I'm a gay physician-scientist with Harvard and Yale training, and I research #LGBTQ health. Amy Coney Barrett's confirmation next week likely means more LGBTQ people like me will die early. Here's why (a thread) 🧵(1/8) #medtwitter #SCOTUS
Difference-in-differences analyses show that marriage equality results in fewer suicide attempts among sexual minority youth. (2/8)
jamanetwork.com/journals/jamap…
Barett's writings indicate she would jump at an opportunity to overturn Obergefell v Hodges (SCOTUS marriage equality decision). Other conservative justices have already been hinting at their intent to do so. (3/8)
nbcnews.com/feature/nbc-ou…
Barrett's writing suggests she would want to dismantle the ACA. This would mean millions of Americans lose health insurance. It would also mean LGBTQ Americans lose Section 1557, which prohibits healthcare discrimination against #LGBTQ people. (4/8)
americanprogress.org/issues/lgbtq-r…
Barrett has close ties to Alliance Defending Freedom (ADF). ADF brought the Masterpiece Cakeshop case that tried to legalize discrimination against #LGBTQ people on religious grounds. The court side stepped the issue, but Barrett would likely vote to legalize discrimination (5/8)
The idea that Barrett would vote in favor of legalizing discrimination against #LGBTQ people on religious grounds is supported by the fact that she was on the board of a school that did exactly that. (6/8)
apnews.com/article/south-…
Difference-in-differences analyses have shown that policies that permit refusal of service to #LGBTQ people result in adverse mental health outcomes. The effect sizes are dramatic. (7/8)
jamanetwork.com/journals/jamap…
I hope my predictions are wrong. I'll pray that Barrett the other justices will weigh data and #LGBTQ lives over other considerations. (8/8)

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More from @jack_turban

17 Aug
I just read the authors note, introduction, and chapter 1 of @AbigailShrier's new book about #trans youth. I'll continue to update as I make progress, but here are the inaccuracies I've found so far. Image
First, according to the "author's note," Shrier did not interview any of the trans adolescents themselves for the book, only their parents. She changes story details so that the adolescents themselves will not be able to recognize themselves and point out any flaws in the stories Image
Shrier claims "in most cases-nearly 70%-gender dysphoria resolves." This is not true. The studies referenced used the old diagnosis of "gender identity disorder (GID)," not gender dysphoria. One can meet GID criteria and be cisgender; DSM-5 gender dysphoria diagnosis changed this
Read 5 tweets
14 Apr
Some reasons having a psychiatry resident as your doctor on a #COVID19 unit may not be so bad: a #medtwitter thread.

1. A psychiatry resident already completed a medicine internship. They’ve done this before, and they’re supervised by an internal medicine attending. Image
We are expecting a surge in PTSD from people being in the ICU and from invasive procedures. Psychiatry residents are more likely to work to prevent this, recognize it, and treat it.
Many coronavirus patients will experience delirium: a reversible syndrome in which you forget where you are and may even hallucinate. Psychiatry residents know how to recognize and treat this (it’s often missed).
Read 7 tweets

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