heard Dr. Makary talking about his new book when he was interviewed recently on a podcast. Of course, his primary claim to fame is his opposition to the way Covid was handled. He was one of the heroes who paid a big price professionally for standing up to government-instigated fear-mongering that became known as "the pandemic." In reality, it was a "scam-demic" designed to destroy the presidency of Donald Trump. I'm no fan of Trump, but it was obvious to me, as a medical professional, that covid policies were politically motivated. Of course, a whole encyclopedia could be written about the Big Gov-Big Pharma oligarchy behind vaccines. But that's another story. Meanwhile, the medical establishment continues to destroy its credibility by insisting that "gender-affirming" care is based on "the science." Just about all of science has been co-opted by special interests. God help us.
As a plastic surgeon, I’m repulsed by the trend toward pediatric surgery for these children. The. ASPS has been the first society to come out with any kind of opposition.
There are health care professionals who’ve spent the weekend at the Pediatrics Academy’s conference in FL. They are fighting for you & your children. Please know that.
…is this true? Are pediatricians truly not ok with this affirmation first stance & they are vocal about it?? 🙏
I’m uncertain of outspoken pediatricians. There are other advocates under the health care umbrella that are fighting. Also, detransitioners. This population is most actively shunned, shamed, silenced, censored.
There are plenty who are not OK with it, but they are not being very vocal about it...yet. A lot of their "literature" pushes the affirmation model, even though deep down in their gut, they don't believe it to be best practice.
They kicked a detrans booth out of the conference.
https://x.com/MattWalshBlog/status/1840859283040453079
Yes, I had heard that too :(
As a pediatrician disgusted by gender ideology and the AAP’s vile stand on this. It’s about more than money for pediatricians. Maybe money for surgeons but for pediatricians there are some deep ideological blinders. Really deep.
What does one do when parents have encouraged a 5 yo to explore his gender spectrum? Our grandson now wants to be called Princes peach and use girl pronouns even tho he says he kows he is a boy?
And yes they live in Portland.
Maybe because they never have to see the after effects of gender medicine. They just refer the kids to the ‘experts’ ie gender clinics and by the time there’s any health implications or regrets, the kids have aged out of paediatric care.
Love to see class action lawsuits against organizations supporting gender affirming care!
The AAP policy statement is even worse than I expected, which I didn't think was possible. There is 0 evidence cited. They shrewdly give tons of citations which makes it all look science-y and oh-so-much-evidence (94 citations! How impressive! The science is surely settled!). However, if you look at the actual articles they cited for the ineffectiveness of conversion therapy for gender dysphoria, none are actually studies of the effectiveness of therapy. Literally zero! They cite articles about sexual orientation conversion therapy, which is obviously a completely different issue but ... shoot, they don't even give clear , number-based scientific evidence for ineffectiveness of that!
He did! I haven't read the book myself, but a friend sent me a photo of where I'm mentioned in the book. She said there are three pages on the gender nonsense.
The "all about money" line in such a conversation needs to get retired. A vial of testosterone for a few months is perhaps $5 cost or less - you can buy the powder version by the kilo very cheaply, it's made from cholesterol for use in animal husbandry very inexpensively. A prescription vial from a compounding pharmacy is $20-$50 depending on where you might go to. The money angle is negligible.
The issue is giving a powerful steroid to a woman who has not finished puberty and will irrevocably alter her body, to "treat" an acquired delusion.
The chemical does not alter the delusion nor assuage the underlying unhappiness with puberty. An anti-anxiety medication would be far more valuable with no irreversible effects.
The problem is the "therapy" has been promoted by delusional non-medical people via WPATH and unquestioned.
Nobody, I repeat nobody gets wealthy on testosterone. It's the aspirin of steroids.
Follow- up:
NIH insurance data assessment was average bottom surgery cost was $60K
Over a 12 year period insurance records from a public source came to 700 surgeries. Average out of pocket is $2,000
This is much much lower than my estimate of 450 annual. Over a 12 year period the total cost was $4.2m coming to $350K annual. Not a big business.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260638/#:~:text=Among%2072%20phalloplasties%2C%20the%20median,844)%20(Table%203).
I rely on data from NIH on clinics, about half the states restrict all intervention leaving perhaps 100. Separately, onky 70 in the country are only surgical.
Again, you can Google average cost on non-reconstructive mastectomy and orchiectomy. Surgery is cheaper than a Used Toyota.
You can do the math on the market 5m 18-year-olds enter the population each year, 0.3% will at some time identify as trans (the trans-friendky Williams Institute) and 97% never use surgery.
That means 450 a year may use surgery if they all do so every year. Even if the surgery costs as much as a heart valve replacement (seriously folks) the most expensive sugery in the US, the market is 0.4% of the heart market.
* Average trans does not cost as much as a heart valve replacement, they are relatively simple procedures. "Outpatient" - folks it doesn't even require hospital stay.
* There are 450 people who identify as medically needy disabled trans within their lifetime - every year by the most generous estimates by trans researchers.
Combining the two., It's a tiny market. It costs money of course - hey if someone has a delusion they need care! But it is not heart valve replacement
And! And! Anyone above the 450 resolve - 95% - by their 20's.
450 people persistently deluded. Disabled, requiring medical intervention, demanding surgery which costs $5K - $20K over their lifetime.
I know big business. $3M a year surgery is not big business. Sorry, numbers don't add up.
When 1,000,000 people a year ask for that $10K surgery surgery I'll pay attention. There aren't 3 million persistent trans in the entire country.
The numbers just don't work.
Do your best.
Just look at the numbers. Trans surgeries are a rounding error as a medical treatment.
First.
It's a tiny market. Tiny.
Around 5M kids turn 18 each year.
0.3% of 18 year old will be disabled level trans.
3% of those will elect for surgery.
An entire 450 people.
Think about that.
450 people.
Second.
The most common surgeries are less than a used Toyota, orchiectomy and non-reconstructed mastectomy.
Just Google the price. It's not a big secret. It's also not big money. Averaging the two it's $7000
It's not in the top 20 most expensive procedures (or top 50).
Big money is a $100k-$150k surgery for heart valve replacements done 100,000 times a year in the US.
Small money is $7000 surgery
Big money is the US medical industry revenue of $400B a year.
$7000 x 450 people is around $3M per year.
Double the cost ass get a total revenue of $6M. Double again. $12m double again. $24m. Double it again to $48m
Even if you had $100,000 surgeries for all patients, that's around 0.024% of medical revenue, or a rounding error.
$15 Billion for heart valve surgery is big.money, 7.5% of all medical revenue.
$7M for average top or bottom is 0.001% - 0.02% of revenue. A rounding error.
Nobody will get wealthy for trans, it's not a big market it will never be a big market. it's not big money. It's a rounding error.
Third.
Three medical malpractice lawsuits for average permanent disabling damage of $1M will wipe out the total revenue in the US for all trans surgeries in a given year.
Who would take that risk.
It's not a big business but it will be a terrible business.
https://x.com/Nico2lette/status/1812496414804521437
just the number of pediatric gender clinics on a map comparing 2007 to 2022
this guy has spent $140K so far on SRS procedures:
https://x.com/TTExulansic/status/1841057923843125532/photo/1
They are talking about the surgeries, when they talk about the money,
https://health.wusf.usf.edu/health-news-florida/2022-09-22/governor-wants-probe-of-vandy-hospital-after-doctor-touts-trans-procedures-are-money-makers
The posts included a video of one VUMC doctor in 2018 saying these “types of surgeries bring in a lot of money” and later saying that female-to-male bottom surgeries are “huge money makers.” A separate video shows another staffer warning that if employees do not want to participate in transgender treatments then they “probably shouldn't work at Vanderbilt," and warned that objections should be met with “consequences.”
See my response below - surgeons are not economists and economists are not surgeons. It's a tiny business.
No. It's not.
The growth of this is exponential. Surgeons know what's in a paycheck. Like every other human they like money.
See.my note below - take the 450 new people - double it over and over and over and over "exponential" - its a rounding error still. Surgeoma aren't economists or business planners, and definitely not epidemiologists. A tiny market of small money. It's the used Toyota Celica of surgeries for all 450 people who go trans this year.
Don't believe the hype... It's like the "trans death Armageddon" - where are all the trans deaths? The one? The two?
There aren't very many trans people folks.
And ffs they say it big cash. In their own words. Cope and seethe.
I think it's a bit more sinister than that. I'm over making excuses for the rotten behavior of these so called professionals who vowed to "First do no harm". It's more about saving their paychecks than anything noble. We have got to stop giving these people the benefit of the doubt. There is none.
Pediatricians are at the bottom of the food chain when it comes to salary. Most of them don't know what to do with a kid claiming they were born in the wrong body....so they send them out for a Psychology visit or to a gender clinic where they think these kids are going to get the"help" that they need. Psychology is social "science" (faux science) that needs to be held accountable for this mess. Pop Psychology is pretty awful and one doesn't even need to meet great expectations in order to "ply" their trade on the internet or through some large group practice.
That is a gem of a response from your daughter's place of "higher ed." What idiots! I only got silence from the student health center at my daughter's place of cult indoctrination, aka her university. UCSF is perhaps the national headquarters of the industry, the cult headquarters, that is maiming countless people and has been since the days of AIDS. The lie is so blatantly false. Yet it proceeded almost unchecked until many children's hospitals had opened gender clinics thanks to massive funding and orchestration among the industry insiders.
We are in trouble when medical associations don't follow best practices in medicine, as doctors are too busy to research all the conditions they see in patients even in a single day!
Combine that with the fact that us gender clinics follow the now rejected in countries with evidence based policies affirmative model and you get our disaster.
I tried to explain to a GP that sending a kid to a gender clinic made it very likely they would be affirmed rather than explored, and she said, oh,go to the clinic and ask for therapy? And it was hard to communicate that the clinics were a one way street in a narrow (in contradiction with evidence iny opinion!) approach!
that doctor's ignorance is no excuse. Rather it is professional negligence, in other words, malpractice.
Find another doctor.