jsaunderswrites

[jsaunderswrites]

Actually your society is the freaks for shooting everything that moves and burning half your "nature reserves" every year so that upperclass dandies can eat leaded pheasant. North Americans are the well adjusted ones here, your country has become a desolate suburban lawn in island form

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UrbaSport Trimuter Electric Vehicle

Mechanix Illustrated, February 1980

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Listen to vets, not ads, and not your dumass human instincts

Millennials are ruining corrupt corporate capitalism by caring about animals

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luigi mangione, the SUSPECTED (innocent until proven guilty) united healthcare shooter, has been charged with terrorism. that’s right. a man who supposedly shot ONE SINGLE PERSON is being charged with terrorism. because in america, billionaires lives matter enough that a SINGLE rich man’s death is considered a terrorist act against this country. think about that.

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Get Cynthia Erivo to guest star on the last episode of Sesame Street

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I don't want my cellphone to have AI I want it to have 3 days of battery time. I don't want my computer to have AI preinstalled I want it to have seven usb ports and high ram at affordable price. I don't want my games to have AI built levels I want them to be so optimized I could run them on a nokia.

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So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

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babe. I know we’re all going thru a lot rn but I just wanna give u the heads up that sesame streets future is in jeopardy. hbo has chosen not to renew it for new episodes (a series that has been going since 1969) and the residents of 123 Sesame Street no longer have a home :(

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I’ve got my tumblr inbox turned off so I really have to commend the person who actually emailed me to let me know they don’t like the things I’ve posted about the UnitedHealth CEO being murdered on their commitment to their beliefs.

But seen as how you emailed me from a dud email that appears to be bouncing back replies and I really wanted to address something you said to me about violence begetting violence:

My migraine medication, the medication I was given for my debilitating neurological disease that has gotten so bad I spent most of this year actively suicidal, costs $1300 a month.

My insurance covered it. But only because my doctors office went to fucking war for me because I’m a high anaphylaxis risk for the drugs the insurance wanted me to try.

Because that’s the thing.

My doctors knew, based on my documented medical history, I likely wouldn’t be a good fit for the “first line” of preventative migraine drugs, but because of insurance, I had to be given drugs that were contradictory to my other life threatening conditions, because otherwise insurance wouldn’t cover anything else.

I failed them. Spectacularly and with an anaphylactic reaction to one of them. And I was still warned insurance would fight me because I hadn’t tried the remaining drug they wanted me to try.

A drug which I would have to take in an ER waiting room because my mast cell disease is unpredictable but insurance wouldn’t cover in-patient treatment to let me try it safely under medical supervision.

Is that not violence?

Were all the times I was denied coverage for vital and necessary procedures that could have prevented my disabilities from worsening not violence?

Maybe not in the sense you mean. But I assure you it felt very much like violence to me.

Do I condone murder? No, obviously. But I’m also sick and tired of people pretending that what is happening to the American people every day isn’t eugenics through class warfare.

Violence begets violence.

It sure fucking does.

Maybe these insurance companies should have thought of that first.

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Emily Rodda was writing in the 70s and seemed to start her children's fantasy stuff in 1993, four years before Rowling

Can’t believe Jane Austen wrote Pride and Prejudice in the 2000s

And in 2015 Emily Brontë released literary clsssic Wuthering Heights

Thank God someone paved the way for them…

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The paradox of tolerance is only a paradox if you think of tolerance as some sacred and unconditional moral duty. Some ultimate and absolute law with no exceptions, and if you ever slip into the sin of intolerance, you must repent yourself and beg for forgiveness. Yeah no fuck that. Tolerance is a social contract. You're in the game as an equal player for as long as you play by the same rules as everyone else, and if you don't, your ass is fucking out. You're not entitled to the same respect you won't give others.

"Oh so you all tolerate each other just because you tolerate each other, but if I want to destroy you, then all of a sudden you want to destroy me?" Literally yes. That's the gist of it. What's not clicking. This equation is so simple it barely counts as math.

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I refuse to believe the best years of my life are behind me. I refuse to believe the best years of my life are right now. I refuse to label my years as being the best of my entire life. Good times are always ahead. I have to believe there are always better times coming.

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"Violence only leads to more violence" TRUE! The thing is tho, a lot of people in power seem to think the start of the violence was the CEO getting shot, but they're wrong. The start of the violence was that very CEO running a company that turns immense, endless human suffering into money.

Violence did lead to more violence, decades of needless death and suffering willfully enacted by millionaires so they can make just a little bit more money, that was the start of the violence. If they didn't want it to escalate eventually, they should have maybe not made killing people the core functionality their entire company hinges on.

The people being tortured and killed by the health insurance industry are not the ones who started the violence, and tbh I don't really think it's on them to end the violence, either.

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Can’t believe Jane Austen wrote Pride and Prejudice in the 2000s

And in 2015 Emily Brontë released literary clsssic Wuthering Heights

Thank God someone paved the way for them…

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