Casey Means, MD, for Surgeon General...Implications for Pain?

[hyperalgesia]

i dont have opinions? im not opinionated? thats a new one.

i was comfortable with Levine in a senior policy making role. do i like the idea of young men being chemically or surgically neutered? or of young women getting top surgeries? of course not. but thats doctor-patient stuff, not lawmaker stuff




She told NPR in 2022 that "there is no argument among medical professionals [...] about the value and importance of gender-affirming care." Since then some high-profile medical professionals have called for caution in this medical field, including British pediatrician Hilary Cass. Those physicians are often cited by lawmakers seeking to ban this care. Cass was mentioned recently during Supreme Court arguments about whether such bans are constitutional.

Shots - Health News​

Rachel Levine calls state anti-LGBTQ bills disturbing and dangerous to trans youth​

"There is still widespread agreement about the medical utility of transgender medicine and transgender medicine for young people," Levine maintains. "There is always ongoing research to study any of our medical protocols, and that would include transgender medicine. We should always have robust discussion and analysis of our treatment protocols, and they need to be based on data."

She says those standards of care should then be applied carefully to individual patients. "That's how we do pediatrics and that's how it should be done," she says.

That is separate from what's happening with the proliferation of anti-trans state laws, she says. "This is really a politically and ideologically motivated effort developed by a think tank in Washington in order to attack the LGBTQI+ community, starting with the trans community," she says. "And unfortunately, it has been very successful."

From my POV, the framing is warped, as one would expect from a person with a mental disorder.

There is no attack or war on a "community" called "LGBTQIA+".

There is only legitimate concern for children and girls in sports.

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[bedrock]

i dont have opinions? im not opinionated? thats a new one.

i was comfortable with Levine in a senior policy making role. do i like the idea of young men being chemically or surgically neutered? or of young women getting top surgeries? of course not. but thats doctor-patient stuff, not lawmaker stuff




She told NPR in 2022 that "there is no argument among medical professionals [...] about the value and importance of gender-affirming care." Since then some high-profile medical professionals have called for caution in this medical field, including British pediatrician Hilary Cass. Those physicians are often cited by lawmakers seeking to ban this care. Cass was mentioned recently during Supreme Court arguments about whether such bans are constitutional.

Shots - Health News​

Rachel Levine calls state anti-LGBTQ bills disturbing and dangerous to trans youth​

"There is still widespread agreement about the medical utility of transgender medicine and transgender medicine for young people," Levine maintains. "There is always ongoing research to study any of our medical protocols, and that would include transgender medicine. We should always have robust discussion and analysis of our treatment protocols, and they need to be based on data."

She says those standards of care should then be applied carefully to individual patients. "That's how we do pediatrics and that's how it should be done," she says.

That is separate from what's happening with the proliferation of anti-trans state laws, she says. "This is really a politically and ideologically motivated effort developed by a think tank in Washington in order to attack the LGBTQI+ community, starting with the trans community," she says. "And unfortunately, it has been very successful."

First off, Dr Levine is factually incorrect, because the clear majority of the entire western scientific community outside of North America no longer practice gender affirming care. The United States is now an outlier.

Secondly, this BS is why your party lost control of all 3 branches of the federal government. Funny that you and others fail to admit this.

“You and Kamala are for they/them while republicans are for us”

 

[SSdoc33]

First off, Dr Levine is factually incorrect, because the clear majority of the entire western scientific community outside of North America no longer practice gender affirming care. The United States is now an outlier.

Secondly, this BS is why your party lost control of all 3 branches of the federal government. Funny that you and others fail to admit this.

“You and Kamala are for they/them while republicans are for us”

oversimplification. her quote was from 2022, and this statement is nonspecific ""There is still widespread agreement about the medical utility of transgender medicine and transgender medicine for young people"

but i do admit trangender issues did not help the cause.

 

[lobelsteve]

oversimplification. her quote was from 2022, and this statement is nonspecific ""There is still widespread agreement about the medical utility of transgender medicine and transgender medicine for young people"

but i do admit trangender issues did not help the cause.

Personality Disorders and Personality Profiles in a Sample of Transgender Individuals Requesting Gender-Affirming Treatments - PMC

The study aims to explore the personality patterns of a group of transgender individuals who accessed an Italian gender clinic to undergo gender affirming treatments, by evaluating both dimensional personality domains proposed by the Alternative ...

pmc.ncbi.nlm.nih.gov

Couple more years and Trump will turn.

 

[Ducttape]

You're really good at criticizing other opinions but seem to have none of your own.

You have expressed being a moderate on this topic in the past.

"Qualifications" aside, were you comfortable with Levine in a senior policy making role, guiding America's healthcare system?

apparently, trump has felt comfortable so far - if he had, he would have fired her on day 1 and he is instead going through the usual channels to replace her.

 

[Ducttape]

First off, Dr Levine is factually incorrect, because the clear majority of the entire western scientific community outside of North America no longer practice gender affirming care. The United States is now an outlier.

Secondly, this BS is why your party lost control of all 3 branches of the federal government. Funny that you and others fail to admit this.

“You and Kamala are for they/them while republicans are for us”

this is actually not true.

to be clear, most gender affirming care is medication based, and not surgery. and most of gender care is medication related.

yes, there has been a subtle shift towards a more nuanced approach, but the blanket statement that other countries are "no longer practicing gender affirming care" is not.

Trans surgery for minors limited in Europe, not banned

Twenty-two U.S. states have banned gender-affirming care for people younger than 18. An Instagram user said our friends

www.politifact.com

Gender-affirming care

Interventions to help transgender and non-binary people align their bodies with their gender identity. This can include hormone replacement therapy, surgeries, or psychological support.

ourworldindata.org

(theres a nice map showing the status of gender care by country)

 

[bedrock]

this is actually not true.

to be clear, most gender affirming care is medication based, and not surgery. and most of gender care is medication related.

yes, there has been a subtle shift towards a more nuanced approach, but the blanket statement that other countries are "no longer practicing gender affirming care" is not.

Trans surgery for minors limited in Europe, not banned

Twenty-two U.S. states have banned gender-affirming care for people younger than 18. An Instagram user said our friends

www.politifact.com

Gender-affirming care

Interventions to help transgender and non-binary people align their bodies with their gender identity. This can include hormone replacement therapy, surgeries, or psychological support.

ourworldindata.org

(theres a nice map showing the status of gender care by country)

No you’re wrong.
Just because something is legal in a country it doesn’t mean it is still actively pursued.

The overall scientific community in all of the world (excluding North America) has pulled back significantly on “gender affirming care”, and are recognizing that these patients need psychiatric help, not doctors who will just agree with anything said by mentally disturbed patients.

The US is an outlier.

And it’s stupid hill to die on for the Democratic Party.

 

[Ducttape]

please post information that supports your claims.

i did a search and found no such information that there is a "significant" pull back.


it is stupid because the Republican Party is making personal decisions such a huge issue. but then again, the Republican Party appears to be the party of divide and disparage.


in case you forgot, i am an independent and have been so for all of my life.

 

[gaseous_clay]

She is a wellness influencer.

There is not a single word I hate more in the English language than ‘wellness’

My second most hated English word is ‘influencer.’

 

[1 Up]

Yes exactly. Someone more like this…🤦🏻‍♂️

View attachment 403539

LOL - yes, that was the picture of health! Oh, and being fat is genetic, in no way shape or form related to lifestyle choices... smfh

If someone has a PhD in business and economics, and has published 1000 papers on the subject, yet they've mismanaged their life so much that they're bankrupt and homeless, then they do not deserve to be in a federal advisory position pertaining to their field of study, EVEN IF THEY ARE TRANS... Why? Because they have demonstrated unequivocally that they are not fit to be in such roles based on their failures in making sound life choices. A successful business man without a PhD in economics, is a better pick than an economist who can't manage a business or their own finances.

Likewise, Levine paints a picture of health that American's should be RUNNING away from. Levine is fat, out of shape, and suffers from crippling psychiatric illness. Basically, Levine never figured out his own health, and therefore is not suited to advise American's on their own. I'll take someone like Casey Means over someone like Levine any day of the week.

 

[Ducttape]

interesting pack of assumptions.

Levine is fat, out of shape, and suffers from crippling psychiatric illness.

tell me, how are you making the assertion Levine has psychiatric illness? Levine is 67 years old.

and what kind of shape do you expect Levine to be in? double standards much?

you are choosing someone who couldnt make it in residency. who couldnt make is a a practicing physician and had to choose to sell wellness (ie not scientifically backed) products to make a living, one business (truemed) actually doesnt make products but works as an intermediary for people to use their HSA/FSA money to buy alternative treatment, and the other (Levels) that sells continuous glucose monitoring (a dubious treatment) to healthy people trying to convince them that they essentially are sick. of note, she is a partner in both (with her brother for Truemed and with 5 others for Levels) so she actually hasnt run a business by herself.

she does not have an active license, and she is board certified in absolutely nothing.


and if that were the case, how can you support Trump? he is a "businessman" that has failed multiple times in multiple businesses, declared bankruptcy multiple times, and (supposedly) cheats in golf?

 

[mdo1738]

tell me, how are you making the assertion Levine has psychiatric illness?

Lol come on

 

[lobelsteve]

Lol come on

Professor of Psychiatry.
Takes one to know one?

 

[Ducttape]

well, that implies that us pain doctors are all pains in the ass...

i guess.... i know i am