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2021 Leading Causes of Death in the US
695,547 Heart disease
605, 213 Cancer
416,893 COVID-19 (down to 36,057 in 1Q 20231 and plummeting)
224,935 Accidents (unintentional injuries)
162,890 Stroke (cerebrovascular diseases)
142,342 Chronic lower respiratory diseases
119,399 Alzheimer’s disease
56,585 Chronic liver disease and cirrhosis
54,358 Nephritis, nephrotic syndrome, and nephrosis
Given these health issues, the public seems to be transfixed on a different singular health issue at the moment: transgenderism.
Bud Light’s transgender advertising
Disney’s lawsuit with Governor Desantis over LGTBQ+ (particularly transgender) lessons in school
Drag queen shows
Transgenderism in women’s sports
Online cancel culture
School board disputes over sexual discussions in school
The list goes on. The participants in the spirited debate are politicians, non-medical corporations, athletes, celebrities, activists, and private citizens across the political spectrum.
This is a medical issue. Where are the doctors?
American Medical Association (AMA) – currently focused on climate change, abortion, gun control, critical race theory. Last public policy statement about transgenderism – June 15, 2021. “The AMA opposes the dangerous intrusion of government into the practice of medicine and the criminalization of health care decision-making,” said AMA Board Member Michael Suk, MD, JD, MPH, MBA. “Gender-affirming care is medically necessary, evidence-based care that improves the physical and mental health of transgender and gender-diverse people.”2
Current high-quality research on AMA website concerning transgenderism - 0
American College of Emergency Physicians (ACEP) – currently focused on climate change, doctor pay, abortion, gun control, critical race theory. Last public policy statement about transgenderism – June 2022. “ACEP believes that: Gender-affirming care is supported by evidence and by the medical community. TGD patients should have access to comprehensive gender-affirming health care that is provided in a safe and inclusive clinical setting.”3
Current high-quality research on ACEP website concerning transgenderism – 0
American Academy of Pediatrics (AAP)– focused on climate change, equity, gun control. Last public policy statement about transgenderism – September 2018. “While the data is limited… AAP recommendations include: Providing youth with access to comprehensive gender-affirming and developmentally appropriate health care.”4
Current high-quality research on AAP website concerning transgenderism – 0.
Sweden has decades of experience with transgenderism and gender affirming treatments. In February 2022, the Swedish National Board of Health and Welfare (NBHW) reversed course and adopted the following new guidelines:
Currently, the NBHW assert that the risks of hormonal treatments outweigh the benefits for most gender-dysphoric youth:
Psychological and psychiatric care will become the first line of treatment for all gender dysphoric youth <18.
Access to hormonal interventions for youth <18 will be tightly restricted.5
AMA, AAP, ACEP acknowledgement and discussion on Swedish medical research on transgenderism/gender dysphoria – none
AMA, AAP, ACEP statements on the issue of transgenderism that is tearing America apart and even leading to violence (Nashville murders by transgender activist) – none
AMA, AAP, ACEP calls for research or at least public meta-analysis of existing transgender short-term and long-term data – none
Will the real leaders in health care please stand up and take their job as health professionals seriously?
John Hughes, MD
Veteran of OIF/OEF
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