Gender-affirming amputations

The ACLU tells us:

Families in Texas are worried that supporting their transgender kids will lead to a report of child abuse. We are already seeing families being investigated. Gender-affirming care is medically necessary, saves lives, and shouldn’t be the subject of an investigation.

Supporting transgender kids is one thing, and letting them get amputations and/or puberty blockers and/or cross-sex hormones is another. The ACLU does not know that what it calls “gender-affirming care” (i.e. amputations, puberty blockers, cross-sex hormones) is medically necessary, nor does it know that it saves more lives than it puts at risk. This is all new territory and it’s just not obvious, let alone established, that there won’t be thousands of people who regret making drastic permanent changes to their bodies when they weren’t old enough to evaluate the consequences. The ACLU is being horrifyingly reckless with the lives of other people in this stampede to say it’s just fine for teenagers to wreck their bodies because they think they’re the other sex.

Chase Strangio writes:

Texas Gov. Greg Abbott and Attorney General Ken Paxton told trans youth in Texas last week that they considered their health care to be a form of child abuse. This is dangerous, dehumanizing, and terrifying to trans youth and their supportive families.

But it isn’t “health care” as commonly understood. It’s pretty dangerous to give youth puberty blockers, too, but Strangio frames the issue as entirely good v evil.

The declaration will have devastating consequences — and we are already seeing them. Abbott and Paxton, along with the Texas Department of Family and Protective Services, want to investigate families simply for following best practice medicine and supporting their trans kids through lifesaving, medically necessary health care.

But it isn’t “medically necessary.” It may be psychologically necessary, or desirable, or better than the alternative, in some cases, but medically necessary it isn’t. It’s not “best practice” medicine, and there are plenty of detransitioners who can explain why. It’s isn’t “lifesaving” unless you make dangerous and reckless assumptions about suicidality.

The Texas law sounds intrusive and harsh, and I don’t trust Republicans to make good laws, but the ACLU/Chase Strangio take is manipulative and melodramatic and inaccurate.

In addition to being outside of the scope of their authority and clearly motivated by partisan politics, this policy is wrong and is opposed by health care professionals and child welfare experts. It also isn’t isolated — while particularly extreme and cruel, Texas politicians are part of a coordinated effort to shame, dehumanize, and attack trans kids. The end result won’t be that fewer kids grow up to be trans, it will be that fewer kids grow up.

“Give us what we think we want in this moment or we’ll kill ourselves.”

Chase Strangio is dangerous.

Comments

12 responses to “Gender-affirming amputations”

  1. Sastra Avatar

    I’m against this law for the same reason I’m against the State removing trans-identified kids from “non-affirming parents.” First, there’s no reason to assume that the mother &/or father isn’t acting out of concern for the child’s best interest. And second, the swirling propaganda and rhetoric around this issue absolves the parents from the charge of ignoring what an ordinarily prudent person would know. I can’t simultaneously bewail the institutional capture of a medical establishment which primarily endorses this, looks the other way, or shuts down dissent and treat the parents who trust it like alties trying to cure childhood leukemia with crystals and prayer.

    Ironically, many of the TRAs furious at this governmental intrusion into a family’s medical decisions are gung ho when it comes to criminalizing GC parents. I’ve been told that the two groups aren’t the same because it’s absolutely positively 100% clear that trans kids exist & surgery and hormones are necessary, “life-saving” treatments.

    If anyone saw that disgraceful exhibit of what happened when a father who lost custody for refusing to “affirm” his child was invited to speak at a University (the TRA audience screamed itself hoarse) that’s probably the level of discourse we can expect in investigating this debacle. That on one side, and Texas Republicans on the other. Kids in the middle.

  2. Papito Avatar

    Perhaps America should let the lawyers and insurance companies sort it out.

    Start by recognizing that children can’t really give consent.

    End by suing the baby butchers into the poorhouse.

  3. tigger_the_wing Avatar
    tigger_the_wing

    I’d have considerably more sympathy for the TRA’s position that surgery and hormones are vitally necessary for ‘trans’ children, if they weren’t simultaneously claiming that expecting ‘trans’ adults to go through surgery and take hormones is a crime against their bodily autonomy. The vast majority of men claiming to be ‘trans’ do not get their reproductive equipment removed.

    I wonder how many rapists would claim to be trans in order to be transferred to women’s prisons if the rule were ‘only after castration and penis removal or inversion’, given that we know of at least one who immediately ‘detransitioned’ (desisted) upon release.

  4. NightCrow Avatar

    From r/detrans on Reddit; posted eight days ago:

    I started transitioning when I was 16. A child. I had undiagnosed BPD, but no one bothered to screen me. If they did they would have seen that I viewed transition as a way to throw myself away and try again. That I was traumatized by my childhood. That I self harmed. But they didn’t. They said “congrats” and handed me a referral. By the time I realized I was more depressed than ever before, I had already had a mastectomy and two years on testosterone. I was thrust into adulthood broken.

    I went through the detransition process, quit T for over 5 years, and here at 27 I sleep 14 hours a day, my hair falls out, and I can’t stop gaining weight. I decided I had had enough and got a full medical work up done.

    My lab work revealed I have almost no female hormones. I will never have children. I have PCOS. I have high cholesterol. I have cysts all over my ovaries. My PCP had to submit my results to a specialist because they were so unusually terrible, even for PCOS.

    I will be on weekly injections, diabetes medication, and who knows what else for the rest of my life. And at this point I have no idea if I will ever get back to feeling energetic, out of pain, and a little bit normal.

    When I signed those papers I was not informed, of any of this. I was a child, allowed to destroy my body permanently, under the assurance that I can always change my mind, and that it’s a beautiful, harmless process.

  5. GW Avatar

    This is so, so sad.

    And what would TRAs respond? They’d probably say that this Redditor is lying and made up the whole story in exchange for money from far right organizations.

  6. maddog1129 Avatar

    I call them TAs. They don’t deserve the “R” in their acronym.

  7. GW Avatar

    Do you call MRAs MAs?

  8. Ophelia Benson Avatar

    Oh dear god – I hope that case (if it’s real) is a rare one.

    Just to be clear, I don’t support the Texas law, or Abbot’s directive. I’m not saying that in this post. I am saying the ACLU’s advocacy is staggeringly reckless. I kind of hope some teenager sues them into the ground in a year or two.

  9. Ophelia Benson Avatar

    Oh I already basically said that in the post. Anyway…there it is again.

  10. GW Avatar

    My gender is headless gender, and my pronouns are decap / decaps. If I can’t get the decapitation surgery, I’m going to kill myself!!!! Taxpayers had better pay for it!

  11. Papito Avatar

    I wonder why they don’t speak to the parents of gender nonconforming children and children suffering from gender dysphoria who are breathing easier because this law may end the state-sponsored grooming of their children into the trans cult of self-mutilation.

  12. NightCrow Avatar

    The woman whose post on r/detrans I quoted above is sadly not alone in experiencing very bad reactions to testosterone.

    I started transitioning when I was 19 in Florida, I started Testosterone there after about a year and a half of therapy and endocrinologist bs. My parents told me they wouldn’t accept that I’m transgender until they saw I had facial hair, all my friends said I should get top surgery, and I was getting a lot of crap from coworkers. I was pressured to start the medical path as soon as I came out as trans. …

    Let’s fast-forward to 5 years later. I’m now 24 and I’ve been on testosterone for 5 years. I have 0 bladder control, hot flashes that HURT ever night, I can’t sleep, my hair is falling out, I have horrible phantom cramps and constant yeast infections cuz my PH is off the charts fucked up. MY vagina bleeds every time I have sex the lining is dry and like paper.

    After stopping testosterone:

    I had my first period and it was BLACK!!! I legit thought I was going to pass away, I called my father and mother crying saying I had no idea what was happening to me. I scored the internet looking for answers and learned this is a symptom of Vaginal and Uterus Atrophy which happens to women in menopause.