Federal judge bars Texas from enforcing book rating law

https://www.texastribune.org/2023/08/31/texas-book-rating-lawsuit/

House Bill 900 requires book vendors to rate all their materials based on their depictions or references to sex before selling them to schools. Vendors say the law aims to regulate protected speech with โ€œvague and over broadโ€ terms.

Books at Vandegrift High School's library on March 2, 2022.a

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DEMOCRATS vs REPUBLICANS! Let’s Compare & Contrast | Christopher Titus (BEST OF ’23 …so far!)

The Secrets of Moms For Liberty

Highways are the next antiabortion target. One Texas town is resisting.

https://www.washingtonpost.com/politics/2023/09/01/texas-abortion-highways/

They will not stop, they believe they are on a moral crusade for their god.ย  Even though the bible they are said to worship supports abortion and clearly claims that a child doesn’t have a soul until it draws breath.ย  But hey why read the book when you can listen to preachers and right wing politicians shout at you that it is murder to abort a fetus even if it will kill the person it is using as a host to grow.ย  The march by the Christian nationalist minority is in full swing and rushing forward at double time to take over the country for their god.ย  ย Making the US a theocracy where church doctrine is supported by morality police / vice squads.ย  A Christian Taliban of gang thugs like the Proud Boys, Oath Keepers, and other white supremacist thugs.ย  They intend to do to the rights of the LGBTQIA to exist publicly in society and get the medical treatment they need, as they are doing to the rights of pregnant people of their own medical decisions or control over their own bodies.ย  These people see the fictional story / TV series The Handmaidens Tale as a guild, not a warning.ย  ย Hugs


A new ordinance, passed in several jurisdictions and under consideration elsewhere, aims to stop people from using local roads to drive someone out of state for an abortion

A crowd spills into a hallway during a city council meeting in Llano, Tex., when members voted on whether to further limit abortion access. (Christopher Lee/for The Washington Post)

LLANO, Tex. โ€” No one could remember the last time so many people packed into City Hall.

As the meeting began on a late August evening, residents spilled out into the hallway, the brim of one cowboy hat kissing the next, each person jostling for a look at the five city council members who would decide whether to make Llano the third city in Texas to outlaw what some antiabortionย activists call โ€œabortion trafficking.โ€

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For well over an hour, the people of Llano โ€” a town of about 3,400 deep in Texas Hill Country โ€” approached the podium to speak out against abortion. While the procedure was now illegal across Texas, people were still driving women on Llano roads to reach abortion clinics in other states, the residents had been told. They said their city had a responsibility to โ€œfight the murders.โ€

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The cheers after each speech grew louder as the crowd readied for the vote. Then one woman on the council spoke up.

โ€œI feel like thereโ€™s a lot more to discuss about this,โ€ said Laura Almond, a staunch conservative who owns a consignment shop in the middle of town. โ€œI have a ton of questions.โ€

Council member Laura Almond questions the proposed ordinance and recommends it be tabled due to the vague and potentially far-reaching language. (Christopher Lee for The Washington Post)

More than a year afterย Roe v. Wadeย was overturned, many conservatives have grown frustrated by the number of people able to circumvent antiabortion laws โ€” with some advocates grasping for even stricter measures they hope will fully eradicate abortion nationwide.

That frustration is driving a new strategy in heavily conservative cities and counties across Texas. Designed by the architects of the stateโ€™s โ€œheartbeatโ€ ban that took effect months beforeย Roeย fell, ordinances like the one proposed in Llano โ€” where some 80 percent of voters in the county backed Presidentย Donald Trumpย in 2020 โ€” make it illegal to transport anyone to get an abortion on roads within the city or county limits. The laws allow any private citizen to sue a person or organization they suspect of violating the ordinance.

Antiabortion advocates behind the measure are targeting regions along interstates and in areas with airports, with the goal of blocking off the main arteries out of Texas and keeping pregnant women hemmed within the confines of their antiabortion state. These provisions have already passed in two counties and two cities, creating legal risk for those traveling on major highways including Interstate 20 and Route 84, which head toward New Mexico, where abortion remains legal and new clinics have opened to accommodate Texas women. Several more jurisdictions are expected to vote on the measure in the coming weeks.

โ€œThis really is building a wall to stop abortion trafficking,โ€ said Mark Lee Dickson, the antiabortion activist behind the effort.

Texas counties and highways targeted by antiabortion ordinances

A new wave of proposals would make it illegal for anyone to use certain roads to drive someone out of state for an abortion.

Conservative lawmakers started exploring ways to block interstate abortion travel long beforeย Roeย was overturned. A Missouri legislatorย introducedย a law in early 2022ย that would have allowed any private citizen to sue anyone who helped a Missouri resident secure an abortion, regardless of where the abortion occurred โ€” an approach laterย discussed at lengthย by several national antiabortion groups. In April, Idahoย becameย the first state to impose criminal penalties on anyone who helps a minor leave the state for an abortion without parental consent.

Antiabortion lawmakers want to block patients from crossing state lines

But even in the most conservative corners of Texas, efforts to crack down on abortion travel are meeting some resistance โ€” with some local officials, even those deeply supportive of Texasโ€™s strict abortion laws, expressing concern that the โ€œtraffickingโ€ efforts go too far and could harm their communities.

The pushback reflects a new point of tension in the post-Roeย debate among antiabortion advocates over how aggressively to restrict the procedure, with some Republicans in other states fearing a backlash from voters who support abortion rights. In small-town Texas, the concerns are more practical than political.

Two weeks before the Llano vote, lawmakers in Chandler, Tex., held off passing the ordinance, citing concerns about legal ramifications for the town and how the measure might conflict with existing Texas laws.

โ€œI believe weโ€™re making a mistake if we do this,โ€ said Chandler council member Janeice Lunsford, minutes before she and her colleagues agreed to push the vote to another time. She later told The Washington Post that she felt the stateโ€™s abortion ban already did enough to stop abortions in Texas.

Then came the Llano City Council meeting on Aug. 21. Speaking to the crowd, Almond was careful to emphasize her antiabortion beliefs.

โ€œI hate abortion,โ€ she said. โ€œIโ€™m a Jesus lover like all of you in here.โ€

Still, she said, she couldnโ€™t help thinking about the time in college when she picked up a friend from an abortion clinic โ€” and how someone might have tried to punish her under this law.

โ€œItโ€™s overreaching,โ€ she said. โ€œWeโ€™re talking about people here.โ€

***

A Confederate statue sits in the middle of Llano, Tex., a town of about 3,400 deep in Texas Hill Country. (Christopher Lee for The Washington Post)

About a month earlier, Dickson had arrived in Llano with an urgent warning.

A โ€œbaby murdering cartelโ€ was coming for the pregnant women of Central Texas, he recalled telling a group of about 25 Llano citizens in the town library, wearing his signature black blazer and backward baseball cap.

โ€œBy trains, planes and automobiles, I say we end abortion trafficking in the state of Texas,โ€ he said.

Dickson brought along a laminated map of his state, black and red Sharpie marking each of the 51 jurisdictions across Texas that had passed ordinances to become what he calls a โ€œsanctuary city for the unborn.โ€

He hoped Llano would be next.

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A director of Right to Life of East Texas, Dickson joined forces with former Texas solicitor general Jonathan Mitchell in 2019, when abortion was still legal in Texas until 22 weeks of pregnancy. Together, the men set out to ban abortion city by city, focusing on conservative strongholds. The Texas ordinances relied on the novel enforcement mechanism that empowers private citizens to sue, creating the model for the statewide โ€œheartbeat banโ€ that took effect exactly two years ago, on Sept. 1, 2021.

Sinceย Roeย fell, triggering a new ban that outlawed almost all abortions in Texas, Dickson and Mitchell have changed their strategy. Along with passing ordinances in conservative border towns in Democrat-led states, where abortion providers may look to open new clinics, the team has zeroed in on those helping women leave Texas for abortions โ€” a practice they call โ€œabortion trafficking.โ€

Mark Lee Dickson hosts a luncheon with local activists and pastors in Llano, Tex. (Christopher Lee for The Washington Post)
Mark Lee Dickson displays a map of locations that have adopted the ordinance that he proposed, which makes it illegal to transport anyone to get an abortion on any road within the city or county limits. (Christopher Lee for The Washington Post)

By Dicksonโ€™s definition, โ€œabortion traffickingโ€ is the act of helping any pregnant woman cross state lines to end her pregnancy, lending her a ride, funding, or another form of support. While the term โ€œtraffickingโ€ typically refers to people who are forced, tricked or coerced, Dicksonโ€™s definition applies to all people seeking abortions โ€” because, he argues, โ€œthe unborn child is always taken against their will.โ€

The law โ€” which has the public backing of 20 Texas state legislators โ€” is designed to go after abortion funds, organizations that give financial assistance to people seeking abortions, as well as individuals.ย For example, Dickson said, a husband who doesnโ€™t want his wife to get an abortion could threaten to sue the friend who offers to drive her. Under the ordinance, the woman seeking the abortion would be exempt from any punishment.

Abortion rights advocates say the ordinance effort is merely a ploy to scare people out of seeking the procedure. To date, no one has been sued under the existing โ€œabortion traffickingโ€ laws.

โ€œThe purpose of these laws is not to meaningfully enforce them,โ€ said Neesha Davรฉ, executive director of the Lilith Fund, an abortion fund based in Texas. โ€œItโ€™s the fear thatโ€™s the point. Itโ€™s the confusion thatโ€™s the point.โ€

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While these restrictions appear to violate the U.S. Constitution โ€” which protects a personโ€™s right to travel โ€” they are extremely difficult to challenge in court, said Mary Ziegler, a law professor at the University of California at Davis who focuses on abortion. Because the laws can be enforced by any private citizen, abortion rights groups have no clear government official to sue in a case seeking to block the law.

โ€œMitchell and Dickson are not necessarily conceding that what theyโ€™re doing is unconstitutional, but theyโ€™re making it very hard for anyone to do anything about it,โ€ Ziegler said.

Mitchell declined to comment for this story.

Bonnie Wallace prays at a luncheon hosted by Mark Lee Dickson. (Christopher Lee for The Washington Post)
Local activists and pastors attend the luncheon in Llano, Tex. (Christopher Lee for The Washington Post)
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Asked about the constitutionality of his ordinances, Dickson cites the Mann Act, a federal law from 1910 that makes it illegal to transport โ€œany woman or girl for the purpose of prostitution or debauchery, or for any other immoral purpose.โ€ If the Mann Act is constitutional, he says, so is this.

Llano was a particularly attractive target, Dickson said, because the town sits at the crossroads of several highways. Travelers driving west toward New Mexico from Austin, for example, would likely take Highway 29 or 71 โ€” both of which pass through Llano.

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Key roads out of Llano

A proposed ordinance would make it illegal for anyone to use certain roads to drive someone out of state for an abortion.

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When Dickson first came to town to drum up interest for his ordinance, Councilwoman Almond was well aware of his endeavors. Sheโ€™d seen his flier, advertising โ€œthe effort to protect Llano residents from abortion across state lines.โ€ Then a friend reached out to ask if Almond and her husband would sit down with Dickson for a meeting.

โ€œIโ€™ve got a lot going on in my life,โ€ Almond said she told her friend. โ€œAnd right now, thatโ€™s just not where my energy is.โ€

Almond says she was thankful whenย Roeย was overturned. A 57-year-old former elementary school teacher, she voted twice for Trump, and says she plans to vote for him again. Her friends call her a โ€œpistol-packing mama.โ€ Every time she gets a text message, her phone spits out the sound of two gunshots.

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But Almond โ€” who wears flower earrings and glittery orange nail polish โ€” is also known as a bit of a city council wild card. At her consignment store, โ€œPossibilities,โ€ she employs an eclectic staffย whose beliefs span the political spectrum. Her store manager is one of the only married, openly gay men in town โ€” and if anyone has a problem with him, Almond says, theyโ€™d better hope she doesnโ€™t hear about it.

Almond had Llanoโ€™s community of โ€œcowboys and hippiesโ€ in mind when she chose her storeโ€™s slogan: โ€œWhere you meet awesome people and the possibilities are endless.โ€

Llano โ€” just beyond the radius of Hill Country most trodden by Austin weekenders โ€” is known as a deer and dove hunting destination, peppered with taxidermy studios and wild game processors. Every April, residents come together to cook roughly 25,000 pounds of crawfish for a festival that draws people from all across Texas.

For antiabortion activist Mark Lee Dickson, Llano was a particularly attractive target for his proposed ordinance because the town sits at the crossroads of several highways. (Christopher Lee for The Washington Post)

The town recently made national news as ground zero for another cultural flash point when its library removed several books from its shelves, including some that focused on sex, race and LGBTQ+ issues.

โ€œPeople get along pretty well here until we have dividing issues like the library โ€” and now this,โ€ Almond said.

Since she heard about the proposed ordinance, Almond said, sheโ€™d been wondering whether Llano really needed to further restrict abortion. She worried the term โ€œabortion traffickingโ€ was confusing, creating the impression that many women were being forced to get abortions across state lines against their will.

โ€œIt sounds like more of a slave situation,โ€ she said.

It was not clear if some of the proposed ordinanceโ€™s most ardent proponents in Llano understood what it would do, with several mischaracterizing the measure during interviews with The Post.

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While the language of the draft ordinance explicitly states that it would apply to people transporting โ€œany individual for the purpose of providing or obtaining an elective abortion,โ€ the mayor, Marion Bishop,ย said the term โ€œabortion traffickingโ€ did not apply to women who were choosing to get abortions โ€œon their own free volition.โ€

โ€œIt would be people who were either coerced or undecided, who found themselves loaded onto a van and headed somewhere,โ€ Bishop said in an interview at the vodka distillery he owns downtown.

Pressed on the contradiction between his statement andย the language of the proposal, Bishop acknowledged that what he originally said โ€œmay not be totally accurate.โ€

Still, he said, he continues to support the ordinance, which he views as largely symbolic.

โ€œIs it absolutely necessary? No,โ€ Bishop said. โ€œDoes it make a statement? Yes it does.โ€

The morning of the council meeting, Almond decided to cancel her plans so she could fully consider the implications of the ordinance that would outlaw โ€œabortion traffickingโ€ in her town.

She stillย wasnโ€™t totally sureย how she would vote.

With seven hours to go before the meeting, she pulled out a printed copy of the 16-page proposal. Then she sat down at her kitchen table, pen in hand, and began to read.

***

Many Llano residents approached the podium at the city council meeting to speak out against abortion. (Christopher Lee for The Washington Post)
The meeting was packed, with people spilling into the hallway or taking a seat on the floor. (Christopher Lee for The Washington Post)
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The whispers in the back of city hall grew louder as the crowd realized that Almond would not be voting as they had expected.

โ€œLaura canโ€™t do this by herself,โ€ said an advocate for the ordinance, leaning over to the other people in her row. โ€œShe needs someone to second. Thereโ€™s still a chance.โ€

Then the other woman on the council, Kara Gilliland, chimed in with her own hesitations.

โ€œIโ€™m not for abortions and thatโ€™s my personal belief,โ€ Gilliland said. โ€œBut I cannot sit up here knowing that there are 3,400 other citizens in this town who donโ€™t have the same belief necessarily as I do.โ€

Four of the five members of the Llano City Council voted to table the ordinance for another time.

โ€œYou can be mad at me if you want to,โ€ Almond said to her town. โ€œBut Iโ€™ve got to sleep with myself at night.โ€

Mark Lee Dickson watches as a Llano resident who objects to the proposed ordinance speaks ahead of the vote. (Christopher Lee for The Washington Post)
Llano residents attend the city council meeting. (Christopher Lee for The Washington Post)

Combing through the ordinance that morning, Almond said in an interview, she scribbled furious notes in the margins, trying to identify every potential issue. She feared the lawโ€™s civil enforcement mechanism would turn members of the Llano community against each other. While sheโ€™d supported the implementation of the Texas โ€œheartbeat ban,โ€ which relied on the same provision, she said she hadnโ€™t given much thought to how that could pit neighbor against neighbor.

Now it was her job to โ€œpeel the layersโ€ โ€” and she didnโ€™t like where the law could lead.

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As the city council moved on to other matters, Dickson ushered the angry crowd out to the porch.

The ordinance was tabled, he reminded his audience โ€” not dead. The city would have another opportunity to consider the proposal as soon as early September.

โ€œIs this the city council of Austin or is this the city council of conservative Llano?โ€ Dickson said. โ€œThis is far from over. … Show up at their businesses with some signs.โ€

โ€œI know where Laura works,โ€ offered the wife of a local pastor.

Dickson recalled what happened in Odessa, a far larger city in West Texas that failed to advance an earlier version of a โ€œsanctuary cityโ€ ordinance several years earlier. With help from antiabortion residents, he said to the group, some of the council members who opposed the measure were ultimately voted out of office.

โ€œNow Odessa has a 6-1 majority that is in favor of this,โ€ Dickson said.

Odessa passed the ordinance in December.

***

Mark Lee Dickson speaks with Llano residents after the city council meeting. (Christopher Lee for The Washington Post)

The next night, Dickson drove 40 minutes to Mason, Tex. to try to convince another small, conservative community to pass the same law.

More than 20 people gathered around plates of pizza and pasta at a restaurant that doubles as aย gun store. In the window, next to a sign for โ€œfresh oysters,โ€ someone had painted the message, โ€œLetโ€™s go, Brandon,โ€ an insult aimed atย President Biden. On one wall of the restaurant is a confederate flag taller than Dickson; above the bar, a flag for โ€œTrump 2020.โ€

Dickson chose this location for his next meeting, inviting local pastors and other antiabortion advocates in the area to hear a version of the same speech he delivered a month earlier in Llano.

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โ€œGuys, I donโ€™t care if thereโ€™s only one person on your city council who wants to pass this,โ€ Dickson said. โ€œIf you have a personal relationship with a council member, reach out.โ€

Mason residents smiled and nodded, digging through their purses for pens to write down Dicksonโ€™s email.

Less than 24 hours later, the โ€œabortion traffickingโ€ ordinance was added to the official agenda for the Mason board of county commissioners.

They would take up the matter at their next meeting.

Highway 71 passes through Llano and connects travelers driving west toward New Mexico. (Christopher Lee for The Washington Post)
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Abortion access in America

Tracking abortion access in the U.S.:ย After theย Supreme Court struck down Roe v. Wade, the legality of abortion is left to individual states. The Post is trackingย states where abortion is legal, banned or under threat.

Abortion pills:ย Theย Justice Department appealedย aย Texas judgeโ€™s decisionย that would block approval of the abortion pill mifepristone. Theย Supreme Court decided to retain full access to mifepristoneย as the appeal proceeds. Hereโ€™s anย explanation of what happens next in the abortion pill case.

Post-Roe America:ย With Roe overturned,ย women who had secret abortions before Roe v. Wadeย felt compelled to speak out. Other women who wereย seeking abortions while living in states with strict abortion bansย also shared their experiences with The Post through calls, text messages and other documentation. Here areย photos and stories from across America since the reversal ofย Roe v. Wade.

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Demonstrators stood outside Austin high school with anti-LGBTQ, abortion messages

https://www.kxan.com/news/local/protesters-stood-outside-austin-high-school-with-anti-lgbtq-abortion-messages/

What a way to entice young people to come to your church or endorse your religion by screaming hate and angry virtual at them.ย  What a great way to save souls.ย  What this really is meant to show what they think is their superior morals and showcase their bigotry / hate.ย  It is driven by right wing media anti-LGBTQIA propaganda.ย  It is fueled by conservative preachers that can not adjust to the modern age, preferring a time when only cis straight people who dressed more modestly were in public and young people deferred to adults as a normal practice.ย  Hugs


AUSTIN (KXAN) โ€” As students were released from McCallum High School Tuesday afternoon, the district confirms roughly eight people stood outside with anti-LGBTQ and anti-abortion signs.

โ€œThe protesters were on the sidewalk but were blocking the buses, so they were asked to move,โ€ a spokesperson for AISD said. โ€œAustin ISD Police officers were on-site to ensure everyoneโ€™s safety, and the protesters left after about an hour.โ€

KXAN does not share photos or videos of possible hate speech as standard practice, which is why we have not included photos in this story and blurred signs in the video above.

โ€œInstead we need to be standing up and saying that everyone belongs, and this is a community for everyone,โ€ said Council Member Alison Alter of District 10.

In July, Alter officially helped launch an anti-hate campaign called โ€œWe All Belong.โ€ The program came about after a series of hate speech incidents and a hate crime in which Alterโ€™s synagogue โ€”ย Congregation Beth Israel โ€” was lit on fire in 2021.

We All Belong website
We All Belong website (Courtesy City of Austin)

Alter said the goal is twofold: One, to make reporting a hate crime easier and two, to connect people with resources and support.

โ€œ{The We All Belong website} tells you when to call 911, when to useย IReport,โ€ Alter said. โ€œNot every hate crime or hate incident is the same, but people do need to report.โ€

You can also partner with the city to host a pop-up event through the program. The city will provide materials and messaging for the event. Youย can apply to host an event here. Some funding is available.

โ€œTake action in the form of having those hard community conversations or creating a space where people can come together and celebrate,โ€ Alter said. She continued: โ€œFight hate with love, fight hate with light.โ€

The district said school counselors will be on standby for students at McCallum upset about the Tuesday incident.

https://www.kxan.com/news/local/protesters-stood-outside-austin-high-school-with-anti-lgbtq-abortion-messages/
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GEORGE TAKEI SPEAKS FROM EXPERIENCE โ€ฆ WE SHOULD LISTEN

Jill has again showed us an important voice that we should hear.ย  I know a lot of people that come here also go to Jill’s blog, but in case anyone missed it, please go to her site and read it.ย  Thanks.ย  Hugs

The Failure of the Cass Review

Due to the mention in the comments of the trans haters favorite and only major strike against trans people and the medical treatment for those who do not identify as the gender assigned at birth.ย  This article breaks it down for people.ย  ย Somewhere I posted an even better one but I simply don’t have time to look for it.ย  ย The woman leading the investigation had a well know bias against trans people and gender-affirming care.ย  That is the reason the British right wing government picked her to do this.ย  They wanted a hit job, not a way to fix problems.ย  Cass believes in conversion therapy for cat’s sake.ย  Hugs


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This morning people who care about trans kids were reacting in utter dismay to hearing the Secretary of State for Health use the Cass interim review to justify the need to exclude trans people from a ban on conversion therapy.

Iโ€™ll link the lovely Olly Alexander linking to a clip of our Health Secretary using Cass to call for conversion therapy for trans kids โ€“ seeย here

Despite evidence that conversion therapy on trans children is particularly harmful, withย researchย showing โ€œFor transgender adults who recalled gender identity conversion efforts before age 10 years, exposure was significantly associated with an increase in the lifetime odds of suicide attemptsโ€.

For days now, MPs and commentators have cited the Cass review, in justification of the need for conversion therapy specifically for trans kids.

Of course they do not say conversion therapy for trans kids. They talk of โ€˜children suffering from gender confusion or gender distressโ€™, they talk of โ€˜exploratory therapy. They talk of โ€˜unintended consequences, by which some clearly mean, they fear the law would stop them conducting conversion therapy on trans kids.

Those who want to conduct conversion therapy on trans kids hide behind a new favourite term of โ€˜exploratory therapyโ€™. It is a friendly sounding rebrand of conversion therapy. It is focused on probing, delaying, questioning and at its heart, problematising trans identities. There is nothing wrong with being trans. Some kids are trans โ€“ get over it.

The same people who actually want conversion therapy for trans kids, are trying to create confusion on the meaning of affirmative therapy. They are trying to paint affirmation as a bad thing, as something forced. They are wrong and they know it. Affirmation is about meeting a person where they are, about listening to what they need. It has space for as much talk therapy on identity as a person wants. Without coercion. Without compulsion. Without considering trans or cis as a bad outcome.

Parents of trans kids are today VERY upset. People had put their faith in Cass to help our kids.

Personally, I feel something else other than upset. I feel cross at myself for not speaking up earlier.

Back when the Cass review was first announced, I had serious concerns. Concerns that have continued to mount.

There was Cassโ€™ personal twitter following of a load of highly transphobic groups & no trans people.

There was the Cass reviewโ€™s initial refusal to even say the word trans kids, in a review aimed primarily at helping trans kids.

There was the lack of any trans people on the Cass team, and the fact that the Cass team explicitly asked for people with no knowledge or experience of trans-ness, as though that was a preferable.

The fact there was no oversight group consisting of respected trans health experts and trans community leaders.

Back at the start I felt deep in my gut that this would go badly and would not serve the needs of trans kids. I seriously considered trying to get parents of trans kids together to stage a boycott until there was some proper trans representation. I didnโ€™t for four major reasons. For one, the biggest reason, I was so tired & out of time and energy. For two, I wanted to give optimism a go โ€“ just cos everything else always fails trans kids in the UK, why couldnโ€™t this be different โ€“ here we had a paediatrician reviewing trans kids healthcare, something Iโ€™d been asking for for years, maybe this time would be different. For three, I hoped having formal peer reviewed publications to feed into the process would make a difference (spoiler โ€“ it didnโ€™t โ€“ the Cass team had myย peer reviewed research articleย on the UK service from the highly respected international journal International Trans Health and didnโ€™t even bother citing it). For four, I didnโ€™t think things could really get much worse for trans kids in the UK, so I didnโ€™t see how much real harm it could do.

Obviously I was very wrong. Iย notedย my initial reaction to the pathologisation embedded in the Cass report.

The Cass interim report is now being cited everywhere to justify the need for conversion therapy for trans kids. It is being cited to deny inclusion of trans people of any age from a ban on conversion therapy.

The red flags about the Cass process meanwhile continue to grow.

Iโ€™ve been interviewed, found Cass on the face of it an empathetic listener who keeps her cards close to her chest.

Other parents of trans kids have been interviewed, again felt Cass had listened with kindness.

Many are deeply upset about the Cass interim report and the way it has encouraged further bigotry.

The Cass interim report couldnโ€™t even take a decision on whether being trans is pathological. It couldnโ€™t even take a decision on whether trans kids are better off being loved and supported or put through conversion torture. It is not acceptable.

I wonโ€™t dig into the details of the Cass report itself, but the references and evidence base are deeply biased and flawed. It is yet another total failure for trans kids in the UK.

There are still no trans experts involved in a senior role in the Cass review. There is no trans power at all.

The Cass process seem to think the exclusion of trans people is acceptable, because they have told themselves they are not dealing with trans people at all. They have told themselves they are dealing with healthcare for โ€˜children suffering from gender distressโ€™. This phrasing has become standard.

Worryingly there are also trans-antagonistic people involved in the research for Cass.

This week, the world respected paediatrician with over a decade of practical hands on experience HELPING trans kids in Australia published a response to the Cass review in the British Medical Journal. That response is not open access to the public, but this is of incredible important to those who are directly affected (and now even threatened) by the Cass outputs, so I will put its text here:

Gender identity services for children and young people in England

Landmark review should interrogate existing international evidence and consensus

Ken C Pang, 1, 3 Jeremy Wiggins, 2 Michelle M Telfer1, 3

1 Royal Childrenโ€™s Hospital; 2 Transcend Australia; 3 Murdoch Childrenโ€™s Research Institute

The long awaited interim report of the Cass review was finally published in March this year.1 Commissioned in September 2020, the independent review led by paediatrician Hillary Cass examined NHS gender identity services for children and young people in England. These services are currently provided by a single specialist clinic known as the Gender Identity Development Service. After consulting people with gender diversity, health professionals, and support and advocacy groups, Cass expressed various concerns within her interim report, such as increasingly long waiting lists, the โ€œunsustainable workloadโ€ being carried by the service, and the โ€œconsiderable riskโ€ this presented to children and young people.

Recognising that โ€œone service is not going to be able to respond to the growing demand in a timely way,โ€ Cass used her interim report to recommend creation of a โ€œfundamentally different service model.โ€ Under this model, the care of gender diverse children and young people becomes โ€œeveryoneโ€™s businessโ€ by expanding the number of providers to create a series of regional centres that have strong links to local services and a remit to provide training for clinicians at all levels.1 Although it remains to be seen how and when this key recommendation will be implemented, the proposal will be largely welcomed by gender diverse children and adolescents and their families in England. The shift away from centralised, tertiary, and quaternary centres is already occurring internationally, including in Australia,2 where local services are being enhanced to meet growing demand and provide more equitable and timely care.

Hormonal treatment
In what was likely a disappointment to many, the interim report did not provide definitive advice on the use of puberty blockers and feminising or masculinising hormones. Instead, Cass advised that recommendations will be developed as the reviewโ€™s research programme progresses. In particular, the report expresses the need for more long term data to assuage safety concerns regarding these hormonal interventions. Although additional data in this area are undoubtedly needed, the decision to delay recommendations pending more information on potential unknown side effects is problematic for several reasons.

Firstly, it ignores more than two decades of clinical experience in this area as well as existing evidence showing the benefits of these hormonal interventions on the mental health and quality of life of gender diverse young people.3 -9 Secondly, it will take many years to obtain these long term data. Finally, Cass acknowledges that when there is no realistic prospect of filling evidence gaps in a timely way, professional consensus should be developed on the correct way to proceed.โ€ Such consensus already exists outside the UK. The American Academy of Pediatrics, the Endocrine Society, and the World rofessional Association for Transgender Health have all endorsed the use of these hormonal treatments in gender diverse young people,10 -12 but curiously these consensus based clinical guidelines and position statements receive little or no mention in the interim report.

Indeed, there is no evidence, as yet, that the Cass review has consulted beyond the UK. This inward looking focus may be a reflection of how Englandโ€™s gender identity service has come to chart its own path in this field. For example, its current use of puberty blockers diverges considerably from international best practice. In particular, NHS England mandates that any gender diverse person under the age of 18 years who wishes to access oestrogen or testosterone must first receive at least 12 months of puberty suppression.13 However, many young people in this situation will already be in late puberty or have finished their pubertal development, by which time the main potential benefits of puberty suppression have been lost.11 Moreover, using puberty blockers in such individuals is more likely to induce unwanted menopausal symptoms such as fatigue and disturbed mood.14 For these reasons, puberty suppression outside the UK is typically reserved for gender diverse young people who are in early or middle puberty, when there is a physiological reason for prescribing blockers.

Another possible reason exists for the Cass review appearing to have neglected international consensus around hormone prescribing. While the interim report often mentions the need to โ€œbuild consensus,โ€ Cass seems keen to find a way forward that ensures โ€œconceptual agreementโ€ and โ€œshared understandingโ€ across all interested parties, including those who view gender diversity as inherently pathological. Compromise can be productive in many situations, but the assumption that the middle ground serves the best interests of gender diverse children and young people is a fallacy. Where polarised opinions exist in medicineโ€”as is true in this caseโ€”it can be harmful to give equal credence to all viewpoints, particularly the more extreme or outlying views on either side. Hopefully Cass will keep this in mind when preparing her final report.

The above is available on the BMJย here

(Back to me typing) The authors of the above include some of the most respected paediatricians with decade long expertise in working with trans kids in Australia. The Cass team should have been queuing up to learn from Australian experts. The fact they have totally ignored expertise from outside of the UK and its partner system in the Netherlands, strikes as amazing arrogance. The fact the Australian experts felt the need to write a submission to the BMJ to raise their concerns with the Cass report is again astonishing, and in another less transphobic country would set off alarm bells.

I donโ€™t know where we go from here.

I do know the cards are now on the table. I have zero faith in the Cass process. It has already done more harm than good.

My number one hope for Cass was it would take significant strides in depathologising approaches to trans kids. It has done the exact opposite. 18 months in and they wonโ€™t even say the word trans.

I had hoped Cass would educate the public that being trans is not a problem or a pathology. It has done the opposite, and legitimised some incredibly problematising media pieces this week alone.

I had hoped it would move us from psychoanalysis to modern healthcare โ€“ instead people are using Cass to justify the need for exploratory therapy, conversion therapy by a different name.

I had hoped it would move trans kidsโ€™ healthcare away from a monopoly mental health trust to modern secondary or primary care. Instead, the focus appears to be on talk therapy to problematise trans-ness, without tackling the hostile climate that makes life so hard for trans kids, and perhaps with even less route to medical intervention where needed.

Cass has done nothing to highlight the biggest problem for many trans kids. The climate of societal transphobia. Just this week we have had headlines stating trans people can be humiliated and segregated as the UK tries to bring in a bathroom bill by the back door. Trans kids and adolescents have been in crisis again this week, many are really struggling with mental health. Not because thereโ€™s something inherently wrong with being trans, but because the UK is a hostile terrifying place to be trans as our rights are continually debated or taken away. Cass has done absolutely nothing to highlight the crisis in mental health caused by the terrible way our country treats trans people.

Cass has failed us on every level.

The whole process is cis-supremacism in full dominance.

Why do a bunch of cis people continue to debate and dictate whether or not trans kids should be put under conversion therapy.

Why do cis people continue to have all the power, and continue to use it to harm trans kids.

Trans liberation now. Trans kids deserve so much better than this.

Families dispute whistleblowerโ€™s allegations against St. Louis transgender center

https://news.stlpublicradio.org/government-politics-issues/2023-03-02/families-dispute-whistleblowers-allegations-against-st-louis-transgender-center

Just to make sure everyone understands how the anti-trans hater bigots work, here is another debunking of Jamie Reed.ย  Hugs


LGBTQ advocates speak at a rally on the steps of the Missouri Capitol February 7 (Annelise Hanshaw/Missouri Independent).
Annelise Hanshaw
ย 
Missouri Independent
Casey Pick, Director of Law and Policy at The Trevor Project, speaks at a rally on the steps of the Missouri Capitol on Feb. 2, after testifying in two hearings.
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The picture painted by whistleblower Jamie Reed of how patients were treated at the Washington University Transgender Center at St. Louis Childrenโ€™s Hospital doesnโ€™t match Jess Jonesโ€™ experience.

Jones worked alongside Reed for two years as the centerโ€™s educational coordinator before resigning in 2020. The allegations of misconduct laid out by Reed โ€” both on a national news website calledย The Free Pressย and in anย affidavit with the Missouri attorney generalโ€™s officeย โ€” simply donโ€™t match the reality during the time they worked together, Jones said.

โ€œI feel like I could go line by line to her affidavit,โ€ Jones said, โ€œand debunk it all.โ€

And Jones is not alone.

The Independent spoke with numerous former patients of the Transgender Center, as well as parents of former patients. Some were eager to share their story, inspired by the onslaught of attention the center has received since Reedโ€™s affidavit caused three state agencies to launch an investigation into its practices.

Others asked not to be named out of fear of retribution and concern about laws pending in the Missouri legislature that would criminalize gender-affirming care for minors.

Each person interviewed described a far different experience than Reed about how the Transgender Center operates and how minors seeking care are treated. And they want the stateโ€™s investigation to hear their experiences.

Reed, who lives in St. Louis County, has alleged minors were rushed into medical procedures without taking into account mental health, and that side effects of treatments were hidden from parents.

Those who received treatment from the center say thatโ€™s not the case, and any treatments were only undertaken after long consultations with doctors and mental health professionals. Often, patients were told they needed to wait for years.

Several of those interviewed by The Independent also recounted their experiences with Reed โ€” both good and bad.

โ€œThere were parents of trans kids who also raised some red flags around Jamie. So I really wish the center had listened to trans people,โ€ Jones said. โ€œWe said: โ€˜This is a person who isnโ€™t safe for us.โ€™โ€

Reedโ€™s attorney, Vernadette Broyles, said Wednesday that it is not surprising that the only patients speaking up are those who have had good experiences.

Broyles said those unhappy with their transition often feel pressure to stay quiet. She said sheโ€™s heard from many former patients nationwide who have come to regret their treatment.

โ€œIt does not surprise me that you would find someone in that honeymoon phase,โ€ she said.

Jamie Reed

Chris Hyman, who has a transgender son, remembered Reedโ€™s magnetic energy at the center. She felt like an ally.

After Reedโ€™s story became public, Hyman tuned into The Free Press webinar and saw a change in Reed and was stunned at some of the answers she gave to a Free Press editor.

โ€œWhen [lawmakers] do their job, what happens to the transgender center you used to work at?โ€ Free Press journalist Emily Yoffe asked.

โ€œI do not believe it can continue to function,โ€ said Reed, who is married to a transgender man.

โ€œYou want it closed down,โ€ Yoffe inquired.

โ€œI believe itโ€™s the only way to stop hurting more kids,โ€ Reed said.

Susan Halla, who is the mother of a transgender young adult, also thought of Reed as an advocate. Halla is the president of TransParent, a group that supports the caregivers of transgender people. Hyman is the organizationโ€™s at-large chapter chair.

โ€œWe were just apoplectic where this all came from,โ€ Halla said.

Broyles, who serves as president of public interest law firm Child & Parental Rights Campaign, said during the webinar that Reed had tried to institute change at the Transgender Center.

โ€œAfter trying to make changes happen internally, [the center directors] were just not going to honor her concerns. She appropriately made a complaint to the right governing official, and under Missouri law thatโ€™s the attorney general,โ€ Broyles said.

She said Reed sought sanctuary under the stateโ€™sย Whistleblowerโ€™s Protection Act, which states workplaces canโ€™t fire an employee that reports an โ€œunlawful actโ€ committed by the employer.

Another one of Broylesโ€™ cases was a key anecdote as Florida considered a law thatย bans the discussion of gender identity or sexual identity in grades K-3. Broyles is representing a family that alleges their childโ€™s school helped the student socially transition without the parentsโ€™ knowledge.

Reedโ€™s other attorney is Ernie Trakas, a Republican member of the St. Louis County Council who is involved with the Child & Parental Rights Campaign.

Currently, the Missouri Attorney Generalโ€™s office, the Department of Social Services and the Division of Professional Registration are investigating Reedโ€™s allegations. U.S. Sen. Josh Hawley has requested records from the center. Some state lawmakers expressed interest in launching an investigation, but no substantial action has been taken on their proposal.

Speed of treatment

Missouri Attorney General Andrew Bailey speaks to The Federalist Society on the Missouri House of Representatives floor on Jan 20.
Annelise Hanshaw
ย 
Missouri Independent
Missouri Attorney General Andrew Bailey speaks to the Missouri chapter of the Federalist Society on the Missouri House of Representatives floor on Jan. 20. He is currently overseeing an investigation into the Washington University Transgender Center at St. Louis Childrenโ€™s Hospital
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Reedโ€™s affidavit to Attorney General Andrew Bailey alleges the Transgender Center quickly gave children hormones. The center โ€œgave children puberty blockers and cross-sex hormones after just two one-hour visits (one with a therapist and one with a doctor at the Center),โ€ she wrote in the affidavit.

Parents and former patients told The Independent it took months and multiple appointments before their transgender children received a puberty blocker or hormone treatment.

Rene and Kyle Freels called the Transgender Center in June of 2021 for their daughter. Reed answered the phone.

โ€œWhat do you want from us?โ€ Kyle Freels recalls Reed asking.

โ€œI thought she had some sort of an agenda. Like the first time we called, she answered the phone. She was the opposite of helpful,โ€ he said.

They didnโ€™t know what treatment was recommended, and they were expecting more help on the other end of the line.

โ€œFor us, she was the ultimate gatekeeper. She was the ultimate person that kept our kid from getting an appointment and kept other kids from getting appointments at the center,โ€ Rene Freels said.

They hung up confused and irritated but nonetheless determined to get medical care for their daughter. By August of 2021, their daughter had her first visit with a pediatric endocrinologist, a doctor specializing in hormones, at the center.

The doctor did not prescribe any hormones or puberty blockers and said he wanted their daughter to transition socially, meaning take on her new name and pronouns, prior to taking estrogen, the Freels said.

Their daughter did not have mental health conditions, like anxiety or depression, but attended therapy sessions and received a recommendation to receive hormone treatment.

The Freels returned for a second appointment with the endocrinologist a year later, and their daughter opted to get a puberty-blocking implant in November of 2022 โ€” 17 months after coming out to her pediatrician.

Kyle Freels described the appointment as โ€œso thorough.โ€

โ€œThereโ€™s a lot of information,โ€ Kyle Freels said. โ€œHe tells you the pros and cons of this method or that method.โ€

Lisa is the mother of a trans child who asked that her last name be withheld. She waited longer than the Freels family for her pre-teen son to receive a puberty blocker.

Her son had his first appointment at the Transgender Center in August 2019 but was too young for a puberty blocker. He had to wait three years.

He has had 21 visits with a psychologist and nine visits with an endocrinologist since the summer of 2019.

Joey, who also asked that his last name be withheld, started taking testosterone days before his seventeenth birthday and after nearly a year of therapy.

โ€œEverything took a really really long time to get going,โ€ he said.

The Transgender Centerโ€™s endocrinologist didnโ€™t think he was ready for hormones after his first appointment because he wasnโ€™t โ€œoutโ€ yet at school, he said.

โ€œEverything was so slow,โ€ he said, later adding:. โ€œEverything is so restricted and difficult for any kind of trans health care, particularly if youโ€™re a minor.โ€

He opted to get โ€œtop surgery,โ€ which removes breast tissue, a few weeks after he turned 18.

Reed alleges in her affidavit that the Transgender Center gives referrals for surgery to minors, but Jones said the center only provided patients with the names of surgeons that could provide the procedure.

โ€œWe did give out the information of surgeons,โ€ Jones said, โ€œbut we never referred for surgery.โ€

Hymanโ€™s son wanted top surgery but was immediately told โ€œput that out of your mind until youโ€™re 18,โ€ she said.

Alison Macleanโ€™s son was five or six months into his transition when she called the Transgender Center. Maclean was met with questions about her sonโ€™s social transition, like if his peers called him his name.

โ€œI think they really gauge like where I think the clinic attempts to gauge where youโ€™re at, kind of in your, in your journey with your child,โ€ Maclean said.

Her son, now 12, does not receive any puberty blockers or hormones. He discusses with his Transgender Center doctor what may happen if he eventually takes testosterone, but Maclean said she and her son donโ€™t feel pushed toward hormones.

The doctor told him he wouldnโ€™t be old enough โ€œfor many years,โ€ she said.

Mental Health

Jones said the center had one in-house psychiatrist but referred patients to other providers in the area and within St. Louis Childrenโ€™s Hospital.

โ€œIt is true that many patients came in anxious and depressed, whether that was a diagnosis or just symptoms, but from my experience, that was alleviated with the start of gender affirming hormones,โ€ Jones said.

Jones said Reed had a particular concern with patientsโ€™ ability to consent, alleging Reed wanted to make patients take an IQ test prior to accessing puberty blockers or cross-sex hormones.

Reed, speaking through her attorney to The Independent, didnโ€™t directly address the IQ test accusation.

โ€œShe was always in favor of a full assessment being done and that full assessments should be done on every patient in accordance with the WPATH guidelines. So whatever was needed for any given patient, that was what she favored, as a general proposition,โ€ Broyles said. โ€œAnd thatโ€™s really as much as she feels comfortable saying at this point.โ€

The World Professional Association for Transgender Health sets standards of care for gender transition. In her affidavit, Reed said WPATH is considered an โ€œactivist organization.โ€

Danielle, who did not wish to share her last name, said her son walked into the center with depression at first. But that evaporated when he was able to be a boy.

โ€œWhen [my child] came out as transgender, it was immediate, just the social transition results. Like he was not depressed anymore,โ€ she said.

Maclean noticed her son becoming less like himself as the family moved and COVID-19 interrupted routines โ€” and he also began puberty.

โ€œHe kind of withdrew and, like the light left him. He wasnโ€™t depressed or suicidal or anything; he just was not himself,โ€ she said.

The families noticed a positive difference after their child received gender-affirming care.

โ€œWe thought our kid was happy before, but after she came out and is living her true self, sheโ€™s so much happier,โ€ Kyle Freels said. โ€œYou could tell the weight of the world was off her shoulders.โ€

โ€œI would say Iโ€™ve only gotten benefits [from gender-affirming care],โ€ Joey said. โ€œItโ€™s been awesome. And I wouldnโ€™t trade it for the world.โ€

Side effects

Parents said they felt like they had the Transgender Centerโ€™s doctorsโ€™ full attention to ask questions and review possible side effects of treatments. When they left, they had multiple handouts โ€” some provided to The Independent that had been emailed from Reed herself.

โ€œNot only do they give you a paper handout, they give you a whole slew of materials to look at,โ€ Lisa said.

Maclean has been given handouts with testosterone side effects listed and warnings about things Reed alleges goes unaddressed by the Transgender Center, like vaginal atrophy.

โ€œI think these little bits have been cherry picked from people who maybe didnโ€™t pay attention,โ€ Maclean said.

โ€œWe were not rushed into it,โ€ Danielle said. โ€œWe were not uninformed. Everything that Iโ€™ve read in the affidavit, the opposite is true for us.โ€

A Transgender Center handout sent to The Independent by a parent and a former employee discloses possible side effects of testosterone.
ย 
A Transgender Center handout sent to The Independent by a parent and a former employee discloses possible side effects of testosterone.
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Parents, patients and Jones told The Independent the center would send children on hormone or puberty-blocking medication to get lab work before every visit.

At first, patients review their hormone levels and look for side effects, like cholesterol levels, every three months. Then, they reduce frequency to every six months.

Lisaโ€™s son gets regular labs run to test his hormone levels and check his health, and doctors check his bone scans to check his calcium and bone density.

All the families interviewed said they were advised to consider fertility options, like storing eggs or sperm, if treatment would inhibit future plans to have children.

An April 2020 studyย by the Mayo Clinic notes that there is little research on fertility outcomes for transgender people but that fertility preservation is an option even after beginning hormones.

Parental consent

Reed alleges the center bullied parents into agreeing to their kidsโ€™ medical treatment.

โ€œA common tactic was for doctors to tell the parent of a child assigned female at birth, โ€˜You can either have a living son or a dead daughter,โ€™โ€ she wrote in her affidavit.

The evening the affidavit became public, she told The Free Press subscribers it was only one doctor that said that, a doctor that no longer works at the center.

Jones said the center did not coerce consent.

โ€œWe were very adamant in my time working there that all guardians had to consent, and they needed to be present and receive informed consent around treatment,โ€ Jones said.

Jones said physicians presented research that showed a lower rate of suicide with gender-affirming care as they explained the benefits and side-effects of hormones.

Divorced parents told The Independent the center contacted both parents prior to proceeding with treatment, including meeting via video chat for an out-of-state ex-husband.

โ€œThey made it very clear that until, until the other parent was in full agreement, they could not move forward if and when one of the parents wanted to move forward,โ€ Lisa said.

Families addressed other sections of the affidavit, sharing concern for the investigation ahead of state agencies.

โ€œIf you go to a cardiologist and they give you bad drugs or whatever and you have a heart attack, you donโ€™t shut down the office; thereโ€™s a medical malpractice suit,โ€ Kyle Freels said. โ€œThese politicians are like, โ€˜Hey, one, two or three clients had adverse effects, just like any other doctor would have,โ€™ but they want to shut down the transgender unit immediately without even an investigation.โ€

The attention the center has gotten since Reedโ€™s allegations surfaced has given momentum to a spate of bills seeking to criminalize gender-affirming care.

Families of transgender children say fear of whatโ€™s to come has them looking at leaving the state.

โ€œ[My family is] from all over. We donโ€™t have to stay here,โ€ said Maclean. โ€œWe thought we were here for the long haul, but we donโ€™t have to be.โ€

Her family is not the only one thinking about leaving the state.

โ€œThereโ€™s already one family thatโ€™s moved, and thereโ€™s another family thatโ€™s about to move,โ€ Halla said. โ€œBut not every family can do that.โ€

The Transgender Center did not comment on the allegations; its phone number dedicated to the media has given a busy signal during numerous attempts.

This story was originally published by theย Missouri Independent, part of States Newsroom, a network of news outlets supported by grants and a coalition of donors as a 501c(3) public charity. Missouri Independent maintains editorial independence.

Whistleblowerโ€™s Claims About a St. Louis Transgender Center Are Under Fire

https://nymag.com/intelligencer/2023/03/jamie-reeds-claims-about-transgender-care-are-under-fire.html

I have already posted on how false the allegations by Jamie Reed were debunked and shown to be made up lies to slander the necessary medical treatments promoted as the best medical practices.ย  However Tildeb, who is a virulently anti-trans bigot, spread more lies in the comments again.ย  So for those who don’t know that the often quoted Jamie Reed made up the allegations, here is just one of the investigations showing she was lying.ย  To give you her mind set, here is a quote from the article.ย  Plus her lawyers are well known in the anti-trans movement doing all the can to milian and stop trans gender care calling it “… an โ€œartificial social constructโ€ as well as a โ€œdangerousโ€ and โ€œradical new ideologyโ€ that is โ€œovertaking families and threatening the well-being of children.โ€ย  Wow they must belong to the same anti-medical science and loving misinformation as Tildeb.ย ย  Hugs

Jones recounted Reed telling them that โ€œmisgendering,โ€ or using the wrong gender or pronouns to describe a person, was โ€œexposure therapyโ€ that would keep trans children from being coddled and encourage them to develop a thick skin. Jones complained about Reed to the centerโ€™s directors and human resources and was not the only one to do so, they said. Reed acknowledged in the Free Press narrative that she received a negative performance review in 2021. Jones quit the educational liaison position the year before that.


Photo: Google Maps

A pair of new reports from theย St. Louisย Post Dispatchย and theย Missouriย Independentย have called into question key claims that a self-proclaimed whistleblower recently made about the Washington University Transgender Center at St. Louis Childrenโ€™s Hospital. A former employee at the center, Jamie Reed, alleged in aย first-person Free Press essayย last month that went viral that she had witnessed โ€œmorally and medically appallingโ€ treatment of transgender children and their parents during her four years working at the center. Reed, who has called for the center to be shut down, also detailed her allegations in a sworn affidavit to Missouriโ€™s attorney general, who launchedย one of three investigationsย into the center now underway in the GOP-controlled state.

At least 20 people, including parents of patients and patients themselves, have given accounts that directly challenge the keyย claims made by Reed in the Free Press: that minors seeking care at the center were given little to no psychological examination before they were treated, that they were rushed into being prescribed puberty blockers or hormones (and were not given adequate information about the side effects), that consent for treatment was not always sought from both parents, and that the center had referred children for gender-affirming surgery.

โ€œAlmost two dozen parents of children seen at the clinic, which opened in 2017, say their experiences sharply contradict the examples supplied byโ€ Reed, theย Post-Dispatchย reports. Theย Independentย said it โ€œspoke with numerous former patients of the Transgender Center, as well as parents of former patients,โ€ and โ€œeach person interviewed described a far different experience than Reed about how the Transgender Center operates and how minors seeking care are treated.โ€

โ€œThe idea that nobody got information, that everybody was pushed toward treatment, is just not true,โ€ parent Kim Hutton told theย Post-Dispatch. โ€œItโ€™s devastating. Iโ€™m baffled by it.โ€

One parent who was skeptical of the need for transgender centers to begin with told theย Post-Dispatchย that though they did feel pressured by the center to proceed with unspecified treatment, โ€œthey have not forced us to do anything.โ€ The parent was vague about any treatment that the center recommended or that the teenager was receiving, saying only they believed more therapy may resolve the teenagerโ€™s issues. Even so, the parent โ€œdoes not want the Transgender Center shut down but said the approach should be broader, with extended psychotherapy for patients,โ€ according to theย Post-Dispatch.

When it comes to Reedโ€™s claim about a lack of warnings about the side effects of prescribed hormones, sometimes to block the onset of puberty, theย Independentย reports:

Parents said they felt like they had the Transgender Centerโ€™s doctorsโ€™ full attention to ask questions and review possible side effects of treatments. When they left, they had multiple handouts โ€” some provided to The Independent that had been emailed from Reed herself.

Contrary to Reedโ€™s claim that the center prescribed hormones sometimes after just one visit, parents and patients said it took multiple appointments over a period of months or longer to reach that point in treatment, describing a deliberate and methodical process.

Reed also highlighted what she said was an example of how the center would push surgery on minors, a teenager who โ€œwas put on hormones at the center when she was around 16. When she was 18, she went in for a double mastectomy, whatโ€™s known as โ€˜top surgery.โ€™โ€ Three months later, Reed said, the surgeonโ€™s office contacted the center and reported the teenager said โ€œI want my breasts back.โ€

Theย Post-Dispatchย andย Independentย quoted members of the center saying they do not refer people under 18 for surgery, and theย Post-Dispatchย recounted the experience of a teenager who was denied a referral:

Surgery is what Christine Hymanโ€™s 17-year-old son wanted from his very first appointment at the Transgender Center, when he was just 12. He brought a blue Post-it with him, with three questions written: When can I start testosterone? When can I have top surgery? How can I get my dad on board quicker? The answer he received for all three, said Hyman, was to give it time.

โ€œPut it out of your mind. We donโ€™t do that here,โ€ Hyman, of St. Charles, recalled the nurse telling her son about surgery. โ€œYou donโ€™t walk in Tuesday morning as a girl and walk out Tuesday afternoon as a boy. Thatโ€™s not a thing.โ€

How Reed would have known what was going on between doctors and patients and their families was also called into question, according to theย Post-Dispatch:

Parents interviewed by the Post-Dispatch cast doubt on Reedโ€™s ability to know what happened inside exam rooms as an employee who did not have a medical or managerial role, and whom they rarely saw. The case managerโ€™s job duties, as described in a Washington U. posting, comprise patient intake, scheduling appointments and providing information about community resources to families. Reed emailed parents with reminders, asking them to contact her with questions.

The printouts that were attached detailed medical protocols, including side effects, risks and reversibility. They listed contact information for dozens of local wraparound services, LGBTQ advocacy organizations and licensed mental health professionals. Patients recounted that the staff explained procedures using both medical and everyday vocabulary.

The mother of a patient treated at the center, who had considered Reed a friend, said she was stunned by the allegations. She said she had texted Reed last year to let her know her son would begin taking hormones and wondered why, if Reed had concerns, she didnโ€™t share them. โ€œThe worst thing about it,โ€ the mother told theย Post-Dispatch, โ€œis people start getting paranoid, and they start doing terrible things to trans people. My kids are scared.โ€

Theย Independentย also noted that though Reed said in her affidavit that โ€œa common tactic was for doctors to tell the parent of a child assigned female at birth, โ€˜You can either have a living son or a dead daughter,โ€™โ€ but she later seemed to dial back her claim during a Free Press webinar, explaining that only one doctor, who no longer works at the center, had said that.

Also speaking out is Jess Jones, a transgender former co-worker of Reedโ€™s, whom theย Post-Dispatchย reported โ€œbristled at the way they said Reed sometimes spoke about patients.โ€ They said that Reed had wanted patients to take an IQ test before being given access to puberty blockers or cross-sex hormones in order to confirm their ability to consent. In addition:

Jones recounted Reed telling them that โ€œmisgendering,โ€ or using the wrong gender or pronouns to describe a person, was โ€œexposure therapyโ€ that would keep trans children from being coddled and encourage them to develop a thick skin. Jones complained about Reed to the centerโ€™s directors and human resources and was not the only one to do so, they said. Reed acknowledged in the Free Press narrative that she received a negative performance review in 2021. Jones quit the educational liaison position the year before that.

There is also scrutiny of Reedโ€™s two attorneys. Vernadette Broyles is the founder of the Child and Parental Rights Campaign, which, as theย Post-Dispatchย has previously reported, fights against transgender policies in schools and says the concept of gender identity is an โ€œartificial social constructโ€ as well as a โ€œdangerousโ€ and โ€œradical new ideologyโ€ that is โ€œovertaking families and threatening the well-being of children.โ€ Reedโ€™s other attorney, the conservative St. Louis city councilmember Ernie Trakas, has also litigated on behalf of the organization. (Neither would tell the paper how they came to represent Reed, who wrote in the Free Press she is a liberal queer woman who is married to a trans man.) Reed declined to speak to the two publications, but Broyles dismissed the people speaking out, telling theย Independent that they are only the ones whoโ€™ve had good experiences. โ€œIt does not surprise me that you would find someone in that honeymoon phase,โ€ she said.

Mississippi parents get โ€˜pornographicโ€™ Heartstopper books banned from teens in public library

https://www.thepinknews.com/2023/08/24/heartstopper-library-ban-mississippi/

These are books written for 14 year olds and up, you know young adults.ย  ย Again these same Christian warriors think girls that age should be forced to marry older men and be forced to carry a pregnancy to full term. But don’t tell kids about being gay or having a book that shows them their feelings are normal.ย  That is the part that the Christian warriors hate, that it is normal and books like these show it as normal.ย  As one parent claimed, “Gays use these books to recruit kids into the LGBTQ+ community”. By my dogs that love gravy it is 2023, and being gay is well understood not to work that way.ย  You can not make a person gay.ย  Full stop.ย  No one can make a straight person gay and no one can make a gay person straight.ย  ย What they want is to remove all LGBTQ+ representation from society, make gay kids ashamed that they feel different from the other kids around them, and to keep the society a nice forced Christian nation of the 1950s.ย  We have to stop giving in to these overly loud minority.ย  They are not the entire country, as maga people like to claim.ย  You can’t please them.ย  You can’t give in a bit because it is never enough.ย  They will keep pushing for more and more their way.ย  What they want is the erasure of an entire part of the population.ย  Think on it.ย  ย Even if the LGBTQIA was only 10% of the population, that is a minimum of 36 million people.ย  I am sorry these people hate so, but LGBTQIA people exist and yes there are kids who are in that community.ย  When the fuck do they think kids feel sexual, at 18?ย  Why do kids start dating at 13, 14, 15?ย  Because they feel an attraction.ย  They have already started to use these laws to demand segregation, because good white kids are traumatized by having to sit in classrooms with black kids.ย  A return to the 1950s.ย  ย Hugs

ย one young boy said.ย 

โ€œSeeing that gave me at least a little bit of hope that maybe this town was OK and that people like me, kids, would feel like itโ€™s not a bad thing and feel like they can have something relatable to connect with and make them feel hopeful and happy and secure, something as simple as a book,โ€ he said.



Kit Connor as Nick Nelson and Joe Locke as Charlie Spring in a still from the Heartstopper two trailer.

Nick and Charlie are all grown up and kissing โ€“ a lot โ€“ in Heartstopper season two. (Netflix)

Alice Oseman hints at what to expect from season three of Heartstopper.
Alice Oseman is the author of theย Heartstopperย series of graphic novels. (Getty)