the key thing is to identify where these takes *materially* lead to biased medicine (and more broadly human rights violations). so where, paediatrics-wise, it was once important to oppose gender ideology bias, it will likely going fwd be more important to oppose transphobia bias

fleegar

@shoutplenty

final cass review… probably worth putting out my take cos i kno several ppl will be looking for it

among social/political issues i’ve educated myself on, trans rights and gender ideology are necessary because of the extent to which they colour online gen z culture, and [1/10]

4/12/2024, 10:10:06 AM

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fleegar

@shoutplenty

the knock-on that has for me. were it not for personal problems, i’d no doubt dedicate the time needed to keep analysing and understanding this one

as it is, i read interim cass but am not gonna read final cass, with the understanding that these are for sure two different beasts

4/12/2024, 10:10:07 AM

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fleegar

@shoutplenty

i think the essence of understanding this review is to get to grips with medical evidence standards and analyse how the meta-conclusions were reached, which would probably take several days and is hindered by the lack of visible unbiased commentators to learn from

4/12/2024, 10:10:08 AM

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fleegar

@shoutplenty

in general, having to synthesise an opinion exclusively from extremist tra and anti-trans sources is very dystopian and destructive to sanity. ofc, gender-dysphoric children have always been the biggest victims of this

4/12/2024, 10:10:08 AM

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fleegar

@shoutplenty

the most controversial part of interim cass was this debate over inclusion of evidence, which remains with final cass. while it’s always possible to launder bias via selectively not citing claims, there wasn’t much wrong with it to my eyes otherwise

4/12/2024, 10:10:09 AM

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fleegar

@shoutplenty

most tra-aligned commentators have additionally pointed out a lot of biased statements in final cass that out-of-context seem more alarming than those in interim, but i think it’s w/e tbh

the review was started as part of a backlash vs gender ideology, which for sure isn’t over

4/12/2024, 10:10:10 AM

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fleegar

@shoutplenty

my own bias is that i tend to find extremist ideology coming from *my own peers* disgusting – here, that would be the accusations of conversion therapy, wilful misunderstanding of suicidality and pro-destruction-of-family stances – so i tend to see over-correction as inevitable

4/12/2024, 10:10:11 AM

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fleegar

@shoutplenty

the key thing is to identify where these takes *materially* lead to biased medicine (and more broadly human rights violations). so where, paediatrics-wise, it was once important to oppose gender ideology bias, it will likely going fwd be more important to oppose transphobia bias

4/12/2024, 10:10:12 AM

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fleegar

@shoutplenty

my conclusion remains that to break up this cycle of over-correction, we should be raising centrist voices. the bigger fix, of reversing the political/cultural capture of the medical issue, is likely depressingly impossible, not until deradicalisation happens and time passes

4/12/2024, 10:10:12 AM

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fleegar

@shoutplenty

on the up side, the basic recommendations cass makes (like cross-disciplinary treatment) are common sense and agreeable to everyone but the most hardened all-trans-people-are-born-that-way type activists. so there’s the silver lining [10/10]

4/12/2024, 10:10:14 AM

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