14 Comments

Thank you for writing about this issue. For too long I felt like I was the only one who could see the emperor wore no clothes.

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This is nothing more than an attempt to monetize endocrinology. It has no procedures and no one is going to get rich treating Hashimoto’s thyroiditis or type 2 diabetes. It’s the classic politicians paradigm:

“Something must be done;

This is something;

Let’s do it.”

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This is excellent. The citation cartel concept is new language for me explaining this medical scandal.

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We shouldn't be hair on fire alarmed about the public being mislead. Does anyone actually know someone who actually got a second opinion, even when insurance might pay for it, when surgery or other procedure with serious adverse side effects was recommended?

What concerns me about the illusory consensus manufactured by the citation cartels is the potential for widespread 𝘭𝘦𝘨𝘢𝘭 effect. State legislation restricting or regulating "gender affirming care" is being widely attacked in the courts by the ACLU led by Chase (née Kate) Strangio with the help of a large team provided 𝘗𝘳𝘰 𝘣𝘰𝘯𝘰 by the prominent Wall Street firm, Sullivan and Cromwell. ACLU has benefited, too, from six figure gifts from the billionaire Pritzker (Hyatt hotels) heir, Jennifer (née James) Pritzker.

In deciding cases involving scientific issues, courts have to rely on "expert testimony", sometimes of questionable reliability, and expert witnesses will often buttress their testimony by referring to specialized publications, in this case, medical journals. Appellate courts will often be found to place great reliance on the learned journals referred to at the trial. Sad to say, few lawyers including judges are trained in the skills needed for critical analysis of the publications; they really have little choice but to accept their conclusions at face value. Consequently, the citation cartels present a real danger not merely of creating a false consensus but of helping to create legal precedents based on those illusions.

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Just wanted to say keep up the good work. I am so surprised how far this has gone its great that you are trying to stop it.

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Well said ,Christina. Misleading the public like this is nothing short of criminal !! How can the public trust the medical profession when even the GMC seems to be "captured ". If trained doctors don't understand basic biology ,then we are in deep trouble. It's a HUGE medical scandal ,and the mainstream media remains silent ,appearing to have gone both deaf and blind !! THEY are despicable cowards !!. Thanks , Christina x

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I didn't mean to suggest we shouldn't be alarmed, just not frenzied. Sorry if I didn't make it clear. I doubt more than one in ten of the general public is the least bit interested much less well informed about these issues except for possibly the participation of boys in women's competitive sports. Those who do realize the importance of the Cass Report and the scandal of the influence of the citation cartel on the standards of care published by the medical societies should, in my opinion, focus their efforts on bringing it to the attention of any government agencies or news publications they encounter. (NPR is among the worst offenders, being totally on board with the most extreme version of the transqueer ideology. NYTimes is showing some faint signs of backing away from what has been its wholehearted, uncritical acceptance of the dogma.)

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"This coordinated effort suggests that WPATH and ES were colluding to grant undue credibility to their guidelines." It does not suggest that. This is a failure of logic and you should be above such smear tactics if you want to be on the side of truth. There is enough to be concerned about here without resorting to disgusting smear tactics.

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Can anyone tell me what page or section discusses the circular referencing in the Cass report? I'm looking but can't seem to find it. I just want receipts for future debate. Thankyou Christina for your work on this.

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