Madison PaulyMay 27, 2025, 3:00 pm EDTSpencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
This article first appeared on Mother Jones. It has been republished with the publication’s permission.
In 2022, Utah Gov. Spencer Cox was the rare Republican governor who seemed to truly care about the well-being of transgender kids. “I don’t understand what they are going through or why they feel the way they do. But I want them to live,” he wrote in a letter that year, explaining why he was vetoing a bill that would have banned four trans middle- and high schoolers in Utah from playing on sports teams with classmates who shared their gender identity. “All the research shows that even a little acceptance and connection can reduce suicidality significantly.”
Meanwhile, nationally, Republican politicians were making opposition to trans rights a core tenet of their platforms, filing hundreds of bills attacking trans kids at the doctor’s office, at school, and on the field. Early in the 2023 legislative session, Cox capitulated, signing a bill that placed an indefinite “moratorium” on doctors providing puberty blockers and hormone therapy to trans kids with gender dysphoria. The bill ordered the Utah health department to commission a systematic review of medical evidence around the treatments, with the goal of producing recommendations for the legislature on whether to lift the moratorium. “We sincerely hope that we can treat our transgender families with more love and respect as we work to better understand the science and consequences behind these procedures,” Cox said at the time.
Now, more than two years later, that review is here, and its conclusions unambiguously support gender-affirming medical care for trans youth. “The conventional wisdom among non-experts has long been that there are limited data” on gender-affirming pediatric care, the authors wrote. “However, results from our exhaustive literature searches have lead us to the opposite conclusion.”
The medical evidence review, published on Wednesday, was compiled over a two-year period by the Drug Regimen Review Center at the University of Utah. Unlike the federal government’s recent report on the same subject, which was produced in three months and criticized gender-affirming pediatric treatments, the names of the Utah report’s contributors are actually disclosed on the more than thousand-page document.
The authors write:
The consensus of the evidence supports that the treatments are effective in terms of mental health, psychosocial outcomes, and the induction of body
changes consistent with the affirmed gender in pediatric [gender dysphoria] patients. The evidence also supports that the treatments are safe in terms of changes to bone density, cardiovascular risk factors, metabolic changes, and cancer…It is our expert opinion that policies to prevent access to and use of [gender-affirming hormone therapy] for treatment of [gender dysphoria] in pediatric patients cannot be justified based on the quantity or quality of medical science findings or concerns about potential regret in the future, and that high-quality guidelines are available to guide qualified providers in treating pediatric patients who meet diagnostic criteria.
In a second part of their review, the authors looked specifically at long-term outcomes of patients who started treatment for gender dysphoria as minors:
Overall, there were positive mental health and psychosocial functioning outcomes. While gender affirming treatment showed a possibly protective effect in prostate cancer in transgender men and breast cancer in transgender women, there was an increase in some specific types of benign brain tumors. There were increased mortality risks in both transgender men and women treated with hormonal therapy, but more so in transgender women. Increase risk of mortality was consistently due to increase in suicide, non-natural causes, and HIV/AIDS. Patients that were seen at the gender clinic before the age of 18 had a lower risk of suicide compared to those referred as an adult.
Submitted with the review was a set of recommendations—compiled by advisers from the state’s medical and professional licensing boards, the University of Utah, and a Utah non-profit hospital system—on steps the state legislature could take to ensure proper training among gender-affirming care providers, in the event it decides to lift the moratorium.
But according to the Salt Lake Tribune, legislators behind the ban are already dismissing the findings they asked for. In response to questions from the Tribune, Rep. Katy Hall, who co-sponsored the 2023 ban, issued a joint statement with fellow Republican state Rep. Bridger Bolinder, the chair of the legislature’s Health and Human Services Interim Committee, that dismissed the study’s findings. “We intend to keep the moratorium in place,” they told the Tribune. “Young kids and teenagers should not be making life-altering medical decisions based on weak evidence.”
Why ignore their own review? Polling, the legislators’ statement suggests. “Utah was right to lead on this issue, and the public agrees—polls show clear majority support both statewide and nationally,” Hall and Bolinder added in their statement. “Simply put, the science isn’t there, the risks are real, and the public is with us.”
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Tag: Mental Health
ICE officers stuck in Djibouti shipping container with deported migrants
https://www.washingtonpost.com/immigration/2025/06/05/djibouti-deportations-migrants-ice-trump/
Trump officials transferred the migrants to the East African nation in response to a judge’s order. They now face threats that include rocket attacks from Yemen.
June 6, 2025 at 5:51 p.m. EDTyesterday at 5:51 p.m. EDTA U.S. Air Force plane used for deportation flights is stationed at Biggs Army Airfield in Fort Bliss, El Paso, on Feb. 13. (Justin Hamel/AFP/Getty Images)
Trump officials could have flown the immigrants back to the United States. Instead, they were taken to Djibouti, where in late May officers turned a Conex container into a makeshift detention facility on U.S. Naval Base Camp Lemonnier, according to Mellissa Harper, a top ICE official, who detailed the conditions Thursday in a required status update to the judge.
Three officers and eight detainees arrived at the only U.S. military base in Africa unprepared for what awaited them. Defense officials warned them of “imminent danger of rocket attacks from terrorist groups in Yemen,” but the ICE officers did not pack body armor or other gear to protect themselves. Temperatures soar past 100 degrees during the day. At night, she wrote, a “smog cloud” forms in the windless sky, filled with rancid smoke from nearby burning pits where residents incinerate trash and human waste.
The Trump administration has urged the Supreme Court to stay Murphy’s April order requiring screenings under the Convention Against Torture, which Congress ratified in 1994 to bar the U.S. government from sending people to countries where they might face torture. In a filing in that case Thursday, officials told the Supreme Court that Murphy’s order violates their authority to deport immigrants to third countries if their homelands refuse to take them back, particularly if they are serious offenders who might otherwise be released in the United States.
Matt Adams, a lawyer for the detainees and legal director of the Northwest Immigrant Rights Project, said the government is delaying interviewing the men to determine whether they have a reasonable fear of harm. The judge ordered the government to provide the detainees with access to their lawyers, but Adams said they haven’t spoken to them.
Lawyers fear the Trump administration is delaying the screenings in hopes that the Supreme Court stays Murphy’s order and clears the way for officers to deport the men to South Sudan. He said detainees are likely to prevail in proving they have a credible fear of being tortured because South Sudan is on the brink of civil war and they are not citizens of that country.
“What person wouldn’t have a reasonable fear of being dropped into a war torn country that they know nothing about?” he said.
While Djibouti is one of the hottest inhabited places on earth, a Navy guide to Camp Lemonnier says it has air conditioning, WiFi, a Pizza Hut, a Planet Smoothie, and a medical clinic. It also has a movie theater, a restaurant called “Combat Cafe,” a gym and a swimming pool.
But Harper wrote that the officers and detainees staying in the shipping container have not had access to basic necessities. Officers and detainees began to suffer symptoms of a bacterial upper respiratory infection soon after deplaning, including “coughing, difficulty breathing, fever, and achy joints.”
Medication wasn’t immediately available. She wrote that the flight nurse has since obtained treatments such as inhalers, Tylenol, eye drops and nasal spray, but they cannot get tested for the illness to properly treat it.
“It is unknown how long the medical supply will last,” Harper wrote, though the camp guide has a clinic on-site.
The officers spend their days guarding eight immigrants convicted of crimes that include murder, attempted murder, sex offenses and armed robbery, court records show. Harpersaid Defense Department employees “have expressed frustration” about staying in close proximity to violent offenders.
Harper said ICE has had to deploy more officers available to work in “deleterious” conditions to give the initial crew a break. Currently 11 officers are assigned to guard the immigrants and two others “support the medical staff,” she said. They work 12-hour shifts guarding immigrants, taking them to get medication, and to use the restroom and the shower in a nearby trailer, one at a time. Officers pat down the detainees, searching them for contraband.
At night and on breaks, officers sleep on bunk beds in a trailer, with one storage locker apiece. Some wear N95 masks even while they sleep, because the air is so polluted it irritates their throats and makes it difficult to breathe. The area is dimly lit, which Harper wrote poses a security risk to the officers.
Department of Homeland Security officials seized on the court filings to criticize the judge.
“This Massachusetts District judge is putting the lives of our ICE law enforcement in danger by stranding them in [Djibouti] without proper resources, lack of medical care, and terrorists who hate Americans running rampant,” said DHS spokeswoman Tricia McLaughlin on X. “Our @ICEgov officers were only supposed to transport for removal 8 *convicted criminals* with *final deportation orders* who were so monstrous and barbaric that no other country would take them. This is reprehensible and, quite frankly, pathological.”
A lawyer for the detainees said they are also worried about their clients’ health, and said the government is responsible for the current situation. Trina Realmuto, a lawyer for the detainees and executive director of the National Immigration Litigation Alliance, noted Murphy gave the government the option of returning the men to the United States.
“The government opted to comply overseas,” she said. “This is a situation that the government created by violating the order and easily can remedy with a single return flight.”
Family members who finally reached the detainees by phone said the trailer where they are being kept has air conditioning, but that they remain in leg irons and without sufficient access to medicine.
Murphy had said DHS abruptly launched the deportation flight even though it plainly violated his April 18 preliminary injunction barring them from removing people without due process. Federal law prohibits sending anyone — even criminals — to countries where they might be persecuted or tortured.
Although McLaughlin said officials couldn’t deport them to their home countries, Mexico President Claudia Sheinbaum said at a news conference last month that the U.S. government did not inform her of the Mexican national sent to Djibouti, Jesus Munoz Gutierrez, who was convicted of second-degree murder in Florida 20 years ago, court records show.
She said the U.S. would have to follow protocols to bring him to Mexico, if he wishes to be repatriated, and she said he could be detained upon arrival. She said Mexico is reviewing the case.
Murphy has also ordered the government to return a gay Guatemalan man who was deported to Mexico, where he said he had been kidnapped. The man returned Wednesday.
This Is Beautiful-
go see the entire post! 🐙
“Mighty Monarch”
Stuff I Ran Across Yesterday
How Crocodile Ancestors Survived The Dinosaur Extinction
Evrim Yazgin Cosmos science journalist
Crocodiles are often thought of as living fossils – unchanged over millions of years. New research has shown that their evolutionary history is a lot more complicated than that.
Crocodilia is the surviving family of a lineage which emerged about 230 million years ago (mya) called crocodylomorphs. This group split from other reptilian species including those that eventually became dinosaurs. Today, the crocodilia include crocodiles, alligators, caiman and gharials.
Ancestors of modern crocodilians survived through 2 mass extinctions, including the one which spelled the end of the “Age of Dinosaurs” 66 mya.
The new study, published in the journal Palaeontology, shows that the secret to success of crocodylomorphs was their adaptability to new food sources and habitats.
“Lots of groups closely related to crocodilians were more diverse, more abundant, and exhibited different ecologies, yet they all disappeared except these few generalist crocodilians alive today,” says lead author Keegan Melstrom from the University of Central Oklahoma.
Today’s crocodilians are semi-aquatic generalists. The thrive in different habitats and aren’t picky eaters.
It was a different story with ancient crocodylomorphs.
The palaeontologists visited museum collections in 7 countries, across 4 continents to understand the evolution of crocodilian ancestors. They examined the skulls of 99 extinct crocodylomorph species and 20 living crocodilians.
Crocodylomorphs exploded after the end-Triassic mass extinction 201 mya which killed off ancient lineages of hypercarnivores and land-based predators.
“After that, it goes bananas,” says Melstrom. “Aquatic hypercarnivores, terrestrial generalists, terrestrial hypercarnivores, terrestrial herbivores – crocodylomorphs evolved a massive number of ecological roles throughout the time of the dinosaurs.”
Toward the end of the time of the dinosaurs, however, crocodylomorphs started to decline.
Most of the specialised crocodylomorphs had died off by the end of the Cretaceous. Almost all 26 remaining species today are semi-aquatic generalists.
“When we see living crocodiles and alligators, rather than thinking of ferocious beasts or expensive handbags, I hope people appreciate their amazing 200+ million years of evolution, and how they’ve survived so many tumultuous events in Earth history,” says co-author Randy Irmis from the Natural History Museum of Utah. “Crocodilians are equipped to survive many future changes – if we’re willing to help preserve their habitats.”
“Extinction and survivorship are 2 sides of the same coin,” Melstrom says. “Through all mass extinctions, some groups manage to persist and diversify. What can we learn by studying the deeper evolutionary patterns imparted by these events?” (snip-More)
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Free by Grant Snider
A poem in pictures Read on Substack
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More Library Tidbits (+ a way to be an impediment to the strangling of libraries.)
US blocks Canadian access to cross-border library, sparking outcry
US officials claim move was to curb drug trafficking while Quebec town says it ‘weakens collaboration’ among nations
View image in fullscreen A young girl walks over the Canada-US border line from the Haskell Free Library and Opera House in Derby Line, Vermont, on Friday. Photograph: Christinne Muschi/The Canadian Press via AP
The US has blocked Canadian access to a library straddling the Canada-US border, drawing criticism from a Quebec town where people have long enjoyed easy entry to the space.
The Haskell Free Library and Opera House is located between Stanstead, Quebec, and Derby Line, Vermont. It was built deliberately to straddle the frontier between the two countries – a symbol of cooperation and friendship between Canada and the US. (snip)
Fairhope Public Library supporters raise money to replace funds state plans to withhold
By: Ralph Chapoco – March 25, 2025 11:49 am
A nonprofit says it has raised enough money for Fairhope Public Library to cover state funds that the Alabama Public Library Service Board cut off last week.
Read Freely Alabama, a grassroots free speech advocacy organization that has fought restrictions on library content, said it had collected almost $39,000 from about 550 donors through Tuesday morning. Read Freely is organizing the campaign with EveryLibrary, an Illinois-based organization that promotes library funding and fights restrictions.
“We were trying to figure out what was the amount that they were pausing,” said Cheryl Corvo, a member of Read Freely Alabama and Fairhope resident. “Then, we found out it was $42,000 that they were pausing, and how it would affect our library.”
The Fairhope Public Library said it will have access to funding without interference from the state or any outside groups.
“We had a meeting with EveryLibrary, which is the group that has control of this particular fundraiser, and they take 10% and 90% of it comes to us,” said Randal Wright, a board member of the Fairhope Public Library.
The amount was not enough to severely debilitate the library’s operations, Corvo said. But it is enough to affect “some very vital resources that the library provided.” Corvo said the campaign should also make APLS aware of the magnitude of local support for the library.
Wright said that if the state continues to withhold money, the funds will go toward computers, books for the collection and paying for guest speakers. (snip)
What my mornings / days have been like lately.
What a day. I have been training my self to get up at 5 am. My body and bowels now wake me at anytime between 4:15 am to 4:30 am. Ok I can live with the waking up, but not with how the bowels like to do it. Warning for poop talk ahead. See since my primary care doctor figured out why I was having diarrhea and worked with my other doctors to change my medications, my poop went from diarrhea to being rocks that could be used as paving blocks. When they move through the lower system they let themselves be known.
Ron had been letting himself sleep in later and later until he got to after 9 am before he would wake up. I told him we couldn’t have that. So I asked him to pick a reasonable time to get up, he picked 6:30 am. But after a few weeks of that and coming to bed earlier, he now wakes up when I get up to start my day. He also now gets up with me. Sometimes he goes back to bed after he has his three cups of coffee and sometimes not. Today he stayed up and went out shopping for a bit of stuff at a bit past 9 am. But … big but.
Our getting things taken care of around here has been a bit haphazard. Sundays are a news day for me. This morning Ron wanted me to make a scrambled eggs and ham breakfast as he likes the way I do eggs the best. I normally add to the meal either fried the potatoes we did not eat from the night before or shredded hash browns along with a few sausages, separate from the eggs but as sides. But today we did not have anything but 6 bread slices, eggs, and the thick ham slices from what we sliced yesterday. So why does Ron want me to cook the eggs. Two reasons, eggs can turn very quickly when cooking no matter how you are cooking them other than boiling them. Fried eggs, scrambled eggs, it doesn’t matter. Ron is incapable of paying the eggs that much attention so they come out bad for him. So how do I make my scrambled eggs different.
First I have a system for breaking the eggshell that makes sure no shell bits get into the eggs. You have to do it when the eggs are very cold. Then take the sharp side of a knife and carefully hit the lower side of the egg at about midline. That causes the egg to makes its own clean break. Next in the bowl add water. Here is the normal thing. Milk adds something I forget since I don’t use it, water adds fluffy. So most cooking shows say add a teaspoon or such … screw that. I add about a huge dash. I never measure it, like I never measure anything I add to stuff I cook (except bread. That needs to be exact to make sure the bread forms correctly), I put the bowl under the faucet and give it a “shot” or today I put the water into a cup measuring cup and between the two bowls I added about a 1/4 cup of water.
Why don’t I worry about the amount of water? Because after stirring it up in the bowls, I put the sauce pot on the stove with a large tab of real butter. Ron used to ask why a sauce pot as he uses a flat pan. Because the smaller pot can let me get the temperature up to a point there the water comes out on top and boils off and lets you fold and refold the eggs until the moisture boils away, then you can fold / chop the scrambled eggs up into ever smaller bits of good dry but not desiccated plate of scrambled eggs. They still have enough moisture to let you mix ketchup or hot sauce into them.
Thinking I was done, I started making posts. But Ron had to go out and get stuff. Crap. But that was where all the other stuff of the last few days came to bite me in the butt. On Sunday I don’t do much but watch news, and I guess on Saturday we had not done dishes, so we had two and a half days of dishes this morning … to be washed. Ron wanted me to do that before he got home. Damn it … OK Ron I will. It took me until well after noon to wash / dry the dishes. Again I thought I had blogging time. But no.
I had barely sat down when Ron came home with the groceries. Actually there were few groceries but He had spent most of that three or four hours he had been gone in Home Depot getting parts for the plumbing project he needed. Ok now I could return to blogging right … Nope. Ron decided that it was time to have the roast he put in the crock pot this morning at about 6 AM. OK, help Ron make supper. Yes we eat early. About between 2 and 3 PM. Why because after 4 pm I can’t eat, or have no interest to eat. Help him with the corn, and potatoes which we decided to bake. 45 minutes later was lunch. The meal was great.
Then came clean up and putting away the food. It is now well after 3 pm, nearly 4 pm. So Ron decided he needed a nap. Would I like to nap with him? Yes of course. We never even got to the cuddle part as he went out right a way after putting on his C-Pap mask. I laid there trying to rest. At 5 pm my phone alarm for me to take my evening pills and set up my morning ones went off. Ron decided he had to get up as he was too sore to cuddle, I got up and made my pills. Now at 5:30 pm I am in my office finishing this post up. This is why it is hard for me to post and much harder to make a video. I did a load of laundry and still have one in the dryer that Ron forgot. I don’t have the energy to fold them or putting them away today. I am done. Just now one of our cats demanded wet food. I have not even managed a shower today, how can I find time to set up everything in my system, record, and then edit a video. Sadly most days I would go with Ron when he goes out shopping, today he fooled me which is why I kept texting him asking if he was OK. He had a small list of 10 items, and yet was gone over three hours. If he had told me he was going to go prowl Home Depot I would have insisted on going along. Not that he doesn’t know what he wants but he gets confused over if he got enough part a or enough part b, and maybe instead he needs part d or f and so he ends up getting far more parts than he needs. Then he says it is OK because they come in handy … some time. When I am with him he can bounce it off me and I can say well you got 5 of this and 6 of that, what is the goal.
Anyway I am going to proofread this. I want to stress that I do not regret spending my time doing housework or helping Ron. I do regret not getting to much of what I want to do with the blog. But I am reassured that even if I do not post some day or days, Ali and Randy will. Sadly that day may be coming sooner than I would like. I always figured that it would be my health that made it hard for me to keep up with the blog, now it is both my health and Ron’s. I have to tell you all, some days I only want to turn my 55-inch 4K TV to viewing position and just watch movies. But I can’t retreat like that. I hope you won’t either. Hugs.
Why I have been a bit off line
The last few days, I have been driving Ron from different stores to other places he wants to go. Yes he can still drive, but since the doctor talked to him about possible dementia he wants me to drive him everywhere. Plus I have caught him in several forgetful moments the last two days like forgetting to lock a door or forgetting to do something else important, he now shrinks like I hit him when I remind him of it.
It tears the shit out of me. I have never hit or abused Ron, but to see him cringe like I did as a child waiting for the blow … It is killing me. I find my self talking very gently around him, which then bothers him. I find myself checking up behind him like tonight he is cooking supper and I helped him get sauces out and small dishes. Then he noticed me checking the setting on the stove and oven.
That set him off, you don’t trust me. My response was Ron love you asked me what stuff we should get out and have with our supper. I feel this is a rollercoaster I am not prepared for as with my own memories of abuse hitting I go in and out of that same roller coaster. I can not have two of us cycling at the same time.
I have changed how I do my pills so it is clear and no doubt when I take them. I have added a note suggested by Suze to my desk reminding me to take my evening insulin. Again thanks to Suze I added a phone alarm to both Ron’s phone and mine that alert him to take his pills. It worked today, as I walked around trying to figure out why that sound was playing and Ron told me … it is time for me to take my pills.
Right now this is the best I can do. To say I am worried or scared is a large understatement. Please keep suggestions coming. Hugs
Oh a major issue has developed with my computers that I need to dump them and reset them to fix. But not today, not now, and hopefully I have a few days to do it. Tomorrow morning I have to get up at 5AM to get us ready for Ron’s brain scan first thing in the morning. Love to all that care about us, best wishes for all, and hugs for those that want them. Scottie
Too tired and too discouraged.
My own doctors have been pushing for 8 years that I need a neurologist. It got much worse after I had my stroke in 2023. But I put it off. But I have seen Ron decline. I admit that the string of numbers I need to put in due to two factor authentication. I need Ron to read them to me, or I have to keep refreshing them as I can’t remember the numbers. I also am dyslexic on numbers. I have never been able to spell but also numbers are not my friends.
But while my doctor has said I need a neurologist due to the lost of strength on my left side due to my stroke, and the ever increasing tremors, and while I have a standing order for an MRI on my left shoulder due to a spasm that my doctor thinks tore my rotator cuff. I put it off. Glad I did.
Ron has been failing mentally for years. I took over the bills a decade ago because he said it was too much for him … I have seen the writing on the wall. Now at 70 I have to often remind him of things, make sure he puts appointments into the calendar. He will open food and walk away leaving it on the counter, he struggles to understand why some of his lapses upset me, always promising to do better … then repeating it.
When it comes to construction issues he is spot on, but now on cooking he comes to me confused. When Ron met me and moved in I had eggs and hot dogs in my refrigerator, it was all I knew how to cook, he taught me all I know. Now he comes to me confused asking what I think we should do. To be clear he understands he is losing memory and time and it terrifies him. He has begged me that if he ever has Alzheimer’s that I will kill him. But he is simply forgetful. I have to get up and check the security system after he goes to bed, but also I have made my own mistakes in my nighttime pills when I am exhausted. I am not sure where this is going to go. I did not think the problem was as bad as this doctor did, but when Ron told me the tests he took … I couldn’t pass them either. We are older people. So … Hugs
Eternal Sunshine
Several years ago I participated on a social-ish health website named Sparkpeople (it’s not out there anymore. If it is, it isn’t the same one. Anyway.) A gentle friend who battled weight gain and depression told us one day about a phone app called “Eternal Sunshine.” It sends out daily (sometimes not as often) affirmation messages, just to sort of pat a person on the back and remind them that they’re enough. Here is today’s, because maybe someone can use it:
“The best thing you can do for yourself is to give yourself grace. Falling is not failing; it’s learning to fly. Forgive your mistakes, and look forward to trying again.”
It’s just that many times, this little app sends exactly the message I need when it arrives. I’m OK on this so far today, so maybe somebody else needs it, and here it is. Fly!
Me, Too!
Savage Chickens by Doug Savage for February 20, 2025
Scottie's Playtime 