The Medical University of South Carolina initially said it wouldn’t be affected by a law banning use of state funds for treatment “furthering the gender transition” of children under 16. Months later, it cut off that care to all trans minors.

One Saturday morning in September 2022, Terrence Steyer, the dean of the College of Medicine at the Medical University of South Carolina, placed an urgent call to a student. Just a year prior, the medical student, Thomas Agostini, had won first place at a university-sponsored event for his graduate research on transgender pediatric patients. He also had been featured in a video on MUSC’s website highlighting resources that support the LGBTQ+ community.

Now, Agostini and his once-lauded study had set off a political firestorm. Conservative activists seized on one line in particular in the study’s summary — a parenthetical noting the youngest transgender patient to visit MUSC’s pediatric endocrinology clinic was 4 years old — and inaccurately claimed that children that young were prescribed hormones as part of a gender transition. Elon Musk amplified the false claim, tweeting, “Is it really true that four-year-olds are receiving hormone treatment?” That led federal and state lawmakers to frantically ask top MUSC leaders whether the public hospital was in fact helping young children medically transition. The hospital was not; its pediatric transgender patients did not receive hormone therapy before puberty, nor does it offer surgical options to minors.

  • ShaunaTheDead@kbin.social
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    11 months ago

    I wonder what the same people criticizing trans health care as “mutilation of children” think of intersex babies having genital surgery forced upon them to align their genitals with gender binary ideals.

    And just before anyone has a chance to say it, trans healthcare for teens is okay despite them not being able to consent because if they don’t choose quickly then one of the options is going to be forced upon them.

    It’s like a child standing on train tracks with a train speeding toward them and the child expressing that they’d like to get out of the way while people telling them “No! You’re not old enough to make that decision!”

      • Weirdfish@lemmy.world
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        11 months ago

        It’s not, but it happens to males, so no one cares. I certianly wasn’t consulted about it, and have only been ridiculed when I’ve suggested it should have been my choice.

        • ashok36@lemmy.world
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          11 months ago

          You’re ridiculed because everyone knows that 99% of men wouldn’t choose to be circumcised if they had to do it as an adult. Yet because we do it to babies it’s fine.

          • emptiestplace@lemmy.ml
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            11 months ago

            Specious.

            They were ridiculed because it is easier to make fun of the person causing ethical discomfort than it is to sincerely contemplate one’s beliefs.

            • Omniraptor@lemm.ee
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              11 months ago

              wow we found one in the wild (no offense). But seriously I would like to know, why not give your kids the chance to decide for themselves as well?

              • 【J】【u】【s】【t】【Z】@lemmy.world
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                11 months ago

                A number of reasons. The whole “well just wash” thing kind of presumes a certain quality of life and access to hygiene that isn’t guaranteed–my doctor’s opinion on this was informed by his experience in the jungle in Vietnam; it is more hygienic that washing, as obviously soap and water doesn’t remove all bacteria and fungus that live on the skin, especially in folds or crevices; it’s a surface that goes right over the top of an open orifice, so the risk of infection really isn’t something to leave to chance as to whether or not you’ll finish the day with a hot shower and soap; adult circumcision requires open wound care protocol, which carries its own risk of infection, in a very sensitive area, prone to healing complications, whereas babies have veritable superhuman healing powers and it heals in a few days with Vaseline; as a baby it’s a basically an outpatient dermatological procedure, as an adult it’s an actual surgery, with much greater risks of complications. It’s a no brainer; it was recommended by every doctor we asked, who all considered it a no brainer. I know you can find anything online but the science and weighing of risks on this is makes the decision pretty clear.

                E: Dumb, anti-acience people are downvoting this. Apparently they know more than doctors.

                • The scientific evidence supporting circumcision is actually fairly unconvincing. It’s still invasive, medically unnecessary surgery, that kills ~100 babies every year. It’s also proven that their brains are impacted by the procedure and show signs of PTSD.

                  Literally no other health board except American ones recommend circumcision. Canada, the Netherlands, the UK, Germany, all of these countries recommend strongly against circumcision as a therapeutic treatment, as far less invasive and much more effective options exist to achieve similar or far better health benefits. Even having basic hygiene and washing your penis erases any claimed health benefits from circumcision (which were already incredibly minor). It’s literally only potentially beneficial if you don’t observe basic hygiene.

                  It’s also fairly unethical to make decisions regarding what is effectively mostly cosmetic surgery on a baby boy that can not consent to the procedure.

                  Literally almost every mammal evolved to have some kind of penile sheath. If it was truly detrimental to have a foreskin, it is highly unlikely that would have happened.

        • TotallynotJessica@lemmy.world
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          11 months ago

          Trans women certainly care. We didn’t ask for a lot of things, but circumcision still adds insult to injury.

          The awful truth is that few people want to address fucked up shit. Almost everyone suffers from something forced upon us for no good reason, so if anything we need to support one another and work to end this crap.

          • SkyeStarfall@lemmy.blahaj.zone
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            11 months ago

            Uh, speaking as an European, your comment is completely ridiculous. It’s genital mutilation as it’s done without consent, as simple as that.

            It should never be acceptable.

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            11 months ago

            “bent out of shape over something you can’t even remember”

            I’m pretty sure he probably remembers he’s been circumcised whenever he goes to the bathroom, takes a shower, changes his underwear…

            If a person is drugged or blackout drunk is it ok to rape them if they don’t remember?

            Is it ok for a parent to put tattoos on their child if they get it done while the baby is young enough not to remember?

            Someone can come to terms with a situation and still be allowed to be angry about it.

          • SuddenlyBlowGreen@lemmy.world
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            11 months ago

            don’t shame others for wanting a clean dick.

            Or you could just wash it. Like normal people.

            Do you also support scalping for wanting a clean head?

          • prole@sh.itjust.works
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            11 months ago

            Yeah, what did humans do before weird crazy religious folks in the desert decided we need to cut (or even bite, 🤮) the foreskin off of a new born child? How did we survive??

          • misophist@lemmy.world
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            11 months ago

            This is why I don’t fuck Americans. They honestly think their unwashed mutilated dicks are clean. Circumcised dicks are fine if that’s what you got, but you still have to clean them just like any other dick.

            • prole@sh.itjust.works
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              11 months ago

              Do people really just not clean their dicks? What the fuck?

              Do you believe this to be an American stereotype?

              • misophist@lemmy.world
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                11 months ago

                I mean, I’ve met Americans that don’t clean their dicks, so it’s not wrong, but it’s not really the norm. Sure, most people clean their dick, but if you honestly think cutting your dick up makes it cleaner, then I’m going to assume you just don’t get near it with soap and water because any dick can be cleaned with soap and water.

                • prole@sh.itjust.works
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                  11 months ago

                  but if you honestly think cutting your dick up makes it cleaner, then I’m going to assume you just don’t get near it with soap and water

                  Yeah I’m sorry this just makes no sense.

                  First of all, the overwhelming number of circumcisions occur long before a person is capable of consenting to such a procedure. So I don’t think people are walking around thinking, “hey, if I cut up my dick, I won’t have to clean it anymore!”

                  This shit happened when I was born, I had zero choice in it. It’s absurd to make assumptions like that as if it’s a personal choice.

                  Second, the assumption doesn’t even make sense. Nobody has ever said or implied that circumcision is an alternative to washing your dick. That’s insane. What are your even fucking talking about??

                  Sounds like maybe you had one or two bad experiences with some gross, unhygienic losers, and are assuming everyone is the same. You’re dead wrong.

                  • misophist@lemmy.world
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                    11 months ago

                    Listen, my highly-offended dude, the comment I am replying to said “but don’t shame others for wanting a clean dick.”

                    If you think that means something other than “mutilated dick = clean dick”, then maybe we’re not even speaking the same language, and you’re gonna have an aneurysm trying to defend ol’ dirty dick upthread.

              • misophist@lemmy.world
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                11 months ago

                no. I’d interpret “misosophist” as somebody who HATES wisdom/teaching/thought. I’m just playing at being a sophist who is probably more often wrong than right (including possibly with the dubious etymology of my own handle). I really didn’t put much thought into it when signing up for lemmy, though.

          • Weirdfish@lemmy.world
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            11 months ago

            Do I remember it? No, but I was born very premature and required surgery, so was not circumcised at birth. Why my father told me this story over breakfast when I was like 10, and why he thought how I screamed and cried when I finally, as he put it, “Got my pencil sharpened” was funny, I’ll never know. Do I need therapy over it? No. Is it something I wish hadn’t happened? Yes.

    • CherenkovBlue@iusearchlinux.fyi
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      11 months ago

      Intersex genital surgery and circumcision should not occur on children. Adults should be free to choose what they want done to their bodies.

    • captainlezbian@lemmy.world
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      11 months ago

      Well they usually include exceptions or mandates for intersex “correction” surgeries in those laws so yeah that’s that.

    • Syrc@lemmy.world
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      11 months ago

      And besides, the Hospital in the article doesn’t even do surgeries on minors, only hormone treatment. There is no mutilation involved whatsoever.

    • interceder270@lemmy.world
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      11 months ago

      It’s like a child standing on train tracks with a train speeding toward them and the child expressing that they’d like to get out of the way while people telling them “No! You’re not old enough to make that decision!”

      Awful analogy, even if your point is sound. We should focus on the topic at hand, instead of trying to pivot to literal life-or-death analogies. It’s a tactic people use to derail discussion instead of engage in it. Now instead of focusing on the topic at hand, we need to focus on how accurate your analogy is. It’s more fruitful to just leave the analogy at home and try to have your relevant arguments stand on their own.

      Lots of people on these forums will disagree, though.