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Question: I have a question about uh WPATH of World Professional Association for Trans Central Health came up a few times. There was a comment I think that it still is sort of seen as the standard. I think that maybe despite the fact that the Cass review, other um reviews in the medical literature are in contradiction with it. So what do we do with that? Um and is WPATH legitimate?
Moderator: Okay. So the question is WPath which just to remind ourselves uh World Professional Association of Health Professional Association of Transgender Health. Okay. And this uh which for many years has presented itself as the gold standard in trans health. Mia, I know your answer but I'm going to ask you anyway. Uh is WPAT still the gold standard in trans health?
Mia Hughes: Absolutely not. In North America, clinics still follow WPath and and somehow WPATH has survived all of the unbelievable scandals that have unfolded in the last few years. But WPATH's credibility is completely destroyed mostly by emails that came in an court case. Um, discovery emails in an Alabama court case that revealed this is this is a group that just is guilty of fraud, corruption, and has absolutely no respect for the scientific process. Its standards of care are built on thin air.
They have no evidence and yet they just pretend that there's evidence. Uh they are engaged in politics, not science. And I if a if a clinic is following WPath, if a nation is following WPath now, there's truly no excuse. And and it's it's it's appalling in my opinion.
Moderator: Morgane ..,
Morgane Oger: I'll quote a famous transphobe. Ridiculous. Oh, this is ridiculous. You're talking about ….So, one person making assertions like this needs to have like peer reviewed studies from highly respected sources that validate it. I cannot go around and say universities don't exist. They're lying liars. Okay. I cannot go around saying I need some evidence
Moderator: Mia is talking to a political dimension.
Morgane Oger: No, no, it's not. It's no Mia is saying that you know there are internal, internal documents
Moderator: been politically discredited
Morgane Oger: But it's actually not true. Mia's political discredit, discredit, her, her, her statement is a hugely overblown version of reality. Reality is, this is an organization that includes medical practitioners who have very high reputation, except in Mia and some other non-practitioners viewpoints. There are some dissenting people who say, yeah I don't agree on this on various grounds, but you know what show us the data. Like come up with some data. (To Mia- no not you you are not competent to show the data.)
The data will come from endocrinologists, will come from criminologists, will come from primary care and specialist physicians that will say, look you know we're seeing an uptick in fill in the blank. Right? The reality is WPath has been active for what two or three decades. Trans care has been going on for coming on 50 years now. And this mythical smoking gun, it's never been produced. It doesn't exist.
There is no problem. There are just people running around saying, "My hair is on fire. There's a huge problem." And it's time to stop talking about things as if they were a crisis and let the scientists and the doctors and the universities do their damn job.
Their job is to validate, check it out and see what they can do.
Mia Hughes: Okay.
Morgane Oger: And when the attack is you're not following the following madeup standard, you need to make sure that those standards are the universal standards for that kind of work.
Mia Hughes: May I respond?
Moderator: Morgane, Morgane…
Morgane Oger: I don't know what you're talking the standards have to be equivalent across practices.
Mia Hughes: Yeah, just to be clear, it's not I'm not talking about peer review. I'm not talking about studies. I'm not talking about peer review. I'm talking about these are documents…. WPath was named in a a laws in a legal case in Alabama, and the attorney general ordered WPath to turn over 2 million internal emails of how they drew up their standards of care 8. And a small number of them have been released and you can definitely call them the smoking gun.
You can see in WPath's own words in their internal documents how fraudulent this organization is. So I'm not just pulling this out of thin air. There's actual evidence.
Morgane Oger: Hang on a second. What you are talking about is basically hand over your chat server, right, on a topic and we're going to look for how you're talking wrong about a process that we think should be rigorous. But the process isn't what needs to be rigorous. What needs to be rigorous is the policy. No, it was it doesn't matter…
Mia Hughes: … it was how they made standards of care 8. It was it was the emails on how they drew up SOC8. Would you like me to give some details?
Morgane Oger: Don’t look at how the sausages.
Moderator: In fairness, I think you you spoke for a bit about how Mia is not an endocrinologist and she's ignorant, but I think it's fair to
let Mia provide some detail.
Mia Hughes: Right. So I'll give I'll give a couple of examples of what these emails revealed. So when WPATH set out to um, create standards of care 8, the process started in 2018 and they had the idea that this would be an evidence-based standards for the first time, they would they would have evidence. And so they commissioned a series of systematic reviews from John's Hopkins, one of the best centers in the world. And there's at least they commissioned at least 13 of them. And then the first two come in and this is all in the emails. You can see it. The first two come in and they're communicating with Johns Hopkins and the reviews show that there's only really low quality evidence. There's no good evidence at all.
So then WPath just block the publication of all of the systematic reviews. We've never we've seen two then they showed no evidence and then the rest we've never seen them. They blocked John's Hopkins, which this is not how it works. independent reviews, you don't interfere. And then they went ahead and made and created standards of care 8 as if the reviews had shown evidence.
That's not science, that's politics. Right?
And the other really important smoking gun is after WPATH published standards of care 8 in 2022 September, within 24 hours in the
adolescent chapter the there were minimum age recommendations and then 24 hours later they were gone. And nobody knew what what had happened. They just disappeared. And the the internal discovery emails show that it was Admiral Rachel Levine, who was Biden's assistant secretary for health and human services. He was inside pressuring WPath, his assistants, his team, telling them to remove the lower age limits because it would it would affect the the legal challenges going on at the state level that the Democrats
were fighting. So they changed the international standards of care that the clinics all over the world follow for treating adolescents based on Admiral Rachel Levine's request and based on American politics.
That's just a tiny bit there. I could go on for hours and hours about those emails, but they're emails. It's how they made standards of
care 8. So any organization, any institution, any nation that still follows standards of care aid is following a fraudulent document that is not scientific it's just political.
Morgane Oger: briefly if medical standards of care are wrong, the evidence is in the outcomes. There is no evidence in outcomes that the that this is wrong. What… perhaps… let's say it's true that it's wrong. Let's say that the standards of care are off, which I, I am not of the right professional skill sets to evaluate them in detail. But let's say somehow they are wrong.
The truth will tell us they're wrong through statistics. There are we're very lucky actually. We are in one of the very few countries that follows such statistics closely. I look forward to seeing those statistics.
Moderator: We had the statistics but then they didn't want to publish them.
Morgane Oger: No, no, no. That's not what we're talking about. You're talking about a learned organization saying this is what you should do. Why? Politics. Let's say it's politics. Okay. It is learned organization says this is what you should do. But they don't do the caregiving. The caregiving is done by caregivers. Those caregivers report their data to StatsCan. They report their data to each other. They write papers about it saying, "We're finding that, you know, we treat this thing and that other unexpected thing outcomes. This isn't working." Right? That's where the truth comes is in the outcomes.