Whistle-Blower Speaks Out at the Washington University Transgender Center at St. Louis Children’s Hospital

In November, 2022, Jamie Reed quit her job at the The Washington University Transgender Center at St. Louis Children's Hospital because she came to the conclusion that the way the Center treated its young patients was "morally and medically appalling." Here are the opening paragraphs of her detailed story at The Free Press: "I Thought I Was Saving Trans Kids. Now I’m Blowing the Whistle."

I am a 42-year-old St. Louis native, a queer woman, and politically to the left of Bernie Sanders. My worldview has deeply shaped my career. I have spent my professional life providing counseling to vulnerable populations: children in foster care, sexual minorities, the poor.

For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt.

All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier.

The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility.

I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.”

Instead, we are permanently harming the vulnerable patients in our care. Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.

Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.

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Colin Wright: Sex is Binary

I've often referred to the work of Biologist Colin Wright. In this 5 minute video, Colin explains why biological sex is real, immutable, and binary.  To his explanation, I would add this: There is no third sex that has a third type of gamete.  To the extent that anyone claims there is a third sex that has a third type of gamete, please explain how that third type of gamete leads to the creation of offspring.

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The Affect of Overall Wealth and Egalitarianism on Sex Based Differences

Where would you expect to find sex based differences in career choice most diminished? If you guessed in countries with more wealth and egalitarian culture, you would be wrong. David Geary discusses and interprets the data in his article, "The Nurture of Evolved Sex Differences: Why favorable conditions produce larger sex differences." In wealthy countries like Norway, increased numbers of women pour into fields that are "people oriented" rather than "thing oriented." Consider, first, this data:

As reviewed by Schmitt and colleagues [33], sex differences in many aspects of personality, self-esteem, and cognitive and psychological functioning are larger in WEIRD, gender equal countries. For instance, women are generally more cooperative and agreeable than men and men are more Machiavellian than women, on average. These differences are larger in more egalitarian countries. One potential reason is that religious prohibitions and proscriptions increase social cooperation and decrease self-serving behaviors in men and this in turn reduces the sex differences in these areas. The release of these prohibitions enables fuller expression of underlying differences; in this case, a decrease in men’s agreeableness and an increase in their use of Machiavellian social strategies [34].

Occupational segregation also increases in WEIRD, gender equal countries, presumably due to underlying differences in preferences for working with and helping people as contrasted with working with things [35]. Girls’ and women’s greater interest in other people and relationships follows from their greater investment in children and their need to develop BFF (best friends forever) relationships that serve as a source of social and emotional support. Boys’ and men’s greater interest in things likely follows from an evolutionary history of tool making, most of which is done by men.

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