pooh

joined 4 years ago
[–] [email protected] 21 points 4 months ago* (last edited 4 months ago)

Meanwhile, actual medical professionals: https://journalofethics.ama-assn.org/article/whats-wrong-criminalizing-gender-affirming-care-transgender-adolescents/2023-06

These laws are poor public policy, as they create a significant conflict between physicians’ adherence to the law and adherence to their professional code of ethics and civil law tort duty not to commit medical malpractice. The traditional standard of care with regard to medical malpractice requires that “medical care for a given patient and health care provider is the quality of care that would be provided to any patient in a similar clinical situation, by the average provider in a similar location.”30 In some specific cases, adolescent GAC treatment, including surgery, may be necessary in order for a physician to practice in line with the legal standard of care (thus avoiding malpractice) and also to satisfy their professional ethical duty to offer safe and effective medical care that promotes the patient’s well-being.31

As Kraschel et al explain: “these statutes would transform their [physicians’] fiduciary duty into a criminal act.”10 Similarly, Lepore et al argue that the laws are untenable, as they “require that health care workers act against current evidence-based guidelines” such that they are legally mandated to violate their duty to “do no harm.”32 The same tension between professional and legal obligations is observed in new abortion laws being enforced post-Roe v Wade, wherein the professional ethical duties of physicians are put in direct conflict with criminal law, forcing physicians to choose between upholding their ethical duties or violating the law.33 Hence, these new laws prohibiting GAC treatment for minors (including gender-affirming surgery) center on the government’s unwillingness to let the medical profession self-regulate—via oversight from state medical boards—or allow civil tort law to regulate physician practice as it does in most other cases.

Criminalizing gender affirming care for minors, including surgery, is both outside the mainstream opinion of medical professionals, as well as extremely wrong from a moral and ethical standpoint. Those in the thread trying to argue that Biden is adopting a "moderate" position with this couldn't be further from the truth. His stance is harmful and extreme.

 

As some of you may know, I've just barely started the process of transitioning, and have been looking for resources related to this. I've found some pretty great ones, especially Trans Academy (which I somehow knew about from when I was "totally cis"), but most of the resources I've found seem a little scattered and I'd love to have some kind of a guide that may even include harder to find "DIY" tips that other groups might not address. Since there doesn't seem to be anything out there (to my knowledge) that includes all of the useful info someone who's starting out might need, I was thinking that this could be a good place to start such a project. So I had some questions:

  1. Do you think this is a good or bad idea? and why?
  2. What form should this take? Someone mentioned cryptpad.fr to me, and it seems ideal for what I had in mind, which is something like an easy-to-navigate wiki with contents and search, and if possible a list of sources/links for the info it contains. I'd love to hear other suggestions if you have them, though. Maybe eventually a website could work once a lot of the info has been fleshed out.
  3. What should be the scope of the guide? I was initially thinking the focus should be on trans (masc/femme) and NB identities, but should it be expanded to include a much larger group?
  4. What are potential legal issues, if any, with putting such a guide out there and what would be the best way to deal with that?
  5. What would be the best way to collaborate on this? Should there be stuff like approval, version control, etc?
  6. Is there anything else I'm missing here that you'd like to talk about?

This was just something I was thinking about, and I thought I'd make a post to see what others think, but please feel free to give honest feedback on whether or not this would be a good idea or if it could even work. Thanks!

 
 

apologies if repost

 
 
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