UK govt bodies clash over transgender fertility treatment
by Michael Cook | 6 Oct 2018 |
A government human rights agency in the UK plans to sue the government health service for not helping transgender patients to transition.
The Equality and Human Rights Commission claims that the National Health Service is obliged to provide fertility services for transgender patients with gender dysphoria, a treatment that normally results in a loss of fertility. If their sperm or eggs are frozen and stored, it is still possible for them to have children later in life.
But since many of these patients are teenagers, they cannot afford this. The EHRC claims that this constitutes discrimination against transgenders. The NHS responds that it is not responsible for providing fertility services to all patients.
Rebecca Hilsenrath, chief executive of the EHRC, says that “We are proceeding with our judicial review claim and will remain in discussions with NHS England about the need to ensure the transgender community can access health services free from discrimination, and that individuals do not have to choose between treatment for gender dysphoria and the chance to start a family.”
The NHS may be concerned about the potential for the cost of treating transgender patients to spiral out of control. The minister for women and equalities, Penny Mordaunt, has reportedly asked for an explanation of why the number of girls referred for transitioning has risen from 40 to 1,806 -- 4,400% -- over the past ten years.
If the NHS is forced to provide fertility treatment for them, it may be forced to reduce the level of service for conventional fertility patients – who are currently complaining bitterly about the low levels of service. A spokeswoman told the media: “NHS England has responded in detail to the EHRC explaining why we believe their request is both misjudged and potentially unfair to NHS patients.”
Sunday, October 7, 2018
About five minutes before I was about to entrust this newsletter to MailChimp, I heard that the Canadian Medical Association had just withdrawn from the World Medical Association after the WMA's annual meeting in Reykjavík.
The CMA said that the trigger for this dramatic turn of events was the highly unethical behaviour of the incoming president of the WMA, Dr Leonid Eidelman. It accused Dr Eidelman of plagiarism. This was true and not very smart. A few sentences in Dr Eidelman’s inaugural address to the assembly had been lifted from the inaugural address of a former president of the CMA, Dr Chris Simpson. Since Dr Simpson was one of the CMA’s delegates in Reykjavík, it was highly unlikely that this would go unnoticed. Apparently other passages had also been copied from “various websites, blogs and news articles, without appropriate attribution to the authors”.
"As an organization that holds itself as the arbiter of medical ethics at the global level, the WMA has failed to uphold its own standards,” said Dr Gigi Osler, the current CMA president. “The CMA cannot, in all good conscience, continue to be a member of such an organization.”
The WMA Council and the Assembly accepted an apology from Dr Eidelman. He said that he had relied upon speechwriters – a plausible excuse, as he is a Latvian who emigrated to Israel and who speaks English with a heavy accent.
This is not the first time that a WMA president has been accused of moral failings. The immediate past president, Dr Ketan Desai, was elected while facing criminal charges for corruption in India. At the time, medical ethicist Art Caplan urged the WMA to ditch him as morally compromised. It didn’t.
So the Canadians’ reaction seems disproportionate. It is more likely that it was prompted by the WMA’s firm opposition to euthanasia, which the CMA vigorously supports. One of the CMA delegates, Dr Jeff Blackmer, posted a bitter tweet about the irony that an unethical plagiarist had once openly criticised him for being unethical in backing euthanasia.
No doubt euthanasia will continue to split the medical profession. Any comments from readers?
The CMA said that the trigger for this dramatic turn of events was the highly unethical behaviour of the incoming president of the WMA, Dr Leonid Eidelman. It accused Dr Eidelman of plagiarism. This was true and not very smart. A few sentences in Dr Eidelman’s inaugural address to the assembly had been lifted from the inaugural address of a former president of the CMA, Dr Chris Simpson. Since Dr Simpson was one of the CMA’s delegates in Reykjavík, it was highly unlikely that this would go unnoticed. Apparently other passages had also been copied from “various websites, blogs and news articles, without appropriate attribution to the authors”.
"As an organization that holds itself as the arbiter of medical ethics at the global level, the WMA has failed to uphold its own standards,” said Dr Gigi Osler, the current CMA president. “The CMA cannot, in all good conscience, continue to be a member of such an organization.”
The WMA Council and the Assembly accepted an apology from Dr Eidelman. He said that he had relied upon speechwriters – a plausible excuse, as he is a Latvian who emigrated to Israel and who speaks English with a heavy accent.
This is not the first time that a WMA president has been accused of moral failings. The immediate past president, Dr Ketan Desai, was elected while facing criminal charges for corruption in India. At the time, medical ethicist Art Caplan urged the WMA to ditch him as morally compromised. It didn’t.
So the Canadians’ reaction seems disproportionate. It is more likely that it was prompted by the WMA’s firm opposition to euthanasia, which the CMA vigorously supports. One of the CMA delegates, Dr Jeff Blackmer, posted a bitter tweet about the irony that an unethical plagiarist had once openly criticised him for being unethical in backing euthanasia.
No doubt euthanasia will continue to split the medical profession. Any comments from readers?
 Michael Cook Editor BioEdge |  |  |  |
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