B (107:26)
I guess. I think, I think so. Actually I was, I. We didn't get to last week, but before, you know, over a week ago there was this announcement. Local to us. Not super, super local, but local. Ish. Hold on. Don't do my screen yet because my computer is freaking out. Okay, now you can if you feel like it, if you can. This is in. I don't even know. Where was this published? Seattle Times Health Reporter. I think this is in the Seattle Times. Marybridge Children's Hospital to close gender clinic. So this is published on January 27th of this year. This is here in the Puget Sound, west of the Cascades on the very, very blue part of Washington state. And just a couple of paragraphs here. Marybridge Children's Hospital in Tacoma plans to shut down its gender clinic this week under mounting federal pressure to ban all gen affirming health care for trans youth. Hospital leaders announced the decision in a Monday memo to employees writing that, quote, recent developments at the federal level threaten to halt Medicaid and Medicare programs payments to the entire MultiCare health system, which owns Merrybridge, if it continues to offer gender affirming health services to minors. This was an incredibly painful decision and one that I wish we did not have to make, MultiCare CEO Bill Robertson wrote in the memo, which the hospital shared with the Seattle Town Times. We recognize how important this care is to our gender health clinic patients and have a sense of the impact this will have on these patients and their families, end quote. But without federal Medicaid and Medicare payments, Robertson continued, quote, our organization would cease to exist, end quote. According to the hospital, more than 60% of all Marybridge patients rely on Medicaid. Known as Apple Health in Washington, Marybridge cut its gender clinic waitlist of about 150 families in September, confirming that then that the clinic would continue to serve those who were already receiving gender affirming medication like hormone therapy and puberty blockers, but would not start any new medical treatment. This week's news means cutting off care to the clinic's remaining patients. Roughly 320 young people, including 180 under 18, who will now have to get their prescriptions renewed or find gender affirming mental health care elsewhere. And it goes on. But the language here is, is insane. Gender affirming health care. Gender affirming medication. No. At best, fantasy affirming medication at. At best. Right, yeah. Mental instability affirming medication. Celebration of mental illness medication. Right. That's what they're not going to be doing for these many children and other young people. People anymore. But only at this point, end of January, under duress from, from the Trump administration, from the federal government who said, we're going to cut off Medicare and Medicaid payments unless you cease and desist. You got to stop. So if I can. Oh, actually, yeah, maybe we can just go right here to. Then this week, just, just Yesterday, I believe February 3rd, we have here, the American Society of Plastic Surgery makes a position statement. It's the ASPs, the very first major medical organization, and it may just be the very first medical organization, full stop. To put out a position statement on gender surgery for children and adolescents, the summary of which is the clinical management of children and adolescents presenting with gender dysphoria or gender incongruence has undergone rapid change and ASPs again. The American Society of Plastic Surgeons wishes to offer guidance to members providing gender surgery services for this population. This position statement discusses the views of the American Society of Plastic Surgeons on breast, chest, genital and facial gender surgery for individuals under the age of 19. Funny, the summary doesn't say what their position statement is. They're still hiding. They're still hiding here. But you have to scroll. You have to scroll. You have to scroll. You know, caveat after caveat after caveat. Hiding behind what they've already said, explaining why they didn't come to this suit sooner. Finally, the ASPS position. ASPS recommends that surgeons delay gender related breast, chest, genital and facial surgery until a patient is at least 19 years old. It's too little, too late, but it's utterly necessary and it's about time, right? It's like the changes to the childhood vaccine schedule. Oh, my God. We got a lot further to go, but good. They're making no statement. They're the association for the Society of Plastic Surgeons, so maybe they wouldn't have any say about the endocrinological interventions. But with regard to surgery, which is, after all, their bailiwick they're saying until you hit 19, excuse me, until you hit 19, you shouldn't have facial feminization or I guess masculinization. I've never heard of that happening. Maybe that happens. Although that's, that would be an adding rather than a subtracting. So we, that's not as easy to do genital or top surgery, when it's called top surgery. So again, again, too little, too late. And they hedge and they hedge and they hedge and they explain themselves away, about which I have very little patience. But they ultimately get there. And then in the wake of this, if you can show the National Review, in the wake of this ASPs statement, position statement, asked the AMA what, what they thought and the AMA, the American Medical association, said in a statement in National Review that because the evidence for gender affirming surgical intervention in minors is insufficient for us to make a definitive statement. The AMA agrees with ASPs that surgical interventions in minors should be generally deferred to adulthood. The AMA supports, quote, evidence based treatment, end quote, including other types of gender affirming care for minors. The organization added. And that screenshot is part of a tweet that I believe it was Lior Sapir had in which he says the American Medical association agrees with the ASPs about surgeries. If the AMA was wrong about surgeries, could it also have been wrong about hormones? Good question. Of course they are. And as Leora Sapir knows very well, he's on the side of reality and moral rightness in this fight has been from the beginning. So it's happening. It has felt like it was happening for a long time. And I have been suspicious that there would be clawing back and it's not over by any means, I guess. I mean, the other big piece of news which I actually don't have a screenshot of or a direct reference to, is that the first lawsuit providing, basically, I can't think of any legal terms at the moment. Restitution, that's not the right word to someone who got transitioned because their parents were told that if they didn't, they would commit suicide. Has received, I think, $2 million in damages.