Thread on the #keirabell judgement and sorry state of evidence-lead health policy in New Zealand.

We have further confirmation that there is no good evidence of benefit from puberty blockers, and significant risks.

1/11

The judges heard evidence for and against, and testimony from former patients. They ruled that puberty blocking is "experimental", with "very limited evidence as to its efficacy"

An unsurprising finding if you're familiar with the literature.

2/11
This is a continuation of the findings from the national health body reviews from Sweden and Finland. Both find that evidence is insufficient.

3/11

https://t.co/SdNHXYPiCT
A review by the Center for Evidence Based Medicine at Oxford University highlighted the "profound scientific ignorance" on the the use of puberty blockers

4/11

https://t.co/jTnu4jfuUt
A 2018 review by an Australian expert group finds that all studies on the psych effects of puberty blockers have a medium or high risk of bias.

5/11

https://t.co/7L5dLrr5Zo
Ok, what about New Zealand?
Dr Jeannie Oliphant is the lead author of NZ guidelines. She described puberty blockers as "the gold standard for young people." and claims that "we are using puberty blockers very freely up until about till about 20".

6/11

https://t.co/DAeIpJqqCB
The NZ guidelines cite a *single* highly biased study (de Vries et al., 2014) and then claim that puberty blocking is supported by "good evidence"

7/11

https://t.co/pch96L8gVC
The lead author of the original study (de Vries) now believes puberty suppression is not always appropriate.

She believes psychosocial support may be more appropriate for children who have recent dysphoria

8/11

https://t.co/cgHf23gCCS
New Zealand children have the right to not be subject to medical experimentation. Health authorities must uphold the right to informed consent and provide psychosocial support.

9/11
If you know doctors and parents who are considering blocking a child's normal puberty, please forward them the judgement

10/11

https://t.co/nCsHJRhZSh
Thread summarised here ->

11/Fin

https://t.co/N3SdEm0sCK

More from Law

One of the judges this story mentions is William Cassidy, who was promoted from an Atlanta IJ position to a BIA member position in 2019 by the Trump DOJ. Cassidy has an awful history that has been well-documented, but I'm still enraged reading this reporting.


The story notes that the EOIR Director served as an ICE attorney in Atlanta and practiced before Cassidy for years. And it points to FOIA records unearthed by Bryan Johnson showing they remain friendly.

A trove of complaints against Cassidy was published by AILA in 2019 after FOIA litigation. They generally show misconduct, substantiated in the record, followed by "written counseling" etc.

One way Cassidy could avoid discipline is by turning off the recording device during the hearing. If he made a lewd or offensive comment off the record, all the EOIR would do is listen to the recording. If it's not there, the complaint is "unsubstantiated" https://t.co/wUeBPEEbpV


In that case, Cassidy joked about a detained immigrant saying he missed his wife. The complaint was dismissed because the ACIJ found "no levity or joking" in the comment.
This is what he wants to do.

No matter how this trial plays out, the US will remain divided between those who choose truth, Democracy, and rule of law and the millions who reject these things.

1/


The question is how to move forward.

My mantra is that there are no magic bullets and these people will always be with us.

Except for state legislatures, they have less power now than they have for a while.

2/

The only real and lasting solutions are political ones. Get Democrats into local offices. Get people who want democracy to survive to the polls at every election, at every level.

It’s a constant battle.

3/

Maybe I should tell you all about Thurgood Marshall’s life to illustrate how hard the task is and how there will be backlash after each step of progress.

4/

Precisely. That's why Thurgood Marshall's life came to mind.

We are still riding the backlash that started after the Supreme Court decision in Brown v. Board of Education.

That's why I keep saying there are no easy

You May Also Like