Health
AGs Question Pediatricians Pushing Trans Treatment
From Heartland Daily News
In encouraging the use of puberty blockers, cross-sex hormones, and surgical interventions, the AAP claims the treatments are reversible. The AG letter says that is “misleading and deceptive.”
“It is beyond medical debate that puberty blockers are not fully reversible, but instead come with serious long-term consequences,”
Attorney generals from 20 states and legislators from Arizona signed an interrogatory letter to the president of the American Academy of Pediatrics (AAP) about the group’s support of puberty blockers, cross-sex hormones, and surgery for children and adolescents who have been diagnosed with gender dysphoria.
“Often the AAP has exercised its influence responsibly,” states the letter. “… But when it comes to treating children diagnosed with gender dysphoria, the AAP has abandoned its commitment to sound medical judgment.”
The AG letter demanded responses to multiple questions about its child gender policies by October 8, and it stated AAP’s conduct is being reviewed further.
Idaho Attorney General Raul R. Labrador sent the letter, and AGs from Alabama, Arkansas, Florida, Georgia, Iowa, Kansas, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, South Carolina, South Dakota, Texas, Utah, Virginia, and West Virginia signed it, as did the president of the Arizona State Senate and the speaker of the Arizona House.
Sounding an Alarm
The American College of Pediatricians (ACPeds), an alternative medical professional organization, has spent years sounding the alarm on AAP-approved transgender treatments.
ACPeds organized a coalition of health care professionals to create the Doctors Protecting Children Declaration, a document urging organizations to stop promoting what ACPeds calls unethical, harmful practices in treating children with gender dysphoria. Some 82,500 professionals and concerned citizens have signed the declaration.
“We have personally reached out to the AAP leadership and leaders of the other named organizations, asking them to put a stop to this, and have not received a response,” said ACPeds Executive Director Jill Simons, M.D.
“Unfortunately, the leadership of the AAP and other organizations have silenced their very members from engaging in medical discourse when they have put in question these harmful protocols, and they continue to double down on them even as they stand without evidence-based research to support their current positions,” said Simons.
Questioning What’s ‘Reversible’
In encouraging the use of puberty blockers, cross-sex hormones, and surgical interventions, the AAP claims the treatments are reversible. The AG letter says that is “misleading and deceptive.”
“It is beyond medical debate that puberty blockers are not fully reversible, but instead come with serious long-term consequences,” the letter states.
The letter cites the widely recognized Cass Review commissioned by Britain’s National Health Service and published in April.
“The Cass Review was monumental in demonstrating, through the most thorough review of the research and current protocols and outcomes in England, that the current protocols of social affirmation, puberty blockers, and cross-sex hormones do not improve the health outcomes of children with gender dysphoria and in fact there is evidence of causing harm,” said Simons.
“Dr. Hilary Cass’s recommendation has shut down the practice of transitioning kids in England,” said Simons. “Many other European countries are also reversing course and returning to proven medical care, which is supportive mental health and addressing underlying diagnoses.”
Leaked files from the World Professional Association of Transgender Health (WPATH) and a recent statement from the American Society of Plastics Surgeons have bolstered the case against surgical and hormonal trans treatments, says Simons.
APA, AMA Uninterested
A growing number of people are recognizing the validity of the studies, says Dr. Tim Millea, chair of the Health Care Policy Committee and Conscience Rights Protection Task Force of the Catholic Medical Association (CMA).
“Physician organizations such as AAP and [American Medical Association] appear to be uninterested in those studies, at the expense of ongoing harm to Americans that they encourage to enter the ‘gender-industrial’ medical system,” said Millea. “It seems to be true that the leadership of these groups prioritize ideology over science, which is a dereliction of duty in the vocation of medicine.”
Doctors Afraid to Speak Out
Most U.S. pediatricians are members of the AAP. Dissent within the organization has led to the development of alternative professional organizations such as ACPeds. The AAP is too radical for most pediatricians, though they are reluctant to say so, says Simons.
“I speak to countless pediatricians who are members of the AAP who disagree with the AAP’s policies and fully support our efforts to put a stop to these unethical protocols, but they are truly fearful of losing their jobs and the harms that will come to them if they speak out,” said Simons. “I unfortunately speak to pediatricians who have been reprimanded and even fired for speaking out.”
Going to Court
The AAP has been named in multiple lawsuits against doctors and hospitals. Members of ACPeds have served as expert witnesses and submitted amicus briefs to fight the AAP’s gender treatment protocols.
ACPeds also filed a lawsuit against the Biden-Harris administration for its rule requiring doctors to perform gender transition procedures on minors against their medical judgment.
“The American College of Pediatricians is filing this lawsuit against HHS because doctors should never be forced to violate their sound medical judgment and perform life-altering and sterilizing interventions on their patients,” stated ACPeds news release. “Our doctors take an oath to do no harm, but the Biden administration’s rule forces them to violate this oath and perform procedures that are harmful and dangerous to our patients– vulnerable children. What the Biden Administration is calling for is wrong and unlawful.”
Over the past several years, the CMA has been involved in gender intervention cases around the country and plans to file an amicus brief for the Supreme Court case United States v. Skrmetti, scheduled to be heard during the current session.
Changing the Culture
CMA hosted a two-hour panel discussion on September 8, 2024, in which several de-transitioners recounted the harms they suffered from gender transition procedures as minors. The organization wants to make sex-change procedures among children, teens, and young adults unthinkable, says Millea.
“There are three areas of emphasis to accomplish that goal, and two of them are judicial and legislative,” said Millea. “The third is of greatest importance, and that is cultural. The public needs to learn and understand the negative and lifelong risks and complications of gender transition.
“We remain hopeful that doctors will push back against these protocols and follow their oath to do no harm,” said Simons. “There will be a tipping point when doctors are no longer fearful and will speak out.”
Ashley Bateman ([email protected]) writes from Virginia.
Addictions
Ontario to restrict Canadian government’s supervised drug sites, shift focus to helping addicts
From LifeSiteNews
Doug Ford’s Progressive Conservative government tabled the Safer Streets, Stronger Communities Act that will place into law specific bans on where such drug consumption sites are located.
Ontario Premier Doug Ford is making good on a promise to close so-called drug “supervision” sites in his province and says his government will focus on helping addicts get better instead of giving them free drugs.
Ford’s Progressive Conservative government on Monday tabled the Safer Streets, Stronger Communities Act that will place into law specific bans on where such drug consumption sites are located.
Specifically, the new bill will ban “supervised” drug consumption sites from being close to schools or childcare centers. Ten sites will close for now, including five in Toronto.
The new law would prohibit the “establishment and operation of a supervised consumption site at a location that is less than 200 meters from certain types of schools, private schools, childcare centers, Early child and family centers and such other premises as may be prescribed by the regulations.”
It would also in effect ban municipalities and local boards from applying for an “exemption from the Controlled Drugs and Substances Act (Canada) for the purpose of decriminalizing the personal possession of a controlled substance or precursor.”
Lastly, the new law would put strict “limits” on the power municipalities and local boards have concerning “applications respecting supervised consumption sites and safer supply services.”
“Municipalities and local boards may only make such applications or support such applications if they have obtained the approval of the provincial Minister of Health,” the bill reads.
The new bill is part of a larger omnibus bill that makes changes relating to sex offenders as well as auto theft, which has exploded in the province in recent months.
In September, Ford had called the federal government’s lax drug policies tantamount to being the “biggest drug dealer in the entire country” and had vowed to act.
‘No’ new drug sites in Ontario, vows Health Minister
In speaking about the new bill, Ontario Minister of Health Sylvia Jones said the Ford government does not plan to allow municipal requests to the government regarding supervised consumption sites.
“Municipalities and organizations like public health units have to first come to the province because we don’t want them bypassing and getting any federal approval for something that we vehemently disagree with,” Jones told the media on Monday.
She also clarified that “there will be no further safe injection sites in the province of Ontario under our government.”
Ontario will instead create 19 new intensive addiction recovery to help those addicted to deadly drugs.
Alberta and other provinces have had success helping addicts instead of giving them free drugs.
As reported by LifeSiteNews, deaths related to opioid and other drug overdoses in Alberta fell to their lowest levels in years after the Conservative government began to focus on helping addicts via a recovery-based approach instead of the Liberal-minded, so-called “safe-supply” method.
Despite public backlash with respect to supervised drug consumption sites, Health Canada recently approved 16 more drug consumption sites in Ontario. Ford mentioned in the press conference that each day he gets “endless phone calls about needles being in the parks, needles being by the schools and the daycares,” calling the situation “unacceptable.”
The Liberals claim their “safer supply” program is good because it is “providing prescribed medications as a safer alternative to the toxic illegal drug supply to people who are at high risk of overdose.”
However, studies have shown that these programs often lead an excess of deaths from overdose in areas where they are allowed.
While many of the government’s lax drug policies continue, they have been forced to backpedal on some of their most extreme actions.
After the federal government allowed British Columbia to decriminalize the possession of hard drugs including heroin, cocaine, fentanyl, meth and MDMA beginning January 1, 2023, reports of overdoses and chaos began skyrocketing, leading the province to request that Trudeau re-criminalize drugs in public spaces.
A week later, the federal government relented and accepted British Columbia’s request.
Nurse practitioners expand primary care access |
The Alberta government’s Nurse Practitioner Primary Care program is showing early signs of success, with 33 nurse practitioners already practising independently in communities across the province.
Alberta’s government is committed to strengthening Alberta’s primary health care system, recognizing that innovative approaches are essential to improving access. To further this commitment, the Nurse Practitioner Primary Care Program was launched in April, allowing nurse practitioners to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.
Since being announced, the program has garnered a promising response. A total of 67 applications have been submitted, with 56 approved. Of those, 33 nurse practitioners are now practising autonomously in communities throughout Alberta, including in rural locations such as Beaverlodge, Coaldale, Cold Lake, Consort, Morley, Picture Butte, Three Hills, Two Hills, Vegreville and Vermilion.
“I am thrilled about the interest in this program, as nurse practitioners are a key part of the solution to provide Albertans with greater access to the primary health care services they need.”
To participate in the program, nurse practitioners are required to commit to providing a set number of hours of medically necessary primary care services, maintain a panel size of at least 900 patients, offer after-hours access on weekends, evenings or holidays, and accept walk-in appointments until a panel size reaches 900 patients.
With 33 nurse practitioners practising independently, about 30,000 more Albertans will have access to the primary health care they need. Once the remaining 23 approved applicants begin practising, primary health care access will expand to almost 21,000 more Albertans.
“Enabling nurse practitioners to practise independently is great news for rural Alberta. This is one more way our government is ensuring communities will have access to the care they need, closer to home.”
“Nurse practitioners are highly skilled health care professionals and an invaluable part of our health care system. The Nurse Practitioner Primary Care Program is the right step to ensuring all Albertans can receive care where and when they need it.”
“The NPAA wishes to thank the Alberta government for recognizing the vital role NPs play in the health care system. Nurse practitioners have long advocated to operate their own practices and are ready to meet the growing health care needs of Albertans. This initiative will ensure that more people receive the timely and comprehensive care they deserve.”
The Nurse Practitioner Primary Care program not only expands access to primary care services across the province but also enables nurse practitioners to practise to their full scope, providing another vital access point for Albertans to receive timely, high-quality care when and where they need it most.
Quick facts
- Through the Nurse Practitioner Primary Care Program, nurse practitioners receive about 80 per cent of the compensation that fee-for-service family physicians earn for providing comprehensive primary care.
- Compensation for nurse practitioners is determined based on panel size (the number of patients under their care) and the number of patient care hours provided.
- Nurse practitioners have completed graduate studies and are regulated by the College of Registered Nurses of Alberta.
- For the second consecutive year, a record number of registrants renewed their permits with the College of Registered Nurses of Alberta (CRNA) to continue practising nursing in Alberta.
- There were more than 44,798 registrants and a 15 per cent increase in nurse practitioners.
- Data from the Nurse Practitioner Primary Care Program show:
- Nine applicants plan to work on First Nations reserves or Metis Settlements.
- Parts of the province where nurse practitioners are practising: Calgary (12), Edmonton (five), central (six), north (three) and south (seven).
- Participating nurse practitioners who practise in eligible communities for the Rural, Remote and Northern Program will be provided funding as an incentive to practise in rural or remote areas.
- Participating nurse practitioners are also eligible for the Panel Management Support Program, which helps offset costs for physicians and nurse practitioners to provide comprehensive care as their patient panels grow.
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