All posts filed under: Health

The Search to Explain Our Anxiety and Depression: Will ‘Long COVID’ Become the Next Gender Ideology?

In December, I wrote a detailed report for Quillette about the race-based social panic that had recently erupted at Haverford College in Pennsylvania. One of the reasons why the meltdown seemed so surreal, I noted, is that this elite school appears to the outside world as picturesque and serene. The average annual cost of attendance is about US$76,000. And most of these students live extremely privileged lives, insulated (physically and otherwise) from what any normal person would regard as suffering. Nor is there much in the way of substantive political discord on campus. According to survey results released in late 2019, 79 percent of Haverford students self-identify as politically liberal, while only 3.5 percent self-identify as conservative. It’s as close to an ideological monoculture as you can find outside of a monastery or cult. On paper, it resembles one of those utopian micro-societies conceived by science-fiction writers or 19th-century social theorists. The survey results I’m alluding to originate with Haverford’s “Clearness Committee,” an excellent resource for anyone seeking to understand the attitudes of students at …

When Sons Become Daughters, Part III: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the third instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. To find out more about how the author collected and reported information, please refer to his introductory essay in this series.   Coral’s story starts earlier than those of the other parents I’ve profiled, even if it contains familiar themes. While her prodigiously intelligent, literal-minded son wanted to talk about the science of black holes, his friends were still playing with Lego. Once he hit age 12, things got rough: All his friends left his school in one hit; the remaining kids took to bullying him; a close family member died. He was just beginning to realize how different he was, but not how he was different. He’d also just been given his first computer. The first declaration that …

The Fear and Fantasy of COVID-19 Vaccination

This article has been expanded and adapted from prepared remarks delivered at the Researchers.One panel “The Science and Social Impact of COVID-19 Vaccines” on March 25th, 2021. The current state of COVID-19 vaccine administration in the United States, with its high levels of vaccine hesitancy and skepticism, can be explained by a model composed of three layers of interconnected system(s) malfunction. Disconnect between scientists’ interests and the public’s concerns, the erosion of trust in the peer review process, and politicization of “narrative” around the novel coronavirus. The stakes for a strong and legitimate public health response have not been higher in our lifetime. With novel coronavirus strains on the way to becoming endemic globally, it is crucial that we re-evaluate our systems and institutions with an eye to making the improvements necessary for robust coordinated operation in the future. Layer one: scientific interest vs. general interest There is an asymmetry between the interests and incentives of the scientific community and those of the lay public. Scientists maintain a culture in which claims without evidence are …

When Sons Become Daughters, Part II: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the second instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. To find out more about how the author collected and reported information, please refer to his introductory essay in this series.   Blindsided You don’t have to spend long with Christine to get an idea of the kind of woman she is. She’s modest—perhaps even diffident—at first, and when we get to talking, I realize I interrupt her too much. But then, you begin to understand: this woman is a serious success story. She loves her work, and it’s pretty exciting work, too. I’m envious. She wouldn’t volunteer the information, but I bet she has a few people she could fire, if she wanted to. I could be wrong, but I’ll never know, because she wouldn’t let on if …

Diversity, Inclusion, and Academic Freedom: The Case of Gender Biology

Our university recently circulated an email message, the contents of which I found somewhat strange. Or rather, I might have found it strange had I spent the past decade or two in a coma. The message was a carefully worded reflection on how academic freedom can be reconciled with the university’s updated and strengthened policies of diversity, equity, and inclusion (DEI). Although it strategically avoided specifics, one might justifiably infer that academic freedom presents some kind of threat to DEI. As I understand it, academic freedom means that what we publish and what we teach need only be judged for relevance and for support by the evidence base. In addition, it now appears that research must be compatible with institutional priorities. Less clear is where exactly these two guiding principles are expected to clash. In an attempt to understand this, I will reflect on a recent experience that may shed some light here. I am a paediatric endocrinologist, with teaching duties in the Department of Paediatrics (cross-appointment in Human Genetics), at McGill University in Montréal. …

When Sons Become Daughters: Parents of Transitioning Boys Speak Out on Their Own Suffering

What follows is the introductory instalment of When Sons Become Daughters, a multi-part Quillette series that explores how parents react when a son announces he wants to be a girl—and explains why so many of these mothers and fathers believe they can’t discuss their fears and concerns with their own children, therapists, doctors, friends, and relatives. A few months ago, I was allowed into an online group of American parents of young men who have decided that they are in fact young women. I am neither a parent, nor transgender, nor an American, and therefore a tourist: there was an understandable hesitation about letting me in. In a few cases, such parents have been harassed, as they’ve left comments online that dissent from the received wisdom on transgenderism; in all cases, they are deeply wary of rights activists. The parents are mainly, although not entirely, mothers. They and their spouses are nervous of losing their jobs, and below everything rumbles the threat that their sons might discover their communications. While most have expressed to their …

Taboo: Why Is Africa the Global COVID ‘Cold Spot’ and Why Are We Afraid to Talk About It?

The first COVID-19 case in Africa was confirmed on February 14th, 2020, in Egypt. The first in sub-Saharan Africa appeared in Nigeria soon after. Health officials were united in a near-panic about how the novel coronavirus would roll through the world’s second most populous continent. By mid-month, the World Health Organization (WHO) listed four sub-Saharan countries on a “Top 13” global danger list because of direct air links to China. Writing for the Lancet, two scientists with the Africa Center for Disease Control outlined a catastrophe in the making: With neither treatment nor vaccines, and without pre-existing immunity, the effect [of COVID-19] might be devastating because of the multiple health challenges the continent already faces: rapid population growth and increased movement of people; existing endemic diseases… re-emerging and emerging infectious pathogens… and others; and increasing incidence of non-communicable diseases. Many medical professionals predicted that Africa could spin into a death spiral. “My advice to Africa is to prepare for the worst, and we must do everything we can to cut the root problem,” Tedros Adhanom …

The Campaign of Lies Against Journalist Jesse Singal—And Why It Matters

One of the odd-seeming aspects of progressive cancel culture is that many of the figures targeted by mobs aren’t especially conservative in their views. Rather, the victims tend to be heterodox liberals who simply offer a dissenting opinion on one or more compartmentalized issues—since these liberal targets tend to operate in left-leaning professional and social milieus through which a mob can exercise leverage and demand concessions. There are numerous popular writers and broadcasters who promote deeply conservative themes without attracting any notice from cancel mobs—even as lifelong leftists within such niche genres as Young Adult fiction, LGBT theatre, and knitting-trade journalism are excommunicated on the basis of minor verbal infractions. In some notable mobbings chronicled by Quillette, in fact, the targeted dissenter wasn’t even offering an opinion per se, but merely highlighting facts we’re all expected to ignore. James Damore wasn’t fired by Google because he gratuitously insulted women, but because he pointed out real differences between the sexes. In Canadian literary circles, Margaret Atwood became reviled among a progressive fringe when she argued (correctly, …

Replacing One Kind of ‘Conversion Therapy’ With Another

This week, British MPs called for a legislated ban on “conversion therapy.” This is a phrase traditionally used to describe pseudo-therapeutic techniques aimed at convincing gay individuals that they are actually straight. Given that a person’s sexual orientation cannot be changed by therapeutic intervention, such a legislative initiative would appear to be justifiable (even if many such discredited therapies would already be illegal under existing laws). However, the term “conversion therapy” has taken on a broader meaning in recent years, and now is often taken to include efforts to scrutinize a person’s belief that he or she was “born in the wrong body.” The result is that the term can be used to conflate harmful attempts to suppress homosexuality with responsible therapeutic treatment of gender dysphoric children. Such conflation is unwarranted, as abundant evidence now shows that “desistance”—the reversion of trans-identified individuals to a gender identity consistent with their biological sex—is a common outcome of childhood trans identification. Indeed, Dutch research suggests it to be (by far) the most likely outcome. The example of Keira …

The End of Pestilence

Humanity had a vaccine that prevented COVID-19 in January last year. What we did not have was a regulatory system to facilitate rapid assessment of its safety and efficacy or the capacity to manufacture and inoculate at scale. COVID-19 subsequently caused immense human suffering: over 2.5 million deaths and lockdowns upending the lives of billions. It will be years before most of the world is vaccinated and the global economy recovers. It need not be this way in future. Humanity is on the cusp of overcoming one of our oldest foes: pestilence. But to achieve this ambitious task it will take a new way of thinking about vaccine development. Last year there were many who warned of the “risks” of accelerating vaccine development. The Trump Administration’s Operation Warp Speed was criticised for the “potential to cause harm” by loosening safeguards and inciting an antivaxx backlash. If these “go slow” advocates were successful we would still be waiting for vaccines, rather than inoculating millions, saving lives, and on our way to ending this dreadful pandemic. “It’s …