Hi all. I love Erin Reed and her substack Erin In the morning. I don’t subscribe to many but I do hers. Here is something for all those that say European countries are reversing on gender affirming care or cite the horrible bias of the debunked Cass review. Hugs.
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The recommendations, released by the Association of the Scientific Medical Societies in Germany, come at a time when US politicians erroneously claim that Europe is “pulling back” on transgender care.
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In recent years, U.S. politicians have selectively framed European healthcare policies to justify restrictions on transgender care, seizing on a handful of conservative policies to claim that “Europe is pulling back.” The most extreme example, the United Kingdom’s Cass Review, has been wielded to justify a near-total ban on puberty blockers and even cited in U.S. Supreme Court arguments. But new medical guidelines from Germany, Austria, and Switzerland tell a different story. These countries have reaffirmed the importance of gender-affirming care for transgender youth and issued sharp critiques of the Cass Review, calling out its severe methodological flaws and misrepresentations.
The guidelines, released Friday in German, span more than 400 pages and represent the collective expertise of 26 medical and psychotherapeutic professional organizations, along with two self-representation organizations from Germany, Austria, and Switzerland. Their stated goal is “to provide guidance to all professionals in the healthcare system who deal with young transgender and non-binary people for the best possible professionally informed care based on the current state of medical knowledge.”
Transgender medical guidelines and associated medical organizations recommending them.
From the outset, the guidelines explain the importance of gender affirming care, stating that there are “no proven effective treatment alternative without body-modifying medical measures for a [person with] permanently persistent gender incongruence.”
Importantly, the guidelines were developed with those who are experts in the fields of gender affirming care having a voice at the table, unlike the Cass Review: “Current guidelines, which are published by medical societies, were predominantly developed by clinical experts for the field of application and are based on an integrated synthesis of the assessment of available evidence and the broadest possible expert consensus.”
The guidelines directly recommend puberty blockers and individualized, prioritized care for transgender youth undergoing physical changes.In the section on puberty blockers, the guidelines state with a strong recommendation: “If, in individual cases, the progressive pubertal maturation development creates a time pressure in which health damage would be expected due to longer waiting times to avert irreversible bodily changes (e.g. male voice change), access to child and adolescent psychiatric or psychotherapeutic clarification and medical treatment optionsshould be granted as quickly as possible.”
The guidelines also deliver a strong critique of the Cass Review, the report currently being used to justify bans on gender-affirming care in the United Kingdom and leveraged in other countries to further restrictions. German medical societies deem the Cass Review largely inapplicable to their own guidelines due to its numerous methodological shortcomings. One of their sharpest criticisms focuses on the lack of transparency regarding those who advised and produced the review, as well as the limited expertise of those involved.
“Medical professional societies were not recognizably involved in the preparation of the report. A so-called “Assurance Group” was appointed, but it was explicitly not involved in the development of recommendations for the Cass Review. There are reports that an “Advisory Board” was also established. The composition and specific contribution of this “Advisory Board” are not documented (Ruuska et al., 2024; Cass, 2024),” read the guidelines.
They also criticize the Cass Review and NHS’s recommendation of “psychotherapy” for gender dysphoria as without evidence and as potentially harmful: “Psychotherapy is recommended for co-incident disorders, for which there is already an indication due to the co-incident disorder itself. However, it is also recommended or the ‘management of [GD] associated distress.’ None of the studies included in the review in question were able to show a reduction in gender dysphoria through psychotherapy.”
The new German, Austrian, and Swiss guidelines mark a significant advancement for transgender healthcare in those countries, reinforcing a growing trend in Europe toward expanding, not restricting, access to gender-affirming care.They join the ranks of nations like Spain and France, which have taken more progressive stances on transgender rights, including medical care. More importantly, they dismantle the false narrative that Europe is “pulling back” on transgender care.In reality, it is the United States that stands as an outlier, with its regressive policies placing it far to the right of much of the Western world.
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Story March 07, 2025 (Watch and/or listen on the page, linked just above.)
Republicans in Congress are pushing forward budget plans that would cut trillions in federal spending and give trillions more in tax cuts that disproportionately benefit corporations and the ultra-rich. This week, hundreds of faith leaders gathered on the Christian holy day of Ash Wednesday on Capitol Hill to voice their opposition. “There’s no way you can do the kinds of cuts they’re talking about — it’s mathematically impossible — without touching Social Security, Medicare and Medicaid,” says Bishop William Barber, one of the participants. Barber also reflects on the 60th anniversary of Bloody Sunday, when civil rights marchers were brutalized in Selma, Alabama, and stresses that economic justice was always at the heart of the movement alongside ending segregation and winning voting rights.
Transcript
This is a rush transcript. Copy may not be in its final form.
AMY GOODMAN: This is Democracy Now!, democracynow.org, The War and Peace Report. I’m Amy Goodman.
House Republicans narrowly adopted a budget proposal last week to cut as much as $2 trillion in spending over a 10-year period, in part to fund Trump’s tax cuts. A new analysis by the Congressional Budget Office shows the proposed budget would require massive cuts to Medicaid spending. Meanwhile, Elon Musk, the richest man in the world, has warned the U.S. government will go bankrupt without his Department of Government Efficiency, DOGE, which is working to slash a trillion dollars from the deficit.
This week, hundreds of faith leaders gathered to mark the Christian holy day of Ash Wednesday on Capitol Hill and to protest the impact the proposed cuts could have on the poor and the vulnerable. This is Bishop William Barber speaking at the protest Wednesday.
BISHOP WILLIAM BARBER II: If an unelected technocrat can delete the financial commitments of a government established for the people and by the people, and we don’t say anything, we betray our moral commitments to liberty.
AMY GOODMAN: Faith leaders also shared findings of a new report Wednesday called “The High Moral Stake: Our Budget, Our Future,” which details how President Trump and the Republican Party are taking more essential services and money away from working people while cutting taxes for the wealthiest. It was authored by Institute for Policy Studies, the Economic Policy Institute and Repairers of the Breach.
For more, we’re joined from North Carolina by Bishop William Barber, president and senior lecturer at Repairers of the Breach, national co-chair of the Poor People’s Campaign, founding director of the Center for Public Theology and Public Policy at Yale Divinity School. He’s co-author of the new book White Poverty: How Exposing Myths About Race and Class Can Reconstruct American Democracy.
Bishop Barber, welcome back to Democracy Now! on this 60th anniversary of Bloody Sunday, when voting rights activists marched — tried to march over the Edmund Pettus Bridge, led by John Lewis, and were beaten down by Alabama state troopers. Five months later, the Voting Rights Act would be signed by President Johnson. Your thoughts on putting history and this moment together, and what you were demanding on Wednesday?
BISHOP WILLIAM BARBER II: Well, thank you so much, Amy.
As I was listening to that song, “We Shall Overcome,” there’s another line that says, “We are not afraid.” And I want to thank Representative Green for his courage and showing the way of courage. He’s a dear friend of mine. He’s exactly right: You cannot wait until a dictator is in charge. You must challenge the way toward that dictatorship.
And we must remember, on this day 60 years ago, we did see that Bloody Sunday, but for nearly 40 years, Amelia Boynton, who was also beaten that day, a woman that John Lewis held in his arms, they have been working against voter suppression in that particular city. They also connected the issues of voter suppression and voter denial to economic injustice. Remember, the voting piece was supposed to be a part of the Civil Rights Act of ’64 along with raising the minimum wage to a living wage, and those things were gutted out of the ’64 Civil Rights Act, which made the ’65 march and the ’65 Voting Rights Act necessary.
At the end of that march, when they finally did reach Montgomery, Dr. King gave an amazing sermon. And he chose not to just talk about voting rights, but he chose to connect voting rights to economic injustice. And in that sermon, he said that the greatest fear of the greedy oligarchs in this country was for the masses of Black people and poor white people to join together and form a voting bloc that could fundamentally shift the economic architecture of the nation, and that every time this possibility becomes possible, the forces of extremism and the forces of division sow that division to keep it from happening.
I think we see that here today, what’s going on with this Congress. And it’s amazing to me, for instance, that they would censure Representative Green. They didn’t censure our sister out of Georgia. They didn’t censure the man who called Obama a liar on the floor. It’s a strange time that — the cheering, the applauding. But I think we are in a crisis of civilization, really, not just a crisis of democracy. It’s going to call people to have to stand, regardless of where they are.
So, what we’re dealing with right now, Amy, before I even talk about the specific policy, is this immoral philosophy that’s at work. Number one, they are operating off of the deliberate attempt to use executive orders as a way of intentionally violating the Constitution, thereby creating enough confusion to distract people from what’s going on in the Congress, because what happens in the Congress has the weight of the law, and EO doesn’t have the weight of law.
Number two, we are seeing the tyranny of technology and the dehumanization of people.
Number three, we’re seeing the attempt to make people justify their existence, which has its roots in racism, apartheid and Nazism.
Number four, we’re seeing the denial of equality on every front.
Five, we’re seeing the outright violation of freedom of speech, due to the process — due process and equal protection under the law for all persons, and an attempt to end birthright citizenship.
Number six, we are seeing the outright betrayal of liberty.
Number seven, we are seeing the idolatry of the certainty of white supremacy, that some people can decide who’s in, who’s out, who’s right, who’s wrong.
And number eight, we’re seeing the misuse of religious Christian nationalism in an attempt to falsely claim that their immoral actions are moral.
This is what is underneath, if you will, what we see going on. It is dangerous. It leads us to dictatorships and worse. And we must be courageous in this moment. I think that what you saw happen with Representative Green is just the tip of the kind of pushback we’re going to see as the weather gets warmer and as people see more and more the kind of damage that’s being suggested by this current budget and this current Congress. (snip-MORE; watch/listen on the page)
Bill Nye the Science Guy speaks to people protesting the Trump administration’s federal funding cuts during the Stand-Up for Science Rally in Washington DC, Friday, March 7, 2025. Photo by Dominic Gwinn.
On Friday, nerds all over the US staged rallies to protest the Trump administration’s cuts to federal funding research. Thousands rallied on the steps of the Lincoln Memorial in Washington DC to plead about the benefits of funding science and research in the knowns, known-unknowns, and unknown-unknowns.
Like so many DC rallies before it, the steps of the Lincoln Memorial were transformed into a temporary stage. There wasn’t a big, black riser with rows of cameras and media crews. There weren’t throngs of journalists roaming around and shoving microphones in the faces of flag waving attendees. The crowd didn’t have any kind of uniform apparel, like colored hats and/or armbands.
With a few exceptions, like Bill Nye the Science Guy, and patients who owe their lives to federally funded medical research, a number of speakers were fairly boring. They stood awkwardly at podium and told corny jokes that fell flat. At one point, some of the older folks sang out-of-tune folk songs.
These were scientists. They proudly identify as nerds. They’ve dedicated their careers to saving lives and the planet we’ve all been mucking up for generations. And now many of them were facing unemployment because a merry band of bigots, buffoons, and bros decided science is, like, queer, or whatever.
People in the crowd cheered on speakers — their colleagues and fellow researchers — who lamented the loss of funding that didn’t just help find cures for cancers and disease, create new technologies, or reveal secrets of the universe; they were pissed there was no money for things like coolant used in specialized freezers that preserve decades of biological specimens.
Dr. Allison Agawu speaks to people protesting the Trump administration’s federal funding cuts during the Stand-Up for Science Rally in Washington DC, Friday, March 7, 2025. Photo by Dominic Gwinn.
“This will lead to more deaths,” summarized Dr. Allison Agawu, Professor of Adult and Pediatric Infectious Diseases at Johns Hopkins University School of Medicine. “Science is a beautiful art built on a canvas of ideas. The best science comes from diverse ideas, from diverse people with diverse perspectives, spurring innovation and progress … We collectively reject that inclusion, diversity, equity and access are bad words. In fact, programs championing these ideals should be celebrated and expanded, as that is how we get the best science and the best outcomes.”
A retired mathematician from the National Security Agency explained that it could be difficult for people to understand why research jobs were important. Not everything can be easily described in an elevator pitch. “Are there places we could cut,” they said, “Sure, but people just don’t understand what we do. We can’t talk about it. I know my work saved lives.”
Lloyd Franklin, 64, stood at the front of the stage wearing a blue NASA jacket. He is a retired aerospace engineer who, like many kids, grew up wanting to be an astronaut. He held a sign with a photo of Apollo astronaut Gene Cernan from 1972. Cernan is taking a selfie while holding the American flag as the Earth, a pale blue dot, floats in over his shoulder. It was the last time humans walked on the Moon.
Above the photo on Franklin’s sign were the words: “Science gave us this.”
“I know this is important,” Franklin said. “I know we have to make a stand.”
Lloyd Franklin, 64, protests the Trump administration’s federal funding cuts during the Stand-Up for Science Rally in Washington DC, Friday, March 7, 2025. Photo by Dominic Gwinn.
These types of protests have been happening almost daily over the last few weeks. Much of this is being carried out by federal workers themselves through private, encrypted chats and public message boards. Mustering a sizable crowd on short notice in the middle of the week in DC can be a Herculean task, but they have been showing up to protest regularly since congressional Republicans turned a blind-eye to Donald Trump’s sweeping cuts to federal agencies.
If they get any media attention, it’s from struggling freelancers or niche bloggers. National broadcasters or their local affiliates are not really showing up to show hundreds of federal workers protesting on the evening news. There’s a massacre being carried out in broad daylight and the pathetic reality is that much of the DC press corps is either too scared to do their jobs, or they just don’t care.
The Pentagon is conducting a DEI (diversity, equity, inclusiveness) purge, and one of the victims is the plane, Enola Gay. Trust me, there’s nothing further from Woke than dropping an atomic bomb on a city full of non-white foreigners.
The Trump administration (sic) is making me suffer from an overload of stupidity.
The Secretary of Defense, Pete Hegseth, sent a directive last week for the Pentagon to “remove all DoD news and feature articles, photos, and videos that promote Diversity, Equity, and Inclusion,” citing one of Trump’s idiotic executive orders.
This doesn’t just include the Enola Gay, but over 26,000 images in the military database across each branch. One anonymous source said the purge could delete as many as 100,000 images and posts in total.
Some of these include the first Black military pilots and mentions of commemorative months, including Women’s History Month and others associated with Hispanics and Pacific Islanders. Anyone with the last name “Gay” is being deleted, along with a Corps of Engineers project on fish because it mentioned gender. But then again, maybe these are gay fish. We already found out how the Trump administration (sic) feels about fish.
These are mistakes, though, right? RIGHT?
Pentagon spokesperson John Ullyot told the Associated Press (despite the fact the outlet won’t use the name “Gulf of America) that the department is “pleased by the rapid compliance across the Department with the directive removing DEI content,” clarifying if “content is removed that is out of the clearly outlined scope of the directive, we instruct components accordingly.” Clearly? Are you sure, Mr. Ullyot?
That means they’ll fix it, right? RIGHT? It’s not clear. (snip-MORE, and it’s choice!)
When I sent this to one of my proofers, she didn’t know there is an IRS office in Fredericksburg, at least for now.
You may think, “Good. Fuck the IRS and delete all those offices.” But when you’re having tax issues, it’s much better to deal with them in person. I used the local office once about two decades ago, and my issue was worked out.
Think of it like a city bus. If you drive, you don’t plan to ever take the bus, but you’re glad your town has buses just in case. This isn’t a good analogy for me because I use the local bus all the time.
But yeah, a lot of IRS offices are on Elon’s list, and Fredericksburg’s is one of them. According to the DOGE website, the lease for the 6,162-square foot office space will be terminated as part of a “mass modification” of government contracts.
The website states that the lease costs $153,000 per year and that terminating it will save $395,504, but the website does not provide a source for that information. I also wonder how much of that lease has already been paid. Elon has boasted about saving money by cutting government contracts that have already been paid. He’s an idiot.
I don’t know how long the office will be there, but in case you need it now, it’s located on the fourth floor of 1320 Central Park Boulevard. I hope something else comes up and it’s saved, like a court order.
Neither Elon nor DOGE has legal authority to make cuts. This is something MAGAts and a LOT of Republicans keep ignoring. DOGE operates outside of the three branches of government and ignores the other three.
DOGE is making cuts without transparency or oversight from the three branches. Many of these cuts are being made from the recent Nazi college grads Elon has hired without any oversight, even from Elon.
As Harry would say in Resident Alien, this is some bullshit.
According to the Advance, other Virginia leases targeted for termination are the Office of U.S. Attorneys, the Animal and Plant Health Inspection office, and the Geological Survey office in Richmond; the General Services Administration in Charlottesville; the General Services Administration, the Office of the Undersecretary of the Department of Health and Human Services, and the Mine Safety Health Administration in Arlington; the General Services Administration in Lorton; the Bureau of Industry and Security in Herndon; the National Oceanic and Atmospheric Administration in Hampton; and the Government Accountability Office in Virginia Beach.
Creative note: When I saw this story, my first thought was I shouldn’t do a cartoon about it this week because I’ve drawn on Elon and DOGE for the Advance the past two weeks, and this would make it three weeks in a row. Check out here and here. But these issues are important, so I drew it anyway, and then I sent it to my editor.
I wasn’t going to fight for this cartoon because we’ve done Elon the past two weeks, so I sent a rough on a different subject along with this one. I was also prepared to draw more roughs because Martin, my editor, had sent about five subjects for me to choose from.
Martin picked this one while acknowledging we’ve done a lot on Elon and DOGE. So, we probably won’t do another Elon cartoon next week…unless he does something else extremely stupid that hurts our community. What are the odds of that happening again? (snip)
March 10, 1968 Cesar Chavez ended a 23-day fast for U.S. farm workers in a Delano, California, public park with 4000 supporters at his side, including Senator Robert Kennedy (D-New York). Cesar Chavez led the effort to organize farm workers into a union for better pay, working and living conditions.
March 10, 1969 James Earl Ray was sentenced to prison for 99 years by a court in Memphis, Tennessee, after admitting he murdered American civil rights leader Dr. Martin Luther King, Jr. King, who preached and practiced nonviolence, was shot dead by a sniper in Memphis as he stood on the balcony of the Lorraine Motel. The building now houses the National Civil Rights Museum. Witnesses pointing toward the source of the shot that killed King. National Civil Rights Museum at the Lorraine Motel
March 10, 2006 Turkish conscientious objector (CO) Mehmet Tarhan was released unexpectedly from a military prison after being held for having refused service in the army. A court decided that he had already been held longer (23 months) than any possible sentence for the crime. Mehmet TarhanMehmet Tarhan’s supporters He was ordered, however, to present himself again for military service and thus be subject to re-arrest for the same offense.
Becka Robbins of Fabulosa Books packs up LGBTQ+ books to send to parts of the country where they are banned, on 27 June 2024 in San Francisco. Photograph: Haven Daley/AP
The majority of banned books in US public schools last year dealt with people of color, LGBTQ+ people and other demographics, according to a new study from PEN America.
The report also counteracts claims by conservative lawmakers that books being removed from classrooms are sexually explicit and that book bans are altogether a “hoax”, an assertion made by Donald Trump.
There were more than 10,000 instances of books being banned in the 2023-24 school year, PEN America reported, a sharp increase from the previous year, as Republican-led states implemented new censorship laws.
Out of 4,218 book titles that were banned, 1,534 – or 36% – featured people of color, the most censored identity group in book bans. Some removed titles included August Wilson’s Pulitzer-prize winning play Fences and Innosanto Nagara’s A is for Activist, a picture book for children about social issues.
Books featuring people of color were disproportionately targeted in all banned-book categories, the report found, especially in removed historical and biographical titles. Of such banned books, 44% included people of color; more than one-fourth, or 26%, of those books featured Black people.
Advocates with PEN America noted that at the same time as the onslaught of book bannings, more than 50% of young people in the US are children of color, according to 2021 data from the Children’s Defense Fund.
“This targeted censorship amounts to a harmful assault on historically marginalized and underrepresented populations – a dangerous effort to erase their stories, achievements, and history from schools,” said Sabrina Baêta, senior manager for PEN America’s Freedom to Read program, in a press release about the report. “When we strip library shelves of books about particular groups, we defeat the purpose of a library collection that is supposed to reflect the lives of all people. The damaging consequences to young people are real.”
Titles featuring LGBTQ+ characters also made up a sizable number of book bans: 1,066 books, or 25% of all banned titles, included LGBTQ+ people. Transgender or genderqueer characters were specifically targeted in such book bans, as 28% of removed books featuring LGBTQ+ characters included that demographic.
Beyond people of color and LGBTQ+ people, books including disabled people were also affected by nationwide bans. About 10% of all removed titles included characters with physical, learning or developmental disabilities or who were neurodivergent. Several affected books with disabled characters focused on “confidence, self esteem, or experiences with ableism”, PEN America reported.
Meanwhile, only 13% of removed titles included “on the page” instances of sexual experiences. Inferred or “off the page” instances of sexual encounters were included in 31% of banned books.
The vast majority of banned books (85%) were fiction, with 14% being non-fiction and 1% poetry. About 67% of removed books were for younger audiences, PEN America reported.
The ongoing banning of books comes as the Trump administration has cracked down on diversity, equity and inclusion (DEI) efforts in US public schools and universities. In a memo last week, Trump threatened to withhold federal funding from any schools that refused to eliminate diversity initiatives, such as scholarships for students of certain identity groups and school programming.
March 9, 1839 The U.S. Supreme Court, with only one dissent, freed the slaves who had seized the Spanish slave ship Amistad, ruling that they had been illegally forced into slavery, and thus were free under American law. Slave ship They had mutinied and taken control of the ship off the shore of Cuba (then a colony of Spain) and demanded to be taken back to Africa but wound up in U.S. waters off the coast of Long Island, New York. More on the Amistad mutiny
March 9, 1945 Phyllis Daley became the first African-American commissioned nurse in the U.S. Navy. Though more than 500 black nurses served in the Army during World War II, the Navy had only dropped its color ban a few weeks before.
March 9, 1964 Five Sioux Indians, led by Richard McKenzie, claimed the island of Alcatraz in San Francisco Bay as Indian land. The island had recently been abandoned, and the action was based on an 1868 treaty which entitled Indians to take possession of surplus federal land. The native Americans advocated turning it into a cultural center and Indian university, but their occupation lasted only four hours.
March 9, 1965 Two days after Bloody Sunday [see March 7, 1965] Reverend Martin Luther King, Jr. led 1500 outraged people gathered from around the country back to the Edmund Pettus Bridge on the outskirts of Selma, Alabama. They were attempting for a second time to march to the state capital of Montgomery in support of voting rights for black Americans. Confronted once again by state troopers blocking passage to the bridge, King knelt in prayer, then led his followers back, avoiding further violence. Later that evening three white ministers were attacked by local whites as they left a soul food restaurant in Selma. Reverend James Reeb was struck on the head with a club and died two days later.
Please enjoy International Women’s Day, and give respect and your compliments to all the women with whom you interact (I know that you do!) A history bit for the day is below. -A
March 8, 1965 About 3,500 U. S. Marines became the first American combat troops in Vietnam, landing near the coastal city of Da Nang. The ships USS Henrico, Union, and Vancouver, carrying the 9th Marine Expeditionary Brigade under Brigadier General Frederick J. Karch, took up stations 4,000 yards off Red Beach Two, north of Da Nang.
March 8, 1983 40,000 in Tel Aviv, Israel, organized by Peace Now, rallied against the war in Lebanon.
March 8, 1995 Women in Black demonstrated in the center of Belgrade, Serbia, on International Women’s Day, expressing solidarity with Kosovar women: “The Albanian women from Kosovo are our sisters.”The women were both spit at and kicked, but didn’t give up, and stood there to the end of the usual hour. Though Kosovo is overwhelmingly (90%) ethnically Albanian, it is considered the national and religious birthplace of Serbians. Both Kosovo and Serbia had been part of the former Yugoslavia, which had granted partial autonomy to Kosovo in 1974. Serbian President Slobodan Milosevic (later tried for war crimes) in 1989 withdrew that autonomy and revoked the official status of the Albanian language in Kosovo.