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They invest so much in their transition, and make highly detailed videos about what they've experienced. But try debating with any of them and it quickly becomes apparent to me that they have a very superficial understanding of what they are doing. They can basically only recite the bullet points on the informed consent forms but they don't know what any of it means. Common things I've seen:

  1. Poor understanding of research. "We don't have any research to say that it DOES harm you!" First of all, we do, but even if we didn't, that's not evidence that wrecking your hormones is a safe thing to do. Absence of evidence is not evidence of absence.

  2. A belief that unethical doctors are extremely rare, and CERTAINLY never found in the transgender healthcare field! Even if they do acknowledge bad ethics en masse, they view it as historical atrocity. Or, they act like the opioid crisis and transition treatments don't come from the same field.

  3. Very vague knowledge of what hormones do. They know how hormones can change appearance but don't know what else they do for the body.

  4. Baaaaarely wikipedia level of understanding of DSDs.

  5. They think individual features all come together so that they will pass. "Some men are short." "Some men have big butts." "Some men don't grow much facial hair." They don't realize that individual features don't overrule the entire presentation. Humans can easily tell the difference between a short man and a tall woman. And there's a recitation vibe to it- like they are repeating what doctors have told them. It feels like these doctors are trying to convince TIFs that if they retain very female features, they will still pass.

  6. Early hysterectomies and the link to dementia is always news to them. "I have NEVER heard that." That's their dismissal, too, to imply that you're a nut with weird beliefs.

Maybe detransitioners can weigh in, here. But I just don't think doctors do a thorough job, helping their patients fully understand their new medications. Isaac, a detrans TIM, recorded his therapist being glib and shady. I know that's just his therapist and not his doctor. But combined with the way TIFs discuss this online, it seems like doctors in the gender business don't fully inform. As a habit. Dr. Gallagher feigns transparency by talking about her surgical techniques- "wee little chonkies-" but does she talk about dementia?

They invest so much in their transition, and make highly detailed videos about what they've experienced. But try debating with any of them and it quickly becomes apparent to me that they have a very superficial understanding of what they are doing. They can basically only recite the bullet points on the informed consent forms but they don't know what any of it means. Common things I've seen: 1. Poor understanding of research. "We don't have any research to say that it DOES harm you!" First of all, we do, but even if we didn't, that's not evidence that wrecking your hormones is a safe thing to do. Absence of evidence is not evidence of absence. 2. A belief that unethical doctors are extremely rare, and CERTAINLY never found in the transgender healthcare field! Even if they do acknowledge bad ethics en masse, they view it as historical atrocity. Or, they act like the opioid crisis and transition treatments don't come from the same field. 3. Very vague knowledge of what hormones do. They know how hormones can change appearance but don't know what else they do for the body. 4. Baaaaarely wikipedia level of understanding of DSDs. 5. They think individual features all come together so that they will pass. "Some men are short." "Some men have big butts." "Some men don't grow much facial hair." They don't realize that individual features don't overrule the entire presentation. Humans can easily tell the difference between a short man and a tall woman. And there's a recitation vibe to it- like they are repeating what doctors have told them. It feels like these doctors are trying to convince TIFs that if they retain very female features, they will still pass. 6. Early hysterectomies and the link to dementia is always news to them. "I have NEVER heard that." That's their dismissal, too, to imply that you're a nut with weird beliefs. Maybe detransitioners can weigh in, here. But I just don't think doctors do a thorough job, helping their patients fully understand their new medications. Isaac, a detrans TIM, recorded his therapist being glib and shady. I know that's just his therapist and not his doctor. But combined with the way TIFs discuss this online, it seems like doctors in the gender business don't fully inform. As a habit. Dr. Gallagher feigns transparency by talking about her surgical techniques- "wee little chonkies-" but does she talk about dementia?

42 comments

On #6, far too many women are unaware of the SE of having hysterectomies - it's sometimes been seen as a right to demand a doc remove organs, and indicative of a lack of respect when people question a woman's free choice on the matter, rather than possibly good medical advice. It may sometimes be motivated by a lack of respect, of course, but as you say, hysterectomies are a bad idea for a lot of reasons and should be avoided unless completely necessary. It's not just easy birth control. So we are badly informed all over the place, not just when it comes to trying to remodel from one sex to the other.

I think this is a problem all throughout American/ Capitalist culture. The whole notion of "rights" has been merged with the idea of desires, so that people think it's their right to have whatever they want - more or less as long as it's something that could be provided without directly hurting others. Thinking about how realistic it is to get for everyone who would want it, how necessary it really is, and how beneficial it would be for the larger culture, all gets put aside - if people say they want optional surgeries, high speed internet, medical marijuana, then it's a human right. Don't worry about the fact that there are still parts of the US that don't have clean water...

Anyway, definitely people get sold a fantasy and then insist it's their right to have it, without critically addressing if it's a good idea, for them individually or the whole society. Does feel a bit like "decadence of the Romans..."