Leor Sapir Profile picture
Senior Fellow @ManhattanInst | Ph.D. @BostonCollege & Post-Doc @Harvard | Gender medicine | Causes and consequences of institutional dysfunction | opinions own

Oct 9, 2024, 10 tweets

🚨NEW DOCUMENTS in the Alabama lawsuit over sex "change" age restrictions.

Some very interesting facts now coming to light. 🧵

1/ @wpath sought but did not receive the American Academy of Pediatrics’ (@ameracadpeds) endorsement for its eighth “Standards of Care” (SOC8).

In private emails to WPATH a colleague, SOC-8 lead author Eli Coleman said that this was “highly confidential.”

2/ Coleman appears to admit that it is misleading to claim that medical groups writing amicus briefs against age restriction laws means these groups endorse SOC-8. WPATH tried but failed to get endorsements. (Exhibit #190)

3/ Coleman had “hope[d]” that the “Amer Plastic Surgery organization” (i.e., the American Society of Plastic Surgeons) would endorse SOC8 and said that efforts to that effect were “underway.”

ASPS ended up taking the opposite approach.

ttps://www.city-journal.org/article/a-consensus-no-longer

4/ Disturbingly, Coleman complains about “a network of parents who have been concerned about the lack of careful evaluations, lack of involvement in decision making, and perceptions of rushed decisions which they feel account for the increased number of regret cases especially among youth.”

His solution? Not to address those concerns, but to “amplify the[] voices” of parents who transitioned their kids and are content with their decision.

5/ Despite gender clinicians like @YaleMedicine Meredithe McNamara and @jack_turban claiming that WPATH’s approach is aligned with the recommendations of the Cass Review (see, e.g., Yale Integrity Project white paper and related amicus brief in Skrmetti), Coleman admits that the U.K., Sweden, Finland, etc. are implementing policies that are “more and more out of step with WPATH SOC8.”

6/ On the critical question of conflicts of interest in SOC8's development, Coleman admits that he knew “at least most participants in the SOC-8 process had financial and/or nonfinancial conflicts of interest” when the guidelines were being developed. (Doc. 557-21, deposition of Coleman)

7/ WPATH president Marci Bowers (@Bowers_MD) said it was “absolutely” “important for someone to be an advocate for [gender transition] treatments” in order to be on the SOC8 development team.

A more smoking gun example of conflict of interest is hard to imagine.

8/ Bowers, who famously performed Jazz Jennings' vaginoplasty, made over one million dollars in net income performing gender transition surgeries in the past year, according to Bowers' deposition.

There are other interesting findings, but that's it for now.

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