With a name sounding more like something out of a sci-fi film, the US National Institutes of Health in partnership with former medical leaders of transgender industry group WPATH (World Professional Association for Transgender Health) have formed “TransNet”, a research consortium merging commercial, academic, and government interests in data collection, funding, and regulation of the medicalization of gender. The project aims to set the groundwork for the mainstreaming of transgender medical care by conducting research that supports the practice.
Recent Obama administration changes to Medicare/VA/IRS regulations allow for taxpayer subsidized cosmetic breast implants, facelifts, genital re-shaping and off-label drugs as treatment for transgender individuals. These patients seek to alleviate distress caused by possessing what they believe are innate psychological or mental traits related to the reproductive biology of the opposite sex. The goal of the treatments is an attempt to create the appearance that their bodies are the opposite sex: the sex the patient believes is congruent with their experienced personality traits. But such interventions (and beliefs) have no established scientific rationale. While there is indeed a political will behind performing these treatments, a very profitable medical/psychiatric/therapeutic industry to accommodate them, and an increasing number of patients demanding the treatments, there is an absence of science to support them.
Self-diagnosed consumer-driven “pathology” that mainly afflicts objectively healthy patients seeking off-label care has been a boon for providers and suppliers such as cosmetic surgeons, pharmaceutical companies, rogue physicians and gate-keeping therapists but there comes a point- say, when government bureaucrats become involved, that certain boxes need to be checked and forms filled out.
None of the only fifty or so “sex-change” surgeons worldwide that provide genital reconfiguring for this population accept Medicare reimbursed clients. And why would they? Their specialty has thrived as an underground economy. Their procedures are incredibly risky with high rates of complication. Long-term outcomes are, objectively, poor. Yet their clients will pay through the ear, and sign waivers to boot, and are lined up on waiting lists.
You would think surgeons would be clamoring to get aboard this gravy train but they aren’t. New York State and Massachusetts provider networks have been aggressively recruiting surgical providers for over a year since their states’ Medicaid began covering these procedures, to no avail. The only surgical group that stepped up in California when the Department of Corrections mandated the high-profile state-funded surgery for incarcerated murderer Jeffrey “Michelle” Norsworthy was Brownstein and Crane, whose practice specializes in bilateral mastectomies for healthy genetic females who believe their personalities are in conflict with their secondary sex characteristics.
The mainstreaming of medical body modification for those who clamor to look like members of the other sex has outpaced the usual steps that precede any generic medical care: basic scientific research. While authorities in medicine, government, and the highest courts have jumped on an opportunity to “correct” those who struggle at conforming to social sex-roles (not coincidentally rolling-back decades of gains made by the women’s liberation movement), they did so using the aegis of WPATH, the World Professional Association of Transgender Health, a transgender industry lobbying group comprised of two groups: those who seek such body modification and those who make a good income providing it.
WPATH had never based their suggested practices on any scientific study, which was unnecessary to represent the interests of their two codependent groups of constituents. The American Psychiatric Association however, who invented the pathology of Gender Identity in the first place, lurched awake in 2008 after thirty years of slumber and decided that maybe now was the time for some follow up to their Diagnostic and Statistical Manual GID (Gender Identity Disorder)/ GD (Gender Dysphoria) diagnosis. Some sort of data or guidelines related to the care of this population would be appropriate, in light of the explosion of numbers of patients now presenting with this diagnosis. WPATH, whose last transgender “Standards of Care” had been issued in 2001, realized that they needed to start presenting themselves as an evidence-based authority. They publicly resolved to create new, updated, plausibly authoritative Standards, this time including research citations.
But there was no science. The WPATH board was infested by grifters such as Randi Ettner,PhD who specializes in pseudoscientific “energy” and “body meridian” psychology and her husband Frederic who runs a family practice for anti-vaxxers and sponsors testosterone mills (“Low T?”) for men desiring rejuvenation.
In 2009 two mainstream doctors, both providers to transgender clients, saw the pseudoscientific writing on the wall and attempted to stay the inevitable WPATH disaster. They collaborated to produce a document pointedly suggesting evidence-based revisions to the WPATH standards of care. These physicians were Dr. Jamie Feldman, a family practitioner specializing in transgender care and doctorate of anthropology and associate professor at University of Minnesota and Dr. Joshua Safer, an endocrinologist and associate professor at Boston University.
Their paper: “Feldman, J., & Safer, J. (2009). Hormone therapy in adults: Suggested revisions to the sixth version of the standards of care.” was cited 22 times in the eventual 7th edition WPATH standards of care [PDF].
Despite the efforts of Feldman and Safer, the APA announced they rejected WPATH Standards due to the overall lack of scientific research supporting them, and would begin the long process of formulating their own evidence-based recommended treatment guidelines. The APA issued press releases to calm the resulting panic in the transgender patient population. They affirmed APA support of the Gender Identity diagnosis and their intent to continue authorizing medical body modification services to those so afflicted. “The quality of evidence pertaining to most aspects of treatment in all subgroups was determined to be low; however, areas of broad clinical consensus were identified and were deemed sufficient to support recommendations for treatment in all subgroups.”
Doctors Jamie Feldman and Joshua Safer are at the helm of the new NIH TransNet project.
Project Goals at the initial TransNet meeting, “TransNet: Developing a Research Agenda in Transgender Health and Medicine”, which was held this May in Washington DC, included:
“1) further develop a productive transgender health and medicine research consortium that would become a national forum for an evolving comprehensive research agenda in transgender health, as well as a mechanism for interdisciplinary collaboration in research on cross-sex hormone therapies, surgical interventions, STI/HIV prevention, and trans-appropriate primary and mental health care; 2) develop new research methodologies effective in conducting clinical research with transgender people, a stigmatized, vulnerable, and underserved population; 3) develop and use of standardized approaches to data collection, management, and analysis across a variety of clinical and non-clinical settings; and 4) incorporate community engagement in the research process within the structure and function of the consortium, including transgender community advisory representatives, LGBT community health centers, and community engagement procedures throughout the research process.”
|Project Number:||1R13HD084267-01||Contact PI / Project Leader:||FELDMAN, JAMIE|
|Title:||TRANSNET: DEVELOPING A RESEARCH AGENDA IN TRANSGENDER HEALTH AND MEDICINE|
One of the interesting implications of the TransNet project is the development of a National Institutes of Health “national database of transgender persons”. From the Daily Free Press:
“Members of the NIH are hoping to develop a national database of transgender people to see what trends appear from different types of intervention. “They want to know what kind of things we could be learning over the next five or ten years depending on how much money is available for research, and the purpose of this conference is to set that strategy and create some priorities for NIH,” [Dr. Joshua Safer] said.”
Such a database has been a long-running goal for Dr. Safer, author of “Out of the Shadows: It is Time to Mainstream Treatment for Transgender Patients (2008)”.
Safer created one himself at Boston Medical Center but due to HIPAA regulations patients were required to give informed consent to being listed in the registry:
“[O]ur work includes the development of a Transgender Health Registry at BMC. All transgender-identified individuals who have had hormone therapy or other transgender health care management at Boston Medical Center (BMC) who give consent to participate will have their name, date of birth, and medical record number recorded in a registry. By compiling a list of those treated here at BMC, researchers (approved by the Institutional Review Board) will be able to access more complete data when studying the long term effects of hormonal treatment and/or other aspects of care. It is our hope that by establishing the first BMC registry of Transgender Health, we will be able to better serve individuals who identify as transgender within our community both now and in the future.” [sic]
The coming TransNet national database of transgender people, operating and funded by the National Institutes of Health under the authority of the Department of Health and Human Services, using standardized and regulated data collection, promises to be the most vast and comprehensive pool of research subjects ever studied in the history of the medical industry practice of treating gender.
July 28, 2015
GUEST POST by Cheryl
I am watching “I am Cait” and I don’t know how to express the sadness and pain I feel.
I feel so invisible.
My love and care for a man named James for 35 years meant nothing.
I was 17 and he was 24 when we met.
He used me all those years.
And you know what was unforgiveable?
He let me think all those years, there was something wrong with me.
I wasn’t quite pretty enough, I wasn’t quite thin enough and because of my independence “I wasn’t Officer’s Wives material”.
Because of my upbringing, I was too damaged to have a baby with him and raise a healthy child, so we…I remained childless.
He let me BELIEVE that.
Then I wasn’t youthful anymore.
He was in his fifties when he “blossomed” and couldn’t contain “Jamie” anymore.
We were on vacation in Hawaii when he told me…
I was so scared.
Then when we got home, one beautiful summer morning when we had just woke up, we had this silent sexual standoff. .
He had on his nightie and matching panties to sleep in which I tolerated because it made him so happy and I loved him and felt he should be comfortable in the privacy of our home.
But that morning he wanted me to change roles.
He wanted me to “unveil” him as a virginal teenage girl and I just couldn’t.
It was unnatural to me.
It was abhorrent.
And just like that, he tossed all those years of love making away.
I didn’t know it then, but he tossed me away as well.
“Jamie” killed the Jim I knew and loved.
He expected me to be “her” audience and applaud as “she” applied moisturizer on freshly shaven skin among all the other countless, superficial, meaningless, beautifying tasks which in his misogynistic view defined a woman.
I’d just escape onto the deck with a jug of whiskey and pack of cigarettes and plan my liberation.
I’m fine now.
I’ve made a lovely new life for myself.
I built a small, comfortable home for myself on the shores of a beautiful lake.
But when I see the Bruce Jenner’s and the Bob Tur’s etc. celebrated for the path of pain and destruction they leave behind…
I want my voice to be heard.
July 12, 2015
July 4, 2015
Declaration of War
by Vee Elessar
. I am a Woman. I will not be re-classified by men who “feel like” women. I will not tolerate being called CIS-woman, biological-woman, genetic-woman, woman-born-woman or female-woman. I will not tolerate being accused of having CIS privilege, obtained illegitimately at the moment of my birth. I will not tolerate being accused of wielding this privilege over men. I will fight back against this misogynistic attack that only seeks to silence me and make me invisible.
. I am a lesbian. I will not be re-classified by men who “feel like” women. I will not call men who “feel like” women, lesbians. I will call them what they are: heterosexual men. I will not put up with being accused of having “mono-sexual privilege” that I wield over men. I will not be shamed and bullied into having sex with men who say they are lesbians and I will call those who try what they are: sexual predators. I will never sign up, line up or shut up about the genocidal assimilation of my lesbian sisters into your transgender cult. I will gather with my sisters wherever and whenever I please and I will not grant you access no matter what woman hating law I am breaking. I will fight back against this misogynistic/homophobic attack that only seeks to silence me and make me invisible.
. I am a woman. I will not stand for the ridiculous premise that I am trans-misogynist. It is my birthright to speak out loud about any idea or practice that harms women. I will continue to speak out loud about male privilege, male entitlement and male pattern violence. I will continue to expose the real hatred that men direct at women, wether those men happen to “feel like a woman” at the time or not. I will fight back against this misogynistic attack that only seeks to silence me and make me invisible.
. I am a woman. I reject all notions that there is such a thing as ‘Gender Dysphoria’, female brain, woman feelings, or any other gender based idea, theory or practice. I reject your gender binary straight jacket. I reject your pornographic version of woman and the sexual slavery you promote. I will fight back against this misogynistic attack that only seeks to silence me and make me invisible
. I am a woman. That word belongs to me. I get to say what that word means. I will not use the word woman or she to include one man. I will not use the word woman or she to describe one man. I will not ally myself with any man who uses woman and she to describe himself no matter how much of a “good guy” he says he is. I will protect the word woman, and in protecting the word woman, I protect my ability to speak about myself, my experience, my future, my past and the entire history of women. You will not rob me of my ability to know my sisters through language. I will fight back against this misogynistic attack that only seeks to silence me and make me invisible.
. I am a woman. It is my birthright to speak about my body, my experience, my life using my own words. My vagina is not a front hole any more that your penis is a front tail. I will continue to talk about my period, watch the Vagina Monologues, hear Germaine Greer and all my beloved feminists speak, and call other women my sisters wether you “feel” excluded or not. I will gather with my sisters wherever and whenever I please and I will not grant you access no matter what woman hating law I am breaking. I am not afraid of you. Calling me names will not stop me. Threatening me will not stop me. I will fight back against this misogynistic attack that only seeks to silence me and make me invisible.
I am a woman
and I will defend myself !
[images added by me-GM]
June 22, 2015
What is a “true transsexual”?
Sex roles, or “gender” assigns the cultural behaviors and traits of supremacy and domination to males, and assigns the behavior and traits of inferiority and subjugation to females. Gender is a political hierarchy, a social caste system of males on the top, ruling, and females on the bottom, serving them. Those of us who’ve been educated in such matters have been informed by the transgender movement that “transgender” is an umbrella term for anyone whose social behavior or whose personality traits deviate from the stereotypes imposed on all of us based on our reproductive sex for the purpose of codifying and perpetuating male supremacy over the bodies of females.
Except for gay people, whose deviation from sex-stereotypical social norms is due to sexual orientation (unless we are also non-conforming in ways indirectly related to sexuality: butch dykes or gay queens, or perform in drag shows, and then maybe…)
And except for crossdressers, who are men dedicated to the fetish hobby of performing their own idealized, objectified version of the female sex-stereotype, an activity which sexually arouses them as men. Unless such men are socially persecuted for their hobby, in which case they are transgender. And unless such men form an attachment to their ritualized “female other” persona, and decide to expand the practice into a full-time lifestyle, like Bruce Jenner, who wanted to become “her”, in which case they are transgender.
And except for women who passed as male in order to escape the female role, to avoid male rape and violence, persecution for homosexuality or to engage in activities and careers forbidden to women. Unless they are now dead, in which case they posthumously are transgender.
Men who believe their personalities are aligned with any characteristics they assign via sexism to women based on our reproductive biology are transgender, even if they sport full beards, cock and balls, and answer to “Bubba”. Donna Perry is transgender, even though he brutally murdered five women as a sexual sociopath and serial killer on the path to discovering his true authentic self.
Genderqueers are women who don’t want to be thought of as female because the female sex-role is oppressive. Their pronouns are “anything but female” but that doesn’t stop them from being raped and assaulted by men. They are transgender.
Coy Mathis and Jazz Jennings are boys whose parents with Munchausen By Proxy pimp them out to the media as pediatric transgender Honey-boo-boos for fame and profit. They are transgender.
Chaz Bono is Cher’s self-hating lesbian daughter who complained that the Ellen Degeneres Show was “too gay” and “moving too fast for society” before she began injecting testosterone. She is transgender.
Morgan Page, Julia Serano, Dana Beyer are autogynephiles that are very upset that lesbian people exist because they believe female homosexuality discriminates against males by rejecting males as sexual partners. They are transgender.
So it seems that “transgender” is an umbrella term for anyone whose social behavior or whose personality traits deviate from the stereotypes imposed on all of us based on our reproductive sex for the purpose of upholding a caste system which benefits males and disadvantages females, but only if such a person supports these sex stereotypes and believes that sex roles are innate and define sexual reproduction instead of actual reproductive biology. Or something.
Of course, females who transgender can’t “identify” their way out of the subordinate caste and the requisite male rape and male violence which enforces it, unless their biology is completely disguised and their origins unknown. Female “Transmen” aren’t exactly fighting for their right to be housed in men’s prisons when they get arrested. They aren’t demanding “male” abortion services and pap smears at the local urology clinic. The transgender community itself is notoriously sex-segregated and misogynist towards females who transgender because there really is no benefit to the males (“Transwomen”) even attempting to undo their socialization as the dominant and superior members of the sex caste. That’s about as likely to occur as men deciding to stop raping us because we ask them to. What’s in it for them?
Transgender is a Men’s Rights Movement. It seeks to expand both the dominance of males and the subjugation of females, and all with a tidy profit made by what one commenter here called the “Gender Industrial Complex”. Transgender also acts as a release valve to siphon off and neutralize female rebellion against the sex caste system of gender by allowing women to access some superficial privileges of maleness (such as avoiding a measure of public surveillance by men on the street, etc) in exchange for pledging fealty to the hierarchical premise of the caste system and voluntarily submitting oneself to monitoring by the medical authorities.
So. Now that we know what “transgender” means: what is a “True Transsexual”? I’ve been hearing so much about the “truly transsexual” these days, and from the most unlikely of places! It seems a cohort of heterosexual women and men calling themselves “gender critical” are now forwarding the idea of the “true” vs. “false” transsexual. These folks have taken to defanging the work of Radical Feminists and Lesbian Feminists by re-writing (or just downright plagiarizing) with a few significant changes, or perhaps “corrections” in their view: namely they remove the lesbian and women-centered analysis and instead center the concerns of their men friends who would like to transgender. The straight women and “transwomen” (who are “gender critical” male femulators in the same way that Rachel Dolezal is a white “race-critical transblack”) seem to be trying to create a liberal feminist version of gender critique the sole purpose of which is to center men who impersonate women and to replicate the heterosexual dynamic.
“The “radical” in radical feminism means getting to the root of the problem. The root of the problem is gender, meaning the idea of male (masculine/dominant) and female (feminine/subordinate) personalities,” says one of these women.
Huh? The tribal legacy of violent male control over the means of human reproduction (Females!) is not the root? Wow. Learn something new every day. The root of female oppression is not violent sex-based exploitation but rooted in the barriers to full expression of male personalities. Huh. Well, we’ve nearly got this all sorted, then. Male liberation now! The sooner the better! This whole global history thing really was a big misunderstanding! Ritualized cultural sex-caste traditions are the problem, not the violent control of those bodies capable of creating offspring, which is at the root of such traditions.
This is Trans-feminism. This is Mans-feminism. The author goes on to lecture women that we should “offer safety” in the male-occupied land of women to male “refugees” from the ruling caste –(weary is the head that holds the crown!)- men who want to call themselves Meredith, take estrogen, wear yoga pants and try to pass themselves off as “transwomen”. Like we don’t have enough problems, we should perform as unpaid femulator academies for the male lesbians.
These heterosexual transfeminist women propagating a rootless mansfeminism stripped of sex-based analysis so that they can better serve the needs of their TBF* (*Transwoman Best Friends- the straight woman’s “gay best friend” is like, so five minutes ago, apparently) would be laughable if they weren’t so damn harmful to the women and girls who actually have a dog in the transgender race, so to speak. It’s no coincidence that all of the new radlib transfeminists parsing out the “true transsexuals” from the nasty bad false ones are straight. It’s not a coincidence that they de-lesbian their analysis. The fact that they also dis-include “Transmen” (who are actual females! hello?) from their MansFeminist Tranifestos is no coincidence.
I’m going to tell you now what a “True Transsexual” really is.
This is what enters my mind every. single. time. one of these straight women makes the distinction between the “True” transsexual with “Real Sex Dysphoria!” and the “False” bad kind. I don’t think about their TranswomanBestFriend and whatever shit he does to himself. I really don’t care what men do to themselves.
From the WPATH World Professional Transgender Health Symposium, Bangkok, 2014:
Gennaro Selvaggi, MD, PhD, MSc, FRCS, Rickard Branemark, MD, PhD, MSc, Anna
Elander, Joacim Stalfors, MD, PhD.
Preoperative planning and titanium implant fixation for “boneanchored penile epithesis”.
The principle of osseointegration is accepted and used in reconstructive surgery: different
types of epithesis (ear, nose, etc.) can be fixed via titanium screws to the recipient bone.
We present the first series of patients where titanium implants have been implanted onto the
pubic bones of femaletomale (FTM) transsexual patients, in order to attach a “bone anchored” penile epithesis.
Following patients’ selection based on patients’ wishes, pubic bones of five FTM transsexuals
were analysed with CTscan.
CTscan images were uploaded on Surgiguide 5.0 software and a virtual planning was made,
simulating various implant (“fixtures” and “abutments”) sizes and locations.
A surgical plan composed of a two separate stages was developed.
To the date of the submission of this abstract, six FTM transsexuals underwent stage1 surgery, and 3 underwent stage2 surgery.
During the stage1 surgery, two titanium implants (“fixtures”) were implanted onto the pubic boneof each patient,
lateral to the pubic symphisis. Four weeks postop, a new CT scan was performed to analyze osteointegration and the final implant position.
During the stage2 surgery, the soft tissue of the pubic have been reduced; abutments have been inserted and passed through the skin.
After few weeks, a penile epithesis is connected via a “retention” system to the titanium implants.
Preoperative virtual planning is crucial for the selection of the appropriate implants size and the
anatomical location where to set the implants.
Both stage1 and stage2 surgeries occurred uneventfully in all patients.
Postoperative CT scan is demonstrating implant osteointegration in all 6 cases.
Functional results of the use of the epithesis will be provided as soon as available.
This experimental clinical study demonstrates that titanium osteointegration onto the pubic bone is feasible.
This new approach for penile reconstruction in FTM transsexuals constitutes another alternative for these patients.
Further technical development is needed to validate the stage2 surgery and the penile epithesis.
There are six women out there, somewhere in the world, please God bless them and keep them, with titanium rods screwed into their pelvic bones and expressed (sticking out through perpetually broken, lymph oozing skin) through their groin in the hopes that one day a dildo might after “further technical development” be affixed to the metal. Who knows what else these surgeons are doing to female “True Transsexuals” that isn’t being presented to the public at WPATH. I say a prayer for these women every time I think of them, and I think of them every single time I hear a “feminist” say the words “True Transsexual”. I hope you do now too. With a prayer.
What Makes a Woman? By Elinor Burkett
Do women and men have different brains?
Back when Lawrence H. Summers was president of Harvard and suggested that they did, the reaction was swift and merciless. Pundits branded him sexist. Faculty members deemed him a troglodyte. Alumni withheld donations.
But when Bruce Jenner said much the same thing in an April interview with Diane Sawyer, he was lionized for his bravery, even for his progressivism.
“My brain is much more female than it is male,” he told her, explaining how he knew that he was transgender.
This was the prelude to a new photo spread and interview in Vanity Fair that offered us a glimpse into Caitlyn Jenner’s idea of a woman: a cleavage-boosting corset, sultry poses, thick mascara and the prospect of regular “girls’ nights” of banter about hair and makeup. Ms. Jenner was greeted with even more thunderous applause. ESPN announced it would give Ms. Jenner an award for courage. President Obama also praised her. Not to be outdone, Chelsea Manning hopped on Ms. Jenner’s gender train on Twitter, gushing, “I am so much more aware of my emotions; much more sensitive emotionally (and physically).”
A part of me winced.
I have fought for many of my 68 years against efforts to put women — our brains, our hearts, our bodies, even our moods — into tidy boxes, to reduce us to hoary stereotypes. Suddenly, I find that many of the people I think of as being on my side — people who proudly call themselves progressive and fervently support the human need for self-determination — are buying into the notion that minor differences in male and female brains lead to major forks in the road and that some sort of gendered destiny is encoded in us.
That’s the kind of nonsense that was used to repress women for centuries. But the desire to support people like Ms. Jenner and their journey toward their truest selves has strangely and unwittingly brought it back.
People who haven’t lived their whole lives as women, whether Ms. Jenner or Mr. Summers, shouldn’t get to define us. That’s something men have been doing for much too long. And as much as I recognize and endorse the right of men to throw off the mantle of maleness, they cannot stake their claim to dignity as transgender people by trampling on mine as a woman.
Read the rest of this article HERE.