re: "Gender affirming care" surgeons are butchers and it should be banned for everyone

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You going to stop men from getting vasectomies? Or women from getting hysterectomies?

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No, and I expected you'd raise the point. I'm guessing a lot of practitioners would hesitate and sternly advise/warn against some 23 year old getting either, no? And why is that?

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Are you going to ban elective limb lengthening procedures?

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I don't know what they do - are they sound medical procedures in your view?

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We can do this all day. How about we let consenting adults, consent and be adults.

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So no limits? I want to voluntarily amputate my arm and I'm of sound mind, no ethical issue presented to the profession.

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A schizophrenic can't ethically or legally consent to get his toenails trimmed. If you want to argue anyone who would consider gender-affirming surgery by default does not have capacity to make medical decisions, then thats your right I guess

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Well first, yes, that's my argument. Second, even setting aside the reality that someone with some variation of gender dysphoria and willing to consider major reconstructive surgery are, as a category, mental ill and lacking capacity, the reality is that nearly all of them suffer from other major mental/behavioral disorders.

If your starting point is "the medical profession shouldn't preclude any surgeon from doing any procedure so long as informed consent is obtained, regardless of the likely harm/uselessness/etc. of the procedure" - ok. I struggle to believe that's really what you think, though.