1/ Thread: This Vox article is really bad. It seriously overstates the evidence for the efficacy of youth medical transition while attempting to pressure science journalists -- already scared of this subject -- into not doing their jobs.
2/This isn’t a factual error, but rather a ridiculous argument. No, red states did not pass draconian laws because of a handful of major-outlet pieces, *all of which fundamentally favored youth transition in the case of thorough assessments*. Common claim used to cow journalists.
3/ As proof Emily Bazelon erred in her reporting, St. James points out that her article was “[e]ntered as supporting evidence for Texas’s” anti-trans policies. I’ve explained previously why this is a ridiculous and bad-faith claim.
4/These claims are just straight-up false. We don’t know if PBs are reversible — that’s why the NHS backed off language claiming they are. That question is a source of major dispute. And Forcier’s claim here isn’t just wrong, in the context of *youth* trans care — it’s laughable.
5/ We have *no* data to support the claim that American youth transition has a ~2% regret rate. The available data are from much older, different cohorts (such as Swedes who transitioned as adults), and oftentimes have their own issues that make generalization impossible.
6/ All this stuff about how there have always been trans kids is misdirection. There is, in fact, a massive increase in the number of kids *seeking medical transition* just about everywhere — that is its own issue and there is no consensus explanation as to why it’s the case.
7/ Moreoever, this is a fundamental misunderstanding of the "experimental" claim (which I'm personally ambivalent about). If some rogue clinicians gave trans kids these treatments forever ago, that doesn't mean they aren't still "experimental" if the evidence is lacking.
8/ The claim that “the process for treating trans children *does* require extensive mental health screening” is a complete exaggeration. There are no binding standards here and plenty of clinicians (Olson-Kennedy and Eckert, just off the top of my head) say they loathe MH evals.
9/ This is really irresposible coverage. Vox readers deserve better. You can highlight sad cases of kids being wrongly denied/delayed treatment without spreading potentially dangerous misinformation about these treatments.
10/ Someone was mad I posted this so they attempted to dox me, publicly posting a Brooklyn address they believe to be associatd with me. Here's everyone who retweeted it. Remember: Doxing is bad unless it's good.
"Unblocking to say thank you," said @SWlSSCHALAMET
11/ I reported the tweet and it's fine in the grand scheme, but the tweetstorm was in part about the insane shitstorm that engulfs anyone who raises any questions about these medicines, which have a very shaky evidence base.