A Good Start

It certainly didn’t seem like that at first blush, though.

Further, we wish to make it clear that Dr. Hall still remains an editor of SBM in good standing. She has worked tirelessly to promote SBM and its principles, contributing over 700 articles to SBM since 2008, all without any compensation or possibility of reward beyond public service. However, at SBM quality matters first, and so we have to remain open to correction when necessary.

Hold on. Harriet Hall has repeatedly shared medical misinformation and lied about the scientific evidence, on a website that claims to promote “the highest standards and traditions of science in health care,” and it hasn’t impacted your view of her at all? Both Steven Novella and David Gorski are not concerned that her flagrant disregard of the science here might spill over to other topics she’s discussed? You’re fine with being used to launder medical misinformation, so long as the actors “remain open to correction?” Yeeesh, I just lost a lot of respect for Science-Based Medicine.

Their response to Hall’s article is also hyper-focused on the scientific literature, with only a few exceptions. That can be quite dangerous, as Allison points out.

Frankly, for a trans person, there’s something surreal and erasing in seeing cis people feuding with cis people over whether we exist. I mean, I am grateful that there are cis people being allies for us … But the fact that people have to come up with logical arguments and “evidence” that our transness is “real,” thus keeping the question alive of whether we do, in fact, exist, keeps giving me the creepy feeling that maybe I’m just a figment of my own imagination. […]

I was just reading HJ Hornbeck’s post about trans athletes, which has all kinds of “scientific,” “objective” evidence that gender dysphoria, gender identity, etc. are real. The problem with going down that path is not only that it concedes the possibility that it could be “disproven,” but also that trans people who don’t fit into the definitions and criteria in those “proofs” are then implicitly left out of the category “real trans.”

When writing about issues at the core of someone’s identity, you need to prioritize humanism over evidence. Hence why I went out of my way to point out the scientific literature is not the final word, that it is not prescriptive. If you doubt me, consider one of the after-effects of ACT UP:

The upshot of all this: “What they were able to revolutionize was really the very way that drugs are identified and tested,” says France. This included scrapping the prevailing practice of testing drugs on a small number of people over a long period of time in favor of testing a huge sample of people over a much shorter period — significantly speeding up the time it took to conduct drug trials.

Similarly, ACT UP insisted that the researchers and pharmaceutical companies that were searching for a cure for AIDS also research treatments for the opportunistic infections that were killing off AIDS patients while they waited for a cure. In the process, says France, “ACT UP created a model for patient advocacy within the research system that never existed before.”

Today it seems natural that people suffering from a disease — whether that’s breast cancer or diabetes — should have a voice in how it is researched and treated. But France says this was decidedly not the norm before ACT UP.

By just reciting the scientific record as if it is a holy book, you roll back the clock to a time when scientists acted as gatekeepers rather than helpers. Instead, start from a patient-centred care perspective where patient rights are placed first. The quality of the science will improve, if anything, and you won’t condescend or impose on the people effected. Novella/Gorski do make some attempts at this, to be fair, but I thought they were easy to miss.

At the same time I was filing away that objection away, though, Novella and Gorski’s follow-up article was really starting to grow on me. It calmly and patiently shoots down a number of arguments made by Shrier and Hall, and the meat of the article doesn’t hold back. They earn their conclusion:

Abigail Shrier’s narrative and, unfortunately, Dr. Hall’s review grossly misrepresent the science and the standard of care, muddying the waters for any meaningful discussion of a science-based approach to transgender care. They mainly rely on anecdotes, outliers, political discussions, and cherry-picked science to make their case, but that case is not valid. […]

At this point there is copious evidence supporting the conclusion that the benefits of gender affirming interventions outweigh the risks; more extensive, high-quality research admittedly is needed. For now, a risk-benefit analysis should be done on an individual basis, as there are many factors to consider. There is enough evidence currently to make a reasonable assessment, and the evidence is also clear that denying gender-affirming care is likely the riskiest option.

I could have used some more citations (shock surprise), but there’s enough there to establish that Novella/Gorski have done their homework. Also, did I mention this is only part one?

Part II of this series will include a far more detailed discussion of the key claims in Abigail Shrier’s book and where she goes wrong by an expert in the care of trans children and adolescents.

Giving a front-line expert a platform to share their insights will do wonders to counter the misinformation. Until that time, we still have a solid takedown of Shrier and Hall’s views on transgender people’s health. Despite my objections, it’s well worth a read.

When Neutrality Isn’t

The details are a bit tough to track, so here’s a timeline.

June 15th, 2021: Harriet Hall publishes a book review of “Irreversible Damage” to Science-Based Medicine.
June 17th: That book review is removed by Steven Novella and David Gorski, as “we felt there were too many issues with the treatment of the relevant science, and leaving the article up would not be appropriate given the standards of SBM [Science-Based Medicine].”
June 17th: The book review is reprinted by Michael Shermer on Skeptic.com, with an editor’s note that reads in part:

While we have long admired the excellent work by the contributors at Science-Based Medicine on issues like vaccines and quack alternative medicine claims, they have long openly displayed a far-left progressive political bias that has compromised their otherwise stellar reputation as a trustworthy source. In science, facts cannot be bent or silenced by politics, however well intentioned, for nature cannot be fooled.

After June 17th: That paragraph of the editor’s note is removed, presumably by Shermer himself.

I’ll have a lot more to say on this, if my drafts are any indication, but first I want to circle back to the editor’s note by Novella and Gorski. Note that while they claim there are many issues with the science Hall presents, they don’t go into detail. In fact, what I quoted is all they have to say on the subject. In contrast, they spend several paragraphs defending their neutrality. A sample:

Already there are false accusations that this move was motivated by pressure from readers. This is not the case. SBM had and never will cave to outside pressure. We have endured a great extent of such pressure, including the threat of lawsuits and actual litigation.

If you’ve been part of the atheist/skeptic movement for a while, this is no surprise. Novella in particular has tried very hard to be politically neutral and “above the drama” when any major controversy comes up. The problem, as I’ve pointed out before, is that neutrality favours the status quo and the status quo is sexist. That a desire to avoid drama is easily exploited, as if bigots deliberately cause drama it grants them more control over the commentary.

We will leave the comments open for now and encourage full, open, and respectful discussion of the topic by anyone interested.

If you haven’t had your head clouded by a neutrality fetish, you know exactly how “respectful” the discussion has been. Transphobes have been recycling all the tired arguments about sports I’ve covered in depth before. They’re receiving a lot of pushback, thankfully, but transgender people and their allies should never be forced to defend their humanity.

Kudos to Novella and Gorski for retracting that book review, which was the right thing to do. But all they’ve done is turn a body blow into a slap in the face. They knew the science behind this review was dodgy, but kept silent on why to avoid stirring up drama, and in the process let the bigots fill the silence with their own spin.

This apologia for censorship is dishonest. Notice that the authors, Novella and Gorski, can’t be bothered to condescend to explain exactly what it is about the book review that made its deletion necessary as a matter of “quality control.” For some reason, it was impossible to allow discussion of the review and the book. The claim that the action had nothing to do with the bleats of the censors urging suppression of the discussion is not plausible.

Turning off comments is just a click of a button, and would have avoided the inevitable transphobic shit-show. Instead, they let it happen in the name of a “full, open, and respectful discussion” they must have known wouldn’t actually occur. Rather than help transgender people, they’ve left them and their allies to mop up the mess while only putting in a token effort to assist.

Guys, don’t do this.

I’ve Never Understood This

Consider this scenario, instead.

YOU: I’m in the mood for a soft drink. What do you have?
ME: Just Coke and Pepsi, at the moment.
YOU: I’ll take a Coke.
ME: Here’s a Pepsi.
YOU: I thought you said you had Coke?
ME: Oh I do, you just look more like a Pepsi person to me.

This time around, it’s pretty obvious I’ve done something unethical. Given the choice of providing you with what you wanted, I instead imposed something else on you. Both alternatives carried about the same cost to me.

[CONTENT WARNING: TERFs and transphobia] [Read more…]

Who’s up for some Undertale?

I’m starting to learn why Gabe Newell is worth $9 billion USD: Steam sales. A few times a month, Valve will send you an email that some game on your wish list has temporarily dropped in price by 75%. Even if you had no intentions of buying the game in the short term, some part of your brain screams “but what they never drop the price again?!” and tries to yank your finger to the “add to cart” button. I’m trying to build up a resistance to it, but in the meantime one of those snap sales led me to finally purchase Undertale. It’s one of those metatextual games that tries to get you to think about what exactly you’re doing within a game. Just take the about page:

In this RPG, you don’t have to kill anyone.

Each enemy can be “defeated” nonviolently.

Dance with a slime. Pet a dog. Whisper your favorite secret to a knight.

Or, ignore this choice and rain destruction upon your foes.

If the first words you’re told about a game are “you can do X! Or maybe not,” you know that there’s something special about X. And, indeed, there’s multiple endings that can be reached, depending on how your treat other people in the game. These first lines also call attention to the core loop of the typical video game, which usually involves slaughtering other people. Or if you’re playing an RPG, you instead spend a lot of time pick-pocketing the dead or breaking other peoples’ pottery for your personal gain. By placing that front-and-center, Undertale is also pointing out how video games force us to be terrible people thanks to lazy design.

Tune into my Twitch channel sometime in the next eighteen hours, and you’ll see me attempt this game for the first time. While there’s no active fundraiser at the moment, I don’t think there’s harm in reminding you of the links where you can donate to us or Skepticon to help pay off our legal bills.

The View from The Street

Whenever mass protests arise, I’m always indebted to the people and protestors who stand right in the thick of it. Hunter Walker, for instance, gave me quite a bit of insight into the Washington, DC. protests. For the Portland, Oregon protests, I got lucky and someone on this very network has been covering them.

1. yes, we’ve always had a few asshats in the crowd doing asshat-y things like throwing fireworks.

2. We actually didn’t have any of that last night, to the point where there was not even a single instance of coordinated banging on the fence to make noise (and not to damage the fence). Like, this shit was peaceful. 100% peaceful. No excuses peaceful. I was actually surprised we could get more than 1500 people down there for a protest like this, with real, legitimate grievances that would anger any caring heart, and have no one engaging in any of the behaviors that they’ve used to justify past attacks. No one at all. I was so fucking proud of us before the tear gas flew and chaos came down. This shit wasn’t even 1% on the protesters. This shit was all on the feds. All of it.

and,
3. Holy fuck, those assaults last night were BAD. Really bad. Mega bad. Even, if you’ll pardon the pun, MAGA BAD.

Crip Dyke has been on the case, which is amazing when you realize her ‘nym is quite literal.

And now we’re back where we started, with me telling you about the decision I had to make to stay and possibly be pushed away from the car, and because of my slower ability to flee inevitably coming into contact with cops that I **know** assault crutch users as if they were armed. If I fell, would I even be able to get up? Especially if the club was aimed at an arm or wrist?

I talk with BFF and she’s scared. We haven’t been together, but she has her own scary stories about how aggressive the cops have been tonight. She convinces me to get in the car. We’re sitting. We’re talking. We make the decision. We leave.

I felt bad retreating with others still facing the Feds’ rage, but it was the right decision.

Tonight was so bad.

If you’re listening to me, if you’ve been listening to me the past 11 days, I’m telling you, however bad the other nights have been, however much you thought those nights sounded scary, they weren’t tonight. Tonight was its own thing, a category to itself.

She has an extensive series on the protests, in fact. You can learn that expired tear gas was fired, watch as she ponders discomfort, cringe as she reveals the Feds were poisoning the air, enjoy a few flowers, witness a police-induced stampede, dream about glitter, observe people getting tear gassed without warning, sigh as people fall short, see the change that happens when Portland gets national press coverage or when the Mayor is nearby, listen to a detailed account of police violence, rewind back to when she was first tear-gassed as well as a first set of photos from the protests. It’s well worth your time.

I know it may not seem that way. Click on the first link to her blog, and you’ll see I’m only getting around to sharing these links a month after they were written. Why on Earth would I link to stale news, surely the protests stopped when the Feds pulled out?

The worst nights follow the same script: A large group takes to the streets calling for an end to police violence and systemic racism. A small fraction commits low-level crimes — often lighting small fires, graffiti-ing buildings and throwing fireworks or water bottles at officers. The police respond with force against the entire crowd.

Over the last month, demonstrators have been battered with batons as they left protests. Police have charged at crowds until they’re pushed deep into residential neighborhoods. Journalists have been shoved and arrested. Tear gas, while used more sparingly than in the early days of the protests, is threatened near nightly. And police regularly shut down protests by declaring them riots. That happened twice over the weekend, though police declined to intervene as far-right activists, some brandishing firearms, brawled with counter-protesters for hours on Saturday afternoon. […]

The mayor recognizes the problem with these scenes that play out on the streets of his city every night: non-violent protesters facing force as police respond to the misbehavior of a few. He just hasn’t found the answer.

“the weekend” referred to above is the weekend of August 22nd. The protests didn’t stop, we just stopped paying attention to them when the level of violence dropped to an “acceptable” level. As I type this, lawsuits are being launched against the US federal government over their behaviour in Portland. The events Crip Dyke documented continue to have resonance, and are due to be replicated elsewhere.

In fact it’ll probably happen this week. Jacob Blake was shot in the back seven times by the police of Kenosha, Wisconsin, as his three children watched on in horror. On day three of the protests against the incident, a gunman opened fire on peaceful protestors, killing two and wounding a third. By now, you shouldn’t be shocked at what happened next.

The apparent shooter, meanwhile, was seen on video walking away from the scene — his AR-style rifle clearly visible, his hands above his head. But Kenosha police who were responding to the reports of gunfire showed no interest in arresting or even questioning the man. Instead, they asked him for directions. “Is someone injured, straight ahead?” an officer asks him via loudspeaker. “Get out of the road,” said another.

He even approached an idling police car, going up close to the window, but then appeared to change his mind and walked away.

Brent Ford, 24, a photographer, witnessed the entire scene. “He had his hands up and they told him to get out of there, even though everyone was yelling that he was the shooter,” Ford told VICE News. “The police didn’t seem to hear or care what the crowd was saying.”

Yep, the police protected a murderer. After all, he was one of their own.

His connections to law enforcement, however, go beyond his vocal support of police on social media. In a statement to BuzzFeed News on Wednesday, the Grayslake Police Department confirmed that [the shooter] was a former member of the Lindenhurst, Grayslake, Hainesville Police Department’s Public Safety Cadet Program. According to a description that was recently removed from the department’s official website, the program “offers boys and girls the opportunity to explore a career in law enforcement” through “hands-on career activities,” such as riding along with officers on patrol and firearms training.

Along with the page describing the Public Safety Cadet Program, the organization’s official Facebook account was deleted after images from 2018 of a boy in a police uniform [resembling the shooter] began to circulate online.

Before he killed two people, he was apparently being thanked by the police for being there. Even as first-degree murder charges were announced against him, his actions were being obfuscated in order to make them easier to defend. And while I’m not aware of any Republican amounting an explicit defense, this is a party that celebrated two white people who brandished weapons against peaceful protesters, headed by a person who views all protestors as terrorists and fantasizes about torturing people he hates. They have innocent blood on their hands, and they’re likely to get a fresh coat of it.

We will NOT stand for looting, arson, violence, and lawlessness on American streets. My team just got off the phone with Governor Evers who agreed to accept federal assistance (Portland should do the same!) TODAY, I will be sending federal law enforcement and the National Guard to Kenosha, WI to restore LAW and ORDER!

Portland could easily become the new normal in the US. This makes Crip Dyke’s series all the more vital to read.

Is The Gender Critical Movement a Cult?

Looking back on her time in the “gender critical” feminist movement, [Amy Dyess] is unequivocal: it’s a cult.

A cult that groomed her when she was vulnerable and sleeping in her car; a cult that sought to control her, keeping tabs on her movements and dictating what she could and couldn’t say; a cult that was emotionally and sexually abusive towards her.

As Amy began to notice more and more red flags about the GC movement – like how it defended abusive women, how it wouldn’t let lesbians speak out about sexual assault perpetrated by women, and how it was forming alliances with homophobic groups – she started asking questions.

I definitely stuck a pin in this article when it popped up in my feeds. And yes, it’s old news by now, but I’m surprised so few people have discussed the central conceit: is the Gender Critical movement a cult?

[CONTENT WARNING: TERFs, sexism]

[Read more…]