pooh [she/her, love/loves]

I’m the transfem Columbo of infodumping.

  • 4 Posts
  • 4 Comments
Joined 4 years ago
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Cake day: July 29th, 2020

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  • Meanwhile, actual medical professionals: https://journalofethics.ama-assn.org/article/whats-wrong-criminalizing-gender-affirming-care-transgender-adolescents/2023-06

    These laws are poor public policy, as they create a significant conflict between physicians’ adherence to the law and adherence to their professional code of ethics and civil law tort duty not to commit medical malpractice. The traditional standard of care with regard to medical malpractice requires that “medical care for a given patient and health care provider is the quality of care that would be provided to any patient in a similar clinical situation, by the average provider in a similar location.”30 In some specific cases, adolescent GAC treatment, including surgery, may be necessary in order for a physician to practice in line with the legal standard of care (thus avoiding malpractice) and also to satisfy their professional ethical duty to offer safe and effective medical care that promotes the patient’s well-being.31

    As Kraschel et al explain: “these statutes would transform their [physicians’] fiduciary duty into a criminal act.”10 Similarly, Lepore et al argue that the laws are untenable, as they “require that health care workers act against current evidence-based guidelines” such that they are legally mandated to violate their duty to “do no harm.”32 The same tension between professional and legal obligations is observed in new abortion laws being enforced post-Roe v Wade, wherein the professional ethical duties of physicians are put in direct conflict with criminal law, forcing physicians to choose between upholding their ethical duties or violating the law.33 Hence, these new laws prohibiting GAC treatment for minors (including gender-affirming surgery) center on the government’s unwillingness to let the medical profession self-regulate—via oversight from state medical boards—or allow civil tort law to regulate physician practice as it does in most other cases.

    Criminalizing gender affirming care for minors, including surgery, is both outside the mainstream opinion of medical professionals, as well as extremely wrong from a moral and ethical standpoint. Those in the thread trying to argue that Biden is adopting a “moderate” position with this couldn’t be further from the truth. His stance is harmful and extreme.



  • Therefore, we are left with some options that may feel uncomfortable to us. For example, we may want to consider leaving the Fediverse for another software platform that does NOT include ActivityPub. To explain, Fediverse/ActivityPub are very positive concepts on the foundational level. However, the Beehaw project is struggling to include this because most of our moderation/content/ethos is being jeopardized from OTHER federated instances (i.e. it, mostly, is NOT coming from within our own Beehaw registered user base).

    Sounds like they don’t like federation and just want to isolate their own instance. Why couldn’t they just defederate instead of going through the process of migrating to another platform? Is it really that difficult to do?

    EDIT: Thinking about this a little more, it seems like the admins (or admin?) have a very specific idea of the kind of community they want, and are getting frustrated when everything isn’t perfect to their vision, whether that’s lemmy code or other instances they are federated with. Then they complain and contribute nothing towards making the fediverse better. I guess what I’m saying is that they really do seem to want a walled garden that’s perfect to some idealized community that only exists in their heads, and I don’t think communities really work like that.