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There is going to be an accountability crisis in our institutions. They have knowingly and actively participated in medical practices (Gender Affirming Care) that have little to no evidence of their efficacy and plenty of evidence of their harm.
The lawsuits are just around the corner as children are still being surgically mutilated and sterilized for life by medical professionals who decided to throw the notion of “do no harm” and “evidence based medicine” out the window in favour of dogmatic fact free ideologies (transgender ideology).
Tildeb is a frequent loquacious commenter here on DWR, but in this comment he really puts a fine point on what is about to happen in so many of our institutions here in Canada. I recommend you check out his work over at Questionable Motives. Tildeb writes:
“Now we get to find out who is actually ethical – and able to change their much ballyhooed ‘just-be-kind’ opinions and beliefs based on best evidence and facts to align with reality – and who is not. Let’s see who the ideologues really are, the modern day snake oil conmen.
We get to see the naked truth about those who remain dedicated to a lie: they are not concerned with what’s true nor are they able to use reality to judge their beliefs. They do so for some other reason… and they leave a trail of victims in their wake… a small price, apparently, to pay for them to feel oh-so-good about themselves.We get to see who is promoting even more deceit in order to maintain this incredibly selfish need to feel good about themselves over and above the basic health of children.
Children!
Now we get to see which of these ‘champions of social justice’ who have claimed they ‘support the science’ step up and actually do so by rejecting the lies of gender ideology. And we will see who is rejecting the science when reality is unable to align with what turns out to be a faith-based belief narrative about gender ideology with its harsh and condemning judgement of it, that implementing this ideology on vulnerable children – supported from the classrooms of the nation to our ‘best’ legal minds – is both scientifically incoherent/unjustifiable and medically cruel.
And we shall see why those who insist that they are concerned about the welfare and mental health of vulnerable children are not the ones acting against these kids’ best interests in the name of this pernicious pseudoscience but those who have been so widely condemned as ‘transphobes’ for their criticism of it.
Truth will win out in the end because reality is not a personal opinion or cherished belief. It is not altered by magical words, by playing linguistic games. It is there waiting to arbitrate our beliefs about it. The method to do so is called ‘science’ and it is uncompromising. And that’s why more of us need to support seeking what’s true and be humble enough to go along with its judgement about our beliefs rather than giving in and giving up to activists promoting this most recent example of hysterical popular delusions in the name of something else.”
Powerful stuff. Thank you Tildeb for your words.
This is big folks. The WPATH files show exactly how unscientific gender medicine is. It is a travesty that a ‘professional association’ could be so irresponsible. But see for yourself.

Transgender ideology is based on lies and emotional coercion. Very effective lies and coercion mind you – enough to make doctors forget about the “do no harm” part of their medical training and instead take up gender-woo and non evidence based medical practices.
So here it is – the beginning of the unraveling, and more importantly the beginning of the lawsuits for medical malpractice. The gender cult adherents are about to enter the FAFO phase of what happens when you let feelings supersede evidence based medicine.
Unfortunately, doctors, psychologists, and many other mental health professionals are deep within the folds of the gender-woo cult and will not leave willingly. The road ahead is long, but we are starting to make the trek back to reality and evidence based medicine.
March 4, 2024
Newly leaked files from within the leading global transgender healthcare body have revealed that the clinicians who shape how “gender medicine” is regulated and practiced around the world consistently violate medical ethics and informed consent. The files, which were leaked from within the World Professional Association for Transgender Health (WPATH), were published today by the US-based think tank Environmental Progress.
WPATH is considered the leading global scientific and medical authority on “gender medicine,” and in recent decades, its Standards of Care have shaped the guidance, policies and practices of governments, medical associations, public health systems and private clinics across the world.
However, the WPATH Files reveal that the organization does not meet the standards of evidence-based medicine, and members frequently discuss improvising treatments as they go along. Members are fully aware that children and adolescents cannot comprehend the lifelong consequences of “gender-affirming care,” and in some cases, due to poor health literacy, neither can their parents.

“The WPATH Files show that what is called ‘gender medicine’ is neither science nor medicine,” said Michael Shellenberger, President and founder of Environmental Progress. “The experiments are not randomized, double-blind, or controlled. It’s not medicine since the first rule is to do no harm. And that requires informed consent.”
The raw files have been published in a report called The WPATH Files: Pseudoscientific surgical and hormonal experiments on children, adolescents, and vulnerable adults, which contains analysis by journalist Mia Hughes that puts the WPATH Files in the context of the best available science on gender distress.
Environmental Progress has made all files available to read at the end of the report. The leaked files include screenshots of posts from WPATH’s internal messaging forum dating from 2021 to 2024 and a video of an internal panel discussion. All names have been redacted other than several WPATH members of public significance, such as Dr. Marci Bowers, an American gynecologist and surgeon who is the President of WPATH, and the Canadian pediatric endocrinologist Dr. Daniel Metzger.
In the WPATH Files, members demonstrate a lack of consideration for long-term patient outcomes despite being aware of the debilitating and potentially fatal side effects of cross-sex hormones and other treatments. Messages in the files show that patients with severe mental health issues, such as schizophrenia and dissociative identity disorder, and other vulnerabilities such as homelessness, are being allowed to consent to hormonal and surgical interventions. Members dismiss concerns about these patients and characterize efforts to protect them as unnecessary “gatekeeping.”
The files provide clear evidence that doctors and therapists are aware they are offering minors life-changing treatments they cannot fully understand. WPATH members know that puberty blockers, hormones, and surgeries will cause infertility and other complications, including cancer and pelvic floor dysfunction. Yet they consider life-altering medical interventions for young patients, including vaginoplasty for a 14-year-old and hormones for a developmentally delayed 13-year-old.
The WPATH Files also show how far medical experiments in gender medicine have gone, with discussions about surgeons performing “nullification” and other extreme body modification procedures to create body types that do not exist in nature.
A growing number of medical and psychiatric professionals say the promotion of pseudoscientific surgical and hormonal experiments is a global medical scandal that compares to major incidents of medical malpractice in history, such as lobotomies and ovariotomies.
“Activist members of WPATH know that the so-called ‘gender-affirming care’ they provide can result in life-long complications and sterility and that their patients do not understand the implications, such as loss of sexual function and the ability to experience orgasm,” Shellenberger said. “These leaked files show overwhelming evidence that the professionals within WPATH know that they are not getting consent from children, adolescents, and vulnerable adults, or their caregivers.”
This is the full article. I think it is important enough to not lose readers who will read an excerpt and stop there. Go to the The Free Press to get the link to the podcast –
“In the wake of Hamas’s October 7 attack, it’s important to keep in view the bright line that exists between good and a very specific form of evil. It is the evil of bad ideas—ideas so bad that they can make even ordinary human beings impossible to live with.
There’s a piece of audio from October 7 that many people have commented on. It’s a recording of a cell phone call that a member of Hamas made to his family, while he was in the process of massacring innocent men, women, and children. The man is ecstatic, telling his father and mother, and I think brother, that he has just killed ten Jews with his own hands. He had just murdered a husband and wife and was now calling his family from the dead woman’s phone.
Here’s a partial transcript of what he said:
“Hi, Dad—open my WhatsApp now, and you’ll see all those killed. Look how many I killed with my own hands! Your son killed Jews!”
And his dad says, “May God protect you.”
“Dad, I’m talking to you from a Jewish woman’s phone. I killed her, and I killed her husband. I killed ten with my own hands! Dad, ten with my own hands! Dad, open WhatsApp and see how many I killed, Dad. Open the phone, Dad. I’m calling you on WhatsApp. Open the phone, go. Dad, I killed ten. Ten with my own hands. Their blood is on their hands. [I believe that is a reference to the Quran.] Put Mom on.”
And the father says, “Oh, my son. God bless you!”
“I swear, ten with my own hands. Mother, I killed ten with my own hands!”
And his father says, “May God bring you home safely.”
“Dad, go back to WhatsApp now. Dad, I want to do a live broadcast.”
And the mother now says, “I wish I was with you.”
“Mom, your son is a hero!”
And then, apparently talking to his comrades, he yells, “Kill, kill, kill, kill them.”
And then his brother gets on the line, asking where he is. And he tells his brother the name of the town, and then he says “I killed ten! Ten with my own hands! I’m talking to you from a Jew’s phone!”
And the brother says, “You killed ten?”
“Yes, I killed ten. I swear!”
Then he says, “I am the first to enter on the protection and help of Allah! [Surely that’s another scriptural reference.] Hold your head up, father. Hold your head up! See on WhatsApp those that I killed. Open my WhatsApp.”
And his brother says, “Come back. Come back.”
And he says, “What do you mean, come back? There’s no going back. It is either death or victory! My mother gave birth to me for the religion. What’s with you? How would I return? Open WhatsApp. See the dead. Open it.”
And the mother sounds like she is trying to figure out how to open WhatsApp. . .
“Open WhatsApp on your phone and see the dead, how I killed them with my own hands.”
And she says, “Well, promise to come back.”
I don’t speak any Arabic, and it seems to me that not every word in the audio that’s being circulated was translated, but I think we get the gist. When I spoke to Graeme Wood about this, he said that to him, the mother and father sounded more shocked and worried than anything else, which would be understandable. But I would submit to you that this piece of audio is more than just the worst WhatsApp commercial ever conceived. It is a window onto a culture. As I told Graeme, this is not the type of call that would have been placed from Vietnam, by an American who just participated in the My Lai massacre. Nor is it the parental reaction one would expect from an American family, had their beloved son just called them from a killing field. I mean, as terrible as Vietnam was, can you imagine a call back to Nebraska, “Mom, I killed ten with my own hands! I killed a woman and her husband, and I’m calling from the dead woman’s phone. Mom, your son is a hero!” Do you see what a total aberration that would have been, even in extremis?
This call wasn’t a total aberration. This wasn’t Ted Bundy calling his mom. This was an ordinary member of Hamas, a group that might still win an election today, especially in the West Bank, calling an ordinary Palestinian family, and the mere existence of that call, to say nothing of its contents, reveals something about the wider culture among the Palestinians.
It’s important to point out that not only members of Hamas but ordinary Gazans appear to have taken part in the torture and murder of innocent Israelis and the taking of hostages. How many did this? And how many ordinary Gazans were dancing in the streets and spitting on the captured women and girls who were paraded before them after having been raped and tortured? What percentage of Palestinians in Gaza, or the West Bank, many of whom are said to hate Hamas for their corruption and incompetence and brutality, nevertheless support what they did on October 7 with a clear conscience, based on what they believe about Jews and the ethics of jihad? I don’t know, but I’m sure that the answers to these questions would be quite alarming. We’re talking about a culture that teaches Jew hatred and the love of martyrdom in its elementary schools, many of which are funded by the UN.
Of course, all of this horror is compounded by the irony that the Jews who were killed on October 7 were, for the most part, committed liberals and peace activists. Hamas killed the sorts of people who volunteer to drive sick Palestinians into Israel for medical treatments. They murdered the most idealistic people in Israel. They raped, tortured, and killed young people at a trance dance music festival devoted to peace, half of whom were probably on MDMA feeling nothing but love for all humanity when the jihadists arrived. In terms of a cultural and moral distance, it’s like the fucking Vikings showed up at Burning Man and butchered everyone in sight.
Just think about what happened at the Supernova music festival: at least 260 people were murdered in the most sadistically gruesome ways possible. Decapitated, burned alive, blown up with grenades. . . and from the jihadist side, this wasn’t an error. It’s not that if they could have known what was in the hearts of those beautiful young people, they would have thought, “Oh my God, we’re killing the wrong people. These people aren’t our enemies. These people are filled with love and compassion and want nothing more than to live in peace with us.” No, the true horror is that, given what jihadists believe, those were precisely the sorts of people any good Muslim should kill and send to hell where they can be tortured in fire for eternity. From the jihadist point of view, there is no mistake here. And there is no basis for remorse. Please absorb this fact: for the jihadist, all of this sadism—the torture and murder of helpless, terrified people—is an act of worship. This is the sacrament. This isn’t some nauseating departure from the path to God. This isn’t stalled spiritual progress, much less sin. This is what you do for the glory of God. This is what Muhammed himself did.
There is no substitute for understanding what our enemies actually want and believe. I’m pretty sure that many of you reading this aren’t even comfortable with my use of the term enemy, because you don’t want to believe that you have any. I understand that. But you have to understand that the people who butchered over 1,400 innocent men, women, and children in Israel on October 7 were practicing their religion, sincerely. They were being every bit as spiritual, from their point of view, as the trance dancers at the Supernova festival were being from theirs. They were equally devoted to their highest values. Equally uplifted. Ecstatic. Amazed at their good fortune. They wouldn’t want to trade places with anyone. Let this image land in your brain: they were shouting “Allahu Akbar” (God is great) all day long, as they murdered women and children. And these people are now being celebrated the world over by those who understand exactly what they did. Yes, many of those college kids at Harvard and Stanford and Cornell are just idiots who have a lot to learn about the world. But in the Muslim community, and that includes the crowds in London and Sydney and Brooklyn, Hamas is being celebrated by people who understand exactly what motivates them.
Again, watch Hotel Mumbai or read a book about the Islamic State so that you can see jihadism in another context—where literally not one of the variables that people imagine to be important here is present. There are no settlers or blockades or daily humiliations at checkpoints or differing interpretations of history—and yet we have same grotesque distortion of the spiritual impulse, the same otherworldliness framed by murder, the same absolute evil that doesn’t require the presence of evil people, just confused ones—just true believers.
Of course, we can do our best to turn the temperature down now. And we can trust that the news cycle will get captured by another story. We can direct our attention again to Russia, or China, or climate change, or AI alignment, and I will do that on this podcast, but the problem of jihadism and the much wider problem of sympathy for it isn’t going away. And civilized people—non-Muslim and Muslim alike—have to deal with it. As I said in a previous podcast on this topic: we all live in Israel now. It’s just that most of us haven’t realized it yet.”
If you are violating one of the principles of human medicine – first do no harm – it may be wise to reconsider your position on ‘gender-affirming treatment’ regardless of how lucrative it is.
“Children are being harmed. Young people are being harmed.
In many ways, this story is not new. From snake oil to thalidomide, from lobotomies to opioids, medicine has a long history of fake cures and terrible practices. In his 2022 book The Skeptical Professional’s Guide to Rational Prescribing: The Impact of Scientific Fraud and Misconduct, Dr. Charles Dean writes that in modern times the challenges facing medicine include “untoward ties with drug companies, the power of the pharmaceutical industry to co-opt physicians and institutions, the failure of peer review, the use of fraudulent data, and the failure of institutions to monitor their investigators…other topics are also in need of review, including publication bias, spinning poor or questionable results into positive outcomes, omitting or changing the primary outcomes of studies after the data fail to deliver the expected results…” Certainly, many parents see all this in play in the unfolding gender medical scandal.
However, what is new is the Gordian knot of confused cultural ideas about gender and sex, along with a tangle of transgender activism, tribal politics, and medical lobbying that have ultimately allowed malpractice to continue. Those who can see some of the problems with the current protocol–otherwise ethical professionals–make calls for randomized trials, better research, and the restriction of these drugs and surgeries to “some” children. But they forget the most basic principle of medicine: primum non nocere: first do no harm. Decades of research have made clear that there is no good evidence that any of these medications or surgeries help anyone; there is good evidence that they harm. So what type of medical ethics is a clinician practicing when she begins the first stage of sterilizing a trans-identifying child, even a highly distressed one?
For those doctors, therapists, politicians, journalists, and educators who have grasped what’s going on, there is a tremendous urgency to raise awareness in order to change the current medical guidelines and stop the horrendous mistreatment of gender-diverse kids.”







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