Puberty blockers delay the onset of puberty, but donât necessarily result in a measurable effect at the time they are taken. The main impact is seen when people are older. The physical effects of a puberty that does not match a personâs gender can have serious negative consequences for transgender adults.
In my role as a GP, I regularly hear from transgender adults (who have not had puberty blockers) struggling with distress related to bodily changes which occurred during puberty.
I have met people who donât speak because their deep voice causes others to make incorrect assumptions about their gender. Some harm themselves or avoid leaving the house because of the distress caused by their breasts. Others seek costly surgical treatments.
This is when the benefits of maintaining equitable access to puberty blockers for those who need them become obvious. People are seeking hormones, surgery and mental health support for changes which could have been prevented by using puberty blockers when they were younger.
The ministryâs position statement recommends that puberty blockers are prescribed by health professionals who have expertise in this area, with input from interdisciplinary colleagues.
In my experience this describes how puberty blockers are currently being prescribed in New Zealand. Clinicians are already cautious in their prescribing. They work with multidisciplinary input to best support the young person and their family. They recognise the importance of mental health and family support for young people.
Linkage
Things Katy is reading.
NZ is consulting the public on regulations for puberty blockers â this should be a medical decision not a political one
in The ConversationItâs the Land, Stupid: How the Homebuilder Cartel Drives High Housing Prices
In 1994, the ten largest builders had just 10% of the national market. By 2018, the top ten builders had a little less than a third. Partly this consolidation is due to a credit crunch. During the financial crisis from 2007-2012, 55% of residential developers disappeared. There were also post-crisis mergers, like Pulte Homes and Centex, Lennar and CalAtlantic, Tri Pointe and Weyerhauser, and so forth, but many of the acquisitions these days are smaller roll-ups, like D.R. Horton buying an Arkansas specialty builder Riggins Custom Homes, Gulf Coast builder Truland Homes, or lot developer Forestar Group, or Lennar acquiring developer WCI Communities. Analysts are projecting 2024 to be another strong year for M&A.
Of course, such numbers understate consolidation; national shares matter very little, since housing is local, and concentration is higher when you get to local levels. In Miami-Fort Lauderdale, for instance, Lennar has 47% of the market for new homes, in Los Angeles, D.R. Horton has about a third. As economist Luis Quintero noted in a paper, 60% of local markets are now âhighly concentrated,â a new phenomenon. In 25 of the top 82 markets, one builder controls at least 25% of the market. Thatâs 60% of the housing markets in âVirginia, Maryland, Delaware, New Jersey, New York, and western Pennsylvania.â
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So why all the consolidation? And more importantly, why hasnât the number of builders bounced back? If margins are up, why arenât there new entrants coming in to take profit and share? To answer this question I started by reading a bunch of investor documents from the big homebuilders. And I realized that to call these businesses âhomebuildersâ is misleading. Itâs striking how little of their business has to do with, well, building. For instance, hereâs D.R. Horton in 2023: âSubstantially all of our land development and home construction work is performed by subcontractors.â Hereâs Lennar in 2023: âWe use independent subcontractors for most aspects of land development and home construction.â I suspect most of the other big guys would say something similar. These arenât builders, they are financiers that borrow cheaper than real developers and use that cheap credit to speculate in land, hiring contractors to do the work. They are, in other words, middlemen.
Fewer Players, Fewer Homes: Concentration and the New Dynamics of Housing Supply
Local homebuilding markets have become highly concentrated in the past decade. We document this increase in concentration and use IV regressions to show that it has led to lower production volume, fewer units in the production pipeline, and greater unit price volatility. These results are consistent with a theoretical model in which oligopolistic firms strategically set the timing, volume, and price of their new construction. Our estimates imply that market concentration has decreased the annual value of housing production nationwide by $106 billion. These findings provide further evidence that the secular decline in competitive intensity is altering macroeconomic dynamics .
Terms of Investment
in Phenomenal WorldIn the US, housing policy distinctively subsidizes homeownership. Most notably in the form of the Mortgage Interest Tax Deduction, federal policy benefits owners much more than tenants. Climate policy is no different. In public or cooperative housing models, the government or cooperative serves as the landlord or property manager, and therefore has more direct influence over the fate of property conditions. In much of the private market, by contrastâwhich is where the vast majority of tenants find housingâthe federal government sees its role as less direct. Tenants in many multifamily properties have no direct method of contracting for services; many do not know who owns the real estate. The IRAâs focus on incentives and credits for landlords maintains this property relationship.
The fact that about one in three housing units are occupied by tenants raises questions about the effects such climate tax incentives will have on owners of rental property. The Biden Administration has emphasized the importance of channeling these funds to âdisadvantaged communities,â maintaining that about 40 percent of funds should go toward low-income households, 10 percent of which should go toward multi-family households. However, the facts of ownership leave open a stubborn question: will landlord spending on climate retrofitsâa condition for receiving public fundsâalter existing financial terms between tenants and landlords?
Smoothing the Housing Investment Cycle
for Center for Public EnterpriseIn this report we propose the creation of a national construction fund to help expand the stock of new multifamily housing, particularly during high interest rate environments. The multifamily housing sector finds itself trapped in a vicious cycle: rising rent and housing costs induce the Federal Reserve to raise interest rates, thereby shrinking the supply of financing for housing, in turn contributing to higher housing prices. Financing bottlenecks cause otherwise economically viable units to sit unbuilt or delayed, contributing to our national housing shortage and affordability crisis.
A national construction fund would provide enough lower-cost construction financing to allow multi-family developers to clear upfront equity investment hurdles and continue developing projects in higher interest rate environments. Thousands of permitted, ready-to-build units that are stuck in limbo would nally enter construction, ensuring that housing supply becomes available as the economy picks up steam and preventing housing costs from continuing to spiral upward.
This report highlights:
- the connection between the business cycle, housing supply, and housing costs;
- the financing gaps that developers face in high-rate environments; and
- considerations and options for policymakers in designing and implementing a national construction fund that can ll those gaps, including the proper instrumentalities to host the fund, eligible lenders, risk management, fund sizing, and further incentives to increase affordability.
A National Homes Guarantee - Briefing Book
for People's ActionThe federal government has not made a large scale investment to address affordable housing shortages since Franklin D. Rooseveltâs New Deal, which created public housing for civilians. Now, we need action beyond that scale. The countryâs housing crisis is untenable, and it must end. We need a Homes Guarantee that will:
- Build 12 million social housing units and eradicate homelessness;
- Reinvest in existing public housing;
- Protect renters and bank tenants;
- Pay reparations for centuries of racist housing policies; and,
- End land/real estate speculation and de-commodify housing.
Fully realized, this proposal will guarantee homes for all. Rents will be set based on tenantsâ needs and real costs to
local government, rather than speculative market prices. Land will be stewarded by and on behalf of everyday people
instead of financialized by developers and landlords. A Homes Guarantee will offer both reparative and proactive
approaches, including restorative justice to communities impacted by decades of discriminatory housing policy, as
well as investments that slash carbon emissions and support resiliency from ongoing climate breakdown.Offering a plan to eradicate housing insecurity and homelessness in America is a gigantic undertaking. It is also a
moral and political responsibility. This briefing book is our detailed proposal for a Homes Guarantee
Elon Musk and Vivek Ramaswamy: The DOGE Plan to Reform Government
in Wall Street JournalThere is no way either of these two could sit still for long enough to dictate this. The style is uncannily like that of Kevin Roberts or Russ Vought. As Cory Doctorow says, they "are pursuing policy-based evidence" as "a prelude to transforming the nation into a land of epistemological chaos".
DOGE will work with legal experts embedded in government agencies, aided by advanced technology, to apply these rulings to federal regulations enacted by such agencies. DOGE will present this list of regulations to President Trump, who can, by executive action, immediately pause the enforcement of those regulations and initiate the process for review and rescission. This would liberate individuals and businesses from illicit regulations never passed by Congress and stimulate the U.S. economy.
When the president nullifies thousands of such regulations, critics will allege executive overreach. In fact, it will be correcting the executive overreach of thousands of regulations promulgated by administrative fiat that were never authorized by Congress. The president owes lawmaking deference to Congress, not to bureaucrats deep within federal agencies. The use of executive orders to substitute for lawmaking by adding burdensome new rules is a constitutional affront, but the use of executive orders to roll back regulations that wrongly bypassed Congress is legitimate and necessary to comply with the Supreme Courtâs recent mandates. And after those regulations are fully rescinded, a future president couldnât simply flip the switch and revive them but would instead have to ask Congress to do so.
A drastic reduction in federal regulations provides sound industrial logic for mass head-count reductions across the federal bureaucracy. DOGE intends to work with embedded appointees in agencies to identify the minimum number of employees required at an agency for it to perform its constitutionally permissible and statutorily mandated functions. The number of federal employees to cut should be at least proportionate to the number of federal regulations that are nullified: Not only are fewer employees required to enforce fewer regulations, but the agency would produce fewer regulations once its scope of authority is properly limited.
Disaster Fantasies Are Paying Off for Right-Wingers
in JacobinI noticed some years ago that the new far right was obsessed with fantasy scenarios of imaginary and extreme evil. FEMA death camps, âgreat replacement theory,â the âGreat Reset,â fifteen-minute cities, 5G towers being beacons of mind control, and microchips installed in people through vaccines. In India, they have this theory called the Romeo jihad: that Muslim men are seducing Hindu girls and converting them to Islam, thus waging a sort of demographic war. Or take QAnonâs fantasies of satanist, communist pedophiles running the world. They are really enthralled and obsessed by hallucinatory scenarios of extreme disaster.
Why is this? Thereâs no shortage of real disasters: wildfires, floods, wars, recessions, and pandemics. Yet quite often they have denialist relationships with these disasters. Many say COVID-19 was just an excuse for the Fourth Reich, or that climate change is an excuse for a liberal totalitarian regime, a new form of communism, etc.
Right-wingers are really enthralled and obsessed by hallucinatory scenarios of extreme disaster.
I often take the example of the wildfires in Oregon. The fires ripped across the plains and through the forest and burned at 800 degrees Celsius. They were a real threat to peopleâs lives. But a lot of people refused to leave because they heard that it was actually Antifa setting the blazes and that it was part of a seditious conspiracy to wipe out white conservative Christians. So, rather than flee for their lives, they set up armed checkpoints and pointed their guns at people, claiming that they were on the lookout for Antifa.
Why do they go for this mass apocalyptic fantasy? Because it processes disaster in a way that is actually quite enlivening. Most of the time, when people go through disasters, it results in depression and withdrawing a bit from life and the public sphere. But the far right offers you a different way out. It says âthose demons in your head that youâve been wrestling with, theyâre actually real and you can kill them. The problem is not anything difficult, or abstract or systemic, itâs just bad people, and weâre going to get them.â It takes all the difficult emotions that people deal with in the face of economic shocks and climate change and gives them an outlet that feels valid and validating.
Private equity: vampire capital
The boom in private markets since the 2007-2009 financial crisis has been huge, mainly relying on very low interest rates to rack up debt on the companies purchased. After central banks around the world slashed interest rates to near zero in response to the 2008- 009 financial crisis, private equity embarked on its longest and most powerful boom. In 2021, the marketâs zenith, a record $1.2tn in deals were struck, according to PitchBook data.
Economic slumps provide fresh blood for these vampires as small companies struggle in recessions. In 2008-9 slump and in the pandemic slump, private equity firms announced âapproachesâ to more than twice as many listed companies as they had ever done previously. And private equity company, Bain Capitalâs managing partner John Connaughton commented: âOne of the most productive periods for us was after the global financial crisis.â
But now a series of rapid interest rate rises since 2022 has dried up much of the fresh blood that vampire PE funds need and many private-equity-backed companies are saddled with large debts and face much higher interest costs. Default rates are picking up and lenders are increasingly taking control of creditor companies at the expense of equity owners.
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Over the last two decades, the vampires of private equity have gorged themselves on the profits of labour in the companies they have sweated, while avoiding sharing those profits with their investors or with governments through taxation. They engage in various forms of âfinancial engineeringâ to increase their gains. And in doing so, they have leveraged key sectors of the economy into huge debt, at the expense of productive investment. Now rising debt servicing costs are adding to the risk of a major financial crash, acting as a stake through the heart of many of these vampires.
How Conservatives Use Drag Bans to Peddle Gender Conformity
in Rewire News GroupUsing chaos and fear to enforce conformity:
Some bathroom bills cover all K-12 schools, colleges, and government-owned buildings or spaces. Some cover just K-12 schools, while others cover some government buildings but not others, according to the Movement Advancement Project. Proposed drag bans are similarly haphazard: North Dakotaâs proposed ban characterized all drag shows as âadult-oriented,â making them equivalent to strip clubs, while West Virginia lawmakers floated a ban that appeared to criminalize transgender people being around minors, period. The net effect is that it is impossible to know for sure what is permitted and what is prohibited.
This is a feature, not a bug. Just as the earlier âcross-dressingâ laws were vague enough to make any non-conformity treacherous, modern-day analogs do the same. Anyone who falls outside the mainstream of traditional gender presentations, regardless of whether they happen to also be queer, now faces heightened scrutiny thanks to a patchwork of laws across the country.
All of these laws and proposals have one goal: making LGBTQ+ peopleâor anyone else not wedded to traditional gender rolesâfeel uncomfortable and unsafe. If people feel unsafe in this fashion, they will retreat from public life or radically change their self-presentation to conform better. Conservatives are likely thrilled with either result, as in both cases, they will have robbed queer people of their ability to fully and authentically participate in society. And thatâs exactly the point.