Sex change surgery scare reveals how fake news spreads

It was fake news.

The follow-up tweet the next day with correction admitting that there are no quotas, was only “liked” by twenty-five.

The allegation was adjusted to claim that delays in clinic appointments were a result of funding cutbacks that had the effect of capping how many surgeries could be performed. But it was not quiet or secret that Ford’s government was looking to reduce the health care costs in Ontario through a variety of cutbacks to OHIP back in April.

While trans activists have injected “transphobia” into the situation, other services being affected have no similar pejorative to inflame the conversation. For example, suggested cutbacks to anesthesia during colonoscopies weren’t denounced as colonoscophobia. Reduction of MRI scans on knee injuries was not called ambulatoriphobia.

Of course in the wake of multiple high profile bannings from Facebook and Twitter, the fastest growing fear could be called transphobiaphobia: the fear of being called transphobic.

Significant changes to improve SRS coverage by OHIP took place in November 2015, when the government moved from CAMH as a single referral clinic to allow more healthcare providers to provide assessments. The goal was to reduce waiting times for those who qualified.

That was the same time period in which Kenneth Zucker was accused of practicing “conversion therapy” and the CAMH youth gender identity clinic was shut down. Zucker has since received an apology from CAMH and a substantial financial settlement. Terminology is part of the ongoing problem blocking discussion about transgender treatment.

For example, Rainbow Health Ontario offers the following information regarding discussion of SRS:

The constantly shifting terminology is almost enough to create serious case of languagephobia.

Psychologist Dr. Oren Amitay is one of those people permanently banned from Twitter for alleged transgender infractions. In an interview with The Post Millennial, Amitay explained some of the issues infecting attempts at dialogue with the current wave of trans activists.

One of the conflicts in accessing surgery covered by health plans is that the patient’s condition needs to be listed as an illness in the DSM but activists want to destigmatize the trans community, denying that being transgender is a mental health disorder. Amitay said that “any trans diagnosis, it’s mostly politics. It’s mostly trying not to pathologize, trying to placate people’s concerns and feelings as opposed to science.”

He said the inherent contradiction comes into play when advocates say “even though [gender dysphoria] is not a pathology, if we don’t get [surgery or cross hormones] we’re going to kill ourselves.”

In a recent scandal, Dr Wallace Wong, who claims to be treating 500 trans children through the BC Ministry of Children and Family, instructed parents to “pull a stunt” and falsely claim their child threatened suicide in order to get treatment. The lecture was recorded and posted online along with a transcript.

While suicide rates within the transgender population are extremely alarming, it is shocking that a physician would muddy the statistical waters by advising clients to intentionally misrepresent their mental conditions. It is this kind of dishonesty that creates public mistrust in the controversial treatment of children who are given a gender dysphoria diagnosis.

I asked Dr. Amitay, if pathology is removed from a gender dysphoria condition, what the difference is between gender confirming surgery and plastic surgery like the cosmetic breast augmentations purchased by many women every year. He replied that there are two differences:

“One is you look at the consequences [of plastic surgery] whereas many of these vulnerable people from a young age are being told that this is the way to go.” The second is that “if you were thinking of having breast augmentation at [the age of] fourteen they would have said ‘no you need your parents’ permission’” and doctors would encourage you to wait.

We discussed the fact that women in their late twenties who’ve asked for tubal ligation to avoid further pregnancies are routinely denied surgery on the basis that they are too young to make that decision. Amitay said he’s had numerous female clients say that happened and they were thankful later on when they changed their minds.

In 2017, CTV reported a growing trend in Canada in which women were having cosmetic breast implants removed and no one denounced the report as mammophobic. But attempts to publicly discuss detransitioning are politically dangerous.

Dr. Amitay said that people have assumed there would be “medical safeguards” in place but that many of these gatekeepers seem to have “caved and joined the club.”

Given that careers, like Kenneth Zucker’s, have been destroyed for reluctance to accept self identification as the sole criteria for diagnosis, it’s hard to blame those who choose to remain silent. And yet, as doctors, they have a presumed duty to first do no harm.