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Manuel_D
searching PlanetScale…
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27 ms
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601.
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Manuel_D
1y ago
Given the disparity in life outcomes between trans people and cis people, the idea that the desisters would have been better off transitioning is quite the bold speculation.
602.
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Manuel_D
1y ago
People can, and do, transition as adults. Natal puberty clearly does not prevent all people from transitioning. Effectively 100% of trans people prior to about 2010 transitioned as adults. Same thing with gay people, as per your example. I&
603.
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Manuel_D
1y ago
What do you mean by "giving up"? These patients have the opportunity to transition later in life. Patients were followed up with for 10+ years, well past puberty and into adulthood. The minority that persisted transitioned as adul
604.
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Manuel_D
1y ago
A multitude of studies, not just one. This is the review covering the outcomes of gender dysphoric children who aren't given blockers: https://news.ycombinator.com/item?id=44546443
605.
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Manuel_D
1y ago
https://pmc.ncbi.nlm.nih.gov/articles/PMC8039393/ All the studies among gender dysphoric children who are not prescribed puberty blockers show desistence rates over 70% There are studies that show very low desiste
606.
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Manuel_D
1y ago
https://pubmed.ncbi.nlm.nih.gov/29463477/ This isn't the desistence rate of children, this is the regret rate of adults who transition.
607.
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Manuel_D
1y ago
"Transitioned against their will" is a very crude way of articulating the tradeoffs of prescribing puberty blockers. The core issue at hand is that absent puberty blockers, somewhere between 60-80% do not persist with a cross-sex
608.
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Manuel_D
1y ago
I'm not so sure. Failing your residency means your medical career is basically done, and you have to basically start a new career from scratch in your late 20s. Chances are you'll have debt from not just undergrad but also med sch
609.
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Manuel_D
1y ago
Do Minecraft, Fortnite, and countless other games not also market themselves to children?
610.
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Manuel_D
1y ago
The same was true in World of Warcraft. What did that lead to?
611.
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Manuel_D
1y ago
If tens of million of people are using a service, statistically at least a few of them are going to be bad actors. The stuff you're describing doesn't really seem much different that any popular internet spaces in the 2000s. Peop
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Manuel_D
1y ago
The #1 by raw numbers, or normalized for userbase?
613.
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Manuel_D
1y ago
While true this statement generalizes to any internet connected service. 2000s internet had loads of wild content, anyone remember LiveLeaks? And Roblox has decent parental controls. You can disable any chat outside a curated group of frien
614.
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Manuel_D
1y ago
You didn't link to a randomized controlled trial. You linked to a meta review. This is just reading and summarizing past research publications, not a RCT. To date, no American study has been conducted that randomly assigned patients in
615.
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Manuel_D
1y ago
Yet again, none of the examples you've posted are contamination from nuclear waste from power generation. Pre-burnup radiation exposure is not nuclear waste. This isn't a pedantic distinction, someone getting contaminated while ma
616.
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Manuel_D
1y ago
It's not the child picking the bus. The choice of whether a medical professional chooses to affirm a patient or take a neutral, observational stance is a choice made by the medical professional, not the patient. And how does that choic
617.
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Manuel_D
1y ago
First of all, thank you for being upfront about the fact that your rejection of these studies is not based on their methodology, but because your don't like their results. It's more like I have two different buses. When kids get o
618.
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Manuel_D
1y ago
Correct. A treatment that causes no change in well-being, and has negative side effects on bone density, mental development, and more, is not a net positive treatment. This isn't even touching on the effect puberty blockers have on per
619.
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Manuel_D
1y ago
The same criteria used to approve patients for puberty blockers were used in the study. Heck, the author of the study helped write the DSM criteria for gender dysphoria. This is not at all "debunked", as much as activists try to i
620.
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Manuel_D
1y ago
A child put on blockers that would have desisted absent hormonal intervention is also a child that goes through the "wrong puberty". Chances are a good number of your psychiatrist's patients that became comfortable in their
621.
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Manuel_D
1y ago
Finland has been operating two other sites for decades: https://news.ycombinator.com/item?id=44332413
622.
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Manuel_D
1y ago
> I grew up in a place and time where nuclear waste was routinely dumped, records lost, EPA government consultants lied, and people got sick. Nobody was held accountable other than token fines. Can you provide even one example where nucl
623.
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Manuel_D
1y ago
It is. Presumably your fear is that uranium from spent fuel might somehow contaminate water supplies, and cause illness. But we already monitor water for contamination from naturally occurring uranium, and have the infrastructure to remov
624.
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Manuel_D
1y ago
> Please note that these are both chemically and radioactively harmful to people. Again, the point is that your link is about disposal of plutonium from nuclear weapons productions. Not spent uranium fuel from power generation. > Nucl
625.
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Manuel_D
1y ago
Kenneth Zucker won over half a million dollars in a defamation lawsuit over these false claims. Your own link covers his successful defamation lawsuit, but you seem to have ignored this: > After his dismissal, Zucker sued CAMH for defama
626.
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Manuel_D
1y ago
The majority of the sample met the criteria for gender dysphoria as listed in the DSM. Gender non-conforming behavior is just one criterion, multiple of which need to be met to categorized as gender dysphoric. This is the same set of criter
627.
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Manuel_D
1y ago
The example you linked above is disposal of nuclear weapons waste, not nuclear power generation. This isn't even the same material (plutonium vs uranium). Sure, there were plenty of bad nuclear waste disposal programs in the early cold
628.
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Manuel_D
1y ago
Sure, but the important point is that we already have infrastructure deployed to detect and remove uranium from the water supply on account of naturally occurring uranium.
629.
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Manuel_D
1y ago
Half a kilometer isn't particularly deep. There are dozens of mines over 2 KM deep: https://en.wikipedia.org/wiki/List_of_deepest_mines Are we supposed to hold off on developing the only geographically independent
630.
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Manuel_D
1y ago
Again, when you bury uranium half a kilometer deep in an area with no aquifer, how will it ever result in contamination? The only real scenarios are deliberate excavation, and a meteor impact directly on the waste repository. Neither of whi
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