I've just been at a training day in my therapy profession. Luckily I'm governed by a light touch regulator that is only partially woke and not really Stonewalled.
We were discussing the oncoming rush of class actions on head injuries in rugby, the concussions leading to permanent personality changes, early dementia etc.
It seems how this will be judged will be what was known at the time re brain physiology and the mechanics of repetitive impact and blunt force trauma.
Right now scores of doctors are sweating looking at their patient notes from treatment, and non treatment, and the liberal attitudes towards, head injuries in the sport from the 70s onwards.
I brought up with the head of the training day my reservations on medical interventions with trans IDd teens, and how "balance of evidence" compares.
Remember, doctors have to provide quality care, but also what's "reasonable", not just on strict terms, but what's reasonable in overall scope.
So, doctors may get away claiming that evidence was ambiguous in 70s - 90s re long term irreparable brain damage from ongoing impact in rugby.
But trans medicalisation is happening in the 21st century, indeed right now. We know everything about osteoporosis, about anorgasmia, about the enormous risks on fertility, bladder function.
And of course, the big what we don't know, the psychological and continued decrepitude of such violent intervention on youth.
I walked away from my day, my head spinning. Doctors will lose many class actions of head trauma in rugby and how they didn't lock down more conservative treatment and enforced player retirements protocols.
Based on science from decades ago.
Yet doctors and surgeons and pharma firms are blindly and willfully carrying out way greater harms, against way greater vulnerable cohort of population, with 2023 levels of highly refined knowledge and data on poor health outcomes.
And yet pushing on and on, a seeming addiction to casting aside "first, do no harm".
My mind cannot compute such brazen risk taking. Because when the class actions mushroom towards decades end, there'll be no hiding place for these individuals, the medical/legal complex, the media that refused to interrogate this unique societal contagion moment.