151 Comments

Thanks for all this, Jesse. One thing you neglected to mention is that what they’re doing is they’re trying to turn me into the next version of you. In your conclusion paragraph, what you’re saying is that they want me to join you in the penalty box. We serve as useful foils for them because we fit neatly into their Manichean world view, and by vilifying us, they amplify their message. As for my reporting about pediatricians' care for kids who identify as transgender, I'm getting ready to pitch it elsewhere.

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Good luck!

I would like to read your article.

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start a substack Start A Substack START A SUBSTACK

It is inevitable. Do not resist. Embrace the new paradigm.

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Substack actually asked me to start a Substack last year. I declined. To quote Julia Child in Julia & Julia, "I am very traditional!" I'm more interested in publishing my work in major mainstream publications at this point in my life. Nothing against substack or substackers!

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Substack has become the "major mainstream publication" for anyone who can actually think. Look at their subscriber growth. Sounds like, whether or not you publish elsewhere, you would find a good place at Substack. So keep it in the back of your mind...or even better, let it inch forward.

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Yeah, but the readership of any one article is typically small. I'd rather have a larger readership. Maybe I'll do substack someday, but not now.

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If you got offered WSJ or Fox (or even Daily Wire), would you take them up on it, or would you want left-leaning outlets only?

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What about posting your article with Jesse or another open-minded Substack like The Free Press or Racket? Not sure if they can pay the same rate but maybe you could get a few other Substacks to post for free...more content for their subscribers!

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Update: I posted an essay that a publication killed from last fall on my substack just so I'd have something on there.

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That's entirely understandable. Does that mean you're still shopping around the article in question? If you are, great! If you aren't, I echo the above poster in saying that I'd love to read it (and adding that a substack would be a fine landing spot for articles that can't find a home in a major publication). I'd hate for it to stuffed in the circular file and forgotten.

And I think Singal has shown that this isn't and either/or choice. Publishing on Substack doesn't stop you from also getting major bylines.

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I'll start pitching it somewhere else next week. I would never write it for substack.

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The Economist perhaps?

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Unfortunately the new paradigm is seen by many on the left as a refuge for conservatives who have fled the mainstream. In the eyes of those on The Right Side of History, a journalist on Substack has about as much credibility as one on Fox News. Or maybe that's changing? I hope so.

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I hope you find an outlet to take it. I've learned so much from Jesse's reporting on this topic. I'm more skeptical than Jesse even on youth gender treatments, but I appreciate that he attempts to take a balanced approach. I don't agree with everything you write (I probably disagree with most, actually), but I follow you on Twitter because I know you are a good reporter and I know you attempt to report fairly. A rare commodity these days. Don't let the crazies get you down. If your reporting weren't good, they wouldn't give you the time of day. They can't come back at you with facts, so they attempt to bully and discredit you. Stay strong.

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Steel sharpens steel. Without reasoned pushback on emerging issues, each case is weakened and the possible unintended consequences of policies made worse.

Keep fighting the good fight, Ben!

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Thank you. For non-affirming parents of vulnerable kids — on the autism spectrum, bullied, with longstanding mental health issues, etc., and no history of gender concern, this has been an endless nightmare. The more daylight, the better.

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The loud shouty people are always the most insecure and scared in my experience. Please keep on researching and writing your piece. Parents and kids need it now more than ever. So many of us can’t say anything because of life circumstances. :(

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Ben - never stop doing what you do! There ARE still sane people in this world who appreciate it

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You’re a good person and you should be proud of yourself that they don’t like you.

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Thank you, Benjamin! Continue to go forward! We need your journalism. These people who you are up against know that they are on the wrong side of history.

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Thanks for sticking to your principles on this. Trying to cover these kinds of stories and not knee-jerking to one side seems like a herculean task right now, but you've demonstrated your resolve so far, so hats off to you!

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Child welfare must be prioritized over the desire of some to create an entirely new class of legal person classified by subjective notions, not even characteristics. I will not live in a country where my 5 year old child be sent to the bathroom by her swim instructor with a man who is staffed by the YMCA. His subjective reclassification does not make him a woman. Subjective classification is easily exploited by criminal minds. I never use pronouns that do not correspond with what I see, objectively

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Apr 25, 2023·edited Apr 25, 2023

These typical, sordid episodes of leftist activism are the reason I’m now politically homeless and don’t trust the mainstream narrative on a lot of issues.

What left wing academics and journalists fail to realize is that their utter derangement and refusal to engage with critics and facts lead to them being as untrustworthy and vile as those on the right.

In an election between a MAGA Republican and a Woke progressive, I will not vote. I despise both equally.

Signed— a former liberal Democrat

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This former liberal Democrat will vote for the MAGA Republican, because the MAGA Republicans are against the mutilation of children, and pass laws to stop it.

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I'm almost there- but I cannot vote for Trump, full stop. Anyone else who is not crooked AF I will vote for.

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Molly, you are my vote sister. Cannot vote Trump, cannot vote for crazies. But can't vote for incompetent self righteous idiots (too strong?)

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In the voting booth, I too probably would not be able to vote for Trump.

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Like many of us here, you are politically homeless. One gives up on affiliation and looks for someone whose personality and stances on some issues that one holds dear appear best. Hell, that's why I voted for Joe Biden, plus the very fact he wasn't Donald Trump. And I was soon disappointed in /that/ vote. Where does one go? (Substack is good, but it isn't a political "home")

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Plus, Substack has gotten downright awful since Notes turned it into the Amazon Basics version of Twitter.

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Same!

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Please vote for anyone who is not Biden or Trump.

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Apr 25, 2023·edited Apr 25, 2023

Yeah I sort of see this whole era politically as this bizarre tragedy where from 2000-2010 the left NYT/WaPo sort of looked at Faux News and the Bush Presidency and was like "that is some fucked up, baseless, politically monomaniacal, ethically repugnant way to run journalism/politics"...

And then due in part to social media, in part due to the collapse of traditional journalism, and in part due to game theory...they mostly decided "aw fuck it lets just jump down into the mud with them and take them on their own terms".

It has not been good for society.

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This has been a trope since the 00s at least, and MSNBC was well on that way before 2016.

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That is really unfair to pro wrestling, one of America's great vernacular performance art forms. :)

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I now sign my emails as "politically, non binary"

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I’ve gone with “free range conservative” for 7 years, but could also identify as centrist. My, how the goalposts have gotten further apart.

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I think you've got to go MAGA on this. I'm a lifelong Californian and seen what the left has done to this state. It's not just gender ideology, though that's the worst of it. The left's position on race is the worst thing to happen to Blacks in this country in more than 50 years. (Just check out the homicide rate for Black men since "defund the police" and "Black Lives Matter."). The left's approach to drug abuse, addition, homelessness and crime is both corrosive to society and unfathomably cruel to people who need help. If you want an update on the effect of their immigration policy, check in on blue mayor Eric Adams from New York. As for housing, California's environmental policies make it 50% more expensive per square foot to build compared to similar economic zones in Red states, and for what? The traffic and pollution is as bad here as anywhere. As for economic policy, the list of companies that have left California is staggering, from tech giants like Oracle, HP, and Tesla to literally thousands of smaller companies that make the backbone of the economy. (e.g. Kelly Moore Paints just left the state.)

While both the crazy left and the crazy right are decoupled from reality, the crazy left's positions are uniformly destructive to individuals and societies.

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Apr 25, 2023·edited Apr 25, 2023

"If you want an update on the effect of their immigration policy, check in on blue mayor Eric Adams from New York."

To put it bluntly, that's dishonest. The recent influx of migrants, especially asylum seekers, that Adams has had to deal with has little to do with an immigration policy that's barely budged across administrations due to gridlock in Congress.

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I think the policy in congress hasn't changed, but certainly in the executive branch, there are material differences between Trump and Biden. Just look at the numbers. Illegal immigration surged to the highest level in a quarter century when Biden came to office. I think his messaging around no more deportations played a big role. Also, the Democratic narrative that illegal immigrants are a net positive and not a huge burden on local government looks less believable. For years, Republicans have been called racist for saying that supporting mass waves of illegal immigration is very costly. Is Eric Adams racist, or just being honest?

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"there are material differences between Trump and Biden.... Illegal immigration surged to the highest level in a quarter century when Biden came to office."

That surge is part of a trend that started during the Trump administration, which was a lot more openly hostile to immigration. Remember the to-do about the migrant caravan in 2018?

"the Democratic narrative that illegal immigrants are a net positive and not a huge burden on local government ..."

That's less a "narrative" and more an observation of how immigrants have typically affected this country. Of course, most of those have come over from the southern border in a relatively diffuse manner, as compared to the recent more concentrated influx into a particular coastal city. Different circumstances, different impact.

"I think his messaging around no more deportations played a big role."

It's rather telling that you neglect to mention that the moratorium on deportations was temporary.

"Republicans have been called racist for saying that supporting mass waves of illegal immigration is very costly."

No, they've been called racist because a lot of the demagoguery over illegal immigration has been focused on people considered to be of a particular race (namely "Latino"), and treating them as far more dangerous than they were. By contrast, Eric Adams has focused more on straight-up logistics; there's an unusually high influx of people that his city isn't currently able to handle. There's no indication that he's misportrayed them as some scary other. You've engaged in a false equivalence here.

But then, I don't expect any better from a pro-MAGA guy.

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Ignoring the little ad hominem at the end there, I think you're missing the forest for the trees. My point was that the Democrats are clearly wrong on the top issues Californians care about: crime, homelessness, cost of housing, immigration, the economy, and race relations. You don't need to be a MAGA guy to see that there's something really wrong with San Francisco. Google "retailers that left San Francisco" to read up on one of America's great cities. Regarding the economy, just Google "companies that left California." Not even the most partisan Democrats are saying that's a win for Newsom.

However, the real big issue the Democrats have is a calling everyone critical of our immigration system a racist. For all of recorded human history, large waves of new people, especially poor and uneducated ones, have not been welcomed because they disrupt the population in place. From Polish plumbers to "Irish need not apply" to Anti-Catholicism directed at Italians, it's never been about race. (Just ask the folks in Oregon or Texas with the "Californians go home" bumper stickers.) Go back to the old testament and you'll find people mad about the new arrivals.

It's not about race as much as culture, a human desire for stability, and as Eric Adams has noted, fiscal prudence. The truth is that legal immigration does have lots of benefits. But illegal immigration is very expensive for the first two generations. The grandkids of the people coming in now will be the net positive.

Take another related issue: public education. We have public schools where 80% if the kids don't speak English at home, and their parents don't have high school diplomas. These schools must focus on remedial education, and as a result, can't put any resources into advanced classes for poor students who would benefit from that. The rich in California sent their kids to private schools. (Including Gavin Newsom, the extended Pelosi family, etc.) If you can't afford a $2M house in the Bay Area, and you can't afford private schools, the quality of your kids education is capped by this. The lower middle class is just screwed, and they know it. They're not racist to observe this.

Going straight to charges of racism is disingenuous, and shuts down an important conversation about a real problem.

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"Ignoring the little ad hominem at the end there"

You are using "ad hominem" wrong. Of the following statements, only the first is an ad hominem fallacy:

1) You are wrong because you are an idiot.

2) You are wrong, and you're an idiot.

3) You are probably wrong because you're an idiot.

Statement 2 is usually dickish and may be incorrect for reasons other than the ad hominem fallacy. Statement 3 is a heuristic derived from the tendency of idiots to say false things. Like all heuristics, it can fail, and it is also why the ad hominem fallacy can be convincing. Note that my statement "I don't expect any better from a pro-MAGA guy" is a statement more along the lines of statement 2; I'm not using you being pro-MAGA as a reason why you are wrong, just saying that it's why I'd expect you to be.

"My point was that the Democrats are clearly wrong on the top issues Californians care about: crime, homelessness, cost of housing, immigration, the economy, and race relations."

And it's a point that you not only failed to substantiate, but when I pressed on your claims about immigration in particular, I found them to be argued sloppily. I have no reason to expect you to be any less sloppy on crime, homelessness, etc., and heuristically speaking, it probably isn't worth my time arguing about them.

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Honestly, if a Republican said the same shit that Adams said about immigrants, they'd get called racist by CNN 10 times out of 10.

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Sorry, this is utterly irresponsible. There -is- a moral difference between the side that has been 100 percent captured by a criminal, authoritarian asshole squad and the side that has -- not as its base but as its awful, "i don't want to sit next to him at Thanksgiving" cousin, a group of insane left IDpol people.

Not voting in that case means you view them as morally equivalent, which is just nuts.

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The problem is the IDpol has captured universities and journalism, thereby pushing an ideology of racial essentialism and science denialism that is corrosive to society at large. Canceling people for saying biological men shouldn't compete in women's elite sports is also authoritarian as is insisting that only voices that come out of throats of the right skin color be heard. Both sides are authoritarian assholes.

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I would say that the Democratic party now cares much, much more about governing according to the wishes of the IDpol cousin than the people you refer to as the "base".

The asshole squad, on the other hand, generally doesn't actually do anything that crazy once they're in office. They're just not big on losing elections and the whole peaceful transfer of power thing.

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Which is why the hard-left IDPol Joe Biden won the Democratic primary?

The average Democratic voter is a 50 year old black woman public school teacher. These are not radicals; the Democratic base -- largely because it is more black and brown than the left wing -- is waaaay more centrist than these cartoonish voices think.

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Sure Biden ran as a moderate, but as soon as he was in office, he shook the etch a sketch and started racially segregating government programs. He's now made DEI mandatory for every government department.

As Andrew Sullivan put it, "Many of us voted for Biden as a competent moderate. Turns out he's more like an incompetent extremist."

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I think Andrew Sullivan -- and a lot of the IDW/heterodox world -- lose the forest for the trees. If people are actually thinking about voting for Trump because of a few dumb IDpol initiatives from minor bureaucrats or the VP loves to drop pronouns all over, they weren’t that far from voting Trump to begin with.

Joe Biden is the most ordinary blue-collar, old school white union-style democrat since Lyndon Johnson. Donald Trump is a venal, selfish, aggressively incurious, sadistic monster. There is simply no moral equivalence.

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I have never voted for a Republican for president in more than 40 years and I loathe Trump with a passion. That doesn't mean I'm happy being stuck with an obviously too old president who listens to the progressive wing of the party way too much.

The national Democratic Party has lost its way as have the universities and mainstream journalism. If Biden leans into progressive ideology, I won't vote for the top of the ticket. Both right and left have their own versions of authoritarianism. At this point, the left is a hair's breath from losing me.

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Very few people vote for Trump because they like his personality or his social media presence. People tolerate Trump largely because they prefer his policies to those of Biden or McConnell.

So when Biden makes pandering to the woke crowd a key policy priority, that makes Trump look like the better man for the job even if he's a shitbag on a personal level.

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Luckily, if you live in a region where the MAGA Republican is an electable candidate, you almost certainly live in a region where the Democratic candidates are reasonably sane, even downright boring, simply because they have to be that way to get the votes of moderates and centrists.

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I am kind of surprised you guys don't talk more about how this type of online behavior is in some essence extremely similar to what trolls and 4chan adolescent hatred courters do. But it is even more pernicious because the people practicing it get social credit instead of opprobrium.

But it is in large part the same kind of low effort hateful trolling that all sorts of communities have cultivated over the years. Just with the ability to claim you are "on the right side of history" as an added bonus, so you don't even need to feel bad about being a disgusting human being.

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On BarPod Jessie and Katie have been explicit that these people are exactly the same as what they claim about Kiwifarms. I personally think they're worse, KF is more self aware as a community that they shouldn't take their trolling or mockery off site. Their use of doxxing isn't to cause harassment (it's a side effect), but people like Caraballo are looking to cause harassment and ruin people's lives.

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It's really telling to see the depths these people will go to keep people quiet about this issue. If Ryan really was a bad journalist who was going to make easily refutable claims in his article, they wouldn't care. But, we all know that's not the case. Instead of presenting factual counter arguments supporting youth gender treatments, their only option is to smear and destroy anyone who dares to question it. The part that really baffles me is how people on the left see this nonsense and go along with it.

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And this is why I strongly support the total bans on transgender surgical and pharmaceutical care for minors. It's not that the activists are completely lacking in any capacity for reason and communication. It's that these activists continue to be protected by major institutions. Institutions which are supposed to oversee, and ultimately uphold, the highest standards of medical care. Simply put, US institutions CANNOT BE TRUSTED. They have been completely captured by gender ideology, and as these activists show on an hourly basis, expecting to reason our way past this is a fool's errand.

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I completely agree. There is NO DIAGNOSTIC (including psychological evaluation in any form) that can reliably predict whether a gender dysphoric child is one of the ~85% whose dysphoria will abate, vs the ~15% whose dysphoria will persist into adulthood.

In this situation, the principle of FIRST DO NO HARM must apply.

Sadly, the US medical community has abandoned that principle, and so it is up to our democratic representative government to restore it.

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These are dark days for journalism.

It takes a lot of courage to stand up against present day left-wing and right-wing mobs.

You and Benjamin are brave people. Blessings upon you both.

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Obviously Alejandra Carballo is a scientific thinker and stoic logician. Anyone can see this. His rationale for every opinion is flawless-not.

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You're not helping us or Jesse by purposefully misgendering, the other side loves taking comments like yours to paint Jesse as a bad faith actor

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Carballo misgenders himself by falsely claiming to be a woman, which he is not and never will be.

Using the language of the anti-science, anti-human transification cult is NEVER the right move.

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I will never use pronouns that do not comport with what I see. The reason I am unwavering I'm this regard is that if we give legal status to subjective notions, criminal minds will and (where this happens, they do) exploit children and women. Women with criminally violent tendencies still do not pose the statistically high threat posed by males with criminally violent tendencies. Changing pronouns based on subjective notions will also change statistical understanding of crime prevalence by objective sex. No person exists who is more important than the ethics of truth in child welfare and criminal statistical understanding.

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You don't have to explain the arguments to me, but don't dump your views all over Jesse's sub stack. He doesn't agree.

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I disagree.

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Figments of people's minds are not a separate group of people. It endangers children to pretend otherwise

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I think of pronouns and a courtesy, not a right - but in this case the courtesy is to Jesse for exactly the reason you give

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Apr 25, 2023·edited Apr 26, 2023

I agree, like how most people implicitly operate, I hold the "traditional" definition that pronouns refer to sex, but I'm not going out of my way to be an asshole to trans people or make Jesse look bad..

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Sex linked traits are generated by innate phisiology. Acting, en masse, by many people, should not create a separate legal class. Such a legal class is easily exploited by criminal minds because it is subjectively classified and malleable. Child safety must be prioritized over any type of adults preference, notion of courtesy, etc.

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Physiology, oops

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Who decides what is misgendering?

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Kindly be respectful and use the pronouns that people request.

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Pronouns aren't a hill I generally care to die on, but it's important to note the key word there is 'request'.

I could request you e-transfer me $5000; doesn't mean you're obligated to do it for the sake of kindness/respect.

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Kindly be respectful and do not ask me or anyone to behave as if I believe something I do not believe.

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I am respectful.

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I do justice to reality for children's sake. It has gotten increasingly difficult to defend children from drug addicts and those who exploit the policies created by naive pronoun police to abuse children and women. Reality matters more than the feelings of people who don't respected children and call for judges to be accosted.

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Don't pretend that polite = Integrity

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Reading this, I was once again plummeted into fantasies about the “day they’ll all get theirs and rightfully take their places on the (official) wrong side of history”. When or if that time ever comes, I can’t thank you enough for what you do, Jesse. I take solace in knowing that at least there ARE still some sane people out there writing.

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Thank you, Jesse, for what you do! The thing is, activists like this Carballo can spew all the hate and vitriol that they like - the truth is that they are wrong and eventually that will be quite apparent.

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Can the outrage be “performative” but the underlying rage real?

This is Thrasher, the professor of journalism at Northwestern:

“It is always mediocre, know nothing white dudes (Singal, Chait, Ryan) who NY mag and the NYT are like ‘Yes, YES, that’s the person! That’s the voice we NEED! No MD? No MPH? No PhD? Hated by and not a part of the community he’s writing about? But he’s white? Commission HIM!!!’” -- Steve Thrasher

That doesn’t seem performative. That seems like real anger and racial animosity.

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Thrasher, it's worth pointing out, has a PhD in American studies and a BFA from Tisch. He's hardly the example of what he holds up as the credentialed expert in science.

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Apr 25, 2023·edited Apr 27, 2023

Thrasher’s emotions, of course, precede & determine his sloppy rationalizations.

We have a social justice campaign publicly championed by activists whose constant brazen dishonesty and energetic viciousness would seem to indicate real pathologies of the kind, I believe, are now labeled type-B personality disorders.

They, in turn, are part of a much larger movement in which people who enjoy great professional, academic and/or personal privileges are encouraged to pretend that none of that is happening and that contemporary society is arranged against them. Should they indulge this fantasy, their indignation, however inappropriate for the actual circumstances, is often rewarded and always indulged.

It’s ludicrous and ugly. Everyone is demeaned. It’s literally impossible to explicitly point out what’s happening and not risk soiling your reputation, endangering your career prospects or seeming like a bigot to people (including friends) who aren’t following these things closely.

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Yes if there is one thing modern society is know for it is for elevating white voices...

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It’s also hysterical because Chait is probably the wittiest center-left political writer of his generation and the obvious heir to Michael Kinsley. If he checked off off any identity boxes (even token conservative) he’d be a columnist for the NYT or Wash Post.

The only reason Chait isn’t is because he‘s a liberal white dude and liberal white dudes must now defer & make way for women and “people of color” as the voices of liberalism, the Democratic Party and center-left institutions.

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‘Scientific American’ these days has a bad reputation. ‘Woke Anti-American’ would be more like it. Sciam actually published an embarrassing piece titled “Visualizing Sex as a Spectrum”. Arguably worse, Sciam has actually published articles opposing scientific research (if it is not sufficiently PC).

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I DON"T WANT TO TALK ABOUT COVID STUFF, but here's a comment about Covid stuff. (the pandemic is over, i don't give a shit, but i know people who give a shit so I get sucked back in some times)

A) I feel, deep down, that your coverage of youth gender medicine informs my feelings on trying to navigate both liberal mask-aficionado circles and anti-vaxx death cults during the pandemic. It feels like everyone is an idiot, listening to idiots, who are mud wrestling with idiots, while doxxing and destroying anyone who isn't an idiot who tries to lighten the mood or calm things down.

B) I was talking about some stupid DeSantis/Florida/mRNA bullshit that came out this week and just wanted to say "yes, I see what you're talking about and I agree with you. Here's a treatise on what things the left lies about, in the same shape that you're currently pissed off about in this case. If your enemy is Making Shapes That Look Like Triangles, and your allies start waving their arms in a Triangular-y way, maybe you should question your allies"

C) We're just computation platforms for meme viruses propagated by Twitter. The only solution is to build a very strong bullshit immune system, question everyone, trust no one... before GPT5 gets plugged directly in to Twitter

D) Thanks for making this entertaining. The only possible human coping mechanism is derision or laughter. Maybe GPT5 will make us better people.

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Apr 25, 2023·edited Apr 25, 2023

"Thrasher is somewhat misrepresenting the “Emergency Rule” in question, which does impose onerous and unecessary restrictions on adult trans healthcare in Missouri but which doesn’t ban it."

That's a distinction without a difference here. In reality, the Emergency Rule *does* ban adult trans healthcare, because the restrictions it imposes are impossible to comply with.

It requires health care providers to prove the absence of something for which no standard of proof actually exists: "ensure (at least annually) that the patient is not experiencing social contagion with respect to the patient’s gender identity". Whatever you might think of the social contagion theory, the fact is that no one can tell you with any degree of accuracy whether or not an individual is "experiencing social contagion". The concept of social contagion isn't defined in such a way that makes it possible to determine on an individual level.

It's the same tactic conservative states used to implement de-facto bans on abortion, back when Roe v. Wade prevented them from banning it outright: imposing requirements on providers and clinics that no provider or clinic actually met or would be able to meet in the foreseeable future.

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That provision would not apply to continuing prescription/provisions that has already begun (and only applies to puberty blockers, hormones or surgery) so saying the emergency rule bans adult trans health care is still an overstatement.

That said, it does seem to effectively ban adult trans health care (in a recommended form) for new adult patients - a big infringement on personal freedom.

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It exempts care thas has already begun "so long as the person or health organization promptly seeks to initiate the treatments and assessments called for by these subparagraphs." So it seems that the care could be discontinued if one of those criteria isn't met, but I imagine that most clinicians will just check boxes saying the patient meets the criteria and will continue providing the care.

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Since the Emergency Rule is aimed at providers performing what it describes as "an unfair, deceptive, fraudulent, or otherwise unlawful practice", I imagine the Attorney General's office will be investigating any providers who check those boxes and asking to see proof that they've done the impossible.

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"That provision would not apply to continuing prescription/provisions that has already begun"

I believe it would. Section (1)(C) of the Emergency Rule exempts continued treatment but only "so long as the person or health organization promptly seeks to initiate the treatments and assessments called for by these subparagraphs".

Since it isn't possible to assess whether an individual is "experiencing social contagion with respect to the patient's gender identity", it isn't possible to promptly seek to initiate that assessment, and the exemption won't apply.

"and only applies to puberty blockers, hormones or surgery"

That's what trans health care generally involves, yes.

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I am no expert in Missouri law (and am certainly not giving legal advice) but I read subparagraph 1(C) slightly differently - the provider only needs to seek to initiate a social contagion assessment under subparagraph 2(H) not even that it has to perform such an assessment or the patient has to 'pass' such an assessment (as you note, it's difficult to see conceptually how this would occur). Contrast this with an assessment as to whether the patient continues to have gender dysphoria under subparagraph 2(A) - which the patient does need to 'pass' for treatment to continue. Based on the interpretive maxim of expressio unius (again, I am no expert in Missouri law and do not even know if this is a maxim down there) a 'pass' on a social contagion assessment wouldn't be required.

However, I would agree that even the uncertainty is troubling and might cause providers to stop providing existing care.

I appreciate and agree that hormones and surgery are a vital part of adult trans healthcare and that these are "generally involve[d]" in adult trans healthcare - that's why I said that these rules would "effectively ban adult trans health care (in a recommended form)" but my point is that the statement was that there was a total ban on adult trans healthcare and that are some aspects of adult trans healthcare which would not be impacted.

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Apr 25, 2023·edited Apr 25, 2023

I read that distinction between 2(H) and 2(A) the other way around:

2(A) requires the provider to "assess" "whether" the patient continues to have gender dysphoria, but doesn't itself require treatment to stop if the patient doesn't. (2(C) is what would require treatment to stop in that case, since presumably the exemption from 1(C) would no longer apply once the assessment has concluded.)

2(H), on the other hand, requires the provider to "ensure" that the patient "is not experiencing" social contagion with respect to gender identity. But since no assessment in existence can determine whether someone is or isn't experiencing social contagion, there is no way to ensure that they aren't. Thus, it isn't even possible to "initiate the treatments and assessments called for by" 2(H).

"[there] are some aspects of adult trans healthcare which would not be impacted"

Which aspects do you have in mind? The only thing I can think of that would qualify as trans health care other than medication and surgery would be monitoring hormone levels for the patients who are now forced to get their hormones illegally, but even then, the only thing that makes it "trans healthcare" instead of "regular lab work" would be the choice of reference levels to compare against.

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"It is always mediocre, know nothing white dudes (Singal, Chait, Ryan)[.] [...] No MD? No MPH? No PhD? Hated by and not a part of the community he’s writing about? But he’s white?"

This is beyond bad faith. No one can tell me that Thrasher doesn't know Erica Anderson. Seriously, how fully gone do you have to be as a *professor* to write such nonsense - not even as some anonymous troll but under your own fucking name, as if it's something you're proud of (which he undoubtedly is)?

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Apr 25, 2023·edited Apr 25, 2023

... and a guy who posts under the name "DRthrasher" to credentialize himself on sciencey topics, and criticise others for lacking an MD, when he's a Doctor of American Studies. Not Medicine. Not Journalism! Do you even have to take science classes at all for a BFA from Tisch?

Good on him for managing to rack up a couple degrees without reading "Popular Delusions and the Madness of Crowds" at least once, I guess?

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The line from Thrasher that jumps out, for me:

'LISTEN. STUDY. And as you see patterns, let the story find you.'

He must be a shit journalist, if he thinks the surface of things, the 'patterns', the narrative *shaping* you are *meant* to see (rather than the truth behind the veneer) are all you're meant to report. He must be the kind of craven shit purveyor of rewritten PR puff releases who deserves contempt. (I'm saying this as a former reporter & investigative hack, with 'credentials' (yes, Thrasher apparently likes credentials).

He is the sort of writer who recycles what is popular instead of thinking at all.

Also, what an absolute car crash of a human being.

He deserves our contempt. Or a plane ticket to Europe, where he can grace the more enlightened medical profession with his opinions on how EVIL they are.

Send him over. I'll gladly show him around.

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Thrasher also only, as far as I can tell, writes opinion pieces. He was a journalist for a number of years but stopped sometime in the mid to late 2010s. So I find it bizarre that he's trying to school me on being a journalist, because only one of the two of us actually practices the craft.

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When I was a reporter on newspapers, I was being a journalist. When I was an investigative researcher & producer at the BBC, I was being a journalist. Now that I write about what I think, I'm being a writer.

Thrasher is a writer trying to stop you from being a journalist then.

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Bingo. I imagine it might have peeved him that my mpox coverage and opeds got more traction than his last summer.

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Never underestimate base jealousy as a driver, eh

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I thought the same thing a few weeks ago when Jamelle Bouie, who is 36 years old, wrote in his NYT newsletter that young journalists need to not aspire to opinion writing but good old fashioned journalism at local media outlets.

Physician heal thyself, dude. He didn’t do that - he worked at Slate and the Daily Beast. Freakin NYT is his FIRST newspaper job, as far as I can tell.

https://nyti.ms/3n7YJM4

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Apr 25, 2023·edited Apr 25, 2023

I've never heard of "Alejandra" Caraballo before. But I went to the Harvard Law website and his photo appeared of him with a crazy half-shaved haircut, earlobe plugs, and not one, but two nose rings. Yuck!!

https://clinics.law.harvard.edu/blog/2021/08/meet-the-first-trans-women-of-color-to-teach-at-harvard-law/

Then I found another photo of him with the earlobe plugs and nose rings, a different though equally crazy half-shaved haircut, and, this is so bizarre, half of one eyebrow shaved off in little vertical pinstripes. What? No forked tongue.

https://external-content.duckduckgo.com/iu/?u=https%3A%2F%2Ftse1.mm.bing.net%2Fth%3Fid%3DOIP.D63t3-M6DuCkOE4QPVqP6QHaE8%26pid%3DApi&f=1&ipt=49b7eac4c0697cdfc20071d8f9fb456a92d592da7e954df5779951fcf7ed187f&ipo=images

Clearly it's not enough for this autogynephile law school professor to pretend to be the sex he is not with lipstick and breast implants . He is also compelled to present himself like an extra from the Rocky Horror Picture Show. The inmates are running the insane asylum. And John (Veritas) Harvard rolls in his grave.

https://www.moviehousememories.com/the-rocky-horror-picture-show-1975-film-synopsis/

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So I guess you missed the shitshow that was Caraballo tweeting about how Supreme Court Justices should be "accosted" and "should not know peace" after Dobbs, and then Congressional Democrats had the big brain idea of bringing Caraballo in to testify as an "expert" on online extremism and calls to violence on social media

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For better or worse (certainly worse), Harvard is a bastion of intolerant, religious, anti-truth thinking these days. Consider two propositions, “sex is a spectrum” and “race has no biological basis”. Neither statement is evenly remotely true. However, 99% of Harvard students and faculty would affirm the “truth” of these statements, at least publicly. Like it or not, universities have become deeply irrational. It is somewhat unclear if the race nonsense or the sex nonsense is more deeply held. This academic insanity is somewhat new (perhaps not, see below). From “Sex is a Spectrum” (https://westhunt.wordpress.com/2021/08/07/sex-is-a-spectrum/) a comment by Spencer

“Lol. I introduce students every semester to various non-overlapping or barley overlapping graphs by sex. Every year their jaws drop further. Twenty years ago barely an eyebrow was raised.”

The converse point is that Harvard and other universities were deeply religious and intolerant even years ago. The famous book “The Blank Slate” was written in 2003. The Summers affair (at Harvard) is from 2006. The Pinker/Spleke debate is from 2005. It was clear then (and still is) that Spelke was/is a liar. Was she ever punished for lying? Of course, not.

Of course, these problems are by no means limited to Harvard. Over at Yale, a talk was given on 'The Psychopathic Problem of the White Mind'. The speaker (Dr. Aruna Khilanani) explicitly fantasized about killing innocent white people and then was offended because Yale would not give her the recording. The following is from her speech.

“I had fantasies of unloading a revolver into the head of any white person that got in my way, burying their body, and wiping my bloody hands as I walked away relatively guiltless with a bounce in my step. Like I did the world a fucking favor. (Time stamp: 7:17)”

These issues are by no means limited to elite universities. At University of Southern Maine, an instructor (Christy Hammer) dared to say that there are two sexes All but one student (21 of 22) walked out in protest. The one student later caved to the fanatics. Of course, Hammer was entirely correct.

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On the question of a biological basis for race, check out the views of Kmele Foster, co-host of the Fifth Column podcast. He is as unwoke as it’s possible to be, and argues that race doesn’t exist at all. Obviously skin color does, but there are no discrete, clearly-defined racial groups, and any attempt to categorize people using crude labels like “black” and “white” fails to meaningfully describe humankind. I don’t think I’ve ever heard the woke version of this argument.

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Many authors state “race is not a biological reality”. That’s a commonplace view on the left, but is not actually true. A good parallel might be the Sun orbiting the Earth. Everyone “knew” that this was true, but of course it wasn’t. The biological reality of race has been demonstrated many times. However, since it is not a PC idea, the science just gets ignored. A few useful data points.

See “Genetic Structure, Self-Identified Race/Ethnicity, and Confounding in Case-Control Association Studies” (NCBI/PMC). Risch was able identify race with 99.86% accuracy. Not bad for something that doesn’t exist. Note that Risch did not look skin color genes at all. Quote

“We have analyzed genetic data for 326 microsatellite markers that were typed uniformly in a large multiethnic population-based sample of individuals as part of a study of the genetics of hypertension (Family Blood Pressure Program). Subjects identified themselves as belonging to one of four major racial/ethnic groups (white, African American, East Asian, and Hispanic) and were recruited from 15 different geographic locales within the United States and Taiwan. Genetic cluster analysis of the microsatellite markers produced four major clusters, which showed near-perfect correspondence with the four self-reported race/ethnicity categories. Of 3,636 subjects of varying race/ethnicity, only 5 (0.14%) showed genetic cluster membership different from their self-identified race/ethnicity. On the other hand, we detected only modest genetic differentiation between different current geographic locales within each race/ethnicity group. Thus, ancient geographic ancestry, which is highly correlated with self-identified race/ethnicity—as opposed to current residence—is the major determinant of genetic structure in the U.S. population. Implications of this genetic structure for case-control association studies are discussed.”

Take a look at “The Inconvenient Science of Racial DNA Profiling”. A scientist by the name of Tony Frudakis was able to identify the race of a serial killer in a police investigation in Louisiana. The police in Louisiana were looking for a white male killer based on (mis)information received early in the case. They were wrong. Frudakis examined DNA samples collected in the investigation and told the police that the killer was probably 85% Black and 15% Native American. Based on this new information the police starting examining new suspects and found the actual killer (who matched Frudakis’s description rather well). Tony Frudakis found that race could be determined from genes with 100% accuracy. Not bad for something that doesn’t exist.

Take a look at “How Genetics Is Changing Our Understanding of 'Race'” by David Reich in the NYT. If race didn’t exist it would not be trivial to identify race from genes. But it is. Quotes

“Groundbreaking advances in DNA sequencing technology have been made over the last two decades. These advances enable us to measure with exquisite accuracy what fraction of an individual’s genetic ancestry traces back to, say, West Africa 500 years ago — before the mixing in the Americas of the West African and European gene pools that were almost completely isolated for the last 70,000 years. With the help of these tools, we are learning that while race may be a social construct, differences in genetic ancestry that happen to correlate to many of today’s racial constructs are real.”

And

“Recent research on the human genome challenges the basic assumption that human races have no biological basis. In this article, we provide a theoretical synthesis that accepts the existence of genetic clusters consistent with certain racial classifications as well as the validity of the genomic research that has identified the clusters, without diminishing the social character of their context, meaning, production, or consequences.”

It turns of the Razib Kahn has commented on this. See “To classify humanity is not that hard”. Quote

“The idea that human phylogeny is impossible is in the air, I have heard it from many intelligent people. I have no idea why people would be skeptical of it, the way it is presented by many scholars makes the implication clear that phylogeny is impossible, that differences are trivial. Both these are false impressions. I do not believe that the fact that mixed-race people’s real problems obtaining organs with the appropriate tissue match is a trivial affair. Human genetic differences have plenty of concrete impacts which are not socially constructed.”

A number of companies (23andMe, Ancestry.com, etc.) can easily identify the ancestors of anyone using a tiny DNA sample. If race had no biological basis, this would be impossible. But, of course, it is very possible.

It turns out that Stephen Hsu has commented on this. See “Metric on the space of genomes and the scientific basis for race”. Quote

“Now plot the genome of each human as a point on our lattice. Not surprisingly, there are readily identifiable clusters of points, corresponding to traditional continental ethnic groups: Europeans, Africans, Asians, Native Americans, etc. (See, for example, Risch et al., Am. J. Hum. Genet. 76:268–275, 2005.) Of course, we can get into endless arguments about how we define European or Asian, and of course there is substructure within the clusters, but it is rather obvious that there are identifiable groupings, and as the Risch study shows, they correspond very well to self-identified notions of race.”

Well over two hundred years ago, Blumenbach found that he could classify skulls by race. It is sad but true, that our understanding of our own species has declined (in some respects), since then.

There is actually a funny version of this. Quote

“Forensic anthropology and the concept of race: if races don't exist, why are forensic anthropologists so good at identifying them?”

Why indeed? If race had no biological significance, then it would be impossible to determine race from skeletons. But, of course, it is.

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The point of my first response was that it is not a left-wing view. Kmele Foster is nowhere near the left.

I have no interest in getting into the weeds, so I’ll just say that if you use “race” interchangeably with “skin color,” yes, obviously it exists. You’re not talking to an ultra-woke leftist here, so take it easy.

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Apr 25, 2023·edited Apr 26, 2023

'Races' don't have to have 'discrete, clearly-defined' boundaries, to be quite real. Let me use a trivial analogy, the climate in Point Barrow, Alaska is different than the climate in Guatemala City, Guatemala. Can you find a line (a 'discrete, clearly-defined' boundary) where the climate magically changes from tropical to arctic? Of course, not. Does that mean that climate does not exist? Of course, not.

Climate is just one example. The list of things with fuzzy boundaries is actually quite long. How about clouds? Clouds have fuzzy boundaries. Does that mean they don’t exist? I could make the same argument using forest types, colors, oceans, gravity, hurricanes, dog breeds, and even air.

It turns out that even ‘species’ have fuzzy boundaries. Does that mean that ‘species’ don’t exist? Most people can tell the difference between dogs and humans.

Many/most things are ‘clinal’ and have fuzzy boundaries. They exist anyway. Exceptions also exist. Apparently sexes in humans are not ‘clinal’ at all. Subatomic particles are apparently not clinal (no particle is 50% proton and 50% neutron). Individual particles may have fuzzy boundaries (apparently a proton does not have a surface), however particles do not.

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“Black” and “white” are invented categories. In a parallel universe, or even in another country in this one, people might categorize themselves differently. Skin color, hair texture, etc. are encoded in DNA, but these things are not race. The fact that there are “black” people who can pass as white (and vice versa, cf. Rachel Dolezal) suggests it’s just a construct, and one whose usefulness is rather limited. What is race, other than certain physical traits that are more prevalent among certain populations?

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Apr 25, 2023·edited Apr 25, 2023

It is quite true that skin color is not 'race' (from a scientific perspective). Dark skin has evolved several times in quite different (genetic) populations. The same hold for light skin, which has also evolved several times in quite different (genetic) populations.

However, 'race' is not defined (in all cases) by physical traits. Genetic grouping is much closer to the definition of 'race'. Are some physical traits implicated? Sure. Note my reference to anthropologists.

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Apr 25, 2023·edited Apr 25, 2023

Pizzas and Tacos don't exist, there is no clear line between a pizza and a taco! That is why when I order food I just pick something randomly, it is all on a continuum and thus all the same and indistinguishable.

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There is very modern and quite vivid demonstration that race has a biological basis. It turns out that AI can determine race (with at least 90% accuracy) from an X-Ray. How AI does this is not entirely clear. I would guess that AI uses bone structure to determine race. However, that is just a guess. What is clear is that AI can determine race from X-Rays. This result has been reproduced numerous times.

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Apr 25, 2023·edited Apr 25, 2023

Aruna? Ah yes, Aruna! Or to paraphrase David Letterman, "Aruna, meet Alejandra."

"Nancy Robertson

Jun 4, 2021

How on earth did this dangerous, mentally disturbed woman ever get into a psychiatry training program, let alone graduate from one? She spews forth a toxic word salad about her fantasy of committing a mass shooting along racial lines, her resentment about not getting some vacation time years ago and her rage about people's gluten free diets. I once spent time with a woman who was having a psychotic breakdown, and the resemblance is striking. What was Yale thinking?

Like (355)Reply (9)"

https://www.thefp.com/p/the-psychopathic-problem-of-the-white/comments#comment-2115477

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Her views are actually quite dominant in elite (Yale) circles. She may be (is) a bit more extreme than some. However, she is not out of the elite mainstream. For example, no less than the NYT put a fanatical racist (Sarah Jeong) on its editorial board. Yeonmi Park has described Columbia as 'crazier than North Korea'. She was/is not wrong.

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Of course, Harvard is also (no surprise) a bastion of racism (and has been for a long time). Harvard is one on the defendants in the SFFA case. Of course, Harvard is pro-racism.

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