Fallas éticas del tratamiento trans 5

Este es el episodio No 21 de la tercera temporada de nuestro podcast  GRANDES FRAUDES CIENTIFICOS. En este episodio presento una entrevista hecha por la periodista norteamericana MEGHNA CHAKRABARTI  a la Dra. Hilary Cass. Es pertinente referirme nuevamente a este informe en virtud de que la Corte Suprema de Justicia de los EU se encuentra en estos momentos en una discusión histórica legal en relación al tratamiento de afirmación de géneros en niños y jóvenes. El informe CASS es determinante para guiar la discusión.
Este proceso legal surgió en respuesta a una demanda ante esta Corte de una ley aprobada por el Estado de Tennessee que  prohíbe el acceso a las hormonas, los bloqueadores de la pubertad y otros tratamientos para menores que buscan atención de afirmación de género.  Esta demanda fue presentada por oficiales del Gobierno actual de Biden que promueve todo lo relacionado a la ideología de género. 
Esta discusión puede extenderse por meses, pero la decisión sobre esto va a producir un profundo impacto en todo el país, en relación a la aparición de leyes en otros Estados similares a la de Tennessee, debido a la manera como funciona la ley en este país.

REFERENCIAS
https://cass.independent-review.uk/wp-content/uploads/2024/04/CassReview_Final.pdf
Entrevista A Dr. Hillary Cass
https://www.nprillinois.org/2024-05-08/the-evidence-was-disappointingly-poor-the-full-interview-with-dr-hilary-cass
https://www.endocrine.org/news-and-advocacy/news-room/2024/statement-in-support-of-gender-affirming-care
https://www.scribd.com/embeds/730283314/content?start_page=1&view_mode=scroll&access_key=key-cewE9erByvSLLm9UZfN9
Código Internacional de Etica Médica de la OMM
https://www.wma.net/es/policies-post/codigo-internacional-de-etica-medica/#:~:text=INTRODUCCIÓN,a%20adoptar%20estos%20principios%20éticos
Declaración de Helsinski
https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/#:~:text=INTRODUCCION,material%20humano%20o%20información%20identificables

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Chapters

• 0:00 Presentación e introducción
• 4:50 Entrevista sobre el reporte CASS
• 12:20 El Código de Etica de la AMM
• 18:20 Un experimento no ético en niños
• 20:59 Conclusiones y despedida

Transcript

Presentation and Introduction   0:00

Agustín Laje, writer. Bachelor of Political Science, Mgter. in Philosophy, he is an activist in favor of freedom, homeland and family. Below is an excerpt from an interview she conducted on gender ideology.

AUDIO. Translation not available.

Hello, welcome to episode No. 21 of the third season of our podcast GREAT SCIENTIFIC FRAUDS.

I am your host Dr. Esteban Morales van Kwartel

Given that the Supreme Court of Justice of the United States is currently in a historic legal discussion for this country in relation to the treatment of gender affirmation in children and young people, it is pertinent that we highlight some points of the CASS report because this is the main document used in the legal discussion on this issue.

I present some background on this discussion.

Last year, 2023, the State of Tennessee passed a law banning access to hormones, puberty blockers, and other treatments for minors seeking gender-affirming care. Officials of the current Biden administration, which promotes everything related to gender ideology, sued this law before the Supreme Court of Justice of the United States. A month ago, the Court began hearing arguments challenging the law. The Justices, who in their responses show a greater tendency to support this state law, have relied heavily on what is contained in the CASS report given its great scientific depth.

This discussion may go on for months, but the decision on this will have a profound impact throughout the country, in relation to the appearance of laws in other states similar to Tennessee's, due to the way the law works in this country.

The following points I make about the CASS report are based on an interview by the American journalist MEGHNA CHAKRABARTI (megna chakarbari) with Dr. Hilary Cass.

Interview about the CAS report  04:50

Dr. Hilary Cass, former president of Britain's Royal College of Paediatrics and Child Health, was appointed by the Health System of England in 2020 to lead the Independent Review of Gender Identity Services for Children and Young People, known as the "CASS Report". 

In the interview, she said that one of the major flaws found in most of the research that was analyzed by the research team and that is used as supposed evidence of the benefits of treatment with hormone blockers and transition hormones in children, is full of serious methodological errors that vary from errors in the design of the study, to simply that they did not follow up long enough to draw valid conclusions. Other errors occurred in the selection of the sample; For example, within the sample there were young people with autism, and many other young people who might have other complex mental health problems that were not statistically filtered out and that represent important causes of bias in the results.

In the interview, the journalist referred to the statement from the U.S. Department of Health and Human Services' Office of Population Affairs, in which they state, quote, "Research shows that gender-affirming care improves the mental health and overall well-being of gender-diverse children and adolescents... and that has been shown to increase positive outcomes for transgender and nonbinary children and adolescents."

But Dr. CASS clarifies that these claims have no basis because in the Dutch study that, by the way, I referred to in a previous episode, which is the largest study used to justify this treatment, concludes that there were some improvements in the mental health of these young people, but it did not affect dysphoria. Even so, Dr. S. S. They found that some young people got worse, some got better, and some had no change at all. In research, this is the type of result obtained for a treatment that is not effective for what is sought, especially when the choice of the sample was plagued by the errors I mentioned earlier. Dr. Cass adds that it would have been necessary to do this under a proper research protocol, to understand who might benefit.

Worse, according to Dr. S. Kelly's report, none of the systematic reviews of the other studies that were analyzed reproduced results showing significant improvements in mental health. In her statement to the journalist, Dr. adds that none of the results were conclusive, but that people also need to be followed for much longer to be able to know about the existence of physical side effects of the treatment, whether in bone health, the possibility of long-term cancer risks or any other things.

The journalist also alludes to the statement of the American Academy of Pediatrics regarding 

That, when a child declares their gender, they should act on the premise that what they say is their truth, and that the child's sense of reality and feeling should determine the treatment. But Dr. S. S. S which is why the review recommends that children and adolescents not take a medical path due to their evolving nature." He adds that brains are developing until the age of twenty.

In another aspect, the risk of suicide is mentioned by the promoters of affirmative treatment as an important justification for the use of these chemicals. In fact, there is an individual with a mental disorder that makes him believe that he is a woman; this gentleman is the one who calls herself Admiral Rachel Levine, who, unfortunately, is the Undersecretary (or Undersecretary) of Health and Human Services of the United States, of the Biden Administration that, fortunately, in a short time comes to an end.

This person who wears the female uniform of an Admiral, has said that, and I quote: "Gender-affirming care is literally suicide prevention care."

The journalist asks Dr Cass about this and she replies that the Cass Report found that the risk of suicide is shown to be comparable to that of other young people with a similar range of mental health and psychosocial problems, but without gender dysphoria. He adds that the biggest error of the studies analyzed is that they did not compare these two populations, so it cannot be said that it is gender incongruence that is giving them an additional risk of suicide.

She concludes that the data they have show that people commit suicide, both after they have received gender-affirming treatment, as was the case with Yaelis that I presented in a previous episode, and before they have received gender-affirming treatment, and no difference in suicide rates can be detected before and after treatment. Here he concludes by saying that it is necessary to delve deeper into the suicide of young people in general, exploring the role of causes related to a multitude of problems such as eating disorders, depression, isolation, sexual abuse, discrimination or a whole series of other problems.

El Código de Etica de la AMM.  12:20

The CASS report is known as the world's largest systematic review of all evidence and studies related to the care of children and adolescents diagnosed with gender dysphoria. It has had very specific conclusions about the lack of validity of the use of this treatment due to the lack of evidence on its efficacy and safety, including the absence of evidence on suicide prevention. However, the major medical societies — the American Society of Endocrinology, the American Academy of Pediatrics and others — as well as the World Professional Association for Transgender Health (WPATH) continue to validate their standards for the use of these DG treatments in children and adolescents. 

The reporter asked Dr. Cass about this, which seems to reveal a common denominator on the part of these groups. Dr. S. S This means that these rules and guidelines seem to have the same erroneous origin. In fact, the groups that did not share these criteria had started from scratch in the preparation of their standards, which coincided with the conclusions of the report.

Dr. CASS in her interview then concludes that 

The results of the report establish that the evidence regarding the use of this affirmative treatment is not sufficient to make informed guidelines for families and professionals. This leads me to conclude about the ethical aspect related to the use of these treatments.

All medical associations have their codes of ethics that guide the practice of medicine and that are mandatory. In previous episodes I have emphasized that this ethical practice of medicine is guided by evidence-based medicine. I have emphasized the definition of what this means. But for a correct compliance with this, as a guarantee of patient safety, the doctor must remain fully trained in his scientific and humanistic training, taking care of the quality and efficiency of his professional practice. 

In 1948, the WMA Code of Ethics was adopted in London. Almost all national medical associations have drawn up their respective codes of ethics on the basis of this document. In its introduction, it is noted that: "The World Medical Association (WMA) has developed the International Code of Medical Ethics as a canon of ethical principles for members of the medical profession worldwide." It also warns that: "The doctor must know the applicable national ethical, legal and regulatory norms and standards, as well as the relevant international norms and standards."

In its general principles, it establishes the need to provide: "competent and compassionate care in accordance with good medical practices and with professionalism". This implies the practice of evidence-based medicine and its constant training and information. The latter is reaffirmed in Article 11. It also establishes the right to autonomy and the rights of the patient. I have already explained in a previous episode what this autonomy means and its link to informed consent.

Article 3 states that: "The doctor must strive to use health resources in the way that optimally benefits the patient". But Article 14 is blunt on this and is pertinent to the issue of affirmative treatment and I quote: "The physician must commit himself to the primacy of the patient's health and well-being and must offer care in the best interests of the patient. In doing so, the physician should strive to prevent or minimize harm to the patient and seek a positive balance between the expected benefit to the patient and the potential harm."

Articles 15 to 18 explicitly refer to "informed consent"; however, it is systematically violated.

In all the episodes I have warned about the experimental characteristics of these treatments, and that Dr. Cass also expresses in her report. I talk about this in the next section.

Un experimento no ético en niños. 18:20

The research nature that the application of this chemical treatment in children and adolescents has taken is very regrettable, not only because of its implications but also because of its historical connotation. The WMA Code of Ethics was adopted after World War II, mainly as a response to the horrors of experiments conducted by Nazi doctors that were largely performed on children. However, today we find ourselves again witnessing new horrors occurring in these children.

The WMA establishes in its code of ethics various aspects that lead to respect for the dignity of human beings and the mission of the doctor, but in the Declaration of Helsinki it establishes concretely and specifically the ethical standards of medical research on human beings. In section 10 it states, and I quote: "Doctors can only participate in experiments on humans if they are sure that the inherent risks have been adequately assessed and that they can be dealt with satisfactorily. Otherwise, they should immediately suspend the ongoing experiment if they observe that the risks involved are more important than the expected benefits.

In this agreement, the need for compliance with informed consent is also emphasized, where, among other things, in section 14, it is specified that the potential person must be informed of the right to participate or not in the research and to withdraw their consent at any time, without exposing themselves to reprisals, and something that makes a very direct reference to children, which by divine disposition we must take special care of, establishes that when the potential individual is incapable, the doctor must request the informed consent of the legal representative, who in our legislation, is the parent or guardian.

The latter is flagrantly violated in some states in the United States, with the enactment of state laws that totally contradict this ethical aspect and with the complicity of the silence of a large number of doctors.

In the next section, some conclusions and the farewell.

Conclusions and farewell . 20:59

This use of hormone blockers and transition hormones can be classified as a research process due to the lack of scientific evidence, but not only this, but as Dr. Cass says, a bad research experiment due to its lack of protocol, absence of follow-up for a long enough time, lack of informed consent, due to the lack of rigorous records of the results, due to the large number of risks that outweigh the benefits and other distortions.

The use of these chemicals has been extrapolated from their use in children with precocious puberty, which is a totally different condition from the so-called gender dysphoria. In fact, hormone blockers lack FDA authorization for use in gender dysphoria.

The debate on how children and adolescents with gender dysphoria should be treated, like any discussion related to people's health, within the perspective of 3 basic components: science, truth, and ethics. The evidence presented throughout our episodes has clearly shown that each of these components has been transgressed. For all these considerations, this experimental treatment should be discontinued immediately.

Finally, in this season in which the birth of the baby Jesus, God made man, is commemorated, I must conclude by pointing out the most important reason why these experimental treatments should be suspended. All the components of this gender ideology are the product of a postmodernist invention that advocates that human beings have such freedom that, through their thought and their words, they can create as many realities as they want, that everything is relative. 

This is the greatest transgression of this ideology into the natural order of all things established by God. It is worth remembering the words of Pope St. John Paul II: "... A freedom that claims to be absolute ends up treating the human body as a raw being, devoid of meaning and moral values..."

I wish you all a Merry Christmas; I remind my medical colleagues that Christmas is a reminder to respect all the Codes of Ethics that govern our profession, but above all, the most important of all, which is the one established directly by God.

In the description of the episode you can consult all the references on today's topic.

I invite you to purchase my book: THE TWO GREAT SCIENTIFIC FRAUDS OF THE TWENTIETH AND TWENTY-FIRST CENTURIES. Here I describe and analyze in a simple way and with responsible scientific evidence everything related to climate misrepresentations. This can be purchased in all branches of the prestigious Panamanian bookstore, EL HOMBRE DE LA MANCHA.

I also invite you to access our website estebanmoralesvankwartel.com to which I invite you to subscribe. Here you can also access all the episodes of our podcast and find a lot of other information of interest. Through my website you can also purchase our book THE TWO GREAT SCIENTIFIC FRAUDS OF THE TWENTIETH AND TWENTY-FIRST CENTURIES.

IT HAS BEEN A PLEASURE TO BE WITH YOU. I HOPE I HAVE MET THE EXPECTATIONS OF OUR RESPECTED LISTENERS FOR INFORMATION THAT IS HONEST AND USEFUL FOR THEIR OWN LIVES, FOR THEIR FAMILIES, AND FOR THE COMMUNITY IN WHICH THEY OPERATE.

See you soon and thank you for honoring us with your attention.