I have noticed the disappearance of the word “unhappy” from common usage, and its replacement by the word “depressed”. While unhappiness is a state of mind that is clearly the result of the circumstances of one’s life, whether self-inflicted or inflicted by circumstances beyond one’s control, or a mixture of both, depression is an illness that is the doctor’s responsibility to cure. This is so, however one happens to be leading one’s life. And the doctor, enjoined to pass no judgement that could be interpreted as moral on his patients, has no option but to play along with this deception. The result is the gross over-prescription of medication, without any reduction in unhappiness.
Theodore Dalrymple, interviewed by James Glazov in “Our Culture, What’s Left Of It”, FrontPage, 2005-08-31.
February 5, 2026
QotD: The medicalization of unhappiness
November 24, 2025
Fairy tales for Canadian boomers – “we have the best healthcare system in the world”
Older Canadians, especially the Baby Boom generation, have a huge blind spot when it comes to any discussion about healthcare … because they believe what they were told as children about Canada’s healthcare system being the “envy of the world” and other such comforting notions. (It’s not just Canada, as British belief in the quality of their National Health Service is very much at odds with the evidence.) This rose-coloured nostalgic faith makes it very difficult to address some of the very real problems that beset Canada’s hospitals and doctors. The media are understandably reluctant to publish anything that goes against this, as Peter Menzies explains:
Grok image from The Rewrite
About the same time as William Watson’s outstanding book Globalization and the Meaning of Canadian Life was being published in the late 1990s, the newspaper I worked for was sending a journalist to Europe to research a series of articles on how health care systems work in some of those countries.
I mention Bill’s book, which was runner-up for a public policy Donner Prize, because it exquisitely details many of the things Canadians believe about themselves that simply aren’t true. Which was the same reason why the Calgary Herald sent its health reporter (yes, there used to be such a thing), Robert Walker, to Europe — to expose its readers to the fact that there are more than two health care systems: our “defining” one and America’s, both of which are extremes. To the best of my knowledge, that remains the only time a Canadian news organization has taken on that task.
In every country examined in Walker’s reports, as is the case with almost every country in the world, public and private health care and insurance systems maintained a peaceful coexistence and the public’s needs were being met. Almost 30 years later, that remains the case. Also almost 30 years later, neither Bill’s book nor the Herald‘s reporting has had the slightest impact on the prevailing media narrative in Canada. It remains determined to perpetuate the fear that any move to increase the role of private health providers or even allow doctors to work in both systems (as was proposed this week by Alberta Premier Danielle Smith) is the first step on the slippery slope to “American-style” health care. This line has been successfully used for decades — often hyperbolically and occasionally hysterically — by public monopoly advocates for Canada’s increasingly expensive and difficult to access systems. We have known for 40 years that once Baby Boomers like your faithful servant turned bald and grey that the system would be unsustainable. But that single, terrifying “American-style” slur has halted reform at every turn.
The Tyee responded with a “Danielle Smith’s secret plan to Destroy Public Health Care” column while the Globe and Mail‘s Gary Mason, a Boomer, challenged my thesis here by suggesting it was time for open minds because “the reality is, the health care system in Canada is a mess”.
It is. And at least some of the blame — a lot, in my view — belongs at the door of Canadian news organizations that for decades have failed to fully inform readers by making them aware that there are a great many alternatives to just “ours” and “US-style”.
I was reminded of this in a recent Postmedia story concerning the perils of private health care provision. Referencing a study on MRIs, the story, right on cue, quotes the part of a study that states “It’s a quiet but rapid march toward U.S.-style health care”.
One would not want to suggest that those clinging to that parochial view should be denied a platform. But at the same time, readers have every right to demand that journalists push back and ask advocates for state monopolies simple questions such as “Why do you say that? Could it not be the first step towards UK-, German-, Dutch-, French-, Portugese- or Swedish-style health care?” and open the debate.
October 14, 2025
QotD: The trade in fake doctor’s notes
A reporter for the Daily Telegraph newspaper managed to obtain a certificate from the company to excuse him from work for five months, because he claimed (falsely) to be suffering from the long-term effects of COVID. He obtained the note without providing any medical evidence whatsoever.
The only thing that surprised me about this was that anyone thought that it was necessary in Britain to buy or pay for such a certificate. I thought of the famous lines of Humbert Wolfe, the otherwise all-but-forgotten England man of letters:
You cannot hope
to bribe or twist,
thank God! the
British journalist.
But, seeing what
the man will do
unbribed, there’s
no occasion to.The same might almost be said of British doctors, many of whom, I suspect, issue such certificates incontinently, for one of two reasons: fear of their patients, and sentimentality.
Not surprisingly, doctors do not like unpleasant scenes in their consulting rooms, and refusal of requests for time off sick can easily lead to such scenes, and occasionally to threatened or actual violence.
Naturally, no doctor likes to think of himself as a coward, the kind of person who caves in to such threats. The best way to avoid so humiliating a thought is never to risk having to think it, that is to say by granting the patients’ wishes in this matter immediately.
But in order to do this without feeling self-contempt, it is necessary to rationalize, that is to say to find supposed reasons for why everyone who wants a certificate should be given one. The English philosopher F.H. Bradley once said that metaphysics is the finding of bad reasons for what we believe on instinct, adding however that it was a human propensity to do so. In like fashion, we could say that doctors find bad reasons for giving sick certificates when they suspect that not to do so might lead to a confrontation with a patient.
Thus they convince themselves that if a person tells them that they are unfit for work, for whatever reason, it would be wrong to question it. No one would make a claim to be unable to work unless he were in some way discontented, unhappy, depressed, anxious, stressed, in a word suffering, and it is the object of doctors to reduce human suffering.
The doctor is aided in this train of thought by the looseness of psychiatric diagnosis, so that practically all forms of distress can be fitted into the procrustean bed of diagnosis. Even outright faking can now be construed as an illness or disorder, provided only that it goes on for long enough or is deceptive enough.
Does this mean that the patients seeking sick notes are all faking it? The matter is more complex than this would suggest. There is, of course, conscious, outright fraud, but this is comparatively rare. Just as doctors don’t like to think of themselves as cowards in the face of their patients, so patients don’t like to think of themselves as frauds.
Distress can be conjured out of almost anything and is not necessarily proportional to whatever causes it. Dwelling on the ill treatment one has suffered — and who has not suffered ill treatment at some time in his life? — can magnify something minor into something major, to the point at which it seems almost to have ruined one’s life. And it is certainly capable of rendering a person unfit for work in his own estimation — though in fact continuing at work would be a remedy for, rather than an exacerbation of, the problem.
However, where economic loss is not too severe when stopping work on medical grounds is possible, medical grounds will be both sought and found. In the days of the Soviet Union, the workers had a saying: “We pretend to work, and they pretend to pay us.” In our kinder and more enlightened societies, we pretend to be ill, and they pretend to treat us — except that the word “pretend” does not quite capture the subtlety of the transactions between doctor and patients.
Theodore Dalrymple, “Make Me Sick”, New English Review, 2025-07-04.
September 27, 2025
Dislike of Trump prompts the CBC to spread faulty medical advice
It’s a long-running joke that US progressives — and the legacy media, BIRM — are programmed to respond to anything Donald Trump says by doing the exact opposite of what he says:
The CBC apparently felt the need to do the meme:
It was not controversial for news outlets like CBC to report in 2016, and later 2021, on new medical research raising concerns about the impact of Tylenol use on pregnancy and fetal development. But in 2025, those studies (among others) have become the basis for a new cautionary approach by the U.S. government that critics and media are trying to debunk.
On Monday, the U.S. Department of Health and Human Services announced that, as part of a bigger strategy in quelling autism, it would be issuing a “physician notice and begin the process to initiate a safety label change for acetaminophen”.
President Donald Trump relayed this to the press, stating the medication “can be associated with a very increased risk of autism”.
“So taking Tylenol is not good, all right? I’ll say it; it’s not good. For this reason, they are strongly recommending that women limit Tylenol use during pregnancy unless medically necessary. That’s, for instance, in cases of extremely high fever that you feel you can’t tough it out.”
[…]
The statement was reported in the mainstream news — including CBC, which found Canadian doctors who seemed to support the cautionary approach. The impression from these experts was that this wasn’t cause for panic and that more evidence was needed, but it was an occasion for discussion. The advice back then? Take the smallest amount for the shortest period of time, and don’t use it as a first resort to managing pain, which is consistent with the U.S. guidance.
Indeed, no major figure in this story is advocating for total avoidance because unmitigated pain and fever are bad for pregnancy, and in small amounts, Tylenol seems to be fine. That said, the manufacturer doesn’t recommend it for pregnant women (which they can’t really do without extensive testing, even if doctors generally consider it safe for mothers in minimized amounts when medically indicated).
More recently, a review of other studies by a team including Harvard University’s public health dean found similar “evidence of an association” between the drug and neurodevelopmental conditions. The dean released a statement saying that the “association is strongest when acetaminophen is taken for four weeks or longer”. That should be uncontroversial, because nobody is supposed to take Tylenol for that long, pregnant or not.
But perhaps, as the Babylon Bee suggests, it’s all Trumpian 4D Chess:
May 20, 2025
Joe Biden’s cancer diagnosis
News broke the other day that former President Joe Biden is suffering from a highly advanced cancer and it only reinforces the questions about who was really performing the role of the President during Biden’s term in office:
Well, now it almost isn’t funny anymore.
Here’s the progression of the Democrats’ desperate attempts to shame you out of talking about Joe Biden’s mental and physical health:
“Stop talking about this because it’s not true.”
“Stop talking about this because he’s not the president anymore.”
“Stop talking about this because he has cancer.”You may notice a pattern.
I think it was Andrew Klavan who made me realize the First Commandment of the Democratic Party: Thou shalt STFU. All their gaslighting, shaming, whataboutism, and other dishonest rhetorical techniques are attempts to stop you from talking about whichever lie they’re telling at that particular moment.
Why would they stop at cancer?
A lot of medical professionals are pointing out that a prostate cancer diagnosis doesn’t just come out of the blue like this. It’s easily detectable in blood work, it takes years and years to progress, and it should’ve been detected at his last annual physical.
Even Dr. Ezekiel Emanuel (an oncologist, Rahm’s older brother, and certainly no MAGA-head) says Biden must have learned of this diagnosis many years ago.
If Biden was undergoing cancer treatments during his presidency — remember all those unexplained trips to Delaware? — it would explain a lot of his behavior. “Chemo brain”. And of course he and Jill would keep it under wraps, because it would only strengthen a 25th Amendment challenge.
Who else knew about this, and when did they know it?
And who the hell was performing the duties of the president of the United States for four years?
Keep in mind that Joe Biden loves using his personal tragedies as a Get Out of Jail Free card. We heard it in that just-released Robert Hur audio from October 2023, when Biden deflected a question he didn’t want to answer about his handling of classified documents by complaining that his son Beau died. He couldn’t remember the exact year, but he used it as an excuse anyway.
If he’ll use his dead son, why wouldn’t he use a cancer diagnosis?
eugyppius also notes that such an advanced case can’t have just popped up recently, reinforcing the notion that his term in office was partially or completely a “regency”:
Yesterday evening, Joe Biden’s office announced that the former president had been diagnosed “with an aggressive form of prostate cancer that has spread to his bones“. Biden must have had this cancer for a long time for it to have spread that far, and thus it seems very strange that someone receiving presidential levels of medical care should have been diagnosed only just last week. Many in our circles posit that insiders have known about Biden’s illness for years, but that they have kept his diagnosis and treatment under wraps for political reasons. Among other things, they argue that this explains a July 2022 gaffe in which Biden complained that environmental pollution is “why I and so damn many other people I grew up with have cancer“.1
In fact, I think a simple cover-up is the most harmless possibility here. It’s likely that doctors have diagnosed Biden’s cancer so late because the former president was subject to a high degree of isolation and medical neglect while in office. Perhaps family and close advisers carefully managed Biden’s annual physicals to avoid any inconvenient findings as part of a broader campaign to hide his dementia. Alternatively, it’s possible that signs of cancer were discovered at some point, but that Biden’s inner circle avoided confirming the diagnosis or pursuing treatment. Either way, the late diagnosis and the advanced cancer together suggest that Biden has been left sick and untreated for a long time.
As I wrote last year, Biden’s presidency was an informal and unacknowledged regency. Biden himself did not have the mental capacity to rule on his own, and so a confined circle of close advisers and family effectively directed the actions of the presidential office on his behalf.
Importantly, this regency was not “the White House” or “Biden’s staff” or “the Democratic Party” in general. It was much smaller than all of those things. The regents worked hard to obscure Biden’s dementia from Congress, from large parts of Biden’s own campaign, from the Democratic Party and from many others within Biden’s White House. They ensured that even internal meetings unfolded in highly scripted and predetermined ways, so that cabinet and other officials could not gain a clear idea of Biden’s mental state. They berated and intimidated anyone voicing concern about the president’s health behind the scenes. And they had very simple reasons for doing all of this: If Biden’s dementia were to become common knowledge and not merely an object of private suspicion (however widespread), the regency would be shown up as illegitimate and potentially broken.
Regents exercise power by restricting access to their charge and restricting their charge’s access to information and the outside world. It is thus unsurprising to find that Biden’s regents subjected him to strict social isolation, particularly towards the end of his term …
1. The White House clarified that Biden was referencing his earlier diagnoses for non-melanoma skin cancer.
May 13, 2025
Gout – The Disease of Kings
Tasting History with Max Miller
Published 7 Jan 2025Sliced roast venison with a spiced red wine sauce and a sprinkling of salt
City/Region: England
Time Period: 1723Gout has plagued people for thousands of years, but mostly the rich people. It often follows an indulgent diet full of red meat and alcohol, so for a long time only the rich had regular access to a gout-inducing food.
This recipe from 1723 is delicious, as well it ought to be as it flies in the face of the rules you should follow to prevent gout with venison (red meat) served with a wine sauce (alcohol). Venison is best when it’s not cooked past medium, and this recipe is tender and flavorful with the rosemary coming through. The sauce could really go on anything, and you could swap out the red wine for something different. Port would be delicious, though I would reduce the amount of sugar a bit.
I don’t expect most people will have a larding needle on hand, and I think you could probably skip the larding and still end up with a flavorful, tender dish.
To roast a Haunch of Venison.
First lard it with Bacon, and stick it thin with Rosemary; then roast it with a brisk Fire; but let it not lye too near it; bate it with fresh Butter; then boil a Pint of Claret with a little beaten Ginger, Cinnamon and Sugar, with a half a dozen whole Cloves, and some grated bread; and when they have boil’d enough, put in a little Salt, Vinegar and fresh Butter; dish your Venison, strew Salt about the Dish, and serve it with this Sauce.
— The Cooks and Confectioners Dictionary: Or, the Accomplish’d Housewives Companion by John Nott, 1723
April 16, 2025
QotD: Coffee
Not that I know anyone who does that.
[…]
One of the commenters asked “Canned coffee?”, to which Steve made the obvious response: “I am not a coffee connoisseur. After all, we are talking about medicine, not a beverage.”
Steve H., “Caffeine and Socialism”, Hog On Ice, 2005-08-05.
October 18, 2024
Accidentally creating an epidemic of food allergies, from the best of intentions
Jon Miltimore discusses how the unintentional outcome of professional organizations making recommendations to the public without proper scientific understanding created so many of the allergies that now plague youngsters:
“Peanuts, LEAP study (Learning Early About Peanut allergy)” by jlcampbell104 is marked with Public Domain Mark 1.0 
.
In 1992, with the help of a grant from the National Institutes of Health, The New England Journal of Medicine published a report on a rare phenomenon: fatal or near-fatal anaphylactic reactions in young people due to food allergies.
Examining a period of 14 months, researchers identified thirteen cases, twelve of which involved asthmatic youths. Six of the thirteen anaphylactic reactions resulted in death, and each case had involved a young person with a known food allergy who had unknowingly ingested the food.
“The reactions were to peanuts (four patients), nuts (six patients), eggs (one patient), and milk (two patients), all of which were contained in foods such as candy, cookies, and pastry,” researchers wrote.
The paper said nothing about banning these foods, but concluded that “failure to recognize the severity of these reactions and to administer epinephrine promptly increases the risk of a fatal outcome”.
Nevertheless, food bans followed, and the Centers for Disease Control and Prevention (CDC) began to encourage educators to “consider possible food allergies” during food preparation.
By 1998, the New York Times was reporting on the rise of peanut allergies and the measures school districts were taking to stop them.
“Prodded by parents warning of lethal allergies, by the contentions of some researchers that peanut allergies are on the rise and, not least, by a fear of litigation, growing numbers of public and private schools across the country, including many of New York City’s most selective independent schools, have banned peanut butter from their cafeterias,” wrote Anemona Maria Hartocollis.
“The Biggest Misconception”
When the Times published its article in 1998, the American Academy of Pediatrics (AAP) was not yet issuing recommendations about peanuts or food allergies in infants. But as public concern grew, they decided they had to offer guidelines of some kind.
“There was just one problem,” Marty Makary, a Johns Hopkins University surgeon, noted in a recent Wall Street Journal op-ed. “Doctors didn’t actually know what precautions, if any, parents should take.”
Instead of remaining mum, the AAP followed the lead of the United Kingdom’s Committee on Toxicology and recommended that mothers avoid peanuts during pregnancy and lactation, and that children avoid peanuts until the age of 3.
The decision to make such a sweeping decision in the absence of compelling scientific evidence was a mistake, allergists say, and runs counter to basic immunology.
Dr. Gideon Lack, an allergist at King’s College London, says the collective effort to cocoon children from peanuts and other foods is responsible for what has been described as a “food allergy epidemic”.
The data suggest Lack is right.
In the 25 years since the AAP issued its recommendation, the US (like the UK, which also advised peanut avoidance) has experienced an explosion of food allergies, especially peanut allergies. Data from Mount Sinai Hospital System in New York show that peanut allergies more than tripled in the decade and a half following the AAP’s guidance. In 1997, peanut allergies affected 1 in 250 children in the United States. By 2002, this rate had risen to 1 in 125, and by 2008, it reached 1 in 70 children.
Anecdotally, I only remember one kid in my middle school who had food allergies … and poor Rusty had ’em all. He was known as the “Kid with a thousand allergies” and had to be so careful of what he ate and even what he touched. but this was the mid-1970s and there weren’t formal school guidelines on what we could bring in our school lunch bags or use scented things like deodorant. (It was the 1970s, and a lot of us were just hitting puberty and many of my classmates were new Canadians from poorer countries … we needed the deodorant!)
June 10, 2024
The FDA has a jaundiced view of psychotherapy involving the use of MDMA (aka “Ecstasy”)
Colby Cosh indulges in a minor “I told you so” after the FDA’s expert panel recommended against the agency permitting any medical use of MDMA, despite some experiments indicating it does have therapeutic value:
Ball-and-stick model of the 3,4-methylenedioxy-methamphetamine molecule, also known as MDMA, or ecstasy, a well-known psychoactive drug. Based on the crystal structure of MDMA hydrochloride, as determined by X-ray diffraction.
Color code: Carbon, C: black, Hydrogen, H: white, Oxygen, O: red, Nitrogen, N: blue.
Image by Jynto via Wikimedia Commons.
Hopes for research into therapeutic uses of psychedelic drugs received a setback last week, one that your correspondent saw tripping (geddit?) up the road in advance. An expert panel published its official advice to the United States Food and Drug Administration (FDA) on permitting medical use of MDMA, the synthetic nightclub enhancer that we’re afraid the kids probably still aren’t calling “ecstasy” or “molly”.
There is long-recognized potential for MDMA to be combined with classical psychotherapy in treating emotional disorders, notably post-traumatic stress (PTSD), and now there are some small, limited studies showing evidence of positive effects.
But the FDA’s scientists weren’t very impressed with this evidence, and they voted almost unanimously against creating a therapeutic exception to the illegality of ecstasy, which the U.S. Controlled Substances Act classifies as a “Schedule 1” drug, right next to heroin. The panel’s advice isn’t binding on the agency, which is crawling in somewhat good faith toward recognizing the understudied medical potential of psychedelics. But the vote emphasizes the inherent problems that drugs face, once they are defined in law as “recreational”, in winning over skeptical scientists.
Reason magazine’s great drug-war correspondent Jacob Sullum has a thorough discussion of the issues. The existing research, despite some impressive headline results, has garden-variety issues with dropout rates, follow-ups and occasional researcher shenanigans. But the big problem, which defies easy technical solution, is with scientific blinding of the research subjects.
Scientific trials of the modern kind are predicated upon separating illusory placebo effects from genuine treatment effects. Researchers expect that a high-quality study will have a control group that receives sham treatment or none at all, and good practice requires that experimenters and their guinea pigs are both blind to who is in what group.
News flash: most people can tell whether they’ve been really given a psychedelic drug. Indeed, most doctors can tell whether they’ve given a patient a genuine psychedelic drug, and how much of it. Many placebo-controlled trials on psychoactive drugs, perhaps most of them, thus suffer from an alleged problem of broken blinding. (Have a glance, for example, at Table 2 in this review of blinding procedures in psychedelic studies.)
May 24, 2024
Bernie Sanders finally finds a group of rich people who he thinks shouldn’t have to pay
As Tim Worstall points out, Bernie Sanders’ latest campaign is starkly at odds with his usual “make the rich pay” schtick:
“Bernie Sanders” by Gage Skidmore is licensed under CC BY-SA 2.0 
.
It’s possible to think that Bernie Sanders, Senator that he is, is more than a little confused. Well, he’d not be the first elderly politician to suffer that fate. Nor the first socialist. It is necessary for me to be fair here though — one of his honeymoons he took in the Soviet Union. Which makes perfect sense to me — after all, there was bugger all else to do there other than your own wife.
However, here we’ve got him complaining about the cost of the new miracle drugs:
Bernie Sanders has urged Denmark to rein in its most valuable company, Novo Nordisk, and force it to slash prices on popular weight loss and diabetes treatments Ozempic and Wegovy, taking his fight to lower “outrageously high” drug prices in the United States to the company’s doorstep as its profits soar amid ongoing struggles to meet booming appetite for the revolutionary drugs.
Hmm, dunno how well that’s going to work with the Danes really. Yes, to some extent they’re milder than when they tried to rape and pillage the entirety of Europe but not wholly. My brother worked out in Afghanistan (feeding the troops) and he had a Danish unit rotate through. So he tells me their senior sergeant type carried a double bladed axe on his backpack — it didn’t come back clean from every patrol either. They’re not all equality and gender rights these days, you know?
So, we can imagine a certain portion at least of the Danish population celebrating this rapine of Medicare’s pockets by the simple expedient of selling a weight loss drug that actually works — which is, when we come to think of it, something of an innovation. Fen-Fen didn’t work after all. Hey, you know, Vinland failed but we’ll get ’em this time? We’re charging high prices because we can?
A second pass at the argument would be that the drugs are in fact incredibly cheap. When it was shown that the same drug — semaglutide — works in stopping (that’s “stopping” as in ceased, stopped, dead, like Bernie’s career would if it were ever proven he had taken part in an act of voluntary capitalism) chronic kidney disease. So much so that the very day they announced the trials on the drug were being stopped a year early, so obvious was the success, the share prices of all the dialysis provision companies dropped 20 and 30%. That is, at near whatever price, this drug is a money saver. Which is, you know, good. J Foreigner turns up with this thing that saves America, Americans, lives and money and yet Bernie whines — so like a socialist, eh? Capitalism with markets makes us the humans who are living highest on the hog, ever, but they really never do stop whining about it, do they?
But Bernie’s real complaint is that Americans are paying more to burn off the cheeseburgers than everyone else has to. But from everything else Bernie says about anything at all this is at it should be — the rich should pay.
Back to our basics. The basic drug development problem is that the development of a drug is a public goods problem. It costs $2 billion to get a drug through the FDA and gain approval to actually sell it. Yes, of course we should slaughter much of the regulation that makes it cost that much (personally, against character type, I only recommend capture and humane release for the actual bureaucrats) but that’s another matter. It does. But if everyone can just copy the drug at that point then no one will spend $2 billion. So, OK, patents, so the developers have a decade (the patent is two decades, it takes a decade to gain approval) to make their $2 billion back then anyone can copy it. The price falls to manufacturing cost plus normal profit level and we’re about as good as we can get. This is not a perfect system but for mass market drugs it’s about as good as we’re going to get.
April 15, 2024
Is “Big Trans” in retreat?
In the latest Weekly Dish, Andrew Sullivan considers just how much things have changed in recent years, especially with the publication of the Cass Report on the true medical situation for children being prescribed puberty blocking or opposite sex hormones … and it really doesn’t match the rhetoric we’ve been hearing from activists over the last few years:
Tribalization does funny things to people. If you’d told me a decade ago that within a few years, Republicans would be against Ukraine defending itself from a Russian invasion, and Democrats would be pulling the Full Churchill to counter the Kremlin, I’d have gently asked what sativa strain you were smoking.
If you’d told me the Democrats would soon be the party most protective of the CIA and the FBI, and that Republicans would regard them as part of an evil “deep state,” ditto. And who would have thought that a president accused in 2017 of having “no real ideology [but] white supremacy” would today be doubling his support with black voters, and tripling it with black men? Who would have bet the Dems would go all-in on Big Pharma when it came to Covid vaccines? And who would have thought Republicans who long carried little copies of the Constitution in their suit pockets would lead a riot to prevent the peaceful transfer of power? You live and learn.
But would anyone have predicted that the Democrats and the left in general would soon favor a vast, completely unregulated, for-profit medical industry that would conduct a vast, new experimental treatment on children with drugs that were off-label and without any clinical trials to prove their effectiveness and safety? In the 2016 presidential race, both Dem contenders railed against Big Pharma, with Bernie going as far as calling the industry “a health hazard for the American people.” Back in 2009, you saw MSM stories like this:
The Food and Drug Administration said adults using prescription testosterone gel must be extra careful not to get any of it on children to avoid causing serious side effects. These include enlargement of the genital organs, aggressive behavior, early aging of the bones, premature growth of pubic hair, and increased sexual drive. Boys and girls are both at risk. The agency ordered its strongest warning on the products — a so-called black box.
Nowadays, it’s deemed a “genocide” if you don’t hand out these potent drugs to children almost on demand. Drugs used to castrate sex offenders and to treat adult prostate cancer have been re-purposed, off-label, to sexually reassign children before they even got through puberty. Big Pharma created lucrative “customers for life” by putting kids on irreversible drugs for a condition that could not be measured or identified by doctors and entirely self-diagnosed by … children.
And what if over 80 percent of the children subject to this experiment were of a marginalized group — gay kids? And the result of these procedures was to cure them of same-sex attraction by converting them to the opposite sex? I simply cannot imagine that any liberal or progressive would hand over gender-nonconforming children, let alone their own children, to the pharmaceutical and medical-industrial complex to be experimented on in this way.
And yet for years now, this has been the absolutely rigid left position on sex reassignments for children with gender dysphoria on the verge of puberty. And for years now, those of us who have expressed concern have been vilified, hounded, canceled and physically attacked for our advocacy. When we argued that children should get counseling and support but wait until they have matured before making irreversible, life-long medical choices they have no way of fully understanding, we were told we were bigots, transphobes and haters.
The reason we were told that children couldn’t wait and mature was that they would kill themselves if they didn’t. This is one of the most malicious lies ever told in pediatric medicine. While there is a higher chance of suicide among children with gender distress than those without, it is still extremely rare. And there is absolutely no solid evidence that treatment reduces suicide rates at all.
Don’t take this from me. The most authoritative and definitive study of the question has just been published in Britain, The Cass Report, by Hilary Cass, one of the most respected pediatricians in the country. It’s 388 pages long, crammed with references, five years in the making, based on serious research and interviews with countless doctors, parents, scientists and, most importantly, children and trans people directly affected. In the UK, its findings have been accepted by both major parties and even some of the groups who helped pioneer and enable this experiment. I urge you to read it — if only the preliminary summary.
It’s a decisive moment in this debate. After weighing all the credible evidence and data, the report concludes that puberty blockers are not reversible and not used to “take time” to consider sex reassignment, but rather irreversible precursors for a lifetime of medication. It says that gender incongruence among kids is perfectly normal and that kids should be left alone to explore their own identities; that early social transitioning is not neutral in affecting long-term outcomes; and that there is no evidence that sex reassignment for children increases or reduces suicides.
How on earth did all the American medical authorities come to support this? The report explains that as well: all the studies that purport to show positive results are plagued by profound limitations: no control group, no randomization, no double-blind studies, no subsequent follow-up with patients, or simply poor quality.
January 16, 2024
QotD: Children and transgenderism
In the last few years in Western societies, as these notions have spread, the number of children identifying as trans has skyrocketed. In Sweden, the number of kids diagnosed with gender dysphoria, a phenomenon stable and rare for decades, has, from 2013 to 2016, increased almost tenfold. In New Zealand, the rate of girls identifying as boys has quadrupled in the same period of time; in Britain, where one NHS clinic is dedicated to trans kids, there were around a hundred girls being treated in 2011; by 2017, there were 1,400.
Possibly this sudden surge is a sign of pent-up demand, as trans kids emerge from the shadows, which, of course, is a great and overdue thing. The suffering of trans kids can be intense and has been ignored for far too long. But maybe it’s also some gender non-conforming kids falling prey to adult suggestions, or caused by social contagion. Almost certainly it’s both. But one reason to worry about the new explosion in gender dysphoria is that it seems recently to be driven by girls identifying as boys rather than the other way round. Female sexuality is more fluid and complex than male sexuality, so perhaps girls are more susceptible to ideological suggestion, especially when they are also taught that being a woman means being oppressed.
In the case of merely confused or less informed kids, the consequences of treatment can be permanent. Many of these prepubescent trans-identifying children are put on puberty blockers, drugs that suppress a child’s normal hormonal development, and were originally designed for prostate cancer and premature puberty. The use of these drugs for gender dysphoria is off-label, unapproved by the FDA; there have been no long-term trials to gauge the safety or effectiveness of them for gender dysphoria, and the evidence we have of the side effects of these drugs in FDA-approved treatment is horrifying. Among adults, the FDA has received 24,000 reports of adverse reactions, over half of which it deemed serious. Parents are pressured into giving these drugs to their kids on the grounds that the alternative could be their child’s suicide. Imagine the toll of making a decision about your child like that?
Eighty-five percent of gender-dysphoric children grow out of the condition — and most turn out to be gay. Yes, some are genuinely trans and can and should benefit from treatment. And social transition is fine. But children cannot know for certain who they are sexually or emotionally until they have matured past puberty. Fixing their “gender identity” when they’re 7 or 8, or even earlier, administering puberty blockers to kids as young as 12, is a huge leap in the dark in a short period of time. It cannot be transphobic to believe that no child’s body should be irreparably altered until they are of an age and a certainty to make that decision themselves.
I don’t have children, but I sure worry about gay kids in this context. I remember being taunted by some other kids when I was young — they suggested that because I was mildly gender-nonconforming, I must be a girl. If my teachers and parents and doctors had adopted this new ideology, I might never have found the happiness of being gay and comfort in being male. How many gay kids, I wonder, are now being led into permanent physical damage or surgery that may be life-saving for many, but catastrophic for others, who come to realize they made a mistake. And what are gay adults doing to protect them? Nothing. Only a few ornery feminists, God bless them, are querying this.
In some ways, the extremism of the new transgender ideology also risks becoming homophobic. Instead of seeing effeminate men as one kind of masculinity, as legitimate as any other, transgenderism insists that girliness requires being a biological girl. Similarly, a tomboy is not allowed to expand the bandwidth of what being female can mean, but must be put into the category of male. In my view, this is not progressive; it’s deeply regressive. There’s a reason why Iran is a world leader in sex-reassignment surgery, and why the mullahs pay for it. Homosexuality in Iran is so anathema that gay boys must be turned into girls, and lesbian girls into boys, to conform to heterosexual norms. Sound a little too familiar?
Adults are increasingly forced to obey the new norms of “social justice” or be fired, demoted, ostracized, or canceled. Many resist; many stay quiet; a few succumb and convert. Children have no such options.
Indoctrinate yourselves as much as you want to, guys. It’s a free country. But hey, teacher — leave those kids alone.
Andrew Sullivan, “When the Ideologues Come for the Kids”, New York Magazine, 2019-09-20.
January 8, 2024
“[A]ll philosophers, insofar as they were dogmatic, have been very inexpert about women”
Theodore Dalrymple on the food police and the linguistic distortions forced on traditionally technical and scientific journalism:
The world, said James Boswell, is not to be made a great hospital; but to a hammer everything is a nail, and to doctors and medical journals everything is either a medical problem or a medical solution.
Looking at the website of the Journal of the American Medical Association today, I came across a paper with the title “Effect of an Intensive Food-as-Medicine Program on Health and Health Care Use”. It was published just above “A Young Pregnant Person With Old Myocardial Infarction”.
Could that pregnant person possibly be a woman? Heaven forfend that so prejudiced a thought should occur to us! If it occurred to you, dear reader, I suggest that your brain still needs washing. The word woman is here abjured by JAMA as completely as, say, it would abjure (rightly) the word bitch with reference to a woman. In other words, the word woman is now treated as if it were in itself an insult, a rather strange result of pro-feminist indoctrination.
The paper begins, “A patient in their 30s presented to the hospital …” No doubt I am deeply reactionary, almost a dinosaur in a world of mammals, but is not their the plural possessive adjective, and is not “a patient” singular? If the authors of the paper were really not sure whether the pregnant person was a man or a woman, surely they should have written “A pregnant person in his or her 30s …”? That would have been a step too absurd (so far) even for the editors of JAMA, assuming that the paper in question was published with some kind of editorial oversight. I anticipate further linguistic absurdity in JAMA with a mixture of amusement and irritation; that there will be one is a racing certainty (a Dutch friend of mine was going to write a book about Dutch social policy titled Creative Appeasement).
The paper, by the way, gives new meaning to the first two sentences of Nietzsche’s book Beyond Good and Evil: “Suppose truth to be a woman — what then? Are there not grounds for the suspicion that all philosophers, insofar as they were dogmatic, have been very inexpert about women?”
January 4, 2024
“It is difficult to understand why our politicians are not locked up for life after successful prosecution for crimes against humanity”
Part nine of Paul Weston‘s “beginner’s guide to Covid”:
Lockdown was never referred to as “lockdown” in March 2020. We were “asked” to stay at home for a few weeks, thus allowing our health services to get up to speed without being swamped. As we now know, a few weeks became months became 2021.
I simply cannot believe this was not planned. The logistics involved in keeping a country afloat after closing down the economy are extremely complicated. Months – if not years – of planning must have gone into it.
One of the strangest things about the first lockdown in the UK was the enforcement date of March 26, one week after the government declared on March 19 that Covid-19 was being downgraded from a High Consequence Infectious Disease (HCID). The reason given for the downgrade was a low mortality rate …
Anyway, the world locked down. When it became apparent the lockdowns were going to stay in place until a miracle vaccine was discovered, the governments promised us that detailed cost/benefit analyses would be conducted. They never were. But they very much should have been.
The principal reason they should is all to do with deaths. Closing down the country also meant partially closing down health services to non-Covid patients. Inculcating fear meant many people were too scared to go anywhere near a hospital. Patients with cancer and heart problems stayed away, voluntarily or involuntarily. Many died as a result.
On July 19 2020, the Daily Telegraph published an article based on Office for National Statistics figures claiming that 200,000 people could die (mid to long term) in the UK due to lockdowns. Similar figures were published in countries all around the world.
Here is a brutal truth. Governments which locked down essentially stated the following: “We are going to murder XYZ thousand people. We undertake this crime because we think we might save other people from Covid-19 deaths.”
Even more remarkably, the death rates were completely normal before lockdowns were initiated. Lockdowns were not the forced result of having to deal with large numbers of deaths. Rather, large numbers of deaths were the forced result of government-ordained lockdowns. It is difficult to understand why our politicians are not locked up for life after successful prosecution for crimes against humanity.
January 3, 2024
“One of the oddities of trans healthcare is that it masquerades as progressive”
In The Critic, Victoria Smith outlines the history of medical misogyny from Aristotle to modern-day “trans healthcare”:
The neglect of female bodies in medicine has a long history. The male-default bias, writes Caroline Criado Perez in Invisible Women, “goes back at least to the ancient Greeks, who kicked off the trend of seeing the female body as a ‘mutilated male’ body (thanks, Aristotle)”:
The female was the male ‘turned outside in’. Ovaries were female testicles (they were not given their own name until the seventeenth century) and the uterus was the female scrotum. […] The male body was an ideal women failed to live up to.
As Criado Perez notes, this bias lives on in male-centric medical research and undifferentiated treatment recommendations. “Women are dying,” she notes, “as a result of the gender data gap.” The belief that there is nothing specifically different about female people — cut a bit here, add a bit there, and we’re the same as men — has led to our symptoms being ignored and our pain dismissed.
Over the past few years, there have been a number of books — Elinor Cleghorn’s Unwell Women, Cat Bohannon’s Eve, Leah Hazzard’s Womb, to name a few — which have aimed to correct the imbalance. This is important both to save lives and ease suffering, and because, on a very basic level, it is insulting for half the human race to have our bodies treated as lesser, imperfect versions of a male ideal. We are more than that. We exist in our own right.
There are many in medicine, however, who still seem to think that Aristotle was right. Last week, for instance, the World Health Organisation announced it would be developing new guidelines into “the health of trans and gender diverse people”. While this might sound positive, as Eliza Mondegreen notes, many of those leading the development group hold highly regressive views about sex, gender and bodies. It is only possible to believe that a person could change sex if you have not given much consideration to the “second” sex at all.
One of the oddities of trans healthcare is that it masquerades as progressive despite having evolved from — and continuing to rely on — an understanding of sex difference which is regressive, male-centric and superficial. Because no one wants to admit it, this has led to a plethora of articles along the lines of “Here’s Why Human Sex Is Not Binary” and “Sex Redefined: The Idea of 2 Sexes Is Overly Simplistic“. While these claim to be adding extra detail and nuance to our understanding, what they do in practice is revert back to privileging the male default. Sex is all so varied, all so different, they tell us, we might as well not bother setting any standards for what counts as “femaleness”. We’re all just human, aren’t we? Only some bodies have tended to be considered more human than others. Rebranding “the male default” “the sex spectrum” is a sneaky way of insisting, once again, that female people are nothing more than males with a few minor tweaks.
This is the new medical misogyny, built on the back of the old version. Unfortunately, because it positions itself as anti-conservative and even pro-feminist, many writers of texts that address the old version feel obliged to go along with the new. It’s not difficult to see why. Who wants their work to be undermined by bad faith accusations of transphobia? Isn’t it easier just to say “it’s clear that trans women are women” — as Bohannon has done — on the basis that at least this will enable you to challenge the centring of male bodies elsewhere?
