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Thread on the #keirabell judgement and sorry state of evidence-lead health policy in New Zealand.
We have further confirmation that there is no good evidence of benefit from puberty blockers, and significant risks.
1/11
The judges heard evidence for and against, and testimony from former patients. They ruled that puberty blocking is "experimental", with "very limited evidence as to its efficacy"
An unsurprising finding if you're familiar with the literature.
2/11
This is a continuation of the findings from the national health body reviews from Sweden and Finland. Both find that evidence is insufficient.
A review by the Center for Evidence Based Medicine at Oxford University highlighted the "profound scientific ignorance" on the the use of puberty
A 2018 review by an Australian expert group finds that all studies on the psych effects of puberty blockers have a medium or high risk of bias.
5/11
https://t.co/7L5dLrr5Zo
We have further confirmation that there is no good evidence of benefit from puberty blockers, and significant risks.
1/11
The judges heard evidence for and against, and testimony from former patients. They ruled that puberty blocking is "experimental", with "very limited evidence as to its efficacy"
An unsurprising finding if you're familiar with the literature.
2/11

This is a continuation of the findings from the national health body reviews from Sweden and Finland. Both find that evidence is insufficient.
A review by the Center for Evidence Based Medicine at Oxford University highlighted the "profound scientific ignorance" on the the use of puberty
A 2018 review by an Australian expert group finds that all studies on the psych effects of puberty blockers have a medium or high risk of bias.
5/11
https://t.co/7L5dLrr5Zo

Why Secession Won't Work - A Thread:
1. It's an outdated idea from a time when the country didn't have every square inch occupied with entrenched infrastructure.
2. Every angry person who wants to secede is surrounded by millions of others that don't.
3. There is no separate area of America for the angry minority to move to alone, because #2. You can't force millions out of their jobs and lives to claim a geographical area.
4. People screaming for secession don't understand the umbrella of comforts and protections they live
under. Infrastructure, healthcare, military treaties, all of which will have to be restarted and renegotiated from a position of weakness, with a fraction of our country's population. Wide open to attack, invasion, and denial of service by surrounding countries.
5. The logistical nightmare of filling the needed job roles that make a society function. Like your job in America? Have fun taking a job you hate because Secessionland needs menial laborers more than you need to be happy.
6. And speaking of creature comforts -
Better hope that Starbucks, restaurants, auto manufacturers, internet providers, and other modern services are willing to do business with a struggling, impoverished new nation - again, bargaining from a position of weakness. They don't just magically exist in your new country.
1. It's an outdated idea from a time when the country didn't have every square inch occupied with entrenched infrastructure.
2. Every angry person who wants to secede is surrounded by millions of others that don't.
The @TexasGOP is out with a statement in the wake of the Supreme Court decision, all but calling for secession:
— Adam Kelsey (@adamkelsey) December 12, 2020
\u201cPerhaps law-abiding states should bond together and form a Union of states that will abide by the constitution.\u201d pic.twitter.com/4bB3gk88t4
3. There is no separate area of America for the angry minority to move to alone, because #2. You can't force millions out of their jobs and lives to claim a geographical area.
4. People screaming for secession don't understand the umbrella of comforts and protections they live
under. Infrastructure, healthcare, military treaties, all of which will have to be restarted and renegotiated from a position of weakness, with a fraction of our country's population. Wide open to attack, invasion, and denial of service by surrounding countries.
5. The logistical nightmare of filling the needed job roles that make a society function. Like your job in America? Have fun taking a job you hate because Secessionland needs menial laborers more than you need to be happy.
6. And speaking of creature comforts -
Better hope that Starbucks, restaurants, auto manufacturers, internet providers, and other modern services are willing to do business with a struggling, impoverished new nation - again, bargaining from a position of weakness. They don't just magically exist in your new country.