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Texas Pediatric Society

State follows through on Abbott’s attack on trans kids

Revolting, though fortunately not particularly consequential. For now, at least.

The Texas Department of Family and Protective Services has responded to Gov. Greg Abbott’s request for an interpretation of state law sent last Friday, agreeing that some gender confirmation surgeries for transgender children constitute child abuse.

According to the letter, signed by DFPS commissioner Jaime Masters, allegations of such surgeries “will be promptly and thoroughly investigated and any appropriate actions will be taken,” though it’s unclear what impact the ruling will have.

Medical experts said gender-affirming care for transgender children rarely, if ever, includes use of the surgeries — orchiectomies, hysterectomies and mastectomies — that Abbott cited in his letter Friday to Masters. Most care for transgender children includes social transitioning and puberty blockers, which are reversible.

Abbott vowed last month to take action to restrict transition-related medical care for transgender minors in Texas. The move comes after a bill that sought to define several types of gender-affirming health care as child abuse was passed by Texas Senate during the regular session before gaining little traction in the House.

Brian Klosterboer, an attorney with the Texas division of the American Civil Liberties Union, said the letter seems to carry little weight or merit.

“It seems to us that this is mainly a political attack and political stunt as a way to attack transgender kids,” Klosterboer said. “…This letter, it is official in the sense that what the commissioner says might influence how DFPS does their work, but it doesn’t change the law in this area.”

Rep. Erin Zwiener, D-Driftwood, a founding member of the Texas House LGBTQ Caucus, said legislation would have to be passed to change the Texas Family Code for there to really be any major change. However, the letters could present detrimental affects to transgender children seeking gender-affirming care.

“This opens the door to any parent of a trans kid being accused of child abuse,” Zwiener said.

[…]

Ricardo Martínez, CEO of Equality Texas, said rhetoric within the letters from Abbott and DFHS, which include the term “genital mutilation,” are an attempt to institute fear mongering and do not reflect actual gender affirming care.

“I think that it’s important to address that current best practice, health care approach for transgender children is a social transition which requires no medical intervention,” Martinez said. “I think that the letters that have been changed between Governor Abbott and the state agency are really not taking that into account. For older adolescents and teens the prevailing standards of care best practices and guidelines, look nothing like the contents of those letters.”

See here and here for the background. It’s good that this new directive means little in terms of actual policy change, but that’s of limited comfort when you remember that anti-trans bills are on the agenda for the special session. Abbott is not going to give up on this. He cares way more about hurting trans kids than he does about protecting kids in general, as his utter failures on COVID make clear. The Chron has more.

As it happens, this news story came out on the same day that one of my cousins sent an email to a bunch of family members. It was a reply to an email he had sent five years ago, announcing the birth of his first child, a son. In this email, he informed us that his partner is pregnant with their second child, and also that their first child had been telling them since they were three that they were not a boy but a girl. It took my cousin and his partner, a couple of Brooklyn hippie types, some time to understand what this meant and come to terms with it, but they had done so and were re-introducing the larger family to their daughter and her new name. He included a picture, which was lovely. I’m happy for my cousin and his family, and I hope they never live in a place where the government is actively trying to harm their children. No one should have to deal with that.

Abbott goes back on the attack against trans kids and their families

Bullies are cowards.

Gov. Greg Abbott delivered Friday on a recent promise to use his political weight to try to halt medical interventions for transgender children, which are considered standard of care for adults. He wants state officials to redefine reassignment surgery — which is very rarely used for children — as a form of child abuse.

The governor said he intended to craft his own approach after state lawmakers failed a second time this year to pass an array of laws that would penalize health care providers for providing and parents for seeking gender affirming care and curtail transgender children’s medical and educational rights.

Abbott’s new plan came in the form of a letter to the state agency tasked with protecting children from abuse. Abbott asked the director of the Department of Family and Protective Services to “please issue a determination of whether genital mutilation of a child for purposes of gender transitioning through reassignment surgery constitutes child abuse.”

The term “genital mutilation” is traditionally used among human rights workers to refer to a procedure for young girls that prevents them from experiencing sexual pleasure. Abbott — who does not have a medical background — reframes the definition, stating as fact that “subjecting a child to genital mutilation through reassignment surgery creates a ‘genuine threat of substantial harm from physical injury to the child.’”

If the child protection officials ultimately determine these surgeries to be a form of child abuse, Abbott goes on to say, DFPS would be duty bound to investigate a child’s parents, and other state agencies would have to investigate medical practitioners who carried out the surgeries.

See here for the background. The good news is that as offensive and hurtful as this is, it may not actually amount to much.

[M]edical experts say gender affirming care for transgender children rarely, if ever, includes use of the surgeries — orchiectomies, hysterectomies and mastectomies — Abbott cited in his letter Friday to DFPS Commissioner Jaime Masters. Most care for transgender children includes social transitioning and puberty blockers.

Experts also took issue with Abbott’s language in the letter, which repeatedly referred to gender confirmation surgery as “genital mutilation.”

Andrea Segovia, Transgender Education Network of Texas’ field and policy coordinator, said the move by Abbott is a continuation of Republican Texas leaders bullying marginalized children.

“It’s literally the harshest language possible, because he wants a reaction from his side,” she said. “And they can gain supporters in that of like, ‘Oh, that sounds awful. Yeah, we shouldn’t be doing that to our minors.’”

Equality Texas released a statement criticizing Abbott’s letter.

“This is nothing more than another political attempt to stigmatize transgender people, their loving families, and the healthcare providers who offer them lifesaving care,” CEO Ricardo Martinez said.

[…]

Texas doctors and advocates see Abbott’s letter as more of a political move than as having much of an impact on gender affirming care as it’s currently practiced in Texas.

“That just sounds like something to placate the base, but it doesn’t really do much of anything,” said Seth Kaplan, president of the Texas Pediatric Society.

Segovia agreed.

“This is not a cause for alarm,” she said. “Our organization does not want community or parents or anybody to think that this is a letter saying that medical sort of appointments and anything like that should stop.”

One would hope that if this request needs to be approved by actual medical professionals before it can be implemented, they would be doctors first and put their medical knowledge and ethics above crass political motives. That’s far from a sure thing, of course, but at least it’s a consideration. This is also a reminder that the reason Abbott is doing this is because Democratic quorum-busting actions, in the regular session and now, have thwarted the bills that would enshrine this crap into law so far. The fight matters. Mandy Giles has more.

The kids are getting vaxxed

Good news.

In the first week that Texas adolescents were eligible to be vaccinated for COVID-19, after a year of pandemic-induced isolation from their families, peers and classrooms, more than 100,000 kids ages 12-15 poured into pediatricians’ offices, vaccine hubs and school gyms across Texas to get their shots.

One of them was Austin Ford, a 14-year-old in Houston whose mother is a pediatric nurse, whose father has a disability that makes him vulnerable to COVID, and who lost a family member to the virus last month.

“It was a no-brainer for us,” said his mother, Sherryl Ford, 46, who took Austin to Texas Children’s Hospital for his shot last Friday, less than 24 hours after the Pfizer vaccine was approved for emergency use for his age group. “I have friends who took their kids the night before. In the days since the federal approval on May 13, about 6% of Texas children ages 12-15 have gotten a dose of the Pfizer vaccine. It took more than a month to reach that percentage for eligible adults last winter when the vaccination effort began.

It marks a promising start, health officials and others say, to the state’s first attempt to inoculate Texas’ estimated 1.7 million adolescents, who have endured isolation and virtual-learning challenges for more than a year.

“It’s amazing,” said Dr. Seth Kaplan, a Frisco pediatrician and president of the Texas Pediatric Society, which represents about 4,600 pediatricians and other child medicine professionals.”

[…]

In Texas, where the issue of vaccinating children for any kind of illness has sparked intense political debate, parents are permitted to opt out of vaccines required to attend public schools, as well as opt in to a statewide immunization registry that tracks childhood vaccinations.

But while Texas health officials have expressed concern about what they describe as a growing anti-vaccine movement, between 97% and 99% of Texas schoolchildren are fully vaccinated, according to the Texas Department of State Health Services.

State health officials don’t expect that high of a number with the COVID vaccine, at least not right away, but say that number signals a high rate of general vaccine acceptance among Texas parents, said Chris Van Deusen, spokesperson for DSHS.

The state is doing research to determine the best messages and outreach for parents, who will be targeted in a public awareness campaign over the summer, Van Deusen said.

Texas pediatricians have also been talking with parents for months about vaccinating their kids, in preparation for its availability to that age group, Kaplan said.

See here for the background. My younger daughter is in that six percent, and in less than two weeks we’ll be a fully vaccinated family. That’s not only good for the kids, it’s good for our overall vaccination numbers, which can use all the help they can get. Given the universal return of in-person school and the removal of mask mandates, this makes a lot of sense. The schools themselves will be used to help get kids vaccinated, which is a big deal considering how many obstacles some folks face in getting the shots.

Statewide, more than three dozen school districts from Laredo to McKinney and from East Texas to El Paso have become official providers and have received vaccines, either for students or staff or, in McKinney’s case, for both.

“We want to be part of the solution for our staff and our students, and we want education and our school experience to get back to what it was pre-pandemic,” Pratt said.

Although the vaccines require parental consent, a key part of the enthusiasm appears to be coming from teenagers themselves.

“Most of the kids that I’ve spoken to are really ready to get it because they understand that even though we kind of opened everything up and they are getting back to normal, there’s still a risk for them,” Kaplan said. “If they can get vaccinated, then their participation in activities that they want to be participating in is that much safer for them.”

I don’t know what we need to do to get HISD involved as well, but we should do that. The Dallas Observer has more.