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inkskinned · 3 months

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you have to go to work so you can pay for your doctor, who is not taking your insurance right now, and if you say i can't afford the doctor's you are told - get a better job. it is very sad that you are unwell, yes, but maybe you should have thought about that before not having a better job.

(where is the better job? who is giving out these better jobs? you are sick, you are hurting - how the hell are you supposed to be well enough for this better job?)

but you go to the doctor because you had the nerve to be hurt or sick or whatever else. and they tell you that it is because you have anxiety. you try your best. you are a self-advocate. you've done the reading (which sometimes pisses them off worse, honestly). you say it is actually adding to my anxiety, it is effecting my quality of life. so they say that you are fat. they say that all young people have this happen to them, isn't it a medical marvel! they say that you should eat more vegetables. they say that you probably just need to lose a little more weight, and that you are faking it for attention.

(what attention could this doctor possibly give? what validation? that's their fucking job, isn't it?)

there is always a hypochondriac, right. someone always tells you about a hypochondriac. or someone who is unnecessarily aggressive during the worst days of their life. or someone looking "for a quick fix". or some idiot who wasn't educated about how to properly care for themselves who just abandons their treatment. and again, the hypochondriac, the overly-cautious hysteric. these people don't deserve to be treated like humans (right), and since you might be one of these people, you also don't get treated like a human. because those people can really fuck with the system, you now have to pay for it. and besides. you're actually probably faking it.

(more often than not, you find a 2:1 ratio of these stories. for every "hypochondriac", there are 2 people who knew something was wrong, and yet nobody could fucking find it. the story often ends with pointless suffering. the story often ends with and now it's too late, and it's going to kill me.)

you are actually just making excuses. someone else got that procedure or that diagnosis and he's fine, you should be fine too. someone else said they watched a documentary about other inspirational people with your exact same condition, maybe you should be inspirational, too. you're just too morbid. your pain and your experience is probably just not statistically concerning. it is all self-reported anyway, and you're just being a baby.

(once, while sitting down in the middle of making coffee, you had the sudden, horrible thought - i could kill myself to make the pain stop. you had to call your best friend after that. had to pet your dog. had to cry about it in the shower. you won't, but that moment - god, fuck. the pain just goes on and on.)

you know someone who went in for routine surgery and said i still feel everything. they told her to just relax. it took her kicking and screaming before they figured out she wasn't lying - the anesthetic drip hadn't been working. you know someone who went in for severe migraines who was told drink water and lose weight. you know someone who was actively bleeding out and throwing up in the ER and was told you're just having a bad period.

in the ER there are always these little posters saying things like "don't wait! get checked today!" and you think about how often you do wait. how often the days spool out. you once waited a full week before seeing the doctor for what you thought was a sprained wrist. it had actually been broken - they had to rebreak it to set it.

but you go into the doctor. the problem you're having is immediate. the person behind the counter frowns and says we're not taking your insurance. you will be paying for this out-of-pocket.

they send you home with tylenol and a little health packet about weight loss or anxiety or attention deficit. on the front it has your birthday and diagnosis. you think about crying, and the words swim. it might as well say go fuck yourself. it might as well say you're a fucking idiot. it might as well say light your money on fire and lie down in it. and the entire fucking time - the problem persists.

it's okay. it's okay, it's just another thing, you think. it's just another thing i have to learn to live with.

#spilled ink #warm up #can you tell what i'm mad about today specifically #i will say that there are a LOT of things that go into this. like a lot. this is ungendered and unspecific for a reason #it isn't just sexism. it's also racism. and ableism. and honestly classism.#and before a healthcare professional reads this as a personal attack: i understand ur burnt out #we are ALSO burnt out. your situation is also dire. this is not an attack on you.#this is a commentary on the incredible amounts of bigotry that lie at the heart of capitalism #where people have to pay money out of pocket to be told to fuck off.#your job is important. so is our humanity. and if you cannot accept that people are fucking mad as hell #at the industry - you are probably not listening .#anyway at some point im gonna write a piece about sexism specifically in medical shit #but i don't want terfs clowning in it bc they can't understand nuance #> it is true that ppl w/a uterus are more likely to experience medical malpractice & dismissal globally #> it is also true that trans people experience an equally fucked up and bad time in the medical field #> great news! the medical industrial complex is an equal opportunity life ruiner :)#(if you find it necessary to go into a debate about biology while discussing medical malpractice #i want to warn you that you're misunderstanding the issue. because guess what.#cis MEN might experience this. particularly black men. particularly disabled men.#so YES having a uterus can lead to more trouble for you. but this happens a LOT.#instead of fighting those ALSO experiencing your pain.... try working WITH them.#which btw. is like. actual feminism.)

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chronicallycouchbound · 8 months

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I feel like people often don’t talk about the experiences of disabled people who have caretakers because so much of the conversation is about us—not including us.

I receive in home care for 30 hours a week (+ 4 hours/week for respite). This is paid for by Medicaid (state insurance). Outside of paid hours, my primary caretakers care for me unpaid and assist me most of the time. I’m very rarely left alone due to my high support needs. Often, when I am left alone, I am completely bedridden or at minimum housebound. I have frequent emergency life threatening health problems, falls, and serious injuries even with support in place, and these things significantly increase when I’m on my own.

I’m extremely lucky that my paid caretakers are my partner, my sister (the only family member I have regular contact with, I’m estranged from the rest of my immediate family and most of my extended family) and my best friend.

I used to have agency staffing which was horrible for me and borderline traumatic. At several points, before doing the self directed care option (which allows me to choose my own staff, hire and train them myself and dictate hours for them), I opted to not have any staffing. I was regularly in the emergency room. I can’t drive, so I was having to walk and if I was lucky enough to be able to take the bus on occasion or get a ride from a Facebook acquaintance, they were few and far in between. I don’t have family support, and even my sister who is supportive wasn’t living in the state at the time and doesn’t have a car most of the time.

And before I could even choose which staffing option, even though medically it had been deemed essential for me to have in home care, even though my insurance covered it, I had to wait several years (I was 18 when I was approved) until I was 21 to qualify to start. The reason why: I was legally an “adult disabled child” because of my high support needs (which is funny because I STILL don’t have SSI at age 24) and thus legally unable to consent to my own care plan. I needed a blood relative to consent, and that same blood relative (who had to have proof of such!) couldn’t care for me. At the time, my sister was the only person who could’ve been my caregiver and also she is the only verifiable blood relative I have contact with for safety reasons, and my only relative on this side of the USA.

The first business day after my 21st birthday I immediately got things set up to get in home care.

This is out of date, I get assistance with more than just these highlighted ADL (activities of daily living) tasks now.

In short: my day-to-day life is entirely dependent on others.

And there’s power imbalances that exist between me and my caregivers, even with my current caregivers being amazing and anti-ableist. They will always exist. We talk about the power dynamics of me being dependent on them for my survival, and how heavy that weight can be for each of us.

Having caregivers often means that accessibility is extra difficult— I’ve been told straight up multiple times that I can’t have assistance from my caregivers to help me change in a changing room when we’re out shopping. That they can’t go into the bathroom with me, that they can’t help me get un/dressed during appointments, that they can’t come into spaces with me.

I’ve been denied access to psychiatric care because I can’t do my daily living tasks (ADLs- the highlighted items) independently. And when I’m in a hospital or emergency room, I can’t have my in home workers be paid to care for me, there’s an expectation that the nursing staff at the hospital will do it. Even though my caregivers were specifically trained to learn my body and needs for weeks and have been working with me for years. I have severe cPTSD and showering in front of a stranger is something I cannot do. I would rather fall or faint or get injured or just not shower than deal with that. But I’m expected to just let anyone have access to my body just because I’m physically disabled and need support.

When I faint/fall/get injured/have life threatening health issues arise while I’m not clothed, or when I’m otherwise vulnerable, I’m supposed to let strangers just touch me however they want to. I have to show them my chest (for my cardiac care) and let them poke and examine me. I can’t object without losing access to vital care.

I have agency. I have rights. I have autonomy. I deserve to be able to exercise these things.

#chronically couchbound #disability #disabled #disabled pride #cripple punk #cripplepunk #disability pride #high support needs #ableism #professional caregiver #activities of daily living #ADL #medicaid #healthcare #in home care #home care #home care aids #nothing about us without us

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thefiresofpompeii · 28 days

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england we are in shambles

#oh and if you go telling me to show sympathy for the royals i’ll block you. cancer is hell but she’ll get #treated for free by the top medical professionals in the country while the nhs continues to deprive the poor and disabled of basic #healthcare. i will never be considerate towards the royals. they need to go #dw #kate middleton #doctor who #british #jamie.txt

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intopower · 2 months

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Jake Jacob. IG: @ jakejacob_01

#jake jacob #male doctor #healthcare professionals

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houseswife · 3 months

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House MD makes for a way more interesting Sherlock adaptation than any other because it truly explores the depths of the character’s potential as a rude, selfish sociopath by making him American

#bbc britlock is cool and all but he’s way too polite and considerate for a so-called maniac #nobody encapsulates a true disregard for human well-being like a US healthcare professional ❤️#if you’re a non-american house viewer I want you to know that I’d rather be at princeton-plainsboro’s nightmare clinic #where the doctor will prescribe you cigarettes and call you slurs #and is only there as a punishment that he’s receiving for violating the geneva convention #than ever be treated by some of the real-life physicians I’ve encountered irl #house md #greg house #gregory house #hatecrimes md

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afusionoffandoms · 4 months

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Thinking about how being fat means you're denied a very large portion of what's considered a normal (and healthy) part of the human experience.

#like falling in love #having friends #or being desired (even in a platonic or professional way)#or getting compliments #feeling good or confident #getting to eat food #getting to curate what you wear and your style #appropriate healthcare #equal pay #you know #the little things that shape us #fatphobia #⛈️

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the-ace-with-spades · 9 months

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Another unhinged buddie fic idea - amnesia Eddie at his best and dumbest

So Eddie gets hurt, hits his head, is unconscious for like two weeks and when he finally wakes up, he thinks it's 2018, he's almost finishing fire academy and his parents are still saying he should let them take Chris away permanently.

To say he panics is an understatement — his muscles are weak after the lack of stimuli but he still puts a fight with the nurse that's trying to take his blood pressure.

He keeps on asking about where he is and where is Chris, only gets a you're in Cedars Sinai MC in Los Angeles and doesn't take for answer anything that tells him to stay still or to be careful with the IV, until the nurse says, "Your partner is right outside, I'm sure he's arranged something for your son."

He freezes. "My partner? I don't have a partner. Who is taking care of my kid?"

The nurse's face changes and there are suddenly more and more questions about what he remembers last, what year he thinks is, and does he remember his partner's name. He tells her - he fell asleep in his bed, 2018, he doesn't have a partner because he's been separated from his wife for a few years now.

Apparently, the year is 2023, he was on a call with his fire crew and got hurt, his partner is definitely his partner because he's his power of attorney, next of kin, and has been taking care of his kid.

So the nurse leaves to talk to the doctor and his partner who is still outside, with said doctor.

(Eddie doesn't know that but the nurse was either absolutely sure this is what Buck is because there are assumptions and there are legal medical documents or she is sure this is the mythical firefighters' bond and they're just very close work partners - your pick. Either way, Eddie thinks she means romantic life partner.)

Meanwhile, Eddie goes through all stages of grief because his apparent partner he acquired in the past five years is a he and apparently such a sure thing he's in all of Eddie's medical documents.

A guy. What kind of a guy he would have to be for Eddie to choose him as his partner?

Then the nurse comes back with a very tall, very handsome guy built like a brick wall but also making a face that makes him look like an eager but sad golden retriever and—

Oh. That explains some stuff. If just looking at him makes Eddie feel like it, then he can't even phantom what being with him feels like.

The guy stops mid-room, not going for a hug like Eddie expected him to. "Heard you don't remember me."

And he sounds so sad that Eddie reaches his hand out and the guy — his partner — is instantly at his side, gripping his hand, and Eddie doesn't let him go until he gets the point and pulls a chair closer and sits with him.

"I don't. So a name would be nice."

"Buck. Well, Evan Buckley, but everyone calls me Buck."

And like, Eddie's never been big for pet names but even in this short moment Buck seems so bright he wants to call him mi sol. "I call you Buck?"

Buck chuckles. "Yeah, you call me Buck. Unless you're really serious, then you call me, you call me Evan."

"Evan," he tests out. "Sounds like you're in trouble."

And Buck smiles at him so softly Eddie is melting in that bed, warmth hitting him where he's still holding Buck's hand hostage and traveling up. "Not to me."

Bobby, who is apparently their captain — even though Eddie has a feeling like he's talking to his in-laws again the whole time he is there — brings Chris to the hospital and he's so big, already eleven, and so sassy with Eddie.

He's also very, very familiar with Buck, which calms him down - he talks about the funny sandwich cutters Buck's been using the whole time Eddie was in the hospital to cheer him up and tentatively admits how they slept in the same bed the first week because Chris had nightmares.

And even though his dad landed in the hospital — again, apparently? — Chris seems very, well, very well-adjusted to the situation at hand, even if Eddie can see he's being a bit clingy with both Eddie and Buck. Like the adults in his life are doing a good job at shielding him.

Buck is the one who has all the hard conversations with him, about Shanon, about his parents, about his abuela moving to Texas because of a whole pandemic, about the accident he had at work, and what will happen once he leaves the hospital.

It's really reassuring, that it's Buck telling him all that.

If he had any doubts about Buck being a very, very good and very, very close partner, all of it disappears when they go back home from the hospital.

His whole house has signs of Buck living their best lives in there — there are photos, cookbooks, cooking utensils Eddie doesn't even know the names of, Buck's clothes mixed in his wardrobe, cards from Chris for the both of them. It's very clear Buck is not only a big part of their life but also lives with them full-time, too.

He knows where everything in the kitchen is — "I have a system, Eddie" — and he knows where all Eddie's insurance paperwork is, knows the PINs to his phone, his cards and accounts, he knows all about Chris' medical needs. He knows how Eddie likes his coffee, how Chirs likes his toasts, which shaving cream Eddie likes, which toothbrush is Eddie's, which pair of shoes Eddie's only bought because they were on discount and never worn, which of Christopher's notebooks is the one for math.

He doesn't remember the past five years but he can't imagine not having Buck as his partner. Knowing he is there doesn't make him anxious like he thought it would — it makes him calm, settled.

So he's offended when the first night comes and Buck tries to bring spare blankets onto their couch. He wants him in their bed.

He gets that Buck is trying to give him space since Eddie doesn't really remember all the years they've been together, but that's a bit much. They're partners, and pretty solid ones at that, not just a new couple figuring stuff out, they must have slept together a million times.

So Eddie tells him to go off the couch and sleep in bed with him. It takes some convincing but eventually, Buck agrees. They lie down, Buck is being unnecessarily awkward, turning his back on Eddie in the dark. Eddie is not having this — turns towards him and spoons him, holding him in his arms. He's pretty sure Eddie getting hurt and forgetting five years is stressful on Buck, too, even if he doesn't show it. He deserves the comfort of his partner, even if said partner doesn't remember all of their life together.

It happens again the night after, and the night after that, until Buck stops tensing up whenever Eddie wraps his arms around him.

Because Eddie was unconscious for so long, he still needs PT, and Buck somehow manages to arrange that Eddie's and Chris' PT is at the same time and Buck oscillates between staying with either of them for the duration. There's one time when the receptionist at the therapy center asks him why he comes in so often when he looks fine — she's flirting with him, Eddie knows, which makes him glare at her, and Buck just tells her, "I'm just the chauffer for my boys." And Eddie calms down.

They assessed him at the hospital and he's supposed to have someone's handheld assistance or use a stick or a frame when he walks, until the PT gets his legs to the state from before. Using either the stick or the frame makes him feel like an old man, and the feeling doubles when Buck, the hunk of a man that he is, is nearby, so he refuses to use it when Buck is around. Which ends with Buck helping him around by placing an arm around his back and holding his hand with the other whenever Eddie needs to move.

Which is an absolutely amazing feeling because Buck is both the gentlest of giants, always knowing when Eddie needs reassurance and so freaking fit and big, Eddie can just rest against his chest whenever he feels wobbly or needs comfort from the embarrassment. It's a very contrasting feeling because it makes Eddie want to be held and pecked all over his face and thrown into the wall to make out.

Eddie's physical fitness improves and he misses Buck's touch the second his therapist says he can start moving without assistance.

That's the only problem Eddie has — Buck refuses to touch him. Again, he knows it's a bit weird with Eddie not remembering. At first, he thought it was just Buck giving him the lead on how much he wants them to do but then Buck keeps on ducking out any time Eddie initiates something.

He goes in for a kiss when Buck is drinking coffee and he dodges, standing up before Eddie can try again. Eddie gives Chris a kiss goodbye and goes to give Buck one, where he's standing next to their kid, and Buck skips out the door, telling him he's going to start the AC in the car. He tries to curl up against his side on the couch and Buck gets up with an excuse of making popcorn or tea or anything else possible. When Eddie slips into the shower while Buck is brushing his teeth, he leaves the bathroom with the toothbrush still in hand. Buck pretends to be asleep when he kisses his neck and swats Eddie's hands off when he moves them under his t-shirt when they're spooning, always calls out Eddie in the dark, like he isn't sure Eddie is comprehending what he's doing.

(Buck is pretty sure Eddie is trying to kill him — just make him have a heart attack or something — even if not deliberately. He isn't suspecting a thing about Eddie's partners assumption.)

It's like Eddie has a partner that loves him but without the bits that are funny. Like, he thought life-affirming sex is a thing and he is cleared for physical activity now and still out of work and going stir-crazy.

He doesn't get it and he can't talk about this with Buck because it almost feels like Buck is rejecting him, every time he ducks away from Eddie's affection or doesn't reciprocate it.

"Buck is—He loves me, right? He hasn't stopped after the accident, he's—He finds me attractive, he wants me, right?"

(Hen, sweet Hen, thinks he figured out Buck is in love with him now that he has a bit of an outsider perspective, and mutters, "Oh boy," cursing in her head because it's too early for this conversation. She isn't even suspecting Eddie heard partners once and ran wild with it.)

"I don't see where you're going with this," Hen says diplomatically.

"It's just, he's not doing anything about it," he explains. "It feels like he's barely touching me."

Hen is freaking out because of all times, Eddie had to realize now—"Do you... want him to touch you?"

"Have you seen him?" Eddie asks and then frowns. "Oh, right, playing for a different team."

"You just had a brain injury," she points out, hoping Eddie will find his brain somewhere, actually, and think.

"It's been almost two months, the doctors say I'm fine, memories aside," he says stubbornly.

"Eddie, I don't think Buck is going to make any first moves when you don't remember the past five years you guys—" She needs to change the track because she's saying too much. "Why don't you just talk to him about it?"

"And say what? Please bend me over our kitchen table? Please shower with me? Please give me kisses goodbye? Please hold me at night?"

"You probably should start with something more...tame," Hen suggests.

He's tried tame — he's tried initiating kisses and hugs and Buck doesn't respond. It's like he is afraid to touch him and Eddie isn't made of glass.

He needs to do something drastic.

So at night, he waits for Buck to come to bed, lights dimmed, and when Buck pulls the covers away to slide into bed with him, Eddie is naked — he can't be more blunt, if this flies over Buck's head, he'll be worried.

"Oh my god," Buck keeps on repeating, not looking at Eddie, blindly trying to put the covers over Eddie.

"Oh, come on, I can't be more obvious," he complains. "Why can't you just touch me, Evan?"

He's taking deep breaths, not looking at Eddie at all and this is the opposite of what he aimed for. "You don't want me, Eddie, you don't even know me."

"I definitely want you," he protests, irritated. He knows what he wants, it's Buck who's been missing the signals right and left. "And I know you, you're my partner, my Buck—I know you want this, too."

It's the truth — when he thinks Eddie can't notice, he looks at him like Eddie is everything he could ask for. He wants him to look at him like that now, too. He knows Buck, even if memories aren't there.

"We're not doing anything until you get your memories back and you actually know who I am."

"What if I never get my memories back?"

Buck doesn't reply and for a second Eddie think he got him, but then Buck stands up from the bed and says, "I think I should move out."

"What?" Eddie protests because that's definitely not what he was aiming for. Buck's place is with them, even if things in their relationship are a bit dry or stilled. "And where exactly would you go?"

"I do actually have my own place, you know?"

And how Eddie was supposed to know? He lives with them. He should not have a back-up place to go.

"I think I'm sending you mixed signals and you obviously don't remember enough to interpret them with clarity in your head," he tells Eddie and leaves.

He actually leaves the house, too, no matter how much he's asking to just sit down and listen to him. He spends the night trashing from side to side, expecting Buck to be back any moment but never getting him back.

(Meanwhile, Buck doesn't go to the loft because everything is dusty in there since he's moved into Eddie's place when he had to take care of Chris when he was still unconscious. Instead, he goes to Maddie's and complains to her over a glass of wine, aiming to stay on her couch overnight. "You didn't see him, Maddie, he was just lying there like a starfish, completely naked, going all, now you can touch me all you want—" and Chim wakes up Jee with how hard he drops the pans he was pretending to clean while eavesdropping.)

Buck comes back in the morning to take Chris to school — he doesn't offer Eddie to take him together and they don't talk at all.

Eddie needs to talk to someone about this because he might have somehow ruined the relationship with the man he's pretty sure he'd like to marry one day. By wanting him to touch him, of all things. But everyone is at work.

Pepa is retired, though. The problem is, Eddie isn't about to tell her Buck had threatened to move out because Eddie wanted him to fuck him.

So he asks the more appropriate question, "Why are we not married yet, actually?"

Maybe if they were married, Buck wouldn't have some secret place to escape. Maybe he'd feel like he can touch Eddie because Eddie is his on paper, too.

Pepa gives him a look that says he's crazy. "Who?"

"Buck and I, obviously." Forget crazy, Pepa stares at him like he's insane. "What? Does Buck—not want to get married? Did I say anything about this to you?"

"Mijo," she says, sounding like it pains her to do so. "You and Buck are not—you're not together, Eddie."

Eddie laughs because that's—that's not possible, they're partners, Buck's been taking care of him and Chris since Eddie woke up, and long, long before that even if Eddie doesn't remember it. He's Eddie's power of attorney and next of kin and he's in Eddie's will, he's all but a step away from adopting Chris, knows all of Chris' and Eddie's medical history, their allergies, their likes and dislikes. He's Eddie's partner.

Pepa is not laughing, just looking at him with that pitying expression on her face,

"But—he loves me, he loves Chris, he loves us," he says dumbly.

"Believe me, I know, we all know," she says. "We've tried stirring you in the right way but you're very stubborn, mijo."

#im sorry this probably doesnt make sense #i don't know how this ends #either eddie decides he wants to be partners anyway memories be damned (and then gets his memories back months later)#or he remembers when buck actually moves out and they get together #buddie #eddie diaz #evan buckley #911 fox #911 abc #buck my beloved (deregatory)#also as a healthcare professional i feel obligated to tell you this is not how amnesia works #fic ideas #op #charlie writes

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cripplerage · 5 months

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Pro tip for any marginalised person going to the ER for heart attack symptoms: if you can take an antacid before you go, do it. It's a tip my nurse friend told me. There's a pretty high chance they'll tell you to take one when you get there so saying you've already done that and it didn't work might help you get listened to sooner.

#speaking from personal experience #cripple punk #medical negligence #chronic illness #I am NOT a healthcare professional I'm just used to getting gaslit

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murasaki-cha · 3 months

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Other countries when someone isn't feeling well: Oh try going to the doctor or take some painkillers, have some soup and tea

Meanwhile the Balkans: What you got a cough? *hands over shots* Feeling nauseous? *hands schweppes and a lemon* You got low blood pressure or something? *shoves salty cheese and/or sugar on your mouth* Oh high blood pressure? *hands over shots* Your throat hurts? *honey, oranges, most likely mountain tea and if it burns shots and more oranges and sometimes onions*

#i'm a professional and I'm speaking from personal experience #the most normal medicine we use is paracetamol for headaches #healthcare #balkan

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wikipediapictures · 7 days

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Midwife

“Village Midwife Rachel Yusufu (holding the baby), Mnyiramba, and Ayah Brim Masasi, Msukuma, weighing an infant and giving advice to the mother during an infant welfare clinic session at Kishapu Native Authority Dispensary and Clinic in Shinyanga District, Lake Province.” - via Wikimedia Commons

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religion-is-a-mental-illness · 10 days

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By: Andrew Doyle

Published: Apr 10, 2024

The review into paediatric gender treatment by Dr Hilary Cass has finally been published. Its conclusions should herald the end of “gender-affirming” care in the United Kingdom, and its impact is likely to reverberate around the world.

The review has shown that 89% of girls and 81% of boys referred to GIDS (Gender Identity Development Service) were either homosexual or bisexual. The NHS has been practising gay conversion therapy in plain sight, and this has happened because politicians have been too ignorant or too afraid to do anything about it.

Cass has explicitly noted how fear of standing up to ideologues has resulted in a situation in which “attempts to improve the evidence base have been thwarted by a lack of cooperation from the adult gender services”. We have long suspected that the “gender-affirming” model of healthcare has persisted because its critics were too intimidated to speak out. This has been confirmed by Cass’s final report.

The report finds that vulnerable young people who should have been supported with therapeutic treatment were fast-tracked onto lifelong medicalisation. The risks of puberty blockers are now clear, and Cass notes that there is no evidence to justify them. Most crucially, we now know that the common assertion that puberty blockers and cross-sex hormones reduce the risk of suicide is completely false.

Cass refers to the influence on the NHS of the World Professional Association of Transgender Healthcare (WPATH), and how its guidelines have been found “to lack developmental rigour”. The recent revelations of the “WPATH files”, internal messages and videos from the organisation, have shown that leading practitioners were aware that children could not give “informed consent” to the treatments they were prescribing. In addition, they were also aware that gay or bisexual youth and those with mental health and autistic conditions were disproportionately affected. More details about the WPATH files can be read here.

Given the significance of WPATH’s influence, now confirmed by the Cass Review, it is remarkable that the BBC has yet to report on the WPATH files. Like the NHS, the BBC has been promoting gender identity ideology as though it were uncontested fact. In the light of the Cass Review, surely an investigation into the ideological capture of the BBC should be initiated.

School policy is beyond the remit of the report, but Cass notes that “social transitioning” – that is, adopting preferred names and pronouns – can increase the chances of a child proceeding on a “medical pathway”. It would be prudent for the Department for Education to bear this in mind when drafting future guidelines.

Cass offers an important recommendation for patients aged between 17 and 25. At present. young people who turn 17 are treated as adults and can be prescribed cross-sex hormones without parental consent. Given that the human brain is not fully developed until the age of 25, the risks here are obvious. Cass had recommended that “NHS England should establish follow-through services for 17-25-year-olds at each of the Regional Centres, either by extending the range of the regional children and young people’s service or through linked services, to ensure continuity of care and support at a potentially vulnerable stage in their journey.”

In light of the Cass Review, we now need an urgent investigation into how ideological zealots were able to dominate the NHS and branches of government to the detriment of children. Those charities who once supported gay rights – most notably Stonewall – have been complicit in this scandal which has mostly harmed gay youth. Any government departments and quangos still associated with Stonewall should sever all ties immediately.

Both the Conservatives and the Labour Party ought to ditch their commitment to a ban on “trans conversion therapy” and recognise that this will effectively stymie the therapeutic efforts of medical practitioners to support gender nonconforming children. The proposed ban on “trans conversion therapy” is tantamount to a new form of gay conversion therapy. You can read my thoughts on this subject here.

Above all, there now needs to be a concerted cross-party effort in parliament to identify those responsible for harming so many children and to hold them accountable for their negligence. The NHS should never have been in the business of practising pseudoscientific methods at the behest of activists, and we must ensure that this never happens again.

Download the Cass Review here.

Even the BBC hasn't been able to just ignore this.

17 notes · View notes