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Anne Barton's avatar

Thank you for sharing, Sigrid! I hope that things cool off and get better for you.

Personally, I think the trans issue is used on the left as a stalking horse for reactionary agenda. And to be very clear, this is NOT the fault of trans people. The blame for that lies squarely on the people who want to use a minority with their own problems to push their agenda. But what I think is that 90s-era feminism scared people. Actual gender equality seemed almost within reach. Women were learning self-defense and home maintenance and self-confidence. And of course, that couldn’t be tolerated. Society needed a way to make women constantly question ourselves again. Enter the myth of femininity.

According to this myth, being feminine is wonderful. Women support and care for one another. We are more real than men- while men are emotionless robots offing themselves left and right because they don’t have real friendships (all they talk about is fishing- urgh), women are emotionally intelligent and happy. Femininity is empowering.

In reality, women are more depressed and anxious than men on average, and female and male loneliness numbers are about equal. Few women have a “chosen sisterhood” and most of those who do have it through a church or other subcultural milieu that only lets women express themselves in woman-only settings.

The joys of femininity are a mirage, but a useful one- they make women question ourselves. Why am I not a Golden Girl living with my besties? Is it because there’s something wrong with me? I better not talk about it- all the other women are supported and loved- if I don’t pretend to have it all everyone will think I’m a loser. This mirage has also stoked male resentment towards women- men often think that society cares about women and that loneliness is a male problem. And specifically, a male problem caused by feminism telling everyone they are dangerous and should be avoided. And modern feminism does them one better and says their friendships aren’t real because they are activity based.

Trans women play an important role as converts to femininity. They are centered not because anyone actually gives a hoot about them, but because if biological males love femininity and wish they could be feminine and are kept from being feminine by mean patriarchy, it lends credence to the idea that femininity is superior.

The other side of the coin is the silencing of traditional feminists or women who aren’t all that invested in femininity. If a woman has the confidence to watch a YouTube video and change her own electrical socket instead of paying a man $500 to do it for her, she is “not like other girls”. If she is just a busy mom with no time for dress up and goes to Walmart in baggy sweats with no makeup, she has internalized misogyny. Basically, the idea is to get every woman convinced that if she doesn’t constantly work to be feminine, her womanhood is going to slip out of her pocket and she’s going to be some sort of unfeminine creature. Which no REAL woman would be able to stand being.

By getting everyone to worry about their gender identity, the left has gotten everyone to stop thinking and talking about economic issues, or even bread and butter women’s issues like the wage gap or abortion access. And in the US, companies LOVE the idea of placating workers (or at least confusing their resistance to value extraction) by putting pronoun signatures on emails. It’s so much cheaper than paying women equally. So gender issues got a lot of interest and funding.

But no one cared about trans people. I’ve seen this with the trans people I know. They are often hurt and suffering. But most on the left engaged in reverse CBT from hell about how they are bound to kill themselves. The left works against any care for trans people that isn’t based in striving for femininity- therapy, antidepressants, or care for psychological comorbidities is denounced as “conversion therapy” even when it is recommended alongside gender-affirming care like HRT, puberty blockers, or surgery. The sad truth is the left likes trans women better as dead martyrs for the feminine cause than as real people with their own talents and flaws.

And that scares the crap out of me for what is going to happen to trans people after this election. I’m starting to see it already- the left is blaming trans politics for the election loss. The length of the step to go from blaming the emphasis on trans issues to blaming trans people themselves is tiny. If I were trans, right now I’d be more afraid of the Democrats than the Republicans. I don’t believe there was ever any real concern for trans people. They were just convenient. And now they are inconvenient.

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Rebekah Berndt's avatar

This is such a valuable and important interview. Thanks to Rhyd and Sigrid for doing this. I do think there are a few points that could be expanded or pushed back on:

I agree that far stricter gatekeeping around child transition would dial down some of the hysteria and fear around pediatric gender medicine. And a simple dividing line of testosterone-fueled puberty vs non-testosterone fueled puberty is the clearest and simplest place to draw the line around women's sports.

But I'm not so sure that "earlier is always better" as far as transition occurs. True, if you put a male child on hormone blockers at an early age, it will make it much easier to pass as female once she's grown. But, as the prominent trans surgeon Marci Bowers has admitted, when children are blocked at that early stage—that is Tanner Stage 2 or earlier, which in males is the point where the testicles have begun to descend, but just before they experience muscle growth and voice change—they will almost certainly never experience orgasm. At least none of the kids who have been blocked at this stage have thus far, and we should remember that this is still a very new treatment without a lot of high-quality data behind it. The second thing Bowers mentions is that children blocked at this stage won't develop enough genital tissue for bottom surgery (or at the least it will make it much more difficult and prone to complications, as was the case with Jazz Jennings). There might be some children and families who decide it's worth it, but that's a hard decision to ask a child to make when they've never even had an orgasm.

As to the point Rhyd makes about the incentives of a for-profit health system—the incentives for increased throughput to maximize profits and therefore decreased assessment—that's one factor. But the truth is, decreased assessment and "gatekeeping" leads to an overall increase in treatment and procedures that must be paid for, either by insurance companies or out-of-pocket. Which brings us to the real monetary issue here: the primary purpose of the U.S. Healthcare system is not to heal illness or improve people's lives. It's to generate profits for pharmaceutical companies, device manufacturers, insurance companies, and providers.

The whole business model of Pharma is based on finding, inventing, and expanding new categories of illness that be treated with newly pateneted drugs. Ideally these are chronic conditions for which the patient must receive medication for the rest of his life. This is why cholesterol became the big culprit for heart attacks—because it can be lowered with the nely developed (at the time) statins—despite data showing that the relationship was far more complex than originally reported. Or why the neurotransmitter imbalance theory became the primary model for understanding mental illness, despite earlier research that pointed to underlying metabolic conditions that could be addressed with dietary changes.

A market research firm recently estimated that gender medicine will grow to an 11 billion dollar market in the US by the end of the decade. Hospitals in affluent areas have been opening up new gender clinics right and left. Specializing in gender medicine is a great way for a newly minted urologist or endocrinologist to find a marketable niche for themselves. And we need to be honest about the kinds of pressures these factors create to gloss over risks and complications, to overstate benefits, and to reduce thorough and careful assessments that might limit the pool of potential customers.

We need better conversations around this. As someone who's been publicly (although not that publicly) gender-critical in the last year or two, it's really hard sometimes to resist being polarized to the other side on this issue—that is, being angry and infuriated at the whole notion of transgenderism, and un-empathetic to someone like Sigrid's experience—because to offer even the mildest criticism evokes a cascade of emotional terrorism from proponents of extreme trans ideology. It's almost like you have to be extra pugnacious sometimes to even fight back. And that's a shame, because in the long run, no one, least of all gender-dysphoric and non-conforming kids, are served by that.

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