Health

Mark Aitken, a registered nurse for 39 years who spent 16 years in aged care roles including assessing elderly people for support and funding, said he quit his job in regional Victoria just four months into using the tool.

[…]

“Eight times out of 10, the outcome was different to one that I would have recommended, or my colleagues would have recommended,” Aitken said.

It follows previous controversies over automated decision-making tools being used by the government, including the robodebt welfare scandal, and concerns about algorithm-driven disability funding through the NDIS.

The IAT user guide does not explain how the algorithm weighs risk, need or complexity, and Aitken said this information was never revealed to assessors.

When he asked at a government seminar about the evaluation framework, including what data was being collected, how accuracy would be assessed, and whether results would be publicly reported, he said he felt “shut down”.

“I left my job because I didn’t want to be part of a system that removed the ultimate decision-making about support from real, experienced people who care,” he said.

“The government valued the algorithm more than people with skills, intelligence and knowledge.”

He said some assessors began “gaming” the system, inputting information they knew would generate the level of care the person needed even if that information did not accurately reflect their situation.

“People shouldn’t have to put in fake information,” Aitken said. “I just started to feel like it was going to be another robodebt, I became very uncomfortable, and just felt the tool wasn’t ethical.”

There's video of Roberts saying all this, if anybody needs an emetic:

"But where there continues to be disagreement is on what you do with adults. At Heritage, we believe that so-called transgender surgery is bad for anybody because of what you saw in Rhode Island yesterday," said Roberts, referencing a domestic violence shooting at a Rhode Island ice rink the day before. "There does seem to be a mounting body of evidence that suggests a correlation between that surgery at any age, mental health issues, and increasingly, although we're running the numbers on this at Heritage, acts of violence. We have to come to grips with that as a society, in a way that transcends left versus right, because this really is about the human condition." "How do you address this, though?" replied host Patrick Bet-David. "You outlaw it," Roberts responded.

Then, when asked if transgender adults should have their medication taken away, Roberts endorsed the idea, stating, "We like that idea, too. One of the reasons is that we not only work in coalitions, but we often work toward an ultimate goal via incremental steps—sometimes people will call us radical incrementalists. We're willing to take a quarter of the enchilada if we can keep working there. So if that's the kind of thing that policymakers can agree on left and right, Heritage would be fully supportive of that, knowing that ultimately we have an ideal position that would be much stronger than that."

[…]

One thing is clear: gender-affirming care bans have never been about science, despite attempts by far-right organizations to launder their lobbying efforts through pseudoscientific hate groups and overseas "reviews." Rather, it’s always been about hate. That much is made clear by the openly-stated agenda of a billionaire-funded political machine that has always been working towards one goal: the elimination of transgender people from public life. The only thing that has changed is that they are now saying it out loud.

Remember when Roberts voiced support for self-avowed Nazi Nick Fuentes and the respectable mainstream media cried with one voice "He's gone too far! This is the beginning of the end of the MAGA coalition!"?

Nope. They're only getting louder and more brazen.

Dannie Dai, lead author of the report, said the hope is that the study "will help policymakers understand how gender-affirming surgery is being used by both cisgender and TGD people," as "health policy should be driven by facts" rather than partisan or religious views on sex and gender.

“Our findings highlight a bitter irony: that by banning gender-affirming care for only TGD people, these bills are targeting a group that in reality accounts for the minority of gender-affirming care use and for whom gender-affirming care has been most clearly shown to be lifesaving," Dai said. 

An email was mistakenly sent to a junior doctor who allegedly spoke up about being rostered on for 10 night shifts in a row, a practice which has been deemed unsafe for staff and their patients.

The message from a manager stated, “I wonder if any of them realise that they are a doctor and that this is what happens.

“Oh, that’s right… I forgot.

“Life style before career.

“God help us in the future.

“We are going to have a workforce of clinical marshmellows.”

Doctors Union President Dr Nicholas Spooner said the email was not an isolated incident at one hospital.

“It is a symptom of the broader crisis within our public hospitals that is playing out across NSW,” he said.

“Hospitals are severely understaffed and can’t meet patient demand. We have a toxic workplace culture that demands doctors risk their own health and safety to fill rosters.

Anti-trans organizations have floated raising the age limit for care to 25 for years, and GOP architects of youth care bans have been explicit: the real goal is to eliminate gender-affirming care entirely. Donald Trump himself has vowed in the past to target trans healthcare “at any age.” Now, with a new letter from the Centers for Medicare and Medicaid Services (CMS) circulating to clinics nationwide, the first formal warning shots have been fired. Transgender adults should take notice—and prepare. The infrastructure to strip their care is already being built.

According to a recent CMS letter, clinics across the country are being warned against providing gender-affirming care to individuals under the age of 21. “Federal financial participation (FFP) is strictly limited for procedures, treatments, or operations for the purpose of rendering an individual permanently incapable of reproducing and, under 42 C.F.R. 441.253(a), is specifically prohibited for such procedures performed on a person under age 21,” the letter reads, citing a 1978 regulation restricting federal funding for sterilization. But gender-affirming care for adults rarely meets that definition. Many transgender men and women retain the ability to have children after temporarily stopping hormone therapy, and fertility counseling is routinely offered. When sterilization does occur, it is not the goal of the care—it is an incidental outcome of treatment meant to alleviate gender dysphoria.

More troubling is the use of this decades-old regulation to pressure health care centers into dropping transgender care for adults. The expansion of restrictions to include people up to the age of 21 follows a recent Trump executive order barring gender-affirming care for anyone under 19—a category that includes legal adults. Although that order has been blocked in multiple courts, hospitals have still used it to justify halting care for this population. Now, the CMS letter is having a similar chilling effect: Planned Parenthood of Arizona has “paused” gender-affirming care for all adult patients. This is a deeply alarming development, especially considering that Planned Parenthood is the largest—and often the only—provider of transgender adult healthcare in many parts of the country.

Kennedy and his anti-vaccine colleagues don't just minimize the dangers of the measles, but often slip into talking about this horrific disease as if it's a good thing to put children through. As I wrote about last week, he celebrated families in Texas who chose infection over vaccination, even though two of them lost daughters to measles. His anti-vaccine group had one set of parents explain why that's a good thing because "she’s better off where she is now." He romanticized measles as a "great week" for kids, because they get to skip school and eat chicken soup. On Fox News on Thursday, he insisted about measles, "We need to do better at treating kids who have this disease, and not just saying the only answer is vaccination."

You don't need to "treat" a disease you don't get, but clearly, Kennedy prefers kids get measles. The "treatments" he recommends have echoes of the Geiers' ugly treatment of children. He's been telling parents to overdose kids with vitamin A, which can cause liver damage. He's been pushing the steroid budesonide and the antibiotic clarithromycin, both of which can have side effects. None of these treatments work, and they all risk making the situation worse.

Kennedy exploits the language of the "wellness" industry, with its misleading emphasis on "natural" health care and "letting" your body heal itself. What's ironic is that's what vaccines do. Vaccines work by stimulating the body's natural immune response, so that it prevents infection using the body's own resources. All these "treatments" Kennedy touts aren't just ineffective, they're not "natural." They're blitzing a child with often overwhelming amounts of medication, which won't work but could make the kid even sicker.

Over the past year, GPs across the UK have announced they are no longer prescribing the life-saving medical treatment for hundreds of trans patients due to a claimed “lack of expertise” and “lack of support.”

Far Lane Medical Centre – a GP in Sheffield – became the most recent to withdraw its care after writing to patients saying the work is “outside of our expertise.”

Patients of other practices that have ceased care, including a set of GPs in the East Midlands, have said they are “terrified” of the implications and have considered self-medicating if they can’t feasibly access NHS treatment.

In the UK, Gender Identity Clinics (GICs) require that GPs prescribe HRT to trans patients under a shared care agreement since most GICs in the UK do not have the power to prescribe medication.

Under the agreement, GICs or private organisations advise GPs on the prescriptions they give to patients. Without this, trans people are forced to pay hundreds for private care.

Speaking to PinkNews, clinical psychologist and director of CQC-approved private healthcare service Gender Plus, Dr Aidan Kelly, says that the impact of banning HRT prescriptions on patients isn’t being considered by GPs ceasing care, adding that there’s “no nuance to it.”

“There’s no allowing for complexities in people’s individual situations. I don’t think there’s any appreciation for that,” he said. “I don’t think it’s done, perhaps, from a malicious point of view, but I think it’s done from fear.”

[…]

“GPs have expertise in prescribing hormones, they do it for cis people all of the time,” he says. “The only bit where I could see where there’s an argument that there is more particular expertise needed is in the initial assessment and to work out how best to support people.”

No way this could rebound in bad ways…

Republicans for years have tried to legislate their personal beliefs about life beginning at conception. They’ve introduced versions of a bill called the Life at Conception Act 13 times since 2011. These efforts have almost certainly influenced the “conception” language in Trump’s latest executive action.

Dr. Richard Bribiescas, an anthropology professor at Yale University and the president of the Human Biology Association, said the order’s definitions of “sex” and “gender” ignore all kinds of variations that take place in human development.

“Woman/man, boy/girl are gender identities that do not necessarily align with biological characteristics of sex,” he said in an email. “Genders are components of human variation that are influenced by culture, identity, and many other non-biological factors. To illustrate the difference between sex and gender, we can talk about male/female chimpanzees (our closest evolutionary relative) but it would be non-sensical to discuss chimpanzee women, men, boys or girls.”

Trump’s definitions of “female” and “male” are also flawed, said Bribiescas, because he is tying them to something called “anisogamy” in biology, or the observation that females of some species, including humans, tend to produce larger gametes (the reproductive cells that come from germ cells) compared to males.

Anisogamy is not a universal rule in biology, he said. But Trump’s executive order defines females as people belonging to the sex that produces “the large reproductive cell” and males belonging to the sex that produces “the small reproductive cell.”

The size of a person’s gametes is “just one characteristic among many (ie., genetic, hormonal, developmental, physical) that is used to describe sex,” Bribiescas said. “Clearly, this order is not fully informed by current biological science.”

In short:

The Queensland government has announced a review into the evidence for stage one and two hormone therapies for children with gender dysphoria.

While the review is underway, a pause will be placed on new patients under the age of 18 from receiving hormone therapy in the state's health system.

What's next?

Health Minister Tim Nicholls says the pause will remain in effect until the government considers and acts on the outcomes of the review.