by Dr. Thomas Patterson | Jun 22, 2023 | Opinion
By Dr. Thomas Patterson |
The Lancet was once a leading British medical journal. It was sober and medically exacting. It was so respected that it was often cited to settle controversial issues in the field of medicine.
Today, it is a shell of its former self, shot through with leftist political ideology. A recent editorial called out the UK Home Secretary for her “appalling and shocking” comments.
Was it about a drop in research funding or disputed medical opinions or something else of direct relevance to medicine? No, the Secretary opined that new migrants to the UK possessed “values which are at odds with our country” and brought “heightened levels of criminality.”
Some might dispute such statements and some not, but how is this discussion pertinent for a medical journal? Richard Horton, the editor, went on to call for “war” on the other side of the ideological divide.
Horton and The Lancet are hardly alone in degrading medicine by politicizing it. Science and scientists are in reputational decline because, well, they deserve to be.
Physicians were once respected for their integrity. They could be stodgy and paternalistic sometimes, but they couldn’t be influenced or bought.
Now, the medical doctors have morphed from being dedicated stewards of their patients’ health to “medical providers,” as government payers describe them. Most owe their professional loyalty to a hospital-based system that operates pretty much like any other business, with the bottom line always in view.
Meanwhile, on issues ranging from COVID to climate science to transgenderism, we are urged to follow “the “Science” as if Science were the collective pronouncements of the big shots rather than a process for rolling back the limits of knowledge. “The Science” is often determined by hacks who are especially successful at scoring research grants because they supply the answers our grant making elites want to hear.
Politicized science can lead to some bizarre and harmful conclusions. There is now a movement against randomized controlled trials (RCTs) because they didn’t produce the approved answer to the question of whether face masks prevent infection.
Scientific American stated “decades of engineering and occupational science” show they worked. So there. No silly trials needed to confirm what everyone knows anyway.
But RCTs are the only way to determine whether a premise is factual. They are the basis of the scientific method, which lifted us out of millennia of ignorance and produced the marvels of modern medicine. Exposing well regarded but ineffective practices are precisely why they are needed.
While real scientists encourage debate and discovery, pseudoscientists silence those who dissent from the status quo. For example, scientific journals demanded the retraction of research producing evidence that transgenderism can be a social contagion.
Dr. Lisa Littman of Brown University coined the term “rapid onset gender dysphoria” after her research revealed that although sufferers from the malady are customarily entered into transitioning protocols including hormones and surgery, they often present for treatment in clusters of young women who together discovered their supposedly mistaken gender identity. Dr. Littman’s research was retracted by Brown soon after it was published, due to the outrage of the medical mob.
Yet other researchers like Abigail Shrier and institutions like the UK’s Tavistock Center noted the same phenomenon. Springer Nature, a journal noted for its scientific soundness, was set to publish a review of 1,655 possible cases of rapid onset gender dysphoria but reversed course, deciding to retract it due to the suspiciously flimsy objection that “written informed consent” was possibly lacking in the study. Intellectual tyranny defeated open debate again.
We need a respected, honest scientific community more than ever. We need them to make more scientific advances, to train future scientists and to protect us from the befouling influence of politics on science. The antics of Dr. Fauci and others, bending the truth to seek political favor, did lasting damage to the reputation of the scientific community.
Climate science too has been hopelessly compromised by politics and the biased grant-making process. One of the results is an epidemic of existential depression among young Americans who believe their lives will end in devastation because of excessive carbon emissions (still wrong, no matter how many times it’s been predicted). It’s a shame.
Dr. Thomas Patterson, former Chairman of the Goldwater Institute, is a retired emergency physician. He served as an Arizona State senator for 10 years in the 1990s, and as Majority Leader from 93-96. He is the author of Arizona’s original charter schools bill.
by Dr. Thomas Patterson | Jun 9, 2023 | Opinion
By Dr. Thomas Patterson |
We now live in an era in which mutilating surgeries are done routinely as part of the preferred treatment for gender dysphoria, the belief that the gender “assigned” to you at birth does not reflect your true self.
Modern science has developed solid evidence that gender is determined at conception, not birth, and is not assigned by anybody but is fixed for life. So, until recently, sufferers from gender dysphoria were thought to be confused and maybe need educational counseling while simply waiting for adulthood, when over 80% seamlessly settled into their “birth gender.”
But earlier in this century, a new “best available science” stealthily but comprehensively came to dominate the world of transsexual medicine. Suddenly, gender-confused patients, even adolescents and children, were deemed to be unerringly insightful regarding their true gender identity. They needed not mental health treatment but physical alteration. And they needed it now.
Few seemed to note that gender dysphoria, unlike most other conditions, had no specific manifestations, no test or objective evidence that could confirm or deny its existence. Thus, based simply on the “feeling” of a minor unable to drive, vote, or get a tattoo because of their manifest immaturity, irreversible therapies were initiated.
These included puberty blockers, followed by sex hormones of the desired sex and then both “top” and “bottom” surgeries. Planned Parenthood advertised puberty blockers (obviously to pre-pubescent patients) “as early as your first visit.” Parents who proved balky were excluded from decision-making about transition procedures and sometimes even lost custody of their children.
Another suspicious aspect of adolescent transgenderism is that it behaves very differently from other hardwired inborn conditions. Until recently, transgenderism had been confined mostly to young boys. Now, girls outnumber boys three to one. Researchers additionally note that girls especially often seemed vulnerable to “social contagion,” contracting this affliction in groups where gender switching is seen as the path to social approval. It’s what the cool kids do.
There are also regional variations which don’t fit a biological model. California has a rate of transgender identification well above the national average. For example, six percent of the students in Davis, California identify as transgender, compared with 1.7% nationally.
Yet the tsunami of children transitioning continues to sweep over the western world. In America, it is endorsed by mainstream professional societies of physicians, pediatricians, psychiatrists, and transgender health professionals. None of these organizations are inclined to counter the concerns of their critics, just to silence and shame them.
Because the U.S. doesn’t have a centralized database, accurate numbers of participation are hard to come by. We do know that, in a decade, we have gone from one to 60 “comprehensive gender clinics.”
In the UK, with an experience similar to ours, there were 72 referrals in 2010 to the NHS gender clinic. Ten years later there were 2,729.
But as we accumulate more experience, the tide may be turning. A growing wave of former patients who received the gender affirmation protocol now bitterly regret their experience. They typically recount being unhappy teenagers who believed from social media sources that transitioning could bring the social approval that they craved.
After a cursory evaluation, they were begun on hormones that permanently changed their body form and functions and finally surgery removing their now unwanted body parts. Eventually, they realized that by listening to trusted authorities, they had made an awful mistake.
As one lamented, “I am angry. I’m sad. I can’t have kids…I’ll never lose my virginity. I’m left with the scraps of the life I could’ve had.”
Because of cases like these and research questioning the basic premises of transition therapy, Britain recently closed down the famous Tavistock gender clinic. Sweden and Finland have switched to an approach that emphasizes counseling, with drugs rarely if ever used. New Zealand and others are also reconsidering the affirmation model.
But American medical authorities are soldiering on, oblivious to the yellow lights flashing furiously. When will they admit that their recommendations violate the principles of medicine (first do no harm) and common sense (don’t cause injury treating a condition that is likely to resolve spontaneously)? Misleading impressionnable adolescents into unnecessary, permanent life altering decisions to serve an ideology is despicable.
Dr. Thomas Patterson, former Chairman of the Goldwater Institute, is a retired emergency physician. He served as an Arizona State senator for 10 years in the 1990s, and as Majority Leader from 93-96. He is the author of Arizona’s original charter schools bill.
by Dr. Thomas Patterson | May 26, 2023 | Opinion
By Dr. Thomas Patterson |
Elections aren’t being stolen. But they are carried out under rules devised by one side for their benefit.
The Left loves our election system and why wouldn’t they? It has been a boon for them. They can win elections even when all seems lost. They have learned to exploit, through both legal and extra-legal means, the opportunities presented by bulk-mail voting, ballot harvesting, and lack of voter ID requirements. So, they falsely insist our procedures are virtually fraud-proof, and that attempts to improve election security are racially motivated “voter suppression.”
In fact, voter fraud is not all that rare and is easy to commit. It is hard to detect because victims are unaware that their vote has been canceled and so are unlikely to complain.
In New York, 63 undercover agents went to the polls, giving the names of individuals who had died, moved, or were incarcerated. All but two were given ballots, including young people impersonating voters three times their age.
A television reporter in Florida, on his own, turned up 94 non-citizens who had voted. Elections have been overturned because of voter fraud in Miami, Florida, East Chicago, Indiana, in Essex County, New Jersey, and Greene County, Alabama among other locales.
And who can forget Al Franken’s 312 vote victory in Minnesota’s Senate race, when later over one thousand felons (most probably Democrat voters) were found to have voted.
In 2020, the Pacific Interest Legal Foundation published a meticulous analysis of voter databases in which 144,000 cases of potential voter fraud were documented. These included dead voters, voters who had moved, and voters who supposedly lived in vacant lots, restaurants, and gas stations.
The report was sent to the 42 states in which fraud was uncovered. Not a single official or prosecutor asked for the relevant information for their state. Not one. The stunning New York undercover operation also garnered little attention, either from media or law-enforcement agencies. Neither did the Florida reporter’s discoveries. You see the pattern.
Fraud must be looked for to be detected and most election officials aren’t that enthusiastic about investigating for fraud. Why give yourself a black eye?
Honest researchers admit no one knows how much fraud is out there. Defenders of the status-quo like to point out the lack of proven fraud cases associated with mail-in voting, but unless someone confesses, the crime is essentially non-detectable.
Look at how bulk-mail compares with in-person voting, long the gold standard of election security. At the voting site, voters are protected from undue influence. Only after the list of eligible voters is checked and their ID is presented are they given a ballot. They are monitored while they vote. The secrecy of the ballot is maintained at all times. Finally, a formal chain of custody assures that ballots are handled securely until counted.
By contrast, bulk-mail voting, in Arizona and other states, begins with unrequested ballots being mailed to millions of names on poorly maintained voter lists, some of whom don’t give a hoot about voting. Most ballots are received by their intended recipients, voted, and returned. But others get lost in the mail or are delivered to people who have moved or died. Yet others go to voters, some mentally incapacitated, who are “helped” by third parties to cast their vote. Some ballots are even sold.
Many of the votes are returned by “ballot harvesting,” where party activists collect the ballots and then return them or place them in a dropbox. There are no chain of custody violations, because there is no chain of custody.
Finally, signature matching is used as a substitute for actual ID verification. But signature matching is an imprecise “art”—with no objective standards—which has been demonstrated many times to be unreliable.
Bulk-mail voting is popular and growing, both with those who innocently appreciate its convenience and with those who cherish the inexplicable election wins that can be achieved by it.
But the value of a vote in a democratic society depends on the integrity with which it is cast and counted. A majority of Americans don’t believe their elections are secure, nor will they until we reject voting processes that are so porous to fraud and deceit.
Dr. Thomas Patterson, former Chairman of the Goldwater Institute, is a retired emergency physician. He served as an Arizona State senator for 10 years in the 1990s, and as Majority Leader from 93-96. He is the author of Arizona’s original charter schools bill.
by Dr. Thomas Patterson | May 12, 2023 | Opinion
By Dr. Thomas Patterson |
There is a bitter fight brewing in Congress over work requirements for welfare recipients.
President Biden labeled “wacko” the Republican proposal in the debt ceiling bill to require able-bodied childless beneficiaries to either work, obtain job training, or do volunteer work. Our great uniter claimed, “Republicans are cutting benefits for folks they don’t seem to care much about.”
The welfare industry chimed in, saying poor people have no transportation options and job training was not available in some areas. Welfare recipients will be thrown into abject poverty if required to work, because apparently, they are incapable of self-sufficiency.
Reform advocates countered that not working is a choice and most people, including low-income people, have more satisfying lives when working and providing for their families.
So which side is correct? They can’t both be, and the answer is important to get right for the future of our nation.
Wouldn’t it be wonderful if we could run an experiment, mandating work requirements in welfare programs to see what happens? Good news – that’s already been done.
In the 1990s, the Newt Gingrich-led Congress passed, and President Clinton, after extensive urging, signed a comprehensive welfare reform bill. The law required able-bodied adults to work or be in a job training program to receive benefits. It also placed lifetime limits on welfare.
By the 1990s, the War on Poverty had been waged for three decades. Many Americans were becoming disillusioned as they saw that poverty was winning.
LBJ’s welfare programs to wipe out poverty had been horrendously expensive and yet poverty levels hadn’t been dented. Instead, millions of low-income Americans had adopted welfare as a way of life, to be passed on through generations.
When the reforms were implemented, welfare recipients weren’t cast into the streets, as Senator Ted Kennedy had predicted. In fact, it was a stunning policy success. Welfare caseloads declined by 60 percent. 70 percent of those leaving began working.
There’s more. Government savings were $100 billion in today’s dollars. Best of all, the child poverty rate plummeted every year from 1994 to 2000. For people leaving the welfare plantation, income increases soon easily exceeded welfare benefits. Moreover, people with jobs enjoyed healthier lives, better marriages, and vastly improved financial futures than those stuck on welfare.
So, welfare reformers declared victory and moved on, unfortunately leaving the same entrenched bureaucracy as before to manage the system. Before long, clients were again being evaluated for program eligibility, not work readiness. Workarounds were offered for those who preferred not to work.
As the bureaucracy oozed back into control, work mandates weakened. Many states quietly removed them altogether, as Arizona did for its Medicaid program.
With the onset of the COVID pandemic, the Biden administration took the opportunity to eviscerate work requirements altogether in federal welfare programs. Thankfully, grocery clerks, truck drivers and cops stayed on the job, but not teachers or welfare recipients.
Now that the pandemic has officially ended, work requirements still have not been reinstated as promised. In fact, Biden refuses to consider such a proposal in the debt ceiling negotiations.
The ending of the pandemic and work requirements have been a boon for the welfare industry. In response to COVID, Congress also increased the Supplemental Nutrition Assistance Program (food stamps) benefit amount and banned states from removing people who were no longer eligible from the Medicaid roles.
As a result, welfare has become more pervasive than ever. 40 million people are now receiving food stamps, even though it’s common knowledge that taxpayers are funding a lot of chips and soda. Medicaid enrollment has soared to 85 million, now that it has been expanded to include working age men above the poverty line.
There are up to 4 million employable adults not working while 10 million job openings are available. This is a great opportunity to get more Americans back to work, yet Democrats seem more interested in keeping Americans dependent on government than in reducing poverty.
We should absolutely have a working safety net, but not a welfare system that keeps Americans mired in poverty. Why not learn from our own history and return again to prioritizing work over welfare?
Dr. Thomas Patterson, former Chairman of the Goldwater Institute, is a retired emergency physician. He served as an Arizona State senator for 10 years in the 1990s, and as Majority Leader from 93-96. He is the author of Arizona’s original charter schools bill.
by Dr. Thomas Patterson | Apr 28, 2023 | Opinion
By Dr. Thomas Patterson |
Americans are becoming neurotic worriers. COVID brought out the worst in us, as politicized medical leaders rushed us into a panic response that did far more harm than the disease itself without fundamentally affecting the net outcome of the pandemic.
But COVID is hardly the only example of Americans overestimating the dangers in their lives. We fret about everything from “Christian nationalism” arising due to court decisions protecting religious freedoms to alien-bearing UFOs.
Many Americans fear police officers kill unarmed Blacks by the thousands when the real number is about 10 to 20 annually. College students expect “trigger warnings” and “safe spaces” to provide protection from exposure to opposing opinions and the supposed physical harm they are thought to cause.
Part of the problem of imagining all these boogeymen is that real threats can get lost in the shuffle. Impending financial doom, a rapidly changing world order, and millions of unassimilated aliens crossing our borders could all use better focused attention.
There is no better example of the trivial deflecting us from the critical than climate change. Sixty percent of the developed world truly believes that it will spell the end of humanity.
The World Health Organization declared climate change the most important public health issue of the 21st-century. The savants of the World Economic Forum named climate action failure as the greatest policy risk of the next decade.
Third World countries, unfortunately for them, find most of their foreign aid these days linked with resources to address climate change, rather than more pressing needs like economic development, malnutrition, clean water, education, or healthcare.
The fact that some degree of warming is real and related to human activity hardly justifies the catastrophe narrative. Facts derived from official sources tell a different story, for example, that 98 percent fewer people are dying from climate related disasters than a century ago.
Those who express doubt about any aspect of the catastrophe narrative are dubbed “climate deniers” by the mainstream and depicted as science-adverse Neanderthals. Joe Biden claimed he could change their minds just by showing them the climate-related fires he had personally witnessed.
About those fires, Joe. The undisputed fact is that 4.2% of the land in the world burned yearly in the early 1900s. Today it has fallen to 3% due to less heating from open fires, better forest management, and more resources available for fire suppression. Tilting at climate change will produce far less harm reduction from fires than will common sense, risk management, and prevention.
Bjorn Lomborg, a Danish economist, gives other reasons to doubt that climate change deserves its reputation as an existential threat. Hurricanes, despite claims to the contrary, are not increasing. In reality, the number of hurricanes in 2022 was unusually low, the second weakest batch of hurricanes since satellite data became available in 1980.
Landfall hurricanes, the most accurate way of charting hurricane frequency, appear to have declined slightly since 1900. Hurricanes each year cost 0.04 percent of global GDP. Projections from the scientific journal Nature, taking into account changes in climate as well as improved ability to protect ourselves from hurricane harm, indicate that by 2100 the damage will be 0.02% even without new climate policies.
The WHO claims that 95,000 worldwide deaths annually from malnutrition will be attributable to unchecked climate change between 2030–2050. That sounds like a lot, but the global total of deaths from malnutrition is 30 million or so annually, a number that is sure to come down as crop yields increase and economic development improves.
Even polar bears, the subject of one of Al Gore’s apocalyptic predictions, are doing okay. Polar bear specialists estimate that, due to hunting limits, the worldwide population is 21,000 to 31,000, up from 12,000 in the 1960s.
Nobel prize winner William Nordhaus estimates that if we stand pat, climate change will cost 4% of GDP by 2100. But the UN predicts that global GDP will rise by 450% in that time, dwarfing the climate induced harm.
Big-government tyrants love crises because of the power and prestige they bring. Instead of impoverishing ourselves with impractical boondoggles, we need to bear down on economic growth and innovation to pull us through. That’s what Americans do best.
Dr. Thomas Patterson, former Chairman of the Goldwater Institute, is a retired emergency physician. He served as an Arizona State senator for 10 years in the 1990s, and as Majority Leader from 93-96. He is the author of Arizona’s original charter schools bill.
