The costs of trans visibility

The costs of trans visibility

Yesterday, Dylan Mulvaney broke her silence: https://www.tiktok.com/@dylanmulvaney/vi....

For context, this is a trans influencer who built a 10 million strong following on TikTok. She took a brand deal with budweiser to post an ad on an instagram, and the anti-trans right went absolutely ballistic, calling for a boycott, condemning the company, and to some perhaps unknowable degree it influenced that Budweiser sales dropped by a 1/4 and

. Dylan speaks more personally about the effect of the hatred on her.

What strikes me about this story is that it is just about visibility. This isn't inclusion in sports or gender-affirming care for minors, it was just that a trans person was visible. This wasn't even visibility in a TV commerical that a poor right-winger is forced to see, it was an ad on her own instagram page. We're all in our own social media algorithm influenced bubbles, but from my vantage point it really has seemed that in the last year or so things have just gotten worse for trans people and the backlash to even minor visibility is growing.

We need to do better.

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30 June 2023 at 04:48 PM
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by Luciom P

I didn't think it was controversial at all to use "radically skew" nor that it was "provocative".

Now you know.


How long until we get a third division in sports: "Women's [Sport] FR FR"

This girl is the latest hotness in women's basketball:

Broken YouTube Link

First: how the hell is that NOT traveling at around 26 seconds into the video? She took about 9 little steps without dribbling.

Second: Will anyone ITT shed a single tear if 10 years from now, the Catlin Clarks of the world are sitting on a bench behind 100 Christophers in a sports bra? Caitlin is going to be the top draft pick for the WNBA, but wouldn't make a G League roster.

You had a good run, women's sports. Instead, go be empowered by making me the best goddamned sammich there ever was and leave the physical prowess to Team Testosterone. We'll have come full circle in terms of including women in previously male-only activities.

1: This activity is for men. Back to the kitchen!
2: If you want to compete, then compete. We're open to everyone and you're welcome to try out.
3: Alright, fine, here's your own league. We'll stay out of it.
4: You're awful at this, but the perks are sweet. Please stand aside so our least mentally stable dudes in skirts can have all the awards and scholarships.
5: This is a men's league now. Back to the kitchen!

We're at step 4.1 right now.

I think the only progress we've made as a society is that my step 5 might not end up being said out loud by anyone. It'll just be silently understood that women's sports is really trans sports now, and the back to the kitchen thing will just sort of be implied if you're unlucky enough to have been born with a vagina and not be willing to take hormones to overcome that disadvantage.

It blows my mind that people are throwing untold millions of actual women under the bus just to show everyone how woke they are.

Anyone who retorts by saying that trans people make up a tiny portion of the population could perhaps explain to me why in the last 3 years I've had to grant about 50 ESA accommodations when in the 7 years before that only had 1. It doesn't matter how many people actually have a disability. It matters if you can leverage rules and claiming you have it for personal gain.

No pet policy? Well we're in luck, because these two huskies are actually emotional support animals and pay no mind to the fact that this totally real doctor's note is dated the day after I asked about the pet policy. I have a disability.

**** you.


by ganstaman P

There is such a high demand for child/adolescent psychiatrists and absolutely no shortage of patients. This scenario you dreamed up of a psychiatrist's income being impacted by telling kids they are trans and need hormones just isn't reality.

I "dreamed up" the fact that businesses that sell things want customers to buy them?

Earlier, I described how a dermatologist noticed chest acne I didn't care about and didn't mention, put me on 3 drugs for it and got me to sign up for twice annual maintenance visits. Only later did I realize this was basically a scam.

See also, over diagnosis of things like ADD.

If you live in the US, it's silly that we're even having this conversation. You must understand that we have for profit HC and how it operates.

There is a video of a doctor advocating a GAC clinic and Vanderbilt, going on and on about all the money theyll make.


I have kind of a big nose.

If I went to a plastic surgeon, I bet he'd say, "look, the path to happiness is usually accepting things how they are. Just own it. Make jokes about it. The problem isn't your nose, it's you hanging your insecurities on it. Getting this surgery would only reinforce the twisted thinking that drives your insecurity.

Besides, there are lots of movie stars with bigger noses than you. You think Liam Neeson and Scott Bacula are bad looking guys? Plus, this stuff costs a fortune! Go home, put this money in the S&P and retire a year earlier. THAT might increase your happiness."


by hole in wan P

....
Unfortunately I don't have the link at this very moment but I watched a video of an actual conference held by a hospital in the states where they talk about how profitable it is to go down this road, the money, lifetime patient etc. Make no mistake, they are very aware of how profitable this is for them. If you don't think doctors can easily be corrupted then look no further than pain pills, pain pill clinics, etc. Basically a blueprint

Are you sure you watched it?

The last video got your panties in a bunch a about and attached was about the cbc hiring an actrêss to get testosterone was actually some pundit who claimed she saw the piece telling another person what it allegedly contained.


Wait, libertarians are against licensing medical professionals?


gangsta, i hope you don't mind this derail but that glassdoor posting now has me really intrigued, if they are hiring both licensed and unlicensed psychologists, does that mean that a laymen, not even someone with the standard education and certification can setup a private practice as a therapist and so long as they don't say "hey I'm licensed" then it's all good

like I could just setup shop with Rickroll's Headshrinking Inc on mainstreet and discuss and treat everyone however i see fit?

is it just as loose and scammy as the chiropractors not having a shred of science backing up their practice and yet they can still collect from insurance because the cult of chiropractors has an incredible legal team and lobbyists


My understanding is that pretty much anywhere in the US you have to be certified in some way to call yourself a "therapist". In some states you also have to be certified to call yourself a "counselor", but in other states anyone can use that title. Some people offering basically the same services without any certification call themselves a "life coach".


Psychiatrists can hand out drugs.

Psychologists just write notes in your chart and talk about your feelings. They send you to the psychiatrist for better living through pharmaceuticals.


by chillrob P

My understanding is that pretty much anywhere in the US you have to be certified in some way to call yourself a "therapist". In some states you also have to be certified to call yourself a "counselor", but in other states anyone can use that title. Some people offering basically the same services without any certification call themselves a "life coach".

yeah i thought the same hence why i figured the "licensed where the psychiatrists because they can give official diagnoses and prescribe medication whereas psychologists can't do that"

but check out that list on glassdoor, they have therapists and licensed therapists - perhaps it's just bad formatting where all the therapists are licensed therapists as some felt the need to make it clear they weren't fly by night therapists- kind of like when you got to a party and everyone introduces themselves by first names except for Dr Sandra Lee who earned a PhD in literature and is never going to live it down


by Inso0 P

How long until we get a third division in sports: "Women's [Sport] FR FR"

This girl is the latest hotness in women's basketball:

Broken YouTube Link

First: how the hell is that NOT traveling at around 26 seconds into the video? She took about 9 little steps without dribbling.

Second: Will anyone ITT shed a single tear if 10 years from now, the Catlin Clarks of the world are sitting on a bench behind 100 Christophers in a sports bra? Caitlin is going to be the


You need some new material for your rants. This is you from 2000:

The only pests as of late has been the inexplicable number of tenants who are getting "prescriptions" for emotional support animals in what are otherwise pet-free buildings, and advertised as such.

Because **** your neighbors and their allergies or general disinterest in listening to your yippy animal at all hours of the day, right? You've got a case of the sads and the only cure is something that'll piss all over the floor.


by ES2 P

I "dreamed up" the fact that businesses that sell things want customers to buy them?

Earlier, I described how a dermatologist noticed chest acne I didn't care about and didn't mention, put me on 3 drugs for it and got me to sign up for twice annual maintenance visits. Only later did I realize this was basically a scam.

See also, over diagnosis of things like ADD.

If you live in the US, it's silly that we're even having this conversation. Y

You're confusing the profit motive of the people selling the drugs and the people writing the prescriptions.

A psychiatrist basically gets paid for their time, and there is so much demand that the only limit to their earning potential is the number of hours they are physically capable of working. Might not apply across all specialties, especially ones like cosmetic surgery, dermatology, and dentistry.

However if 80% of psychiatrist appointments result in a drug being prescribed vs. 10%, the drug company's profit is affected correspondingly. And the drug companies have an incentive to convince psychiatrists that drug prescriptions are in patients' interest as opposed to other interventions.


by Jackontheturn P

You're confusing the profit motive of the people selling the drugs and the people writing the prescriptions.

A psychiatrist basically gets paid for their time, and there is so much demand that the only limit to their earning potential is the number of hours they are physically capable of working. Might not apply across all specialties, especially ones like cosmetic surgery, dermatology, and dentistry.

However if 80% of psychiatrist appointme

you missed the key to es2's prescription

he needed to go in twice a year just to get the prescription renewed, which is a very quick in and out process that takes little time

ask a few questions, poke at his chest, write the new script and you're onto the next patient after 5-10 minutes but you're still billing him for that privilege

this is why there were so many pain clinics in states like Florida that didn't really regulate it - because it was insanely profitable, you're not actually treating anyone just writing scripts and getting paid and on a busy day dealing with hundreds of "patients" a day - all the doctors who setup those pain clinics and were basically opioid dealers made millions of dollars annually by doing so - it's shameful that we don't prosecute the ones who were clearly just drug dealers and only the pharmaceutical companies themselves - i fear it's because so many doctors have prescribed controlled substances at times that they are worried it'd open pandora's box to where all doctors would be in danger of prosecution and then not give out needed medicine out of fear of reprisal

it's still happening now with marijuana - in Maine, if you want to pay a doctor $50, he'll certify you for a medical marijuana card, the process takes about 5 minutes, he asks you why you want the card, you say "i have trouble sleeping" he says "oh that's a tragedy, let's get you some weed ASAP" and he writes down on an official form that you are cleared for weed. For privacy reasons, the doctor doesn't need to give a reason, nor is the state allowed to ask for a reason, and it's all done on the assumption that the doctor is acting in good faith.

there are literally doctors in Maine who setup private weed practices, some even operate 100% online and the consultation happens over zoom, and that is 100% of their income. On a busy day they are can certify 4-5 "patients" an hour for $200 an hour which is about half a million dollars a year

I've never heard of a single person getting rejected, it's very much a wink wink nod nod unspoken agreement

it used to be far more expensive that $50, in California you're spending over $100 for the same process, and then the states where its higher in demand (medical cards only make sense for big time potheads because the only difference is that there's no tax involved if you have a medical card so if you'll spend several hundred on weed each year you should get the card) but in places where it's illegal except for medical such as Arkansas the fee can cost several hundred dollars and needs to be renewed annually

it's the same process from state to state, it's clearly priced based on affluence of the locale and demand for the service


by jjjou812 P

You need some new material for your rants. This is you from 2000:

2020 maybe, and that timeline roughly tracks with what I said. I'm pretty sure I have more units with one now than without. We had none before COVID.

Once people figure out a socially acceptable way to circumvent rules they find inconvenient, it spreads like wildfire.

As soon as it gets bad enough that the youth sports leagues or the NCAA take a hard line and force notes from medical professionals, we'll see a glut of websites pop up where for $119, you can get your own "I'm totally trans, bro" kit that meets the technical requirements of whatever litmus test gets put in place. It'll be signed by whatever doctor wants to sell their credibility for a cut of the scam.

For an extra $39, they'll throw in a trans flag bumper sticker, just like the same upcharge at an ESA mill will get you a sweet little "Support Animal" vest for your furry demon.

We could require lab results to at least force people to take the hormones instead of just growing their hair out a bit, but that'll be too burdensome outside of college for league organizers. Instead it'll just be a fake doctor note like the ESA people get away with.

I'll put it on my calendar to check in with you in 2029 to see how it all played out.


A pretty piss poor analogy and my pointing out you made the same complaints 4 years ago wasn't really a request for further explanation.


Yeah well my point was the thing I complained about 4 years ago has gotten much worse since then and people aren't even pretending to hide it now that everyone has deemed it acceptable behavior.

Had a girl last month tell us in texts that she wanted a dog because someone broke into her friend's house down the block, we said no, and suddenly an ESA request comes in a few days later.

Now there's an 85 pound Burnese Mountain Dog in the upper and it was going apeshit during a recent showing for the lower. Shockingly, those people did not apply.


Why would psychiatrists risk their careers to prescribe relatively fringe medical treatment?


by The Horror P

Why would psychiatrists risk their careers to prescribe relatively fringe medical treatment?

What treatment are you referring to?


The thread-death treatment


by Luciom P

Wait so it's true that you get prescribed drugs with permanent horrendous effects with diagnosis entirely based on your own words with no objectivity and external verification...

In practice, the validity of a person's gender dysphoria diagnosis isn't really the issue - virtually no one without gender dysphoria would even consider taking such medications in the first place. The entire point of contention is whether or not such drugs would produce a favorable enough outcome to warrant taking them. A lot of people with gender dysphoria can (and in some cases, perhaps should) deal with it without taking them, or by taking much lower doses than are typically prescribed. imo they're definitely significantly overprescribed, as a lot of medications are, because a) it's incredibly easy to find yourself in a physician's office in the US or Canada that has few qualms with maximizing profit at the potential expense of a patient, and b) gender dysphoria is one of the most poorly understood psychological conditions in existence, but it's also quite clear that the medications produce enough favorable outcomes in gender dysphoric patients to warrant a physician having the ability to prescribe them (though I'm not necessarily including Lupron or other "puberty blockers" among them)

It's kind of frustrating to me when I see more right-leaning people getting all upset about things that don't actually matter, when they tend to be the ones who bring attention to the many of the issues pertaining to trans identity. But I guess the fact that trans identity is one of the main social issues weaponized by the social media propaganda outlets doesn't do much to help that. Too many people just want their daily dose of outrage, and as such have little ability to not let their emotions cloud their judgment


Yep. Psychology has a suspect aspect. They used to say we know about 10% of what can be known about the brain. Seems arbitrary and meaningless.

Maybe the propaganda is refined . Keep the mob sedated and half-sated with empty ideas and calories.

It's obviously random chance, this moment in time on the chaos continuum of human history. We are as likely to be in nuclear winter as we are debating this western indulgence.


by The Horror P

Wait, libertarians are against licensing medical professionals?

Yes? At least for the purpose of being allowed to work.

And that's not even some kind of radical libertarianism, this was in "capitalism and freedom" by Friedman.

You know the basic idea of being allowed to do anything among consenting adults? Applied to selling your time doing, well, anything as well


I'm not sure I want anyone to be allowed to call themselves a medical doctor.


by chillrob P

I'm not sure I want anyone to be allowed to call themselves a medical doctor.

People would still not be allowed to lie about credentials or anything else.

If you like current credentialism you can still only go to people who passed a certain exam held by certain institutions and so on, in my model.

But you can't tell others who they can go to , and pay, for whatever they want done on their body as consenting adults.


by The Horror P

Why would psychiatrists risk their careers to prescribe relatively fringe medical treatment?

This is your naïve assumption that you'd require someone at the top of the medical totem pole to sign off on seemingly impactful things like this.

If you want to skirt pet policies by claiming mental illness, for instance, you can get a note from anyone with a vaguely medical job description, because the landlord won't want to risk a fight with the feds if your accommodation request gets denied on the grounds of it being pure bullshit. It's free for the liar to submit their complaint to HUD. It's very much not free for the business to defend their decision when the G-men show up at the door.

I assume something similar would happen in a world where we try to erect even the lowest of barriers for people trying to game the system on keeping women's sports for women. My aunt is a nurse and wrote me a note, so please stand aside while I roflstomp my way through the female wrestling ranks. Pay no mind to the bulge.


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