[last updated 23/01/25]
Wednesday 10 April 2024 saw the long-awaited publication of the final report of the Cass Review. This report was commissioned by NHS England, and provides a review of evidence plus recommendations regarding gender identity services for children and young people.
On publication, the Cass Review’s findings and recommendations were welcomed by the majority of UK media outlets, NHS England, the Editor-in-Chief of medical journal the BMJ, conversion therapy proponents such as SEGM, Sex Matters and Transgender Trend, plus spokespeople for the Conservative and Labour parties, who promised to ensure it will be “fully implemented”.
Conversely, the Review has been extensively criticised by trans community organisations, medical practitioners, plus scholars working in fields including transgender medicine, epidemiology, neuroscience, psychology, women’s studies, feminist theory, and gender studies. They have highlighted problems with the Cass Review that include substandard and inconsistent use of evidence, non-evidenced claims, unethical recommendations, overt prejudice, pathologisation, and the intentional exclusion of service users and trans healthcare experts from the Review process.
This post provides a round-up of links to written commentary and evidence regarding problems with the Cass Review, plus quotes pulled from each. In light of these, I believe that it would be extremely harmful to implement the Review’s findings in full.
Linkage
Things Katy is reading.
What’s wrong with the Cass Review? A round-up of commentary and evidence
Knowing less about AI makes people more open to having it in their lives – new research
in The ConversationFrom the authors of "People Who Don't Understand Magic Trick More Likely To Be Impressed By It".
People with less knowledge about AI are actually more open to using the technology. We call this difference in adoption propensity the “lower literacy-higher receptivity” link.
This link shows up across different groups, settings and even countries. For instance, our analysis of data from market research company Ipsos spanning 27 countries reveals that people in nations with lower average AI literacy are more receptive towards AI adoption than those in nations with higher literacy.
Similarly, our survey of US undergraduate students finds that those with less understanding of AI are more likely to indicate using it for tasks like academic assignments.
A reinterpretation of Pakistan’s “economic crisis” and options for policymakers
In this paper we provide an in-depth analysis of Pakistan’s macroeconomic situation.
We argue that although the stabilisation program signed with the IMF in November 2008 could
restore some "macroeconomic stability", it will depress the investment and unemployment
outlook, and it will not create the conditions that Pakistan needs for sustainable long-term
development. We put forward the foundations for a sustainable macroeconomic program for
Pakistan. This contains policy advice that differs markedly from that of the IMF. The essence of
the proposal is the consideration that a government that issues its own currency faces no financial
constraints or solvency risk. This implies that the usual “government budget constraint” has no
economic content. Based on this, we examine the potential role that the country’s fiscal and
monetary policies could play in promoting growth and in generating full employment and price
stability.
The Chilling Line Trump Just Crossed On Transgender People
I have had the notable displeasure of witnessing the evolution of anti-trans bills and the relentless attacks on transgender rights over the past five years. For much of that time, Republicans, buoyed by anti-trans organizations funded by billionaires and amplified by media outlets like The New York Times, have operated under the guise that their efforts were not “anti-trans.” Instead, they claimed to be “just asking questions,” “questioning the science,” or “engaging in a debate” about transgender people—as if these debates were somehow divorced from the rampant anti-trans animus that is undeniably pervasive in those circles.
They never truly were, of course, but to gain a foothold in American politics, they maintained a façade of concern for the welfare of transgender people. This is why, when reading the original Arkansas trans care ban, you won’t find overt charges that transgender people are lesser human beings who deserve to be erased in the purpose section. Instead, you’ll encounter pseudo-scientific statements like “the risks of gender transition procedures far outweigh any benefits” and “the majority come to identify with their biological sex.” Both are demonstrably false, but carefully crafted to carry a veneer of scientific credibility—providing a shield against accusations that such bans are rooted in hatred toward transgender people.
That all changed yesterday. President Trump, in justifying his transgender military ban, leaned on a new argument for why such an action restricting the rights of transgender people was necessary: that transgender people are lesser human beings, dishonorable liars, and worse.
[…]
This marks a chilling and undeniable shift. The attacks on transgender people are no longer cloaked in the faux respectability of “evidence,” “science,” or “protecting kids.” They never truly were, but now even the pretense has been abandoned. The thin veneer provided by New York Times op-eds, SEGM’s pseudo-scientific “reviews,” and the disingenuous claims of debate is no longer required. Instead, the justification is laid bare in black and white: transgender people are “dishonorable,” “liars,” “false.” The language is stark, deliberate, and unmistakable—it dehumanizes us. This is the very rhetoric historically used to justify atrocity.
Trump’s Definitions of “Male” and “Female” Are Nonsense Science With Staggering Ramifications
in Mother JonesSo how would anyone know whether an embryo belongs to a sex that produces eggs or sperm at conception?
Anti-abortion rhetoric defines conception as happening at fertilization. [The American College of Obstetricians and Gynecologists, the leading US authority on reproductive health, defines “conception” as happening when a fertilized egg implants in the uterus.] We’re not even a multicelled embryo yet at fertilization. At that moment, does an embryo have sexed chromosomes? Yes. Are they knowable with our current technology? No. In IVF, for people who do pre-implantation genetic testing, we typically wait until at least day three, if not day five, until the sex chromosomes are even measurable. And is it a point at which the embryo is even producing gametes? No. That’s still months away.
But the executive order says these definitions should be used to determine which sex marker should go on a passport or whether a prisoner should be incarcerated in a men’s or a women’s prison.
This is what’s so stupid about it, but also what’s so dangerous. What is the enforcement plan? Are we going to test people’s gonads to see what type of gametes they produce? Because if the obsession is at the level of gametes, the tests are much more invasive than a sex chromosome test.
Nor will there be an actual way to logically enforce it, because it’s an illogical order. I think what will happen is it will be basically about punishing people in the worst way possible, treating people as poorly as possible, and creating as much discord and mayhem as possible.
This is mostly going to be around one sex category: the female sex category. They will only be doing this toward anybody who might fall into the woman category or might self-report as being in the woman category. I think Trump, in whatever terrible language is available to him, is trying to control women and control people he perceives to be in the woman category. A lot of this is keeping the category of women “pure”—and also, obviously, about doing immense harm to trans people.
There’s also a very racial, white supremacist thing going on here with this “defending women.” It’s a very old idea—it appears in travelogues, early writings of Europeans, as well as in the United States when they started encountering North American Indigenous folks, and the way that they thought about enslaved peoples. There was this belief that in the “lower races,” men and women were less different, and that in the “higher races,” there were more differences between women and men. This was about saying men and women are differentiated, clear, nonoverlapping categories because that makes us a more evolved people.
Achieving net zero with renewables or nuclear means rebuilding the hollowed-out public service after decades of cuts
in The ConversationWhether it’s Labor working to get transmission lines and offshore wind up and running or the Coalition working to create a nuclear industry from scratch, it will take a strong government with the capacity to articulate a plan, and the legal, financial and human resources to make it a reality.
All of these requirements were met when we constructed the Snowy Mountains Scheme, a decades-long federal government initiative undertaken in cooperation with Victoria and NSW.
Are they still in place? Not yet. Government capacity to act has been eroded over decades of neoliberalism. Particularly at the national level, public service expertise has been hollowed out and replaced by reliance on private consulting firms.
To rebuild the federal government’s capacity to act will require recreating the public service as a career which attracts the best and brightest graduates – many of whom currently end up in the financial sector.
Configuring Firefox
Really good tips here, including a couple I'd not heard about and promptly followed:
This is the bare minimum necessary to configure Firefox so that it behaves in a reasonable manner.
This document was last updated on 27 January 2025 and was tested with a clean install of Firefox 134.
Verify these steps each time Firefox is updated.
- Go to uBlock Origin and click Add to Firefox
This will filter out most of the advertisements on websites, saving you a shitload of network traffic (and if your computer is slow, not having to show all that crap is a big speedup). Once you get it set up you can just ignore it, but if you care it will tell you how much stuff it's blocked on your behalf.- Go to LocalCDN and click Add to Firefox
Most websites load the same files over and over from the same places -- primarily Google servers. This thing puts all that right in your browser, making for less network traffic and denies Google the privilege of inspecting your usage patterns. Once it's installed you can ignore it.[…]
Trump is sentencing 26 million people to death — and counting
in AlterNetThe Trump administration cruelly and abruptly stopped the distribution of live-saving antiretroviral drugs to almost 26 million people worldwide. The program, the President’s Emergency Plan for AIDS Relief—PEPFAR—is the global health program started by Republican president George W. Bush in 2003. He celebrated the 20 year anniversary in 2023 at his presidential library.
[…]
Without the drugs for any length of time, HIV will replicate inside the bodies of these HIV-infected people in poor countries across Africa, Asia and elsewhere, who have been living and thriving, as HIV has thankfully become a manageable illness because of the drugs. HIV will be able to transmit from them to others—transmission is suppressed while taking the drugs—and more powerful strains could emerge.
And they will develop full-blown AIDS, suffer immensely, and die.
It’s as simple as that.
Let’s be clear, for Trump this is eugenics, killing off the non-white people in the “shithole” countries who he surely believes we shouldn’t be spending money on.
Trump has promoted eugenics—spouting off about “good genes” and “bad genes” in talking about immigrants he wants to deport who he says are “poisoning the blood” of Americans—and, according to his own nephew, said disabled people should “just die” in the context of his nephew’s own son.
Violence in Blue
in GrantaThere is no national registry of civilians killed by police and corrections officers in the United States. Several states, including Texas, Connecticut and California, maintain complete records, but in most parts of the United States, local law enforcement chooses whether to report officer-involved homicides to the federal government. The lack of systematic data poses a challenge both for those who wish to hold police accountable for their actions and for those who want to propose reform measures to reduce police violence. How many killings are committed by police?
[…]
We often use simple statistics that just count things, like how many widgets our factory shipped last year. But statistics is much more useful when it enables us to know something about uncertainty. If we have a measure that we know to be imprecise, how imprecise is it: wildly, or only slightly? If we have a measure that systematically undercounts something (statisticians would call this bias), is the undercount minimal, or is it severe? Can we correct the bias? These are the kinds of questions that statistics can answer.
[…]
Using the correlations from these lists, we conclude that for the eight-year period included in the study by the Bureau of Justice Statistics, it is likely that there were approximately 10,000 homicides committed by the police, that is, about 1,250 per year. Keep in mind that the Bureau of Justice Statistics report itself excludes many jurisdictions in the United States that openly refuse to share any data with the FBI. The true number of homicides committed by police is therefore even higher. Though not a true estimate, my best guess of the number of police homicides in the United States is about 1,500 per year.
As I said at the beginning of this article, the estimate of 1,500 police homicides per year would mean that eight to ten per cent of all American homicide victims are killed by the police. Of all American homicide victims killed by people they don’t know, approximately one-third of them are victims of the police.
America is a land ruled by fear. We fear that our children will be abducted by strangers, that crazed gunmen will perpetrate mass killings in our schools and theaters, that terrorists will gun us down or blow up our buildings, and that serial killers will stalk us on dark streets. All of these risks are real, but they are minuscule in probability: taken together, these threats constitute less than three per cent of total annual homicides in the US. The numerically greater threat to our safety, and the largest single category of strangers who threaten us, are the people we have empowered to use deadly force to protect us from these less probable threats. The question for Americans is whether we will continue to tolerate police violence at this scale in return for protection against the quantitatively less likely threats.