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I don't actually think you should suffer reputational damage since you're just trying to get to the real numbers, rather than throwing a wet blanket on the conversation. So from Rae I'll either need an official statement, or a rephrasing of their post in a way that doesn't imply my loicence to care will be taken away if I don't prove the number of surgeries exceed a certain threshold (which, I will notice, is not even specified).
I don't know if I agree. Like I said, for some time I have been frustrated at the "posting bullshit on the front page - posting a retraction on page 19" dynamic, and I'm not in the mood to keep letting it happen. I did move my priors somewhat, back when people were posting WPATH guidelines to tell me surgeries on minors don't happen at all. My reward for that is people telling me to stop caring, because even though surgeries on minors absolutely are happening, it's not a lot. If I am to give this argument any credence, it needs to come with pre-declared costs to the people putting it forward, if the statistics they're using turn out to be wrong. Either that or I feel entitled to reject the argument in it's entirety.
The implication seems to have been (and apparently still is) that since I was unable to provide any contradicting numbers, I should move my priors as you said. That would be a good argument, but I think there's a massive difference between "unable" and "haven't even attempted", and it's not right to conflate the two in this type of argument.
A diagnosis says nothing about the interventions that will take place, you can always say keep repeating the old "reversible interventions only" line that used be popular. We also don't know whether these are undercounted or not.
I haven't posted this study as an example of contradicting numbers, I've posted this study as an example of how they can hide inconvenient data without an "extremely well-coordinated conspiracy" (alternatively, as proof that one exists), so I'm rather miffed this is precisely the point you chose to not answer.
If you want to know why I'm so skeptical of the numbers, one of the reasons is that Kaiser Permanente was doing 40-50 mastectomies on minors per year by 2020 (it being the year of COVID the numbers actually went down somewhat). Now sure, it's a big clinic, it's a progressive state, so probably they'll be doing more of them than the national average, but there's a couple hundred pediatric gender clinics in the US. Maybe they don't all have surgeons, or there are none around to refer to, but it just doesn't pass the sniff test at first glance. Then, even if the mastectomies are in the right ballpark, is opening a new clinic worth it for an average of 5-ish or so blocker prescriptions? I only know of one American whistleblower from a clinic so far, but she reported it being overwhelmed.
Maybe my various inferences about the numbers are wrong, and maybe Rae's numbers do pan out, but given how the goalposts have shifted in the broader debate, I feel entitled to strong skepticism unless overwhelming evidence is provided.
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