September 22, 2016
Former British Women’s Fell Running Champion Lauren Jeska confessed in court today to committing a vicious premeditated triple stabbing attack on British sports authorities last March at Alexander Stadium.
“Women athlete who tried to murder sports official was transgender and facing review into medals”, reports the UK Mirror Online:
“Sean Kyne, District Crown Prosecutor from West Midlands Crown Prosecution Service, said: “Lauren Jeska had a disagreement with British Athletics officials which escalated and rather than resolve the matter through the appropriate channels, she armed herself with a number of knives, drove from her home in Wales to Birmingham and launched a premeditated and savage attack on the victim which resulted in the victim and his colleagues sustaining a number of life threatening injuries.”
“Fell Runner Lauren Jeska tried to kill British athletics official because she feared the body would revoke her titles over transgender status” The Telegraph reports:
“Lauren Jeska, 42, admitted attempting to murder former professional rugby player Ralph Knibbs, 51, during a hearing at Birmingham Crown Court yesterday.
It is understood a review was being planned into her status as a female athlete because she had been born a man. Her titles could have been in doubt if UK Athletics ruled that she had had an unfair advantage while competing against women, sources suggested.
The Crown Prosecution Service (CPS) and West Midlands Police confirmed Jeska was a transgender athlete after the hearing.
She also admitted two counts of having a knife in a public place and two of assault causing actual bodily harm.
On March 22, Jeska, from Machynlleth, Powys, drove from her home in Wales to the British Athletic headquarters in Perry Barr, Birmingham, armed with a number of knives.
A CPS spokesman said: “The defendant entered their offices and asked to speak to the victim.
“She was asked to wait in reception, however, Jeska walked into the open plan office and attacked the victim and stabbed him a number of times.”
“The former British champion fell-runner, from Machynlleth, Powys, Mid Wales, used two 12cm and 13cm kitchen knives in the attack with a third blade – a bread knife – stashed in her bag.
She viciously stabbed Mr Knibbs in the head and neck, Birmingham Crown Court heard.
Mr Knibbs, now the head of human resources and welfare at British Athletics after a stellar rugby playing career, suffered life-threatening injuries.
He famously turned down the chance to go on tour with England to South Africa in 1984 because he opposed apartheid.
Jeska, who the court heard is autistic, lashed out at two other top UK Athletics officials, accountant Tim Begley and Kevan Taylor, when they tried to stop her.
The Daily Mail goes on to report that:
“Jeska is listed as being a member of the Yorkshire-based Todmorden Harriers Running Club on the group’s website. She was also a second-claim member for Aberystwyth AC.
According to the site, she was the women’s English Fell Running Champion for three consecutive years between 2010-2012 and won the British Championship in 2012.”
Both the BBC and The Guardian refused to report on Jeska’s transgender status and his motive for the attack, and misreported him as being a female defendant whose motive was unknown.
Jeska will be sentenced on November 15.
September 7, 2016
The Following is a GUEST POST authored by MIKE.
On the Dissolution of a Dream
Guest Post by MikefromOhio
In response to Gallus Mag’s gracious invitation to share more of my experience, I offer the following account. Let me say first that although I think my experience may be of some value, it is still only one perspective. Please feel free to ask or challenge me about anything I’ve said and I will try to respond. I may have some questions for you as well. Lastly, my thanks to Gallus and all the contributors here for maintaining such an important forum. To my story then.
Like most boys who dream of being girls, I was much closer to my mother than my father. I felt strongly that I understood her sadness, especially as the wife of a man like my dad. I loved her, deeply, while perceiving him as cold, domineering, someone extremely capable in practical matters but having little time for, or interest in, the emotional undercurrents of life. I was sure, as a child, that I was nothing like him. I knew I was a boy and that boys become men, but if my sentence was to end up like him, I wanted no part of it. I wanted to be like my mom, someone open to her emotions, generous and loving to those around her–in every way beautiful to me. In short, I wanted to grow up to be her. But only girls become women. So, though I kept it to myself, I began daydreaming I’d been born a girl. At least in imagination I could find some solace.
I was the first of four children, born in 1963, a few months before the JFK assassination. I don’t know to what degree my parents may have unwittingly transmitted the turbulence of that decade into my child’s mind, but on the surface, our white, middle-class household wasn’t much affected by urban riots or the Vietnam War, far less by any sexual revolution or feminism. Read the rest of this entry »
September 3, 2016
A historic first in the annals of gender: a preliminary survey of over two hundred female detransitioners has been completed. Read the results here:
Medicare denies national coverage for gender reassignment surgery: No evidence of therapeutic outcome
August 31, 2016
On June 2, 2016 the Centers for Medicare & Medicaid Services (CMS) denied national coverage for gender reassignment surgery after the agency conducted a year long review which determined that there is no medical evidence of a therapeutic outcome for patients who have undergone these procedures.
Excerpts from their report:
On December 3, 2015, CMS accepted a formal complete request from a beneficiary to initiate a national coverage analysis (NCA) for gender reassignment surgery.
CMS opened this National Coverage Analysis (NCA) to thoroughly review the evidence to determine whether or not gender reassignment surgery may be covered nationally under the Medicare program.
In general, when making national coverage determinations, CMS evaluates relevant clinical evidence to determine whether or not the evidence is of sufficient quality to support a finding that an item or service is reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. (§ 1862 (a)(1)(A)). The evidence may consist of external technology assessments, internal review of published and unpublished studies, recommendations from the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC), evidence-based guidelines, professional society position statements, expert opinion, and public comments.
The overall objective for the critical appraisal of the evidence is to determine to what degree we are confident that: 1) specific clinical question relevant to the coverage request can be answered conclusively; and 2) the extent to which we are confident that the intervention will improve health outcomes for patients.
CMS staff extensively searched for primary studies evaluating therapeutic interventions for gender dysphoria. There was particular emphasis on the various surgical interventions, but other treatments including hormone therapy, psychotherapy, psychiatric treatment, ancillary reproductive and gender modifying services, and post-operative surveillance services for natal sex organs were also included because of their serial and sometimes overlapping roles in patient management. The emphasis focused less on specific surgical techniques and more on functional outcomes unless specific techniques altered those types of outcomes.
The reviewed evidence included articles obtained by searching literature databases and technology review databases from PubMed (1965 to current date), EMBASE, the Agency for Healthcare Research and Quality (AHRQ), the Blue Cross/Blue Shield Technology Evaluation Center, the Cochrane Collection, the Institute of Medicine, and the National Institute for Health and Care Excellence (NICE) as well as the source material for commentary, guidelines, and formal evidence-based documents published by professional societies. Systematic reviews were used to help locate some of the more obscure publications and abstracts.
CMS reviewed and considered potential objective measures of function including mortality, psychiatric treatment, and attempted suicide. None of the longitudinal studies in which patients served as their own control, however, comprehensively tracked changes in these events as objective measures of function before and after surgery. Events such as suicide and institutionalization were mentioned incidentally when describing patients excluded from a follow-up study or during the study (Heylens et al., 2014; Ruppin, Pfafflin, 2015). Other times investigators tracked these functional outcomes (e.g., psychiatric out-patient treatment, psychiatric in-patient treatment, and substance abuse) for the most current prior year (Ruppin, Pfafflin, 2015).
The most comprehensive study with functional endpoints, the Swedish study that followed all patients who had undergone reassignment surgery (at mean age 35.1 years) over a 30 year interval and compared them to 6480 matched controls, identified increased mortality and increased psychiatric hospitalization (Dhejne et al., 2011). The mortality was primarily due to completed suicides (19.1-fold greater than in control Swedes), but death due to neoplasm and cardiovascular disease was increased 2 to 2.5 times as well. The divergence in mortality from the Swedish population did not become apparent until after 10 years. The risk for psychiatric hospitalization was 2.8 times greater than in controls even after adjustment for prior psychiatric disease (18%). The risk for attempted suicide was greater in male-to-female patients regardless of the gender of the control. Unfortunately, the study was not constructed to assess the impact of gender reassignment per se. The finding of this study, again, demonstrated that reassignment surgery does not return patients to a normal level of morbidity risk and that the morbidity risk is significant, because of its clinical importance, its persistence over the interval of data collection and the increase in risk over time for the individual.
The currently available evidence has limitations:
- There were design deficiencies. All but one of the studies were observational in nature. All but two were non-blinded. The accompanying loss to follow-up suggests that there is selection bias and that the population that seeks treatment for gender dysphoria is not the same population that undergoes reassignment surgery without hesitation or regret.
- The psychometric and psychosocial function endpoints are not well validated.
- There were limitations of the psychosocial endpoints and of the data collection of other hard functional outcomes. Evidence on mortality and especially suicide was stronger. The mortality and psychiatric hospitalization rates even after vetting in highly structured programs are of concern.
- There are insufficient data to select optimal candidates for surgery.
- The results were inconsistent, but negative in the best studies, i.e., those that reduced confounding by testing patients prior to and after surgery and which used psychometric tests with some established validation in other large populations. (Atkins et al., 2004; Balshem et al., 2011; Chan, Altman, 2005; Deeks et al., 2003; Guyatt et al., 2008a-c; 2011a-e; Kunz, Oxman,1998; Kunz et al., 2007 and 2011; Odgaard-Jensen et al., 2011).
Data on reassignment surgery performed on geriatric patients or follow-up data in geriatric patients who had reassignment surgery in the distant past is anecdotal (Orel, 2014).
Based on a thorough review of the clinical evidence available at this time, there is not enough evidence to determine whether gender reassignment surgery improves health outcomes for Medicare beneficiaries with gender dysphoria. There were conflicting (inconsistent) study results – of the best designed studies, some reported benefits while others reported harms.
The quality and strength of evidence were low due to the mostly observational study designs with no comparison groups, potential confounding and small sample sizes. Many studies that reported positive outcomes were exploratory type studies (case-series and case-control) with no confirmatory follow-up. Due in part to the generally younger and healthier study participants, the generalizability of the studies to the Medicare population is also unclear. Additional research is needed. This proposed conclusion is consistent with the West Midlands Health Technology Assessment Collaboration (2009) that reported “[f]urther research is needed but must use more sophisticated designs with comparison groups.” WPATH also noted the need for further research: “More studies are needed that focus on the outcomes of current assessment and treatment approaches for gender dysphoria.” Further, as mentioned earlier, patient preference is an important aspect of any treatment. With that in mind, CMS is interested in knowing from the patients with gender dysphoria what is important to them as a result of a successful gender reassignment surgery.
Knowledge on gender reassignment surgery for individuals with gender dysphoria is evolving. The specific role for various surgical procedures is less well understood than the role of hormonal intervention. Much of the available research has been conducted in highly vetted patients at select care programs integrating psychotherapy, endocrinology, and various surgical disciplines and operating under European medical management and regulatory structures. Standard psychometric tools need to be developed and tested in the patients with gender dysphoria to validly assess long term outcomes. As such, further evidence in this area would contribute to the question of whether gender reassignment surgery improves health outcomes in adults with gender dysphoria.
Because CMS is mindful of the unique and complex needs of this patient population and because CMS seeks sound data to guide proper care of the Medicare subset of this patient population, CMS strongly encourages robust clinical studies with adequate patient protections that will fill the evidence gaps delineated in this decision memorandum.
Currently, the local Medicare Administrative Contractors (MACs) determine coverage of gender reassignment surgery on an individual claim basis. The Centers for Medicare & Medicaid Services (CMS) proposes to continue this practice and not issue a National Coverage Determination (NCD) at this time on gender reassignment surgery for Medicare beneficiaries with gender dysphoria. Our review of the clinical evidence for gender reassignment surgery was inconclusive for the Medicare population at large.
Read the complete evidence review and text of Medicare’s denial of a national coverage determination for ‘Gender Reasignment Surgery” here:
Fifty years on: The Charing Cross Gender Identity Clinic and the funding of a category without parallel
August 30, 2016
Fascinating account of some of the history behind Charing Cross, the predominant Gender Identity Clinic in the UK, and an analysis of the factors leading to the surprise announcement this week that the West London Mental Health Trust which has governed the clinic for 60 years, was terminating its contract and cutting all ties to the service.
by Susan Matthews, UK Academic
The Charing Cross Gender Identity Clinic is the ‘oldest and largest adult clinic’ in the UK. It was founded in 1966, the year that the first sexual reassignment surgery was carried out at Johns Hopkins Gender Identity Clinic, the world’s first GIC founded the previous year by psychiatrist and sexologist John Money (1921-2006). The founding clinician at Charing Cross, Richard Green (1936 -), came with an impressive academic pedigree, having worked with Money, collaborating on research on boys who demonstrated cross-gender behaviour. Money liked to claim (with some justification) that he had invented the modern sense of the word ‘gender’ – andit was Money who named the clinic (specialising in the treatment of intersex and transsexual patients) a ‘Gender Identity Clinic’. (Up until the second half of the twentieth century, the word ‘gender’ referred to grammatical gender, a feature of language not human…
View original post 4,230 more words
Video of the Rapist [NOTICE: Biko pulled this video offline July 26 after this article was published]
Transwoman activist Cherno Biko, a 24 year old male from Ohio, confessed to raping a female “transman” because he wanted to impregnate her and force her to bear his offspring. The confession was posted publicly on Medium.com and titled “Overcoming Sexual Assault”:
[NOTICE: Biko edited his post on July 26 after this article was published. Read his original unedited article here:
Link to his now edited article: https://medium.com/@chernobiko/overcoming-sexual-assault-ca54293fea01#.mj3qdyfsr
See the changes Biko made to his confession here:
The whole piece reads as a long non-pology, quickly shifting focus from Biko’s act of rape to descriptions of his own childhood abuse, and a heroic account of his own activism in the transwoman community. He published the piece without consulting or notifying the victim.
“Our relationship existed largely online and we bonded over all the little things only black trans folks can understand. After years of searching, I thought I found the second piece to the holy trinity I wanted to create, complete with a black trans man and our black non-binary baby.
I was wrong. He made it clear to me that some trans men do not wish to carry children and it’s not ok to fetishize them in that way. The first time we had sex I can barely remember, as it followed a night of drinking and smoking but I know that we broke two of the most important rules… consent and safe sex. When he told me that he felt used and violated, I immediately apologized and offered to support in whatever way I could.”
According to the victim, who responded publicly at length on twitter, the two of them barely knew each other. After messaging each other on social media they met in real life on March 26 of this year and agreed to have heterosexual intercourse. Suddenly in mid deed Cherno Biko whispered in the transman’s ear “I want you to have my babies”. He then reached down and pulled the condom off of his penis and proceeded to forcibly rape and ejaculate into the victim, attempting to cause an unwanted pregnancy.
Biko writes in his post:
“I was afraid that I had become the thing I feared the most, an abuser. And technically I did. I was filled with shame and guilt. In the days following I wanted to respond in all the ways my abuser didn’t. I listened more than I shared. I validated their feelings and answered all of the questions. I gave them space, read: “they blocked me on twitter.” But in April when their text messages became threatening and unhealthy I blocked their number, knowing that they would call me out on social media. After all it’s where we met but I was worried about the implications it would have on the movement. I didn’t want to become the ammunition for our enemies to keep framing folks like us as predators who need to be kept out of public bathrooms.”
The transman victim whom Biko raped and tried to forcibly impregnate posted screen caps of these supposedly “threatening and unhealthy” responses to being raped. They involved the perpetrator being confronted over his unwillingness to pay for the victim’s PEP [Post Exposure Prophylaxis] prescription to prevent HIV infection in the victim.
According to the CDC:
“PEP (post-exposure prophylaxis) means taking antiretroviral medicines (ART) after being potentially exposed to HIV to prevent becoming infected.
PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV.”
The screencaps show Biko telling his victim – who lives in a rural area- that she should travel to a major metropolitan area and try to locate a city clinic that provides the medication for free. Biko stated, “It’s not that I don’t care I just don’t have the coin right now.” The cost was $80.
Cherno Biko currently resides in Brooklyn where he serves as co-chair to the Young Women’s Advisory Board of the New York City Council.
From East Idaho News:
“IDAHO FALLS — A transgender woman accused of videotaping an 18-year-old in a Target fitting room admitted to detectives that she had made videos in the past of women undressing, according to court documents obtained by EastIdahoNews.com.
Shauna Smith, a transgender woman, is being charged as Sean Smith with one felony count of video voyeurism after the alleged incident Monday.
An affidavit of probable cause states the 18-year-old woman was trying on swimwear at the Target on 25th East when someone in an adjacent fitting room held an iPhone over the top of the barrier and began taking photos or video recording.
“The victim’s mother confronted the suspect, who immediately fled on foot. Both (the victim and victim’s mother) described the suspect as a white male who was wearing a dress and a blonde wig. A witness observed the suspect get into a vehicle and leave the area,” court documents state.
Bonneville County detectives learned the vehicle was registered to Smith. When an investigator arrived at Smith’s home, documents state “the defendant’s roommate told (the investigator) her roommate is a transgender male who identifies as a female, Shauna Smith.”
The detective showed the roommate surveillance still photos of the suspect from Target and the roommate identified the suspect’s clothing as that of Smith’s, according to documents.
Deputies interviewed Smith and “the defendant eventually admitted to me that she had made videos in the past of women undressing. The defendant told (the detective) that she makes these videos for the ‘same reason men go online to look at pornography,’” documents state.
According to the affidavit, Smith told the detective “she finds the video sexually gratifying” and when the deputy looked at the camera roll on Smith’s iPhone, he “observed a video of a young adult female undressing in a changing room at what appear to be Target. The defendant admitted to me that this video was recorded at Target.”