Benjamin Ryan Profile picture
Jul 10, 2024 23 tweets 9 min read Read on X
‘Damning’ Information About Trans Medical Group Expected To Reach Supreme Court, as Justices Consider Challenge to Ban on Gender Treatments for Minors
🧵⬇️I report for the @NewYorkSun: Unsealed internal communications from the trans medical organization @WPATH will likely undermine pediatric gender-transition treatment in litigation, including a Supreme Court case.Image
‘Damning’ Information About Trans Medical Group Expected To Reach Supreme Court, as Justices Consider Challenge to Ban on Gender Treatments for Minors
nysun.com/article/damnin…
The World Professional Association for Transgender Health is tasked with promoting and defending access to gender-transition treatment for minors. Amid a storm of litigation over these practices @WPATH’s leaders now find that their own words threaten to undermine this mission.
Last month, a federal court began unsealing an abundance of subpoenaed internal communications among top @WPATH members.  The docs concern Wpath’s recent revision of the chapters in its trans-medical-care guidelines concerning pediatrics, or medical care for children and teens. Image
Wpath’s once-secret maneuverings, now laid bare, have only just begun to backfire. The explosive contents of the unsealed communications are expected to impact the litigation that will determine the future of pediatric gender medicine , including a SCOTUS ruling next term.
Erica Anderson, a psychologist, transgender woman, and former head of Wpath’s American branch, characterized the recent disclosures as “damaging” to @WPATH. @eanderh nysun.com/article/damnin…
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Why did @WPATH remove all the age limits on pediatric gender-transition treatment in its 2022 revision on its treatment guidelines? Internal comms unsealed in an AL court case suggest HHS official Rachel Levine, the @AmerAcadPeds and @Trevor_Project all pressured WPATH to do so. Image
Even as she pressured @WPATH to remove age limits on pediatric gender-transition treatment for political reasons, Rachel Levine touted WPATH as the go-to source for evidence-based guide to such care and said that laws banning such treatment were all politically based. Image
WPATH published its new transgender treatment guidelines on Sept. 10, 2022, and later that same day removed the age limits on pediatric gender-transition treatment. This was in the immediate wake of the @AmerAcadPeds and the @Trevor_Project pressuring them to do so. Image
The documents unsealed in the Alabama court case that have so damaged @WPATH's credibility as a science-based organization removed from politics have already started to show up in litigation.
nysun.com/article/damnin…
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In private, at least some @WPATH members have acknowledged that the evidence behind some of their treatment recommendations is wanting. But in public the organization has said the opposite. nysun.com/article/damnin…
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Eli Coleman, who headed up @WPATH's revision of its treatment guidelines, issued a full-throated denial of the suggestions of a trove of internal communications from the organization that were recently unsealed. nysun.com/article/damnin…
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How might the unsealed @WPATH communications impact the Supreme Court case about Tennessee's pediatric gender-transition ban next term? I spoke with TN's attorney general, Jonathan Skrmetti, for the @NewYorkSun: nysun.com/article/damnin…
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The internal @WPATH documents are also expected to aid the plaintiffs in the approximately 20 medical-malpractice lawsuits waged by detransitioners against their former care providers. Image
The unsealed @WPATH communications are expected to aid in the conspiracy suit against the @AmerAcadPeds. One WPATH member was particularly scornful of the AAP's 2018 policy statement on the gender-affirming care method. nysun.com/article/damnin…
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Roger Brooks of the Alliance Defending Freedom said he expected the Alabama documents would have an even greater impact on future detransitioner lawsuits, by undermining physicians’ arguments that they were acting in good faith by following WPATH’s guidelines.
Psychologist Erica Anderson, who positioned herself as WPATH’s Cassandra some years ago, having sought to warn her colleagues that they were steering the organization in a perilous direction, reflected over what it has meant to have, as she sees it, been proved right.

“Many who know of my historic efforts to stem the tide of ideology have proclaimed that I should feel vindicated, but I cannot be consoled,” Dr. Anderson said.

“I am heartsick.”
nysun.com/article/damnin…Image
The internal @WPATH communications in the Alabama suit over the state's pediatric gender-transition treatment ban also suggested that WPATH coordinated on the drafting of its 2022 trans-care guidelines update with the @ACLU, which is behind many of the lawsuits seeking to overturn the bans of the treatment that WPATH recommended in those guidelines. nysun.com/article/damnin…Image
Here is my coverage for the @NewYorkSun about the detransitioner lawsuit against the @AmerAcadPeds: nysun.com/article/lawsui…

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More from @benryanwriter

Feb 19
Taylor Lorenz Plagiarism Scandal Erupts

YouTube sleuths found: @TaylorLorenz apparently copied substantial portions of a TechDirt article about Joseph Gordon-Levitt @hitRECordJoe and Section 230.

Lorenz appeared to pass off the article's text as if it was her own script.🧵⬇️Image
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Go to 4:22 in this video to see the part where the YouTube hosts assert that @TaylorLorenz has plagiarized her narration from a TechDirt article about Joseph Gordon-Levitt @hitRECordJoe and Section 230:
youtube.com/live/JXI9uRwfG…
Here is @TaylorLorenz's video in which Lorenz appears to have lifted much of her script from a TechDirt article. Go to 9:34:
youtube.com/watch?v=b0RRxR…
Cross reference with this article: techdirt.com/2026/02/12/jos… Image
Read 11 tweets
Feb 18
I can’t even begin to enumerate all the nasty things Parker Molloy has said about me in an effort to punish me for reporting about pediatric gender medicine and to scare off other reporters who might dare to enter this arena. My policy with responding to such behavior is I report what people such a Molloy say or do, and will often fact check errors. They then turn around and make vicious and demeaning claims about who I am.
Update: Parker Molloy is expressing her rage toward me on Bluesky right now.
Update: Parker Molloy is not an activist. Nothing in her behavior, rhetoric or discourse would suggest she is one. Image
Read 5 tweets
Feb 10
The Federal Trade Commission has opened a consumer protection probe into the American Academy of Pediatrics and has demanded its records regarding pediatric gender medicine.

In 2018, the AAP published its foundational policy document on the gender-affirming care method. It was written by a single medical resident, Dr. Jason Rafferty, and edited by a small committee. It was subjected to a brutal fact check by Canadian sex researcher Dr. James Cantor the following year. The AAP never responded to the fact check. In 2023, the AAP reaffirmed the policy statement with no changes.

The statement asserts that even very young children know their gender identity as well as anyone and should be trusted to guide the way in their own pathway of transition.Image
Read 6 tweets
Feb 7
How Can Doctors Like This Provide Competent Care To Their Patients?

Some beef with Dr. Jonathan Howard, by @JesseSingal.
jessesingal.substack.com/p/how-can-doct…
Dr. Jonathan Howard, a neurologist and psychiatrist at @NYULangone Health, is furious at Michael Shermer, the founding publisher of Skepticmagazine.

Howard is an impressive figure. Like many doctors at university-affiliated medical centers, he also serves as a professor, in this case at the @NYUGrossman School of Medicine. He has, according to his biography, “authored and edited multiple textbooks” on multiple sclerosis, his area of specialty.

Why is Dr. Jonathan Howard furious at @MichaelShermer? It has to do with a recent exchange between Senator Josh Hawley and an OB-GYN named Dr. Nisha Verma. Hawley, seeking to make a point about “gender ideology” (as he might call it) during a hearing, repeatedly asked Verma if men can get pregnant and Verma could not give a straight answer. Shermer chimed in to suggest an answer Verma could have given that accounts for the fact that, as Shermer (and anyone else using the traditional, biological definition of the term) sees it, men cannot, in fact, get pregnant.

That’s why Howard is furious, and that’s why he wrote a deeply aggrieved article in Science-Based Medicine about Shermer’s bigotry. The headline? “The Anti-Trans Obsessions of ‘Skeptic’ Michael Shermer: Hallucinating Imaginary Demons to Empower Actual Villains, Once Again.” The subheadline? “I want to demonstrate to Michael Shermer that it’s possible for men like us to not talk about trans people constantly. If I can do it, so can he.” (If you’re unfamiliar with Science-Based Medicine’s strange recent trajectory, see here or here.)

Not only does Dr. Jonathan Howard of NYU Langone Medical Center disagree with Michael Shermer that men can’t get pregnant — Howard thinks that to even ask this question puts other humans in danger.

That probably sounds like a caricature on my part, or a sloppy and inaccurate gloss of Howard’s actual views. But that’s exactly what he wroteImage
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Jonathan Howard has gotten it into his head, meanwhile, that I am personally responsible for the MAHA movement because once I published an essay on Vinay Prasad’s Substack about trans medicine researchers deceiving the public. This is bonkers conspiracy thinking by Howard.
After @jessesingal explained in exacting detail why the study Jonathan Howard cited as evidence of pediatric gender-transition treatment’s efficacy was bunk, Howard respond with this mischaracterization of what Singal said about Howard’s inability to understand the paper. Image
Read 6 tweets
Feb 6
Dr. Blair Peters,a gender-transition surgeon at OHSU, responds with disdain to the American Society of Plastic Surgeons coming out against such surgeries for minors. He says the broader membership was never polled about this.

Which is the same thing that has happened at the American Academy of Pediatrics, for example, but going in the other direction. No matter how hard @JuliaMasonMD1 has pushed, the AAP’s 2018 policy statement on the gender-affirming care method has never been up for a vote by the broader membership.

All of the major medical organizations that have led the way in establishing pediatric gender medicine’s broader credibility, including the AAP and the Endocrine Society in particular, have supported these practices in minors based on the decisions of small committees.

The AAP’s 2018 policy statement was written by a single person, Dr. Jason Rafferty, who was a resident at the time.

All of the other medical societies’ little committees have followed these other groups’ lead, along with WPATH. This has given the illusion that all medial providers support these practices in minors.

But I’ve spoken to pediatricians who are too afraid to express their concerns at the AAP’s annual conference for fear this will destroy their careers.Image
More from Blair Peters: Image
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In 2024, Dr. Blair Peters, aka “Queer Surgeon,” spoke with the head of the ASPS and they had this remarkable exchange about whether doctors can be trusted to self police.

The ASPS president, Dr. Steven Williams, brought up Tuskegee. open.substack.com/pub/benryan/p/…Image
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Read 6 tweets
Feb 4
People are shocked that all it took for the AMA to change its policy on pediatric gender transition surgeries was for another medical group, the ASPS, to do it. But this phenomenon is how the unanimity among the medical groups fell into place in the first place. It was only ever based on a few small committees within a couple of medical organizations, putting aside WPATH, which is a quasi-activist-medical organization.

It got started in the 2010s as WPATH and the Endocrine Society, which have a lot of overlap between them and referred to one another's guidelines in their citations, put out guidelines. And then in 2018 a single medical resident wrote the American Academy of Pediatrics' policy statement on the gender-affirming care method. Along the way, other major medical associations took these other groups' lead, including the APA and AMA. And then all the other ones fell in line.

These groups did not conduct major independent analyses of the evidence. Even the AAP never conducted a systematic literature review to support its policy statement. And in August 2023, the AAP said it was going to conduct one. But there is no sign that the organization has even started on that. Because if they ever did, there is only one conclusion that it could have: that the evidence backing providing gender-transition interventions to minors is weak and inconclusive.

All this is to say is that the mantra "all major medical association support gender affirming care for kids" was always a hallow claim. What it really meant is that: "A few small committees at a few organizations decided to support this, in part because of one another, and all the other small committees at all the other organizations followed their lead."
If you want to go down the rabbit hole of how citation laundering laid the groundwork for the supposed medical consensus on gender-transition treatment for minors, I highly recommend @buttonslives's reporting: buttonslives.news/p/new-systemat…Image
@buttonslives Hollow, not hallow*
Read 5 tweets

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