4706 stories
·
16 followers

US allows organ transplants between people with HIV

1 Comment

The News

The US will allow liver and kidney transplants between people with HIV under a new rule announced this week in a move to shorten the wait for organs.

Transplants from HIV patients were banned except in clinical trials, but a recent study confirmed that there were no significant differences between receiving a kidney from a donor with HIV versus one without.

The move will increase organ access to all patients in need of transplants, regardless of HIV status, the study’s author told The Washington Post, as there will be more organs available.

It’s part of a wider change: A ban on blood donations from men who have had sex with men was overturned last year, while a leading US pediatricians’ group said HIV-positive mothers can breastfeed if their disease is controlled. HIV has “gone from a death sentence to a completely manageable disease,” the researcher said.

A line chart showing share of deaths caused by HIV/AIDS in select regions


Read the whole story
mareino
2 days ago
reply
A headline that will make you say, "shouldn't this reform have happened 40 years ago?"
Washington, District of Columbia
Share this story
Delete

No, you are not on Indigenous land

1 Comment

The United States, like all nations, was created through territorial conquest. Most of its current territory was occupied or frequented by human beings before the U.S. came; the U.S. used force to either displace, subjugate, or kill all of those people. To the extent that land “ownership” existed under the previous inhabitants, the land of the U.S. is stolen land.

This was also true before the U.S. arrived. The forcible theft of the land upon which the U.S. now exists was not the first such theft; the people who lived there before conquered, displaced, or killed someone else in order to take the land. The land has been stolen and re-stolen again and again. If you somehow destroyed the United States, expelled its current inhabitants, and gave ownership of the land to the last recorded tribe that had occupied it before, you would not be returning it to its original occupants; you would simply be handing it to the next-most-recent conquerors.

If you go back far enough in time, of course, at some point this is no longer true. Humanity didn’t always exist; therefore for every piece of land, there was a first human to lay eyes on it, and a first human to say “This land is mine.” But by what right did this first human claim exclusive ownership of this land? Why does being the first person to see a natural object make you the rightful owner of that object? And why does being the first human to set foot on a piece of land give your blood descendants the right to dispose of that land as they see fit in perpetuity, and to exclude any and all others from that land? What about all the peoples of the world who were never lucky enough to be the first to lay eyes on any plot of dirt? Are they simply to be dispossessed forever?

I have never seen a satisfactory answer to these questions. Nor have I seen a satisfactory explanation of why ownership of land should be allocated collectively, in terms of racial or ethnic groups. In general, the first people who arrived on a piece of land did so in dribs and drabs, in small family units and tiny micro-tribes that met and married and fought and mixed and formed into larger identities and ethnicities and tribes over long periods of time. In most cases, the ethnic groups who now claim pieces of land as their own did not even exist when the first humans discovered or settled that land.

But even in those cases when it did exist, why should land ownership be assigned to a race at all? Why should my notional blood relation to the discoverers or the conquerors of a piece of land determine whether I can truly belong on that land? Why should a section of the map be the land of the Franks, or the Russkiy, or the Cherokee, or the Han, or the Ramaytush Ohlone, or the Britons? Of course you can assign land ownership this way — it’s called an “ethnostate”. But if you do this, it means that the descendants of immigrants can never truly be full and equal citizens of the land they were born in. If Britain is defined as the land of the Britons, then a Han person whose great-great-great-grandparents moved there from China will exist as a contingent citizen — a perpetual foreigner whose continued life in the land of their birth exists only upon the sufferance of a different race. This is the price of ethnonationalism.

The downsides of ethnonationalism have been exhaustively laid out in the decades since World War 2, and I’m not going to reiterate them all now. Suffice it to say that most nations of the world have moved away from ethnonationalism — there is an informal sense in which some people still think of France as the land of the Franks and so on, but almost all nations define citizenship and belonging through institutions rather than race. Israel, one of the few exceptions to this rule, receives a large amount of international criticism for defining itself as an ethnostate.

And yet these days I am subjected to a constant stream of ethnonationalist claims from progressives in the country of my birth. Here’s one from the ACLU of Nebraska:

And here’s an Instagram post from Congresswoman Rashida Tlaib:

This isn’t just something you see on social media around Thanksgiving. “Land acknowledgements” have become ubiquitous in progressive spaces and institutions — just the other day I saw one at my friend’s community dance recital.

These land acknowledgements are, legally speaking, incorrect — there is no legal sense in which the land on which they are being performed belongs to a Native American tribe. These are moral claims about rightful land ownership. But the moral principle to which they appeal is ethnonationalism — it’s the idea that plots of land are the rightful property of ethnic groups.

There is an obvious moral appeal to these land acknowledgments. They are a way of decrying the brutal, cruel, violent history of conquest and colonization. And they probably feel like a way of standing up for the weak, the marginalized, and the dispossessed.

Yet what should we think of the morality of following the principles behind land acknowledgements to their logical conclusion? “Decolonization” of the land of the U.S. would likely be an act of ethnic cleansing surpassing even the previous conquests — there are 330 million people here now, and almost none of them descend from Native Americans. An attempt to dispossess 330 million people would inevitably involve violence on a colossal scale. Here was Najma Sharif Alawi’s famous tweet right after the October 7th Hamas attacks on Israel:

Of course, “colonizers” could presumably avoid violent death or second-class citizenhood by voluntarily deporting themselves. But where would they go? Take me, for example. My ancestors were Lithuanian Jews. I could leave the country of my birth and go “back” to Lithuania — a land I don’t know, whose language I don’t speak. Yet my ancestors were not “indigenous” to Lithuania either; they moved there from somewhere else. What if the ethnic Lithuanians chose not to accept me? Where would I go then? Israel? But the folks who do land acknowledgements would consider me a “colonizer” there as well.1

Would I then wander the Earth, desperately seeking some ethnostate that would allow me and my descendants to live there as a permanently precarious resident aliens?

Once the logic of land acknowledgements and “decolonization” is followed, it leads very quickly to some very dark futures. Assigning each person a homeland based on their ethnic ancestry, and then declaring that that homeland is the only place they or their descendants can ever truly belong, would not be an act of justice; it would be a global nightmare made real, surpassing even the horrors of previous centuries.

And in practice, any attempt to create such a world would inevitably lead to violent resistance by the groups in danger of being “decolonized”. The orderly world of nation-states would dissolve into a chaotic free-for-all of competing irredentist claims, backed by genocides and expulsions. Ten thousand October 7th-style attacks would be followed by ten thousand Gaza-style wars.

I do not want that, and you should not want it either. The American people certainly don’t want it, and the insistence of progressives on intoning land acknowledgements has probably tanked the movement’s cachet in wider society. I agree with Wayne Burkett when he says that land acknowledgements have probably hurt the Democratic party:

Americans do not want to see their country destroyed in the name of irredentist ethnonationalism. Nor do I blame them.

So does this mean we should paper over, ignore, or deliberately forget America’s history of violent conquest? Absolutely not. That history ought to be remembered, so that we don’t repeat it in the present day. The world’s evolution from one based on ethnic cleansing and territorial conquest to one based on fixed borders and institutions is something to celebrate — and something we must fight to preserve. We need to remember what the world used to be like, precisely so we can avoid backsliding. The most recent of conquests, expulsions, and genocides should be the last to ever happen.

And what of the Native Americans who still live in America today? Must they simply be regarded as the unlucky losers of history, and told to either assimilate into broader American society or shut up?

Absolutely not. For one thing, tribal organizations still exist — they may notionally represent ethnic groups, but they are institutions. And they are institutions with which the United States has many agreements and legal obligations that must be honored, which often give the tribes sovereignty over areas of land. Neil Gorsuch has been especially active in pushing the Supreme Court to uphold tribal rights, and I think this is a good thing.

But respect for Native American tribal organizations doesn’t have to stop at ancient obligations. There are ways to incorporate those tribes into the modern American nation that both respects them and their history and helps them prosper in the present.

Vancouver, Canada shows us an example of how this can be done. Part of Vancouver’s downtown urban area is officially under the governance of the Squamish Nation, rather than the city itself. The Squamish Nation, realizing they could do whatever they wanted with that land, decided to build a giant high-rise housing development:

Over the next few years, that skyline will get a very large new addition: Sen̓áḵw, an 11-tower development that will [put] 6,000 apartments onto just over 10 acres of land in the heart of the city. Once complete, this will be the densest neighbourhood in Canada, providing thousands of homes for Vancouverites who have long been squeezed between the country’s priciest real estate and some of its lowest vacancy rates.

Sen̓áḵw is big, ambitious and undeniably urban—and undeniably Indigenous. It’s being built on reserve land owned by the Squamish First Nation, and it’s spearheaded by the Squamish Nation itself, in partnership with the private real estate developer Westbank. Because the project is on First Nations land, not city land, it’s under Squamish authority, free of Vancouver’s zoning rules. And the Nation has chosen to build bigger, denser and taller than any development on city property would be allowed.

Here’s a picture of what it will look like:

Source: Sen̓áḵw

An even bigger development called Jericho Lands is now being planned, by a consortium of tribal organizations, on land officially owned by Vancouver.

Hilariously, Vancouver’s NIMBYs are complaining, claiming that the developments are not in keeping with Indigenous tradition. But Canada’s First Nations seem to have little interest in hewing closely to other people’s view of what their traditions are. Modern people do not want to live like premodern farmers. They are not mystical Tolkien elves. They would like to have shiny new apartment buildings and walkable neighborhoods.

This, I believe, is the key to respecting and honoring Native Americans — not to focus on the tragedies of their past, but to give them the right to build a better future. Tribal lands should definitely have the autonomy to do whatever they want with their lands, including building housing or industry. In fact, we’re starting to see a pattern emerge where Native Americans embrace laissez-faire policies toward industry and manage to poach business from their over-regulated neighbors:

Tesla is ramping up efforts to open showrooms on tribal lands where it can sell directly to consumers, circumventing laws in states that bar vehicle manufacturers from also being retailers in favor of the dealership model…

Mohegan Sun, a casino and entertainment complex in Connecticut owned by the federally recognized Mohegan Tribe, announced this week that the California-based electric automaker will open a showroom with a sales and delivery center this fall on its sovereign property where the state's law doesn't apply…The news comes after another new Tesla showroom was announced in June, set to open in 2025 on lands of the Oneida Indian Nation in upstate New York.

This sort of thing could lead to a win-win for the U.S. and Native American tribes. American reindustrialization is being held back by a thicket of procedural requirements and local land-use regulations; if tribes were able to use their special legal status to circumvent those barriers, it could end up benefitting everyone.2 The tribes would get both jobs and the ability to tax local industry; America would get to execute an end run around the NIMBYs that are holding it back.

In fact, it’s probably possible for various American cities to turn over parts of their land to tribal jurisdiction, with the assistance of the federal government. This would probably result in dense urban developments like the ones being planned in Vancouver. But even if it didn’t, it could have other commercial benefits — again, a win-win for the U.S. and for the tribes. That would certainly be a lot more substantive than a bunch of land acknowledgements. And it would likely satisfy many people’s desire for “giving land back” to Native Americans, without embracing dubious moral principles of ethnic land rights and irredentism.

In other words, you’re not living on Indigenous land right now, but you could be in the future — and it might be pretty great.

The general principle here is that instead of a dark world of ethnic cleansing in the name of “decolonization”, we should try to build a bright future where Native Americans and the United States of America exist in harmony and cooperation rather than in conflict. And that principle doesn’t just apply to America, but to the whole world. The history of land ownership is a violent and terrible one, but that doesn’t mean the future has to be more of the same.


Subscribe now

Share

1

It is a bitter irony that many of the same people who morally condemn Israel for setting itself up as an ethnostate also justify its destruction using ethnonationalist principles. Personally, I tend to agree with the criticism of Israel’s ethnocentrism, but I don’t think replacing this with Palestinian ethnocentrism would make things better.

2

There’s a lot of historical precedent for this. For example, in the 1960s, Fairchild Semiconductor opened a factory on Navajo land in New Mexico, which was quite beneficial to the economy until an industry downturn and a labor dispute led to its demise in the late 70s.

Read the whole story
mareino
4 days ago
reply
"instead of a dark world of ethnic cleansing in the name of “decolonization”, we should try to build a bright future where Native Americans and the United States of America exist in harmony and cooperation rather than in conflict. "
Washington, District of Columbia
Share this story
Delete

Genetic Discrimination Is Coming for Us All

1 Comment

This article was featured in the One Story to Read Today newsletter. Sign up for it here.

The news came four years ago, at the end of a casual phone call. Bill’s family had always thought it was a freak coincidence that his father and grandfather both had ALS. But at the end of a catch-up, Bill’s brother revealed that he had a diagnosis too. The familial trend, it turned out, was linked to a genetic mutation. That meant Bill might also be at risk for the disease.

An ALS specialist ordered Bill a DNA test. While he waited for results, he applied for long-term-care insurance. If he ever developed ALS, Bill told me, he wanted to ensure that the care he would need as his nerve cells died and muscles atrophied wouldn’t strain the family finances. When Bill found out he had the mutation, he shared the news with his insurance agent, who dealt him another blow: “I don’t expect you to be approved,” he remembers her saying.

Bill doesn’t have ALS. He’s a healthy 60-year-old man who spends his weekends building his dream home by hand. A recent study of mutations like his suggests that his genetics increase his chances of developing ALS by about 25 percent, on average. Most ALS cases aren’t genetic at all. And yet, Bill felt like he was being treated as if he was already sick. (Bill asked to be identified by his first name only, because he hasn’t disclosed his situation to his employer and worried about facing blowback at work too.)

What happened to Bill, and to dozens of other people whose experiences have been documented by disease advocates and on social media, is perfectly legal. Gaps in the United States’ genetic-nondiscrimination law mean that life, long-term-care, and disability insurers can obligate their customers to disclose genetic risk factors for disease and deny them coverage (or hike prices) based on the resulting information. It doesn’t matter whether those customers found out about their mutations from a doctor-ordered test or a 23andMe kit.  

For decades, researchers have feared that people might be targeted over their DNA, but they weren’t sure how often it was happening. Now at least a handful of Americans are experiencing what they argue is a form of discrimination. And as more people get their genomes sequenced—and researchers learn to glean even more information from the results—a growing number of people may find themselves similarly targeted.

When scientists were mapping the immense complexity of the human genome around the turn of the 21st century, many thought that most diseases would eventually be traced to individual genes. Consequently, researchers worried that people might, for example, get fired because of their genetics; around the same time, a federal research lab was sued by its employees for conducting genetic tests for sickle-cell disease on prospective hires without their explicit consent. In 2008, the Genetic Information Nondiscrimination Act (GINA) was signed into law, ensuring that employers couldn’t decide to hire or fire you, and health insurers couldn’t decide whether to issue a policy, based on DNA. But lawmakers carved out a host of exceptions. Insurers offering life, long-term-care, or disability insurance could take DNA into account. Too many high-risk people in an insurance pool, they argued, could raise prices for everyone. Those exceptions are why an insurer was able to deny Bill a long-term-care policy.

[Read: The loopholes in the law prohibiting genetic discrimination]

Cases like Bill’s are exactly what critics of the consumer-genetic-testing industry feared when millions of people began spitting into test tubes. These cases have never been tallied up or well documented. But I found plenty of examples by canvassing disease-advocacy organizations and social-media communities for ALS, breast cancer, and Huntington’s disease. Lisa Schlager, the vice president of public policy at the hereditary-cancer advocacy group FORCE, told me she is collecting accounts of discrimination in life, long-term-care, and disability insurance to assess the extent of the problem; so far, she has about 40. A man Schlager connected me with, whose genetic condition, Lynch syndrome, increases the risk for several cancers, had his life-insurance premium increased and coverage decreased; several other providers denied him a policy altogether. Kelly Kashmer, a 42-year-old South Carolina resident, told me she was denied life insurance in 2013 after learning that she had a harmful version of the BRCA2 gene. One woman I found via Reddit told me she had never tested her own DNA, but showed me documents that demonstrate she was still denied policies—because, she said, her mom had a concerning gene. (Some of the people I spoke with, like Bill, requested not to be identified in order to protect their medical privacy.)

Studies have shown that people seek out additional insurance when they have increased genetic odds of becoming ill or dying. “Life insurers carefully evaluate each applicant’s health, determining premiums and coverage based on life expectancy,” Jan Graeber, a senior health actuary for the American Council of Life Insurers, said in a statement. “This process ensures fairness for both current and future policyholders while supporting the company’s long-term financial stability.” But it also means people might avoid seeking out potentially lifesaving health information. Research has consistently found that concerns about discrimination are one of the most cited reasons that people avoid taking DNA tests.

For some genetically linked diseases, such as ALS and Huntington’s disease, knowing you have a harmful mutation does not enable you to prevent the potential onset of disease. Sometimes, though, knowing about a mutation can decrease odds of severe illness or death. BRCA mutations, for example, give someone as much as an 85 percent chance of developing breast cancer, but evidence shows that testing women for the mutations has helped reduce the rate of cancer deaths by encouraging screenings and prophylactic surgeries that could catch or prevent disease. Kashmer told me that her first screening after she discovered her BRCA2 mutation revealed that she already had breast cancer; had she not sought a genetic test, she may have gotten a policy, but would have been a much worse bet for the insurer. She’s now been cancer-free for 11 years, but she said she hasn’t bothered to apply for a policy again.

[Read: Remember that DNA you gave 23andMe?]

Even employers, which must adhere to GINA, might soon be able to hire or fire based on certain genetic risk factors. Laura Hercher, a genetic counselor and director of research at the Sarah Lawrence College Human Genetics Program, told me that some researchers are now arguing that having two copies of the APOE4 mutation, which gives people about a 60 percent chance of developing Alzheimer’s, is equivalent to a Stage Zero of the disease. If having a gene is considered equivalent to a diagnosis, do GINA’s protections still apply? The Affordable Care Act prevents health insurers from discriminating based on preexisting conditions, but not employers and other types of insurers. (The ACA may change dramatically under the coming Trump presidency anyway.) And the Americans With Disabilities Act might not apply to the gray area between what might be viewed as an early manifestation of a disease and the stage when it’s considered a disability. FORCE and other advocacy groups—including the ALS Association and the Michael J. Fox Foundation—as well as members of the National Society of Genetic Counselors, are working in a few states to pass laws that close gaps left by GINA, as Florida did in 2020, but so far they have been mostly unsuccessful.

Genetic testing has only just become common enough in the U.S. that insurers might bother asking about it, Hercher said. Recently, groups like Schlager’s have been hearing more and more anecdotes. “People are so worried about genetic discrimination that they are failing to sign up for research studies or declining medically recommended care because of the concerns of what could happen to their insurance,” Anya Prince, a professor at the University of Iowa College of Law, told me. Carolyn Applegate, a genetic counselor in Maryland, told me that when patients come to her worried about a hereditary disease, she typically advises them to line up all the extra coverage they might need first—then hand over their DNA to a lab.

So far, these unintended consequences of genetic testing seem to be manifesting for people with risk for rare diseases linked to single genes, which, combined, affect about 6 percent of the global population, according to one estimate. But the leading killers—heart disease, diabetes, and the like—are influenced by a yet unknown number of genes, along with lifestyle and environmental factors, such as diet, stress, and air quality. Researchers have tried to make sense of this complex interplay of genes through polygenic risk scores, which use statistical modeling to predict that someone has, say, a slightly elevated chance of developing Alzeheimer’s. Many experts think these scores have limited predictive power, but “in the future, genetic tests will be even more predictive and even more helpful and even more out there,” Prince said. Already, if you look deep enough, almost everyone’s genome registers some risk.

[Read: What happens when you’re convinced you have bad genes]

In aggregate, such information can be valuable to companies, Nicholas Papageorge, a professor of economics at Johns Hopkins University, told me. Insurers want to sell policies at as high a price as possible while also reducing their exposure; knowing even a little bit more about someone’s odds of one day developing a debilitating or deadly disease might help one company win out over the competition. As long as the predictions embedded in polygenic risk scores come true at least a small percentage of the time, they could help insurers make more targeted decisions about who to cover and what to charge them. As we learn more about what genes mean for everyone’s health, insurance companies could use that information to dictate coverage for ever more people.

Bill still doesn’t know whether he will ever develop ALS. The average age of onset is 40 to 60, but many people don’t show symptoms until well into their 70s. Without long-term-care insurance, Bill might not be able to afford full-time nursing care if he someday needs it. People who do develop ALS become unable to walk or talk or chew as the disease progresses. “Moving people to the bathroom, changing the sheets, changing the bedpans,” Bill said—“I dread the thought of burdening my wife with all of those things.”

Cases like Bill’s could soon become more common. Because scientists’ understanding of the human genome is still evolving, no one can predict all of the potential consequences of decoding it. As more information is mined from the genome, interest in its secrets is sure to grow beyond risk-averse insurers. If consumer-facing DNA-testing companies such as 23andMe change their long-standing privacy policies, go bankrupt, or are sold to unscrupulous buyers, more companies could have access to individuals’ genetic risk profiles too. (23andMe told me that it does not share customer data with insurance companies and its CEO has said she is not currently open to third-party acquisition offers.) Papageorge told me he could imagine, say, scammers targeting people at risk for Alzheimer’s, just as they often target older people who may fall for a ploy out of confusion. All of us have glitches somewhere in our genome—the question is who will take advantage of that information.

Read the whole story
mareino
4 days ago
reply
Current law incentivizes people to stay ignorant about their own genetics. I can't see a way out of this that doesn't involve shrinking the size of the private insurance market.
Washington, District of Columbia
Share this story
Delete

The Democrats Need an Honest Conversation on Gender Identity

1 Share

One of the mysteries of this election is how the Democrats approached polling day with a set of policies on gender identity that they were neither proud to champion—nor prepared to disown.

Although most Americans agree that transgender people should not face discrimination in housing and employment, there is nowhere near the same level of support for allowing transgender women to compete in women’s sports—which is why Donald Trump kept bringing up the issue. His campaign also barraged swing-state voters and sports fans with ads reminding them that Kamala Harris had previously supported taxpayer-funded gender-reassignment surgery for prisoners. The commercials were effective: The New York Times reported that Future Forward, a pro-Harris super PAC, found that one ad “shifted the race 2.7 percentage points in Mr. Trump’s favor after viewers watched it.” The Harris campaign mostly avoided the subject.

Since the election, reports of dissent from this strategy have begun to trickle out. Bill Clinton reportedly raised the alarm about letting the attacks go unanswered, but was ignored. After Harris’s loss, Representative Seth Moulton of Massachusetts went on the record with his concerns. “I have two little girls, I don’t want them getting run over on a playing field by a male or formerly male athlete, but as a Democrat I’m supposed to be afraid to say that,” he told the Times. The recriminations go as far as the White House, where allies of Joe Biden told my colleague Franklin Foer that the current president would have countered Trump’s ads more aggressively, and “clearly rejected the idea of trans women competing in women’s sports.”

One problem: Biden’s administration has long pushed the new orthodoxy on gender, without ever really explaining to the American people why it matters—or, more crucially, what it actually involves. His officials have advocated for removing lower age limits for gender surgeries for minors, and in January 2022, his nominee for the Supreme Court, Ketanji Brown Jackson, refused to define the word woman, telling Senator Marsha Blackburn of Tennessee, “I’m not a biologist.”

[Thomas Chatterton Williams: What the left keeps getting wrong]

On sports—an issue seized on by the Trump campaign—Biden’s White House has consistently prioritized gender identity over sex. Last year, the Department of Education proposed regulations establishing “that policies violate Title IX when they categorically ban transgender students from participating on sports teams consistent with their gender identity just because of who they are.” Schools were, however, allowed to limit participation in specific situations. (In April, with the election looming, this part of the Title IX revision was put on hold.) Harris went into the campaign tied to the Biden administration’s positions, and did not have the courage, or strategic sense, to reject them publicly. Nor did she defend them.  

The fundamental issue is that athletes who have gone through male puberty are typically stronger and faster than biological females. Rather than contend with that fact, many on the left have retreated to a comfort zone of claiming that opposition to trans women in women’s sports is driven principally by transphobia. But it isn’t: When trans men or nonbinary people who were born female have competed in women’s sports against other biological females, no one has objected. The same season that Lia Thomas, a trans woman, caused controversy by swimming in the women’s division, a trans man named Iszac Henig did so without any protests. (He was not taking testosterone and so did not have an unfair advantage.) Yet even talking about this issue in language that regular Americans can understand is difficult: On CNN Friday, when the conservative political strategist Shermichael Singleton said that “there are a lot of families out there who don’t believe that boys should play girls’ sports,” he was immediately shouted down by another panelist, Jay Michaelson, who said that the word boy was a “slur,” and he “was not going to listen to transphobia at this table.” The moderator, Abby Phillips, also rebuked Singleton, telling him to “talk about this in a way that is respectful.”

A few Democrats, such as Colin Allred, a Senate candidate in Texas, attempted to counter Republicans’ ads by forcefully supporting women’s right to compete in single-sex sports—and not only lost their races anyway, but were attacked from the left for doing so. In states such as Texas and Missouri, the political right is surveilling and threatening to prosecute parents whose children seek medical treatments for gender dysphoria, or restricting transgender adults’ access to Medicaid. In this climate, activists believe, the Democrats should not further jeopardize the rights of a vulnerable minority by legitimizing voters’ concerns. “Please do not blame trans issues or trans people for why we lost,” Sam Alleman, the Harris campaign’s LBGTQ-engagement director, wrote on X. “Trans folks have been and are going to be a primary target of Project 2025 and need us to have their backs now more than ever.”

During the race, many journalists wrote about the ubiquity—and the grimness—of the Trump ads on trans issues, notably Semafor’s David Weigel. But at the time, I was surprised how dismissive many commentators were about their potential effect, given the enormous sums of money involved. My theory was that these ads tapped into a larger concern about Democrats: that they were elitists who ruled by fiat, declined to defend their unpopular positions, and treated skeptics as bigots. Gender might not have been high on voters’ list of concerns, but immigration and the border were—and all the same criticisms of Democratic messaging apply to those subjects, too.

Not wishing to engage in a losing issue, Harris eventually noted blandly that the Democrats were following the law on providing medical care to inmates, as Trump had done during his own time in office. On the integrity of women’s sports, she said nothing.

[Read: Why Biden’s team thinks Harris lost]

How did we get here? At the end of Barack Obama’s second term, gay marriage was extended to all 50 states, an achievement for which LGBTQ groups had spent decades campaigning. In 2020, the Supreme Court’s decision in Bostock v. Clayton County found that, in the words of conservative Justice Neil Gorsuch, “an employer who fires an individual merely for being gay or transgender defies the law.” Those advances meant that activist organizations, with large staffs and existing donor networks, had to go looking for the next big progressive cause. Since Trump came to power, they have stayed relevant and well funded by taking maximalist positions on gender—partly in reaction to divisive red-state laws, such as complete bans on gender medicine for minors. The ACLU, GLAAD, the Human Rights Campaign, and other similar groups have done so safe in the knowledge that they answer to their (mostly wealthy, well-educated) donors, rather than a more diverse and skeptical electorate. “The fundamental lesson I hope Dem politicians take from this election is that they should not adopt positions unless they can defend them, honestly, in a one-on-one conversation with the median American voter, who is a white, non-college 50-yr-old living in a small-city suburb,” the author (and Atlantic contributing writer) James Surowiecki argued last week on X.

Even now, though, many Democrats are reluctant to discuss the party’s positions on trans issues. The day after Moulton made his comments, his campaign manager resigned in protest, and the Massachusetts state-party chair weighed in to say that they “do not represent the broad view of our party.” But Moulton did not back down, saying in a statement that although he had been accused of failing “the unspoken Democratic Party purity test,” he was committed to defending the rights of all Americans. “We did not lose the 2024 election because of any trans person or issue. We lost, in part, because we shame and belittle too many opinions held by too many voters and that needs to stop.”

Gilberto Hinojosa, the chair of the Texas Democrats, faced a similar backlash. He initially told reporters, “There’s certain things that we just go too far on, that a big bulk of our population does not support,” but he quickly walked back the comments. “I extend my sincerest apologies to those I hurt with my comments today,” Hinojosa said. “In frustration over the GOP’s lies to incite hate for trans communities, I failed to communicate my thoughts with care and clarity.” (On Friday, he resigned, citing the party’s “devastating” election results in the state.)

The tragedy of this subject is that compromise positions are available that would please most voters, and would stop a wider backlash against gender nonconformity that manifests as punitive laws in red states. America is a more open-minded country than its toughest critics believe—the latest research shows that about as many people believe that society has not gone far enough in accepting trans people as think that it has gone too far. Delaware has just elected the first transgender member of Congress, Sarah McBride. But most voters think that biological sex is real, and that it matters in law and policy. Instructing them to believe otherwise, and not to ask any questions, is a doomed strategy. By shedding their most extreme positions, the Democrats will be better placed to defend transgender Americans who want to live their lives in peace.

Read the whole story
mareino
5 days ago
reply
Washington, District of Columbia
Share this story
Delete

It would be at least slightly more possible to maintain any respect for big-name Republicans, when…

1 Share

It would be at least slightly more possible to maintain any respect for big-name Republicans, when they talk big about making giant slashes to federal spending and doing away with whole offices/departments/agencies and valiantly defeating unnecessary government interference, if they ever said one single word about the TSA.

Read the whole story
mareino
5 days ago
reply
Washington, District of Columbia
Share this story
Delete

American History Corner: The Story Of Thomas(ine) Hall

2 Comments

Thomas(ine) Hall, drawn in 1640

Hello, happy Thanksgiving week, dear readers! 

How about a seasonally appropriate story, one about a pilgrim! Actually, not technically a pilgrim, but an American immigrant indentured servant, born in 1603 in Newcastle upon Tyne, England.

Thomasine Hall was christened as a girl, raised as a girl, and as a child enjoyed girlish things, like sewing and making lace. But at some point as an older teenager, she cut her hair, called herself Thomas, and served in the military as a man, fighting for the French Huguenots. Then after a few years of that, Thomas returned home, and went back to doing needlepoint and presenting as Thomasina, or as a court later put it, “Hee changed himselfe into woemans apparel and made bone lace nd did other worke with his needle.”

Have you subscribede to Wonkette todaye?

Then in 1627, Hall went back to going by Thomas, and indentured themselves to work in the New World, serving on a plantation near Jamestown, Virginia, in a new settlement, Warrosquyoacke village, named after the Warraskoyak tribe of the Powhatan Confederacy, who were already living there.

Anyway, after getting settled in Virginia, Hall did not feel like going about as Thomas or Thomasine all the time. Sometimes they would breech up as Thomas, and other times in a ladies’ hat and apron as Thomasine.

None of the colonists knew what to think about this, but they were sure it had to be something bad and probably sexual. Was Thomas pretending to be a woman to sneak into private female spaces and have a debaucherous affair with a maid named Great Besse, which would have been against the law? Or, was Thomas pretending to be Thomasine to seduce men into accidentally having gay sex, which would have been maybe worse? The villagers had to know. So they sent three busybody matrons — Alice, Dorothy and Barbara — to go check out Hall’s genitals while they slept, and also to look for signs of witchcraft, as was the style of the time.

And check genitals the matrons did, more than once. It seems NOT LIKELY that Hall slept through all this, but that is what our story says. Anyway, after multiple late-night peeps, Alice, Dorothy, and Barbara could not figure it out, and appealed to Hall’s master, John Atkins, to also take a look. 

And then they all went to look at Hall’s genitals together, and after staring for what had to have been a very long and extremely uncomfortable while, Atkins decided that he saw something protruding, about an inch long. So he declared Thomas was actually a man, and ordered him to wear men’s clothes. And that meant Hall could also be punished for debauching Great Besse, and also that Hall was now fair game for other volunteer male genital inspectors of Warrosquyoacke. Two of them, Francis England and Roger Rodes, confronted Hall, and forced down their breeches, hollering “Hall thou hast beene reported to be a woman and now thou art p[ro]ved to bee a man, I will see what thou carriest!” And then those two assholes said that they saw a male part too.

So, Atkins appealed to his higher-up in the colony, Captain Nathanial Bass, to punish Hall. To his credit, Bass seems to not have demanded a genital inspection, and instead like a not-crazy person just asked Hall, were they a man or a woman? Hall said they were both. So Bass decided not to punish Hall, on the grounds that the alleged man-parts they were packing were not sufficient to debauch anybody. Back then, somebody who was not man enough to be a man was legally a woman, and Captain Bass ordered Hall to go back to dressing like a woman. 

But the “there’s only two genders” angry villagers were not satisfied with that, either, and in 1629 they went all the way to the Quarter Court of Jamestown, presided over by the governor, John Pott, demanding that Pott decide a gender for Hall, and force Hall to stick to it, once and for all. Pott took testimony from witnesses and Hall, which is how we know all of this. In court Hall explained, mysteriously, “I goe in weomans aparell to gett a bitt for my Catt.” What did that mean? Who knows? Your guess is as good as anybody’s. Sounds kind of cool, though.

Anyway, in the end, Pott concluded that Hall was both a weoman and a hee, with a “dual nature”:“hee is a man and a woeman, all the Inhabitants there may take notice thereof.”

Pott ordered Hall to “goe clothed in man's apparell, only his head to bee attired in a coyfe and croscloth with an apron before him.” So ladieswear on top, and menswear on the bottom, kinda. This apparently satisfied the colonists’ concern that somebody might be misled into debauchery.

The coyfe (coif) is the bonnet-ish head wrap up there. And the men’s apparel would have looked like what the people getting stabbed down below are wearing, those poufy breeches.

'The Massacre At Jamestown, Virginia, 1622.' Line Engraving, 1628, by Matthaeus Merian.

Did we mention the Powhatan were not happy to have the English there? In between warring with Opechancanough, typhoid, dysentery, starvation, and the miserable toil of growing and curing tobacco in a brackish, malarial marsh, you’d really think the colonists had bigger worries than spending months thinking about their neighbors’ breeches-contents. But they didn’t!

And they still don’t, apparently, even though before there was an America, one of the earliest white-people legal decisions ever here recognized that gender can be a nonbinary thing. And at least 1.5 percent of people are born with intersex traits, which is three times as many as people who identify themselves as trans. Some people may never even know they have intersex traits, and some people have ambiguous genitals. Where do Nancy Mace and Mike Johnson think they are supposed to use the bathroom? Do they want to use the Bass legal standard that a dick must be at least debauchery-sized to make somebody count as a man? How about just worry about your own dysentery?

What happened after to Hall, and what they thought about all of this, has been sadly lost to time. But Hall is far from the only gender-bendy person from early American history! For instance, the first native-born American to found a religious community in 1780 was also a non-binary person. But that is another story, for another day.

Happy almost-Thanksgiving!

[Wikipedia/ World History/ Brown, Kathleen. “‘Changed... into the Fashion of Man’: The Politics of Sexual Difference in a Seventeenth-Century Anglo-American Settlement.” Journal of the History of Sexuality 6, no. 2 (1995): 171–93. http://www.jstor.org/stable/3704121].

Share

Wonkette turkey fund!

Follow me on Bluesky!

Read the whole story
mareino
6 days ago
reply
“I goe in weomans aparell to gett a bitt for my Catt.”
Washington, District of Columbia
hannahdraper
10 days ago
reply
And they still don’t, apparently, even though before there was an America, one of the earliest white-people legal decisions ever here recognized that gender can be a nonbinary thing. And at least 1.5 percent of people are born with intersex traits, which is three times as many as people who identify themselves as trans. Some people may never even know they have intersex traits, and some people have ambiguous genitals. Where do Nancy Mace and Mike Johnson think they are supposed to use the bathroom? Do they want to use the Bass legal standard that a dick must be at least debauchery-sized to make somebody count as a man? How about just worry about your own dysentery?
Washington, DC
Share this story
Delete
Next Page of Stories