Oct. 4, 2023 - The Tucker Carlson Show
48:20
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| Speaker | Time | Text |
|---|---|---|
| What I call Transgender Inc. | ||
| deserves to be highlighted in a very visible way. | ||
| Why? | ||
| Sex reassignment surgeries and hormone replacement therapies are a combined value of $2.94 billion. | ||
| By 2030, it would increase to $7.5 billion. | ||
| There are no long-term studies that show the efficacy of taking these very powerful pharmaceuticals. | ||
| One of the most graphic and invasive procedures is a vaginoplast. | ||
| That is where male to female patients is castrated, testicles are removed, and the penis is inverted to create a vaginal cavity. | ||
| They can't even do lip filler in a convincing way in this country. | ||
| You can't tell me they can recreate something as complex as female genesis. | ||
| The Biden administration has kind of tacitly endorsed reconstructive surgery for minors. | ||
|
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A child will often know that they are transgender from the moment that they have any ability to express themselves. | |
| There's 300,000 transgender youth. | ||
| That number has, by the way, doubled over five years. | ||
| They face a lifetime of zero sexual function. | ||
| It's almost too crazy. | ||
| It's perverse. | ||
| If someone had told you 15 years ago that kids in your, say, daughter's ninth grade class would be coming to school in drag... | ||
| And would be affirmed in that by their teachers and the broader community, you would say there's no chance that could happen in this country. | ||
| And of course, it has happened and it's now happening at scale. | ||
| Transgenderism is not just a fad, it's a fact of life across this country. | ||
| Not just the elites, but in small towns everywhere. | ||
| And so the question is, how did something this unnatural and prima facie demented happen so quickly? | ||
| Well, of course, there's got to be money involved. | ||
| Interestingly, no one that we're aware of has taken a close forensic look at where the money's coming from and where it's going. | ||
| And that's why we're so delighted to see research done by our next guest, Chris Moritz, who's a longtime investment banker and policy guy, has done on this question. | ||
| Transgenderism. | ||
| It didn't happen by accident. | ||
| Some people are profiting from it. | ||
| And with that, we introduce our guest who joins us here on set. | ||
| Thank you. | ||
| Thank you, Tech Arts. | ||
| Beyond pleasure to be here. | ||
| Well, we're grateful to have you. | ||
| And there's been a lot of complaining about this. | ||
| It's clearly a destructive trend that's hurting people, particularly children, destabilizing society. | ||
| And it doesn't make any sense. | ||
| So it's making all of us irrational. | ||
| But for some reason, nobody has taken the time to figure out who's profiting from this. | ||
| And you've done what I think is a spectacular dive into this, an amazing overview of the economics of transgenderism. | ||
| With that, I'll just kind of back off and let you describe what you found. | ||
| Well, I think there's so many elements to this issue. | ||
| Yes. | ||
| Philosophical, religious even. | ||
| Yes. | ||
| You know, sociological. | ||
| Religious is special, especially. | ||
| Of course. | ||
| Yeah. | ||
| But the economics of it, what I call transgender ink, is something that... | ||
| It has gotten very, very little attention, and it deserves to be highlighted in a very visible way. | ||
| Because this is a market that in 2018, this market is made up of sex reassignment surgeries and hormone replacement therapies, which include a number of different pharmaceutical products. | ||
| But the combined value sales of sex reassignment surgeries and The pharmaceutical products in 2018 was $2.94 billion. | ||
| By 2022, that figure had rose to $4.18 billion. | ||
| And by 2030, our analysis indicates that that would increase to $7.5 billion, which represents an 8.5% compound annual growth rate. | ||
| Which is relatively significant within a healthcare vertical. | ||
| Well, it's bigger than the entire healthcare budgets of some African countries. | ||
| For sure. | ||
| It's a lot of money. | ||
| Well, considering also that the population of patients is about a million people, there's 1.6 million transgender adults, or I should say over the age of 13, transgender individuals in the United States, as of 2022. Now, that number has doubled in 10 years. | ||
| So in 2011, there were 700,000 transgender Americans over the age of 13. And by 2022, that had risen to 1.6 million. | ||
| So you just ended the debate over whether this is something a person is born with. | ||
| Well, I think that there is absolutely zero scientific evidence that would suggest that there is a gene, chemical alteration, any kind of somatic, physical, biological element to transgenderism that biological element to transgenderism that would result in what has become known as gender dysphoria. | ||
| And in fact, if we get deeper into the medical research, we find that there are no clinical studies, none, on the long-term Efficacy, consequences, and in many cases, debilitating life-term effects of these procedures and pharmaceutical products, especially on children. | ||
| Were there no studies? | ||
| There are none. | ||
| In fact, the FDA has not approved a single pharmaceutical product used in gender transition specifically for gender transition. | ||
| Testosterone, estrogen, and what are called GNRH agonists, or puberty blockers, are all prescribed off-label. | ||
| So they do not have specific FDA approval for gender transition. | ||
| Because this is such a new field of medicine, and many of these drugs, especially these GNRH agonists or puberty blockers, Have been traditionally prescribed for cancer patients. | ||
| Right. | ||
| Prostate cancer, famously. | ||
| Exactly. | ||
| So there's a drug called Lupron developed by AbbVie Pharmaceuticals. | ||
| And this has gotten a lot of controversy and a lot of attention because in Texas, Ken Paxton has actually brought suit against AbbVie and another pharmaceutical company that makes puberty blockers called Endo Pharmaceuticals. | ||
| Based on the fact that they are advertising to children these drugs off-label. | ||
| For a non-FDA approved use? | ||
| Correct. | ||
| So testosterone feeds prostate tumors. | ||
| So if you are diagnosed with prostate cancer, one of the therapies might be to lower your testosterone, correct? | ||
| Correct. | ||
| That's what this drug is used for. | ||
| That's exactly right. | ||
| But it's now being prescribed at scale to kids. | ||
| Yeah. | ||
| And there's no study suggesting... | ||
| The outcomes? | ||
| Long term? | ||
| None. | ||
| No peer reviewed. | ||
| Can you think of any, is there any other part of air quotes medicine where over a million people are being prescribed a course of quote therapy where we don't know the outcome? | ||
| Yeah, I think there is an analogy that can be made as a millennial growing up in the 90s. | ||
| What was a big trend at that time for that cohort? | ||
| ADHD. Everyone was put on Adderall at a young age because school teachers identified hyperactive kids and the process of going from... | ||
| Being identified as maybe a little different or whatever at the school level, and then getting elevated to guidance counselors, then to psychologists, then to clinicians. | ||
| And before you know it, you're prescribed a very powerful pharmaceutical drug. | ||
| And I think something very similar- An addictive drug that'll give you brain damage. | ||
| For sure. | ||
| And I'll tell you that drugs that are being administered for transgender patients, especially these puberty blockers, Are far, far more dire. | ||
| Can we just back up for one second? | ||
| And I remember that very well. | ||
| I had kids in school at the time. | ||
| The ADHD thing happened. | ||
| And I always thought it was a cope for, you know, boring teachers teaching pointless material. | ||
| And when kids got jumpy, they're like, you need drugs. | ||
| Right. | ||
| But I always assumed there was some sort of longitudinal research on the effects of this. | ||
| Well, at the time, you know, at that time, it was still kind of a novel. | ||
| You know, a novel therapy and really gained, you know, enormous amount of traction in the 90s. | ||
| And I think what we're seeing... | ||
| But they had no data to show that this would improve long-term outcomes. | ||
| I can't say whether there were peer-reviewed studies at the time. | ||
| I believe that, you know, even today we don't know the long-term consequences necessarily of some of those specific drugs, but certainly with respect to the transgender Pharmaceuticals, there are no long-term studies peer-reviewed that show the efficacy or not of taking these very powerful pharmaceuticals. | ||
| And we may not know for some time. | ||
| And in fact, what has resulted in, this has resulted in a situation where clinicians and institutions and... | ||
| academics and elementary schools and the entire gamut of this supply chain has had to fall back on protocols established by an organization called WPATH. WPATH stands for the World Professional Association of Transgender Health. | ||
| It's technically a medical professional body established in the 1970s. | ||
| But I think what's unique about it is that it is, for sure, a medical entity, but it is also an advocacy organization. | ||
| A political advocacy organization. | ||
| For sure. | ||
| Insofar as they are advocating for the advancement of transgenderism. | ||
| So, in other words, the protocols and clinical protocols that health systems You know, large and small that are falling back on are the standards that WPATH has enacted over the years. | ||
| So can I ask you for one sec? | ||
| So in order for all of these therapies to become mainstream, you have to change the definition of gender dysphoria from something that you treat, a problem, a psychiatric illness. | ||
| You have to change it from that to something very different. | ||
| In fact, the clinical history shows just that. | ||
| So in 1952, the first sex reassignment surgery happened, I believe, at Johns Hopkins with a patient named Christine Jorgensen. | ||
| It was very big news at the time. | ||
| And then about 10 years later, Johns Hopkins established the first gender clinic for purposes of performing sex reassignment surgeries. | ||
| But for most of the 20th century and certainly the post-war period, transgenderism or gender dysphoria, as it's become known, was deemed to be a mental illness. | ||
| It was called transsexualism or gender identity disorder. | ||
| And this was kind of the basis for understanding treatment, and it was deemed to be psychiatric. | ||
| However, in 2013, the American Psychiatric Association amended DSM. DSM is the Diagnostic and Statistical Manual of Mental Illness. | ||
| And in this change, they altered the nomenclature of the condition, such that transsexualism or gender identity disorder became gender dysphoria. | ||
| And what's significant about this change... | ||
| This is why the term transsexual, which was... | ||
| The term of art that people used, all people on all sides of the question, has disappeared. | ||
| Of course. | ||
| And, well, I mean, let's face it. | ||
| If you remove the pharmaceuticals, if you remove the surgeries, what are you left with? | ||
| You're left with a transvestite. | ||
| Right. | ||
| You're left with a cross-dresser. | ||
| Right. | ||
| And that's it. | ||
| And that's what it was for decades and decades. | ||
| I mean, there were, you know, like I said, some surgeries here and there, very small numbers, but really this What we're seeing today accelerated after 2010. But I think most people, if I can interject, didn't feel as threatened by that or threatened at all, speaking for myself, because the stakes are low. | ||
| Yeah. | ||
| You put on different clothes. | ||
| It's an eccentric hobby of yours or whatever it is. | ||
|
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Right. | |
| But you're not defacing your body. | ||
| You're not stopping the natural process of maturation. | ||
| Right. | ||
| Right? | ||
| By defining this condition as gender dysphoria, what it effectively achieved was removing the notion that this is a psychosexual disorder and that it is, in fact, a conflict between a subjective self... | ||
| Um, perception of gender or, or even as a social perception of gender and, um, you know, one's natural feelings about gender. | ||
| And therefore that can be a, that distress from, from that comes from the, uh, the, the discontinuity between those two, um, uh, Can be alleviated by surgeries and these very radical pharmaceuticals. | ||
| So I feel like I was born in the wrong body through plastic surgery and drugs. | ||
| I can eliminate all of the anxiety that comes from feeling like I'm trapped. | ||
| I mean, that is the argument. | ||
| And certainly for many transgender patients, they report... | ||
| Positive benefits from the process. | ||
| However, many, many also report regret, severe physical ailments that come from the surgeries themselves, which we can get into, and the complications that arise from those, and then, of course, the pharmaceuticals. | ||
| Well, let's get into that, if we could, because I spent, I don't know, the last five years talking about transgender stuff on TV. And I don't, and debating people on it. | ||
| And I don't think I've ever heard anyone describe what exactly the surgeries are. | ||
| I don't think you're allowed to ask. | ||
| I haven't Googled for photographs because I'm not sure I want to see them, but that's like not part of the conversation. | ||
| Like the details have kind of been omitted here. | ||
| So what are the surgeries? | ||
| They're purposely omitted. | ||
| So, well, okay. | ||
| So let's get specific and turn this off if it bothers you. | ||
| No, no. | ||
| For instance, I think probably one of the most graphic. | ||
| And invasive procedures is called a vaginoplasty, and that is where a male to female patient is castrated, testicles are removed, the penis is inverted to create a vaginal cavity, and then skin grafting is used to create other elements of female genitalia. | ||
| Vulva, labia, et cetera. | ||
| But what we found is that there was a study from California. | ||
| They can't even do lip filler in a convincing way in this country. | ||
| You can't tell me they can recreate something as complex as female genitalia. | ||
| I'm sorry. | ||
| Of course they can. | ||
| And there's a study out of California of 869 vaginoplasty patients. | ||
| And of those 869, 25% Post-op had side effects to the surgery that were so severe that they required additional hospitalization. | ||
| Of those 25... | ||
| 25%? | ||
| Yes. | ||
| And of those 25%, 44 had to have major revisional surgery due to bowel injuries, bleeding. | ||
| Also associated with this particular procedure is total loss. | ||
| Of sensation, in other words, sexual functioning. | ||
| Total loss. | ||
| Total loss. | ||
| Irreversible. | ||
| So, you know, that's one of the, I think, the more, it's, you know, one of the more explosive of these procedures, but, you know, it also includes mastectomies, which are performed at an increasingly rate on minors, on girls. | ||
| Even the Biden administration has kind of tacitly endorsed genital reconstructive surgery for minors on a case-by-case basis. | ||
| This was promulgated by, I believe, Admiral Levine, Rachel Levine. | ||
| Oh, the dude in the military outfit. | ||
| Sure. | ||
| But can I ask, so like 10 years ago, again, just having spent life in cable news, I remember all the debates. | ||
| And you sort of wonder, like, whatever happened to that? | ||
| Like, female genital mutilation, FGM. This was something that your garden variety NPR donor was very upset about. | ||
| Sure. | ||
| Like, 10 years ago. | ||
| Yeah. | ||
| I haven't heard anybody mention female genital mutilation in the United States in quite some time now. | ||
| Is that because we now officially engage in it? | ||
| Of course. | ||
| We export it to the rest of the world. | ||
| The rest of the world, the rest of the developed world, which were, in fact... | ||
| The Scandinavian countries in particular had had, you know, kind of, you know, prior in the early 2000s and in the 90s even, were really at the forefront of this field of medicine. | ||
| I thought it was the Muslims who had these crazy radical ideologies and they were exporting female genital mutilation and now it's the West. | ||
| Well, actually, I mean, actually in Iran, Iran is one of the largest centers for sexual assignment surgery in the world. | ||
| What? | ||
| Yeah. | ||
| Because they're anti-gay. | ||
| And transgenderism, I mean, it's a very quietly held but widely held view, I think, amongst the LGB community that transgenderism is anti-LGB. Well, of course it is. | ||
| Of course it is. | ||
| And in Iran, where homosexuality is illegal, they have a very simple solution. | ||
| Vaginoplasty. | ||
| Cut it off? | ||
| Yeah. | ||
| Well, you just blown my mind. | ||
| I had no idea. | ||
| Yeah. | ||
| Wow. | ||
| And I'll tell you, in terms of the pace of growth for, let's say, clinics serving pediatric patients on gender issues, in the last 15 years in the United States, we had zero, now to over 100. Clinics? | ||
| Clinics for kids. | ||
| Why? | ||
| It's a very complicated question, and there's a lot of different reasons why. | ||
| I would say that the biggest single policy catalyst for this explosion is Obamacare. | ||
| When Obamacare was enacted in 2010, there was a kind of... | ||
| Very quietly written into the law a provision in which insurance companies were mandated to provide coverage for what is deemed to be medically necessary, gender-affirming care. | ||
| As a result of that, between 2010 and 2016, there was a 50% increase in sex reassignment surgeries, 25% increase in Insurance coverage for transgender individuals. | ||
| And then at the very end of the Obama administration in 2016, an additional amendment to the Affordable Care Act was made whereby gender identity could no longer be a basis for denial of coverage by private insurance companies. | ||
| As a result of that, the next year, So, they're required to pay for it. | ||
| How expensive is it? | ||
| A transition, rather, for male to female is approximately $142,000. | ||
| And what does that entail? | ||
| That would entail what's called bottom surgery and top surgery. | ||
| So that would be castration, fake nonfunctional vagina, and breast implants. | ||
| Exactly. | ||
| But that does not... | ||
| I mean, it's almost too crazy. | ||
| It's perverse. | ||
| Can I just ask a question? | ||
| Does anyone study the sex lives of post-op transsexuals? | ||
| Like, how are they? | ||
| Well, as I said, for many, many patients that have, especially the male to females that have procedures, general reconstruction procedures, they face a lifetime of zero sexual function because they lose sensitivity in this Artificial vagina. | ||
| What about constructing artificial penis? | ||
| Are they better at that? | ||
| That seems to be more efficacious because it involves... | ||
| Less complicated. | ||
| Well, it's less complicated. | ||
| It's also part of the process of, let's say, administering testosterone to women results in an enlargement of... | ||
| The clitoris. | ||
| Yes. | ||
| And that can be used as a basis to create a neophallus. | ||
| So that's one procedure. | ||
| That costs about $50,000. | ||
| That can actually cost up to $150,000, depending on the health system, but it's generally about $50,000. | ||
| So in that specific case, since we know that testosterone and estrogen, too, these are really powerful chemicals, and they're necessary, but they're implicated in health disorders like cancer. | ||
| But others as well. | ||
| If you pump a man full of estrogen or a woman full of testosterone, what are the health consequences of that? | ||
| Leaving aside sex identity. | ||
| Again, we have no long-term studies on the effects, long-term effects of these pharmaceuticals on transgender patients. | ||
| They're simply not. | ||
| So clinicians fall back on guidelines established by WPATH. By a transgender political group? | ||
| Yes. | ||
| Yes. | ||
| This is a very interesting anecdote about WPATH. There was a clinical psychologist at UCSF who is the US chapter president of WPATH, and she is transgender. | ||
| And in 2000, I believe 2021, she made a public statement that She believed that the industry was moving way too fast and there was sloppy medicine and propensity for false positives in adolescents, resulting in potentially irreversible changes for these kids. | ||
| As a result of this statement, WPATH forced her to resign and then issued a moratorium. | ||
| On all of its board members from ever speaking to the press. | ||
| That's crazy. | ||
| Yeah. | ||
| That's not science. | ||
| No. | ||
| But you have to wonder about just your garden variety physician who is swimming in the soup funded by the insurance companies, led by the nose by activist groups like WPATH and Human Rights Campaign, etc. | ||
| And the effect is... | ||
| Like, scary medicine that's destroying people's lives. | ||
| Like, where are all the doctors standing up and saying, whoa, that's not science. | ||
| This is bad for people. | ||
| I don't ever see them. | ||
| Where are they? | ||
| In this country, they're hard to find. | ||
| In other countries, which actually have longer histories of this kind of treatments and product lines, there's a significant pushback. | ||
| In fact, in England, the leading pediatric clinic For gender dysphoria, it's called the Talistock Clinic, was shut down by the NIH, which is the UK Health Administrator, because of, again, sloppy diagnoses, concerns that... | ||
| Doctors were neglecting their duty of care, informed consent. | ||
| And so it's opening up potential tort litigation. | ||
| But it does seem like, I mean, we have tens of thousands of physicians in this country and they're all well-educated and by definition smart and you'd like to think they're responsible and ethical. | ||
| But it seems like they've been so corrupted. | ||
| Like, how could they stand by and allow this to happen? | ||
| Well, how can they go on TikTok and Instagram and advertise? | ||
| Uh, specifically to targeted transgender youth that are following these feeds and promoting their services. | ||
| Um, you know, is that, is that medicine or is that retail medicine? | ||
| So I want to ask for the economics in a minute, but I'm just, I'm struck by the moral corruption and wondering, I mean, there are a lot of crappy talk show hosts out there and I always feel like, wow, talk show hosts, I should probably say something. | ||
| You know what I mean? | ||
| Like, cause it's embarrassing. | ||
| But I don't hold anyone's life in my hands. | ||
| If I was a doctor, it feels like there's a moral obligation to say something. | ||
| So this is a gender-affirming surgeon. | ||
| This is a lunatic with a knife called Steve Gallagher describing a brand new group of patients. | ||
| Watch this. | ||
|
unidentified
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A group of gender-diverse individuals who haven't been very visible. | |
| are eunuchs and there is an entire chapter devoted to these folks in the most recent version of the WPAT standards of care, WPAT's World Professional Association of Transgender Health and so basically a eunuch is somebody who's assigned male at birth but may not be comfortable with the masculine features and may also benefit from gender affirmation care which could mean orchiectomy in some patients. | ||
| Now we have to be very careful because we know So, | ||
| just in case you're wondering if this is medieval, here you have apparently a physician. | ||
| Proudly creating eunuchs, presumably to guard the harem somewhere. | ||
| Exactly. | ||
| But where are all the other surgeons who are like, wait, that's fully crackpot? | ||
| That's pre-science? | ||
| There is definitely a pushback, but institutions are crushing that dissent. | ||
| That's what it is. | ||
| Just like what I cited with the... | ||
| Clinical psychologist at, you know, who's the WPATH? No, that's what it is. | ||
| U.S. chair. | ||
| It's the institute. | ||
| It's like, everyone watch the 2020 election get stolen, but nobody can say anything because you'll get crushed. | ||
| Look, and it's not just healthcare institutions. | ||
| It's not just health systems. | ||
| It's not just pharmaceutical companies. | ||
| It's corporate America. | ||
| So, for instance... | ||
| There is an entity called the Tawani Foundation. | ||
| The Tawani Foundation is led by Jennifer Pritzker, who is the transgender sister of Governor of Illinois, J.B. Pritzker. | ||
| And she established a non-profit entity called the Tawani Foundation and then a private equity vehicle called Tawani Enterprises. | ||
| Tawani Foundation has established Grants all over the world to propagate transgenderism at the university levels, funding legal battles and legislative initiatives. | ||
| But they have also... | ||
| Partnered with corporate entities. | ||
| So, for instance, in 2013, Tawani, in conjunction with Wells Fargo Foundation, established a grant at UC Santa Barbara to study transgenderism in the US military. | ||
| To study transgenderism in the US military? | ||
| Promote. | ||
| Promote. | ||
| So, can you tell me what you think the motive is in corporate America? | ||
| Getting behind something so obviously destructive? | ||
| Well, I think that, as you have opined many, many times, corporate America gets their marching orders from HR departments. | ||
| HR departments get their marching orders from universities. | ||
| Universities are... | ||
| We know what the culture and mores are of our elite institutions. | ||
| And even these medical associations and boards, WPATH included, have strong affiliations with universities. | ||
| These ideas are coming out of universities. | ||
| And why that is? | ||
| There's many reasons why. | ||
| I would argue it's a kind of extension of postmodernist. | ||
| Cultural Marxism, because transgenderism, you know, if we're looking at it philosophically, is ultimately about rejecting what is a foundational principle, philosophical principle in Western civilization, which goes back to Aristotle, that there is such a thing as objective truth and reality. | ||
| Yes, and beauty. | ||
| Yes, but transgenderism is to say... | ||
| There is no such thing as an objective reality that you are born a male or female. | ||
| It is your subjective perception of your gender identity that is actualized and made real and where it becomes kind of authoritarian as a movement in the fact that the movement demands society recognize that subjective reality as truth. | ||
| And I feel that that is One of the most disturbing things about this entire movement, they've created an entire lexicon that is, for instance, gender-affirming care. | ||
| What does that mean? | ||
| What does it mean to be assigned a sex at birth, as it's often referred to in the literature? | ||
| I mean, one argument can be made, it's very anti-God. | ||
| Right? | ||
| You are assigned a gender, and that can be changed by medical science. | ||
| Because you're God. | ||
| Right. | ||
| It also looks a lot like human sacrifice to me. | ||
| I mean, castrate your sons, and you'll somehow benefit. | ||
| I mean, most people, I would say, as long as people have existed, kind of want their children to reproduce and sort of carry on the line. | ||
| That's like the core human desire. | ||
| And this... | ||
| Ends it. | ||
| I mean, you castrate your son, you have no grandchildren. | ||
| Yeah, but why are parents agreeing to this? | ||
| They're doing so because, and there are many, many anecdotes related to this across the literature and across a lot of investigative journalists' reports on this subject, is that parents are presented, you know, especially at that initial... | ||
| Meeting at a gender clinic with a choice. | ||
| They'll say your son can either be a daughter or you can have a dead son. | ||
| And they will scare the hell out of them with statistics about suicide rates and all sorts of other mental illnesses that will suggestively come to fruition if you do not take this course of action. | ||
| Ironically, in Sweden, which was really a leader in this area of medicine and in this field, a Swedish study a couple years ago found that post-op transgender patients have a significantly higher likelihood of making suicide attempts. | ||
| Requiring inpatient psychiatric care than the overall general population. | ||
| Is it only the white countries that are doing this or the non-white countries that are super anxious to castrate their kids? | ||
| Well, I can tell you it's not happening in China. | ||
| Right. | ||
| It's not happening in Japan. | ||
| It's not happening in India. | ||
| In Thailand, they have long had a cultural concept of like a third sex. | ||
| Yes. | ||
| So there's a lot of... | ||
| In fact, it's a big market for sex change surgeries. | ||
| And for sex trafficking. | ||
| Yeah, and sex trafficking too. | ||
| What about Sub-Saharan Africa? | ||
| I mean, they certainly have, you know, I think a strong market share on the genital mutilation sub-segment. | ||
| But in terms of transgenderism, I think that's a non-starter. | ||
| This is an American export at this point. | ||
| Yeah. | ||
| But it's the Anglosphere, too, and Scandinavia. | ||
| So it's Western Europe, the United States. | ||
| But in England, they're pulling back from this as well. | ||
| There are a number of important tort cases centered around negligence by doctors when it comes to duty of care and informed consent. | ||
| For transgender youth. | ||
| So what, just back to the money, which I've given short shrift to, my apologies. | ||
| So who's profiting? | ||
| You know, you bring your eighth grader into a gender clinic, kid's got to transition or else he's going to kill himself. | ||
| Who makes money going forward? | ||
| Well, Cedars-Sinai Hospital Health System in Los Angeles is the market leader in the sex reassignment surgery, U.S. sex reassignment surgery market. | ||
| They have an eight... | ||
| Approximately 8% market share. | ||
| It's highly fragmented overall. | ||
| No single entity really has a share greater than 8%. | ||
| So, you know, these are very often regional and highly competitive space, but regional. | ||
| And Cedars has a dedicated transgender clinic. | ||
| The revenue from the surgeries brought on by that clinic in 2022 amounted to over $200 million. | ||
| That is on revenue of, I believe, $8 billion for Cedars overall. | ||
| Cedars doesn't have a board or there's no oversight of this? | ||
| The board encourages it. | ||
| There are very perverse incentives for health systems to go full on board with this line of service and this line of products because entities like the Human Rights Campaign have established what is essentially ESG for trans. | ||
| They call it HEI, Health Equity Inclusion. | ||
| So, Human Rights Campaign, about 15 years ago, established this national benchmarking tool, and it effectively is an equity and inclusion gauge for health systems. | ||
| And it is used coercively. | ||
| And examples of that would be that in 2020, the Children's National Hospital received a low HEI score. | ||
| As a result of that, The board of directors of the hospital immediately established a DEI subcommittee and then extended sex reassignment surgery coverage to all of their employees and their dependents under the age of 18. The next year... | ||
| Children's National Hospital received 100% HEI score. | ||
| But it's a hospital filled with self-described scientists. | ||
| Nobody's piped up and said, there's zero evidence this is a good idea. | ||
| We don't have a single study suggesting this works. | ||
| No one said that? | ||
| Well, I mean, there are certainly studies that would show that... | ||
| And again, they're not necessarily peer-reviewed, but there's studies that show that transgender patients... | ||
| Are sometimes very satisfied with results, but on the other hand, many times they're not. | ||
| Over what period? | ||
| Well, I mean, that's a great question, too, because... | ||
| I mean, if you take a 17-year-old and pump him full of hormones he wasn't born with, like, you know, there have to be massive physical and psychological consequences. | ||
| Well, okay, so with puberty blockers in particular... | ||
| Which suppress testosterone in men in particular for prostate cancers, as you cited, and affect the pituitary gland and suppress the onset of puberty. | ||
| This was also developed to address what's called precocious puberty. | ||
| That would be kids, let's say, six, nine years old who start developing early, and this is what it's administered for. | ||
| The long-term effects of these drugs, especially in healthy patients, and let's face it, transgender patients do not necessarily have any other comorbidities or medical problems. | ||
| They're healthy adults. | ||
| It's in the mind that results in the initiation of treatment. | ||
| And in the case of puberty blockers, you have concern even amongst gender clinicians that brain development may be significantly impacted by the administration of these drugs because if you suppress natural maturation, that includes brain development at a very critical stage in adolescence. | ||
| So we have, you know, that's a side effect. | ||
| There's concerns about bone density. | ||
| There's certainly concerns about long-term fertility rates. | ||
| It goes on and on and on. | ||
| You said there are two big manufacturers of puberty blockers? | ||
| Well, there's several. | ||
| The leading pharmaceutical players in this space include Pfizer. | ||
| A company called AbbVie Pharmaceuticals. | ||
| Pfizer? | ||
| What does Pfizer make? | ||
| Pfizer makes testosterone, estrogen, and Q reblockers. | ||
| Primarily, though, it's testosterone and estrogen. | ||
| And I want to stipulate that the overall sales for these product lines within the pharmaceutical companies are relatively small because the number of patients is very small. | ||
| 300,000 transgender youth, so 13 to 17 in the United States. | ||
| That number has, by the way, doubled over five years from 2017 being 150,000 to 300,000 by 2022. So these pharmaceutical companies are not necessarily making huge amounts of money off Of these drugs. | ||
| I think, really, the big money is coming from health systems and the surgeries because they're just so expensive. | ||
| And incorporate, obviously, a lot of ancillary costs related to surgeries in general. | ||
| As I said, revision surgeries are a frequent issue with transgender sex reassignment. | ||
| Because they're just so invasive and so complicated. | ||
| It takes 12 to 18 months to recover from a vaginoplasty or a phalloplasty. | ||
| Knowing as much as you do about how this began and who's profiting, if you wanted to stop it or slow it down, or make it less likely that your eighth grader wants to transition, what would you do? | ||
| Well, I think that... | ||
| I think when you're talking about an 8th grader, for instance, who exhibits, let's say, strong feminine qualities at an early age, may very well just be gay. | ||
| But in the time that we live in now, that 8th grader is scrutinized by an 8th grade teacher. | ||
| Identified as potentially gender dysphoric, referred to a guidance counselor, who then refers to a local psychologist, who then refers the eighth grader and his parents to a gender clinic. | ||
| Go to the gender clinic, and a clinician will make a very stark assessment and raise the stakes for these parents, saying, you know, you can have, again, as I said, a dead son. | ||
| Or transition daughter. | ||
| And there was a study that Reuters did last year of 18 pediatric clinics, gender clinics in the US. And to assess basically the process of evaluation, they came to the following conclusion. | ||
| Effectively, patients will meet with a social worker. | ||
| A psychologist and a clinician, either a pediatrician or an endocrinologist. | ||
| They'll take a two-hour meeting, assess medical history, talk about the benefits and risks, and so on and so forth, present these suicide statistics. | ||
| And Reuters found that seven of these 18 clinics would, after... | ||
| After they were made sure there was no obvious red flags or comorbidities and that the child and parents were in agreement, which I think is interesting, the child would be in agreement to this equally with the parents. | ||
| Then out of these seven clinics, they are comfortable after this two-hour meeting, after a first meeting, to make a gender dysphoria diagnosis. | ||
| And prescribe these powerful pharmaceuticals. | ||
| Any idea what percentage of the families were single-parent, female-headed? | ||
| I don't know that. | ||
| It's a good question. | ||
| It's hard to imagine too many dads going along with this, but maybe we're that degraded. | ||
| But in California recently, there was legislation that can effectively take custody away from, let's say, a dad. | ||
| Who objects to the gender affirmation of their kid. | ||
| Yeah. | ||
| Well, that's just stealing your child. | ||
| And to what end? | ||
| It's just interesting. | ||
| I mean, you know it's a passive country that nobody's resorted to violence. | ||
| I mean, in a normal culture, if someone said we're going to take your child away and castrate him, I mean, you know, you would die before you let that happen. | ||
| Yeah. | ||
| I mean, again, I think that so much of this has to be viewed in parallel with the radicalization that happens at the... | ||
| At the primary school level and university school level. | ||
| Frankly, Elon Musk has talked about his own experience with this at an elite private school in Los Angeles where his daughter or son, rather, became kind of politically radicalized and then transitioned. | ||
| And you'll find, I think, that the The political radicalization and the gender radicalization are both coming from the universities and they both have the same end goals, | ||
| which is to break down the foundations of our country and of our civilization as we have established for millennia, to replace it with something new in their image. | ||
| And it is a kind of playing God. | ||
| And it's a kind of cultural revolution that I think even has some parallels to China's cultural revolution. | ||
| Yeah. | ||
| Which seems a little bit less absurd than this. | ||
| Just saying. | ||
| Oh, in many ways. | ||
| Chris, thank you for all of this. | ||
|
unidentified
|
Thank you. | |
| All of the research you did and for so clearly. | ||
| Thanks. | ||
| Appreciate it. |
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