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Doing the opposite of Trump has consequences

Neither are legitimate in that they are doing the right thing. But at least the adults can be held responsible for their choices. I don't see how a 12 yr old can be. And who is going to pick up the pieces when these kids who are allowed to make life changing decisions regret it? How do you come back from chopping off body parts or taking hormones that forever changes things for your reproductive health. And don't tell me that if they get off the hormones they will go completely back to normal. That is a bunch of bunk because they have not done long term studies where it happens.
So you simply think transgender identity is a mental illness, would that be fair?
 
I don't believe there are legitimate trans kids. If an adult wants to make that decision then that is one thing, but not kids. Some Doctors will perform all kinds of procedures which are not good for people. Look at these women who look horrendous after they get too much plastic surgery. Did any of those doctors say, "It is my advice that you should not get this done"? No, they take the money.
Proof or just your pretend world?

And yes, there are trans kids. Hate to break it to you but there are also gay and lesbian kids as well. Astounding I know
 
Some so interpret conversion therapy laws. Don’t know which ones off hand.
Here are 2 takes on Washington's law. Yes, I fully admit I find calling a trans child an abomination not the job of a counselor. Van as a pastor can.


And from NBC

 
Okay, so is it fair to say that you think it is wrong to limit these therapists in this way? If so, why?
Claiming to be a different sex is more likely than not a self-perception issue. Anorexia is a better analogy than being homosexual. The DSM V has a diagnostic guide for gender dysphoria. Excessive self-centeredness is a proper subject for therapy.
 
Here is a return to immigration, why not a northern wall? We just had a massive influx of very unwanted Arctic air. A 16,000 foot wall from Minnesota to the Pacific should really put a dent on illegal Canadian air
****kkkkkkk yes. I’ll take an entire country of guats if it means warmer weather
 
At one time trained professionals swore to the efficacy of lobotomies and bloodletting.

At some point, you have to use common sense, Marv.
Common sense is neither. Its a phrase used by the ignorant to describe accidental or intuitive deductive reasoning or logic. It's never been common nor is it a sense.
 
Common sense is neither. Its a phrase used by the ignorant to describe accidental or intuitive deductive reasoning or logic. It's never been common nor is it a sense.
you didn’t need to tell us you lack common sense. We know
 
1. Child protection laws don’t apply to adults.
2. Adults have fully developed brains .
I love the academy of pediatrics position. In short we support developmentally appropriate care including surgeries and encourage insurance companies participation


Hi. I’d like to schedule a consultation for my daughter. She thinks she’s a boy, has attempted suicide twice, and after careful, thoughtful consideration with our psychiatrist we’d like a consult for surgery.

Oh my. I understand. Let me get a little information.
What is your and your daughter’s names?
Okay. And who is your insurance carrier

We have Medicaid.

Oh I’m sorry. We unfortunately don’t accept Medicaid.
 
So the cost of reassignment can run north of 100k approaching 150k. But we are going to repose our trust “in the doctors.” Shit 4-5 surgeries a year and they are off and running meeting their “nut”
 
So the cost of reassignment can run north of 100k approaching 150k. But we are going to repose our trust “in the doctors.” Shit 4-5 surgeries a year and they are off and running meeting their “nut”

So many of our conservatives are absolutely certain everyone will rip off anyone for money. It makes me wonder what their morality is, are they just thinking, "that's what I would do."
 
So many of our conservatives are absolutely certain everyone will rip off anyone for money. It makes me wonder what their morality is, are they just thinking, "that's what I would do."
So many of our liberals live in fantasy land. Doctors are motivated by money like many others. They aren’t running a charity. Their practices are expensive as hell to maintain. They spend a fortune to get through college and med school and make peanuts as residents. What’s more MBAs have taken over care. We talk about healthcare reform but do you think the cost of service isn’t exorbitant for a reason? Don’t be naive. Healthcare is a business and in part why we will never have it nationalized. Doctors aren’t taking pay cuts. Why do you think so many don’t take Medicaid? Wake up
 
So many of our liberals live in fantasy land. Doctors are motivated by money like many others. They aren’t running a charity. Their practices are expensive as hell to maintain. They spend a fortune to get through college and med school and make peanuts as residents. What’s more MBAs have taken over care. We talk about healthcare reform but do you think the cost of service isn’t exorbitant for a reason? Don’t be naive. Healthcare is a business and in part why we will never have it nationalized. Doctors aren’t taking pay cuts. Why do you think so many don’t take Medicaid? Wake up

So let's just nationalize healthcare and get those evil scoundrels corraled? If they are ripping us off so much, doctors must take Medicaid rates for everyone.
 
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So let's just nationalize healthcare and get those evil scoundrels corraled? If they are ripping us off so much, doctors must take Medicaid rates for everyone.
The quality of doctors imo would fall. It’s a business like anything else. They go through hell. A significant portion won’t bother if there’s no financial reward.

I don’t get your Medicaid comment. Practices aren’t required to take Medicaid. It’s part of the exchange that’s bullshit
 
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So many of our conservatives are absolutely certain everyone will rip off anyone for money. It makes me wonder what their morality is, are they just thinking, "that's what I would do."
And for the record I was a Dem. I prefer Clinton/Obama to Reagan/bush. I was totally fine with Biden winning. The far left progressive bs has turned many of us off
 
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Disappointing.
How so?

I said GD is analogous to anorexia which is psychological self image problem.

I said there is a DSM diagnostic criteria for GD

I said excessive self -centeredness is appropriate for therapy . . .

And you still wonder if I think MH therapy is appropriate for GD?

I can’t help you.
 
How so?

I said GD is analogous to anorexia which is psychological self image problem.

I said there is a DSM diagnostic criteria for GD

I said excessive self -centeredness is appropriate for therapy . . .

And you still wonder if I think MH therapy is appropriate for GD?

I can’t help you.
Disappointing because you can't simply answer a question. Two questions, really, but one of them was yes/no.
 
The quality of doctors imo would fall. It’s a business like anything else. They go through hell. A significant portion won’t bother if there’s no financial reward.

I don’t get your Medicaid comment. Practices aren’t required to take Medicaid. It’s part of the exchange that’s bullshit

Aren't there laws on performing unnecessary procedures? Why don't we tighten that up? Certainly you aren't in favor of other unnecessary surgeries. Let's boot them out of Medicine.

The Medicaid comment was to require doctors to accept the Medicaid (or even Medicare) rate for procedures. That would eliminate a lot of the money incentive.
 
Aren't there laws on performing unnecessary procedures? Why don't we tighten that up? Certainly you aren't in favor of other unnecessary surgeries. Let's boot them out of Medicine.

The Medicaid comment was to require doctors to accept the Medicaid (or even Medicare) rate for procedures. That would eliminate a lot of the money incentive.
They don’t want Medicaid bc Medicaid has shit reimbursement rates. So eliminate that you reduce the appeal and maybe the best and the brightest become engineers instead.

Unnecessary is too amorphous. Hysterectomies, back surgeries - the list of surgeries that are subjective and judgment calls is too long. You want a standard that isn’t practicable
 
So many of our conservatives are absolutely certain everyone will rip off anyone for money. It makes me wonder what their morality is, are they just thinking, "that's what I would do."

There might be some of that Marv, but I think there's more to it. Assigning malevolent motives to those you disagree with turns policy disputes into morality questions. It's one thing to think your opponent is misguided or mistaken; it's another to paint them as immoral. That's the brush McM is using here.
 
They don’t want Medicaid bc Medicaid has shit reimbursement rates. So eliminate that you reduce the appeal and maybe the best and the brightest become engineers instead.

Unnecessary is too amorphous. Hysterectomies, back surgeries - the list of surgeries that are subjective and judgment calls is too long. You want a standard that isn’t practicable
The best and brightest already aren't going into medicine. I've known a lot of the overachievers, perfect GPA, perfect SAT, and Wall Street is where they want to be. We WAY overpay business majors. Inventing a new derivative may not have near the value of the next gen battery to humanity but it pays a heck of a lot more. So medicine is already down the pecking list. The good news, AI will soon diagnose. Heck, A

On this particular surgery, I mentioned several times it should require multiple doctors approval. Heck, we are already at the point that AI could be asked to weigh in. It won't make more money.
 
The best and brightest already aren't going into medicine. I've known a lot of the overachievers, perfect GPA, perfect SAT, and Wall Street is where they want to be. We WAY overpay business majors. Inventing a new derivative may not have near the value of the next gen battery to humanity but it pays a heck of a lot more. So medicine is already down the pecking list. The good news, AI will soon diagnose. Heck, A

On this particular surgery, I mentioned several times it should require multiple doctors approval. Heck, we are already at the point that AI could be asked to weigh in. It won't make more money.
The majors thing and over paying predicated on same is difficult to say. Joe Biden’s America is a new order where the avg home is 500 k and a car 50. What do I tell my kids. By all means son study history for your enrichment and edification. I know you’re passionate about helping people my dear definitely pick up an msw.

Or do I tell her yeah I get it f college you can make $ doing your Tik tok and side hustles. Or study biz then take your series 7 65,66 whatever they are now so you can live like twenty and jdb and still pursue the American dream. Afford shit like a decent house in a decent hood etc. disability insurance

Doctors aren’t immune to inflation and the market. They have to make money too and of course care is influenced by same
 
The best and brightest already aren't going into medicine.
Code for white male overachievers?

Females and POC’s in medicine have gone up as compensation has come down.

Sombody in the care business believes and told me diversity has depressed income. There is a point there.
 
So many of our conservatives are absolutely certain everyone will rip off anyone for money. It makes me wonder what their morality is, are they just thinking, "that's what I would do."
I think somebody should do a study on wealth and child gender dysphoria. I’m willing to bet a six pack that there is more gender dysphoria among children of high achieving high income parents.
 
Code for white male overachievers?

Females and POC’s in medicine have gone up as compensation has come down.

Sombody in the care business believes and told me diversity has depressed income. There is a point there.

Wow, so neat that you admit racism effects compensation like that. And there are studies that show neighborhoods being more than 10% Black STILL lowers property values. So we can throw out the canard that America no longer has a racism problem?
 
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