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Sat Jan 28, 2023, 02:26 PM

Gov. Cox [Utah] signs high-profile bill on transgender surgeries

Source: KSL.com (KSL Broadcasting Salt Lake City, Utah)

Cox gave his approval to SB16, a bill banning transgender surgeries for Utah children and teens. SB216 also places an indefinite moratorium on treatments including puberty blockers and cross-sex hormones for minors. The bill was sponsored by Sen. Mike Kennedy, R-Alpine, a practicing family physician, and passed by the Utah Legislature on a final 20-8 vote by the Senate.

"Legislation that impacts our most vulnerable youth requires careful consideration and deliberation," Cox said in a statement about SB216. "While not a perfect bill, we are grateful for Sen. Kennedy's more nuanced and thoughtful approach to this terribly divisive issue. More and more experts, states and countries around the world are pausing these permanent and life-altering treatments for new patients until more and better research can help determine the long-term consequences.

"We will continue to push the Legislature for additional resources to organizations that work to help this important Utah community. While we understand our words will be of little comfort to those who disagree with us, we sincerely hope that we can treat our transgender families with more love and respect as we work to better understand the science and consequences behind these procedures."


Read more: https://www.ksl.com/article/50567331/gov-cox-signs-high-profile-bills-on-transgender-surgeries-school-choice-vouchers



Gov. Spencer Cox last year, when he vetoed a Republican bill barring transgender students from girls' sports in Utah:

In an emotional letter about his veto, Cox cited research about the high risk of suicide among trans youths and additional research that has found that acceptance reduces the risk of suicide.

"I don't understand what they are going through or why they feel the way they do. But I want them to live," he wrote. "And all the research shows that even a little acceptance and connection can reduce suicidality significantly."
https://www.aol.com/news/utah-poised-first-state-pass-143333616.html


Gov. Spencer Cox in 2023:

The governor's approval of the bill was anticipated after he said last week that the bill banning trans teen health care was a "very reasonable approach." (from today's KSL.com article)



It should be noted that puberty blockers (which only pause puberty while administered) have been prescribed for trans teens since 1982 and continually studied since. The treatment normally involves a team consisting of the teen, their parents if they are a minor, their pediatrician, a pediatric endocrinologist and a psychologist/therapist. Along with regular check-ins, blood work and bone density tests, they are part of a medically managed puberty, not something that is done on a whim. There are hundreds of studies showing that for teens who need them, blockers and later, hormone replacement therapy, are safe and effective and greatly reduce suicides and increase quality of life for the rest of their life.

"What the Science on Gender-Affirming Care for Transgender Kids Really Shows
Laws that ban gender-affirming treatment ignore the wealth of research demonstrating its benefits for trans people's health"
https://www.scientificamerican.com/article/what-the-science-on-gender-affirming-care-for-transgender-kids-really-shows/

The latest study results, as of this week:
"Mental health benefits of gender-affirming hormones for teens persist for two years in new study" (the study lasted two years)
https://www.statnews.com/2023/01/18/mental-health-benefits-of-gender-affirming-hormones-for-teens-persist-two-years/

Medical association statements supporting trans health care, including blockers & hrt when applicable, for teens:
https://transhealthproject.org/resources/medical-organization-statements/

26 replies, 1858 views

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Arrow 26 replies Author Time Post
Reply Gov. Cox [Utah] signs high-profile bill on transgender surgeries (Original post)
NullTuples Jan 28 OP
Matthew28 Jan 28 #1
question everything Jan 28 #2
NullTuples Jan 28 #3
nakocal Jan 28 #4
maxsolomon Jan 28 #5
Phoenix61 Jan 28 #6
ShazzieB Jan 28 #17
News Junkie Jan 29 #22
NullTuples Jan 29 #25
Phoenix61 Jan 30 #26
vercetti2021 Jan 28 #7
ShazzieB Jan 28 #19
NullTuples Jan 28 #10
maxsolomon Jan 28 #11
NullTuples Jan 28 #12
maxsolomon Jan 28 #13
Hugh_Lebowski Jan 28 #14
vercetti2021 Jan 28 #8
GB_RN Jan 28 #9
Hugh_Lebowski Jan 28 #15
NullTuples Jan 28 #18
vercetti2021 Jan 29 #23
ShazzieB Jan 28 #16
littlemissmartypants Jan 29 #20
paleotn Jan 29 #21
SouthernDem4ever Jan 29 #24

Response to NullTuples (Original post)

Sat Jan 28, 2023, 02:30 PM

1. The religious nutcases

Are acting like the taliban! Only ever for small government when it comes to giving every last cent to the super rich. For everyone else? It is walk our narrow line.

This is disgusting.

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 02:39 PM

2. Please add, in parentheses the name of the state. It is allowed

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Response to question everything (Reply #2)

Sat Jan 28, 2023, 02:45 PM

3. Done, thank you.

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 04:41 PM

4. Gov Cox has just caused the

number of suicides in Utah to go up.

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 04:58 PM

5. I would love to see some stats on how many procedures this would prevent.

How many underage surgeries are (were) done in UT every year? Nationally?

I'd guess the number is vanishingly small.

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Response to maxsolomon (Reply #5)

Sat Jan 28, 2023, 05:40 PM

6. From the reading I've done the only treatment done

before age 18 is mastectomy. Seems that wouldn’t be necessary if the person had access to appropriate hormone therapy.

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Response to Phoenix61 (Reply #6)

Sat Jan 28, 2023, 10:05 PM

17. You're right.

The proper hormone treatment (including puberty blockers) at the right tjme would keep the breasts of a trans boy from developing in the first place. But the same people who are responsible for this Utah law are opposed to that, too! They're opposed to anything other than forcing trans kids to live as the gender that is dictated by their anatomy at birth, because they think it's all in their heads.

These people are sick, and they make me sick.

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Response to Phoenix61 (Reply #6)

Sun Jan 29, 2023, 06:31 PM

22. A very small number

 

Nationally, 56 genital surgeries among patients ages 13 to 17 with a prior gender dysphoria diagnosis from 2019 to 2021. 776 undergoing mastectomy with a prior gender dysphoria diagnosis from 2019 to 2021. It's a tiny number, but incorrect to say it doesn't happen.

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Response to News Junkie (Reply #22)

Sun Jan 29, 2023, 10:48 PM

25. True, but there's an important detail that's important to keep in mind, too.

Last edited Mon Jan 30, 2023, 04:03 PM - Edit history (1)

Regarding the doctor's decision:

Trans men are far more likely to have endometriosis* or uterine fibroids** than cis women & what I've found over the years is that nearly all trans bottom surgeries on say, younger than 17 years old (since they could be emancipated minors & that messes with the stats) are hysterectomies / ovo-hysterectomies. But even those are only done in the most extreme of cases. That meshes with other insurance stats I've seen and would likely account for the 0.000063% who had surgery of the 30 million teenage patients included in the study.

* 25% of trans men vs 10% of cis women
https://www.jmig.org/article/S1553-4650(21)00559-8/fulltext

** as high as 58%
https://reader.elsevier.com/reader/sd/pii/S1028455916301280?token=ED1F9E15EDACFC04BB3B3C848AF7ADC85537EC98ECC04A7F507E00A89B9A6E82881F93CA9E07AC194F734F0034F2457C&originRegion=us-east-1&originCreation=20230130024643

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Response to News Junkie (Reply #22)

Mon Jan 30, 2023, 04:25 AM

26. That's based on an analysis by Komodo that looked at

insurance claims with a gender dysphoria diagnosis and genital surgery. The assumption is that the surgery was strictly due to the diagnosis and not due to some other medical situation like being intersex. I can’t find a hospital that will do genital surgery on a transgender person under the age of 18.

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Response to maxsolomon (Reply #5)

Sat Jan 28, 2023, 05:50 PM

7. Even then

California is close by and thankfully hopefully they can go there for treatment

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Response to vercetti2021 (Reply #7)

Sat Jan 28, 2023, 10:10 PM

19. Colorado is even closer.

Of course, it sucks for people to have to go to a different state for medical treatment, but at least the possibility is there.

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Response to maxsolomon (Reply #5)

Sat Jan 28, 2023, 06:52 PM

10. Very rough estimates based on insurance info from 2021

4,000 - 7,000 teens are currently on puberty blockers in the entire USA, adding around 1200 per year & about the same number dropping off after a few years as adults.
15,000 - 18,000 teens are on on hrt (hormone replacement therapy). These tend to overlap with maybe two thirds of the teens on blockers.
Again, this is for the entire USA, with a teen population of about 43 million, out of 332 million people total.

Total population of Utah is about 3 million, so that's approximately 390,000 teens in the state. That works out to about...64 teens on blockers in Utah. Estimated, based on averages only.

Insofar as surgeries go?

According to Reuters, there were 282 top surgeries performed for gender dysphoria in the entire USA in 2021.
https://www.reuters.com/investigates/special-report/usa-transyouth-data/


Utah plastic surgeons *advertise* breast reduction surgery for cis teen boys; they are not covered by the ban because they reinforce gender norms.

My question for the legislators is, "Aren't those cis boys also having top surgery for gender dysphoria? Don't they feel unhappy that part of their body matches the wrong gender based on their gender identity?"

https://www.utahfacialplastics.com/2013/09/05/know-before-you-go-teen-plastic-surgery-in-utah/










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Response to NullTuples (Reply #10)

Sat Jan 28, 2023, 06:54 PM

11. thanks, that's informative.

i don't think those 282 top surgeries were specifically for minors, correct?

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Response to maxsolomon (Reply #11)

Sat Jan 28, 2023, 06:56 PM

12. "U.S. patients ages 13-17 undergoing mastectomy with a prior gender dysphoria diagnosis"

(see the link in my comment above)

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Response to NullTuples (Reply #12)

Sat Jan 28, 2023, 07:03 PM

13. ooh, ok. that's the number I'm looking for.

vanishingly small, but that doesn't matter when you're Protecting The Children © against

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Response to maxsolomon (Reply #5)

Sat Jan 28, 2023, 08:31 PM

14. Reading the 2nd sentence it seems to indicate it's not just surgery (nt)

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 05:50 PM

8. Oh yeah such pressing issues

I hope any family with trans children leave for California for treatment. Fuck Cox

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 06:02 PM

9. Sounds To Me Like A Privacy Violation...

But with the corrupt SCOTUS looking to kill all 14th Amendment-related privacy protections, I wouldn’t bet on Scammy Alito, Clarence “Uncle Slappy” Thomas, et al., agreeing.

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 08:35 PM

15. On the one hand, I suppose we don't accurately know what might happen 40, 50 years later, but ...

For one thing, 'we' almost never do when drugs go on the market. Nothing is held off the market on those sorts of grounds ... except this treatment apparently.

And for another, if you exit this planet in your teens or early 20's because you don't have these treatments ...

This is some shitty stuff.

But then ... Utah

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Response to Hugh_Lebowski (Reply #15)

Sat Jan 28, 2023, 10:09 PM

18. I mean, the first teens prescribed blockers are in their mid 50's now & no reports of bad things?

But the real point is made clear when you realize that the exact same drugs and surgeries are allowed and culturally sometimes even encouraged for cisgender teens.

Puberty blockers are used for kids with precocious puberty. Estrogen & testosterone are used to manage puberty for cisgender teens. And top surgeries for both cisgender teen girls (augmentation) and boys (reduction) are done by hospitals and private plastic surgery centers.

But those are all deemed to reinforce the Republican views of a pure sex & gender binary, so they are allowed.

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Response to Hugh_Lebowski (Reply #15)

Sun Jan 29, 2023, 08:09 PM

23. I'm fine with the drugs

I don't care if I get some bad side effect. Better to die being someone you are meant to be than to commit suicide or die miserable as the wrong gender.

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Response to NullTuples (Original post)

Sat Jan 28, 2023, 09:47 PM

16. I've had it up to here with politicians dictating people's health care decisions!

This is an outrage! Whether it's reproductive health care or determining the proper treatment for gender dysphoria, we're talking about medical issues that are the province of health care professionals. Semi-educated, narrow-minded legislators should not be able to make health care decisions for anyone but their own semi-educated, narrow-minded selves (and their unfortunate families).

These people are meddling in areas that are none of their damned business, and they need to get the fuck out of people's personal health care decisions!

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Response to ShazzieB (Reply #16)

Sun Jan 29, 2023, 08:26 AM

20. You're not alone. I agree with everything you said. Thank you! ❤️

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Response to NullTuples (Original post)

Sun Jan 29, 2023, 11:16 AM

21. For a group that ostensibly believes government should stay out of our lives....

they sure love government intruding on people's lives.

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Response to NullTuples (Original post)

Sun Jan 29, 2023, 10:26 PM

24. A non-solution looking for a problem

Leave people's health choices up to them and their doctor. Making laws about things you are not in position to make an informed judgement shows you are just a partisan hack out to win some votes at the expense of others.

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