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…
Image
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

Sep 17
NEWS: ABC Pulls ‘Jimmy Kimmel Live!’ Indefinitely After Host’s Charlie Kirk Comments

Disney’s ABC said it would take Jimmy Kimmel‘s popular late-night show off its schedule “indefinitely” after one of the biggest owners of TV stations in the U.S., Nexstar Media, said it would pre-empt airings of the program following remarks the host made about the killing of conservative activist Charlie Kirk.

In his monologue Monday night , Kimmel said that the “MAGA gang” was trying to score political points off Kirk’s murder. Kirk, a prominent conservative activist, was shot and killed Sept. 10 at a debate at Utah Valley University. Three days later, authorities announced they had arrested the suspected shooter.

“We hit some new lows over the weekend with the MAGA gang trying to characterize this kid who killed Charlie Kirk as anything other than one of them,” Kimmel said.

Nexstar said Wednesday that its “owned and partner television stations affiliated with the ABC Television Network will preempt “Jimmy Kimmel Live!” for the foreseeable future, beginning with tonight’s show.” The company said it  “strongly objects to recent comments made by Mr. Kimmel concerning the killing of Charlie Kirk and will replace the show with other programming in its ABC-affiliated markets.”Image
Read 9 tweets
Sep 13
Update: Now The Guardian has cut from this article about Tyler Robinson the quote from the unnamed high school friend about his being “leftist”. Image
I would very much like to know whether the unnamed source got cold feet and demanded a retraction of his quote (and if so, why), or if his words and his capacity to recall a time from about six or seven years ago were somehow misrepresented in the first place.
WaPo reports:

Xander Luke, another high school classmate, said he remembers Tyler Robinson being smart, funny and active online, trafficking in silly memes and jokes.

They would talk politics, Luke said, and discuss their “frustration with the system,” particularly feeling let down by the two major political parties. Robinson did not appear to like “hateful people” and “people who would talk down” to others, said Luke, 22.Image
Read 4 tweets
Sep 3
I report for @UnHerd on the tangled and tortured case of Gordon Guyatt, the towering figure of evidence-based medicine who has caved to transgender-activist pressure and thrown under the bus the funder of his systematic reviews of pediatric gender-transition treatment, @SEGM_EBM. He and his colleagues also contradicted their own research findings by adopting activist language touting the benefits of these interventions as “medically necessary.”

My reporting plumbs the depths of the internal tensions at McMaster University, where Guyatt is a star professor, over the mounting activist pressure. I spoke with one of the authors of the review papers, who was sharply critical of Guyatt’s decision to take sides on how his work should be used in the policy arena. This source shared with me internal emails diagramming the thought process of Guyatt and one of his key McMaster colleagues as they tried to quell the furor over their commissioned work for SEGM.

I also report on how Guyatt’s team is seeking to sink or at least divorce themselves from two other systematic reviews about youth gender medicine, and also kill an analysis of @WPATH’s trans care guidelines.Image
Dr. Steven Montante, a plastic surgeon in Richmond, Va., was among the four review-paper coauthors who didn’t sign the statement. “I don’t necessarily agree that he has the authority to dictate” how his work is used, he said of Guyatt. “To be so prescriptive waters down the notion of why we do these systematic reviews, and the notion of evidence-based medicine. There should be some level of detachment.”

“Why didn’t the institution defend the science?” said Dr. Paul Garner, an emeritus professor of evidence synthesis in global health at Liverpool School of Tropical Medicine. “I see this is an institutional failure.” He added: “This is obviously a toxic ideological area.”Image
Read 12 tweets
Aug 31
I interviewed a number of the first monkeypox (mpox) cases in 2022. They were largely affluent gay men who enjoyed traveling around the world and going to sex parties. I am not certain how stigma is connected to such a pastime.

During the outbreak, the CDC downplayed how central sex between men was to driving the outbreak. Dr. Daskalakis in particular invariably led with the exceptions to the rule of who was at risk, such as by uttering the misleading slogan, “Anybody can get monkeypox.” I once challenged him on this fact during a press call in August 2022 and asked why he wasn’t instead being direct and clear that gay men were overwhelmingly the ones at risk. He responded by saying he thought he and the CDC were doing a fantastic job.

Meanwhile, I was constantly getting DMs from parents who were scared to send their kids back to school or to daycare, despite the fact that their children were literally at greater risk of being struck by lightning than getting mpox.

Many people were angry that summer that some of the same people who insisted on masking children or keeping everyone at home during Covid were now insisting that gay men should not be asked to take a break from sex with multiple partners. It is evident that this contradiction eroded trust in public health, as you can see here from what @steveguest is saying:
I cannot begin to tell you how much rage people directed at me for simply saying gay men should modify their sexual behaviors to lower their risk of monkeypox. I broke a cardinal gay sin: Never tell a gay man to reel in his sex life. washingtonpost.com/opinions/2022/…
Read 5 tweets
Aug 5
Nearly 40 percent of students at Brown University identify as something other than straight. The growth has been largely among students identifying as bisexual or as queer, pansexual, asexual or questioning. There has been little growth in gay identity. Image
I sourced the survey on LGBAPQ identities from this @BostonGlobe editorial by Sandy Ernest Allen.
archive.is/20250804154202…Image
Read 4 tweets
Aug 3
Mother Jones is re-upping this article from January. The study in question found that, among minors with private health insurance, by age 17, about 1 in 1,000 were on cross-sex hormones during 2018 to 2023. The rate was higher than that for natal girls and was likely higher overall by 2023.
One way of reporting this news is to simply provide readers with the figures and let them decide whether they represent a little or a lot. open.substack.com/pub/benryan/p/…Image
Puberty blockers themselves, multiple studies have found, are not actually associated with any change in mental health metrics.

But MJ reports: Image
Read 5 tweets

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