was just responding to the argument that any treatment is worth it when the alternative is suicide
That's not the argument.....
The argument is that treatment plans are developed by evaluating risk and reward.
The risk for not treating is very high, even if the treatment doesn't have a high rate of efficacy as long as it doesn't introduce further risk, it's still a valid treatment.
there is no medication without side effects. ADHD meds can have bad consequences, but we should still allow people to take them based on informed consent. apply the same logic to kids on HRT.
People aren't put on ADHD medications or on hormone therapy because of any ability of informed consent. They are prescribed because a medical professional has evaluated that the outcome of their overall health with treatment is improved when compared to not being treated. The parents and the patient have a say....to a point. However a medical professional can be empowered by the courts to supercede the consent of the PT or the parent if and when deemed necessary.
Medications have the potential of negative side effects, it's not guaranteed. Those potential side effects are weighted against the potential negative effect of inaction.
Even if we are accepting that as true, that doesn't really have anything to do with an individual patients treatment plan. You aren't evaluating risk based on the general population, you are evaluating risk based on patient populations with the same diagnosis.
If any risk is mitigated with gender affirming care compared to patient populations who aren't receiving care , and the risk of harmful side effects are minimal then the treatment plan is valid.
I don't really see how you think that comparing them to the general population makes any sense?
That would be like someone saying that people receiving treatment for HIV are still more immuno compromised than the general population.....well yeah, but treatment vastly improves their total outcomes.
Wtf? The fact that you are comfortable conflating those two wildly different topics is concerning.
First of all, being put on hormone therapy isn't a child deciding their own gender. It is pausing puberty until they are old enough to make an informed decision about their own health and identity.
Secondly, what does gender identity have to do with pedophillia? Gender affirming care is all about harm reduction, not sexualizing literal children.....
The thing is.....hormone replacement therapy isn't really a drastic intervention. If the outcomes are not aligning with the treatment plan you simply stop taking the medication.
There are virtually no long lasting repercussions for temporarily delaying puberty. Really the only notable side effects are that you may be a bit taller than you were going to be.
I don't think many people working outside pediatric healthcare really have an understanding about how comfortable healthcare providers are prescribing interventional care.
When diagnosing and treating a patient we come up with a plan of care that is weighted on total outcomes. Now this isn't a perfect system, for example we may not completely understand the potential harm of new medications. However, we are creating the plan of care with the best information we have at the time. Taking potential side effects and weighing it against the potential harm that could occur without any treatment.
I specialize in pediatric orthopedics and rehabilitation....so take anything I say about gender affirming care with a grain of salt. However, the potential outcome for not treating gender dysphoria as I understand it is pretty bad....self harm and suicide are about as bad as an outcome as one could imagine. Now weigh that against the medications that are usually prescribed for gender affirming care which are well known, and most often prescribed without negative effect for a plethora of treatments ranging from precocious puberty, to monitoring rate of which growth plates close.
Hormone replacement therapy has been going on for decades and is very common place at any hospital that atends to pediatric patients. To claim that intervention isn't appropriate for something with a potential total outcome as bad as suicide, based off "kids can't consent" is a ridiculous notion considering that the same drugs are often prescribed to make sure a child doesn't develop a limb length discrepancy after an orthopedic surgery.
It really depends on your energy source and your appliance, but the cost to run something like an oven for an hour is pretty negligible, especially if it's a somewhat modern appliance.
Most newer over run somewhere around 2-3,000 kwh, which nationwide averages to around .30 to .50 cents an hour.
The real cost of making food at home really just depends on how much you value your own labour/free time, and how much of a chore cooking is for you.
How dare you remind me of the impermanence of time. I'm not old.... you're old.
This guy bought so many rare monkey tokens. Ai is impressive in some aspects, but it's not nearly as impressive as the marketing that drives the massive amounts of investment into it.
The US economy is doing anything it can to create growth, which is causing investors to create a bubble around AI that is "too big to fail".
If it was from electrical failure, it'd be more likely to happen in the pilot's thrust control than simultaneously in both engines. But usually if both engines fail after take off....my money is on fuel system failure.
independent reporters, substack and the like, for real news.
But they don't hand out branded tote bags that I can take to brunch to let the gals know I donated.....
While I don't agree that medical providers shouldn't be involved in important healthcare decisions. Unfortunately, at this point I agree the American healthcare system has largely failed the trans community, among others.
I think medical providers should be doing their jobs and keeping their personal beliefs to themselves. If a patient is wanting to transition they should have access to a provider who can make that transition as easy and safe as possible.