Tucker Carlson Tonight 10_4_23 E.P 28 - Tucker Carlson Tonight October 4, 2023
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00:00 by their teachers and the broader community,
00:02 you would say there's no chance that could happen
00:03 in this country.
00:04 And of course it has happened
00:05 and it's now happening at scale.
00:07 Transgenderism is not just a fad,
00:10 it's a fact of life across this country.
00:12 Not just the elites, but in small towns everywhere.
00:16 And so the question is, how did something this unnatural
00:19 and prima facie demented happen so quickly?
00:23 Well, of course there's gotta be money involved.
00:26 Interestingly, no one that we're aware of
00:28 has taken a close forensic look
00:30 at where the money's coming from and where it's going.
00:33 And that's why we're so delighted
00:35 to see research done by our next guest,
00:37 Chris Moritz, who's a long time investment banker
00:40 and policy guy, has done on this question.
00:43 Transgenderism, it didn't happen by accident,
00:46 some people are profiting from it.
00:49 And with that, we introduce our guest
00:50 who joins us here on set.
00:51 Thank you.
00:52 - Thank you, Tucker.
00:53 It's beyond pleasure to be here.
00:54 - Well, we're grateful to have you.
00:56 And there's been a lot of complaining about this.
01:00 It's clearly a destructive trend that's hurting people,
01:03 particularly children, destabilizing the society,
01:05 and it doesn't make any sense.
01:07 So it's making all of us irrational.
01:09 But for some reason, nobody has taken the time
01:13 to figure out who's profiting from this.
01:15 And you've done what I think is a spectacular dive
01:19 into this, an amazing overview
01:21 of the economics of transgenderism.
01:22 So with that, I'll just kind of back off
01:24 and let you describe what you found.
01:26 - Well, I think there's so many elements to this issue.
01:31 - Yes.
01:32 - Philosophical, religious even.
01:35 - Yes.
01:36 - Sociological.
01:38 - Especially.
01:38 - Of course.
01:39 But the economics of it, what I call transgender Inc,
01:44 is something that has gotten very, very little attention.
01:48 And it deserves to be highlighted in very visible way.
01:54 - Yes.
01:55 - Because this is a market that in 2018,
01:59 this market is made up of sex reassignment surgeries
02:03 and hormone replacement therapies,
02:06 which include a number of different pharmaceutical products.
02:09 But the combined value sales of sex reassignment surgeries
02:14 and the pharmaceutical products in 2018 was $2.94 billion.
02:21 By 2022, that figure had rose to $4.18 billion.
02:26 And by 2030, our analysis indicates
02:33 that that would increase to $7.5 billion,
02:36 which represents an 8.5% compound annual growth rate,
02:41 which is relatively significant
02:44 within a healthcare vertical.
02:46 - Well, it's bigger than the entire healthcare budgets
02:48 of some African countries.
02:50 - For sure.
02:50 - I mean, it's a lot of money.
02:51 - Considering also that the population of patients
02:55 is about a million people,
02:57 there's 1.6 million transgender adults,
03:01 or I should say over the age of 13,
03:05 transgender individuals in the United States as of 2022.
03:10 Now, that number has doubled in 10 years.
03:15 So in 2011, there were 700,000 transgender Americans
03:21 over the age of 13.
03:23 And by 2022, that had risen to 1.6 million.
03:27 - So you just ended the debate
03:30 over whether this is something a person is born with.
03:33 - Well, I think that there is absolutely
03:36 zero scientific evidence that would suggest
03:39 that there is a gene, chemical alteration,
03:44 any kind of somatic, physical, biological element
03:49 to transgenderism that would result
03:52 in what has become known as gender dysphoria.
03:56 And in fact, if we get deeper into the medical research,
04:01 we find that there are no clinical studies, none,
04:06 on the long-term efficacy consequences,
04:10 and in many cases, debilitating life-term effects
04:15 of these procedures and pharmaceutical products,
04:19 especially on children.
04:20 - What, there are no studies?
04:21 - There are none.
04:22 In fact, the FDA has not approved
04:25 a single pharmaceutical product used in gender transition,
04:30 specifically for gender transition.
04:35 So testosterone, estrogen,
04:38 and what are called GnRH agonists, or puberty blockers,
04:44 are all prescribed off-label.
04:46 So they do not have specific FDA approval
04:50 for gender transition,
04:53 because this is such a new field of medicine.
04:57 And many of these drugs,
05:00 especially these GnRH agonists, or puberty blockers,
05:04 have been traditionally prescribed for cancer patients.
05:09 - Right, prostate cancer, famously.
05:11 - Exactly, so there's a drug called Lupron,
05:14 developed by AbbVie Pharmaceuticals.
05:17 And this has gotten a lot of controversy
05:20 and a lot of attention, because in Texas,
05:24 Ken Paxton has actually brought suit against AbbVie
05:28 and another pharmaceutical company
05:30 that makes puberty blockers called Endo Pharmaceuticals,
05:34 based on the fact that they are advertising to children
05:40 these drugs off-label.
05:43 - For a non-FDA approved use.
05:45 - Correct.
05:46 - So testosterone feeds prostate tumors.
05:49 So if you are diagnosed with prostate cancer,
05:51 one of the therapies might be to lower your testosterone,
05:53 correct? - Correct.
05:54 - That's what this drug is used for.
05:55 - That's exactly right.
05:56 - But it's now being prescribed at scale to kids,
06:00 and there's no study suggesting the outcomes, long-term?
06:04 - None, no peer-reviewed studies.
06:05 - Can you think of any,
06:07 is there any other part of, air quotes, medicine,
06:11 where over a million people are being prescribed
06:15 a course of, quote, therapy,
06:17 where we don't know the outcome?
06:19 - Yeah, I think there is an analogy that can be made.
06:24 As a millennial, growing up in the '90s,
06:28 what was a big trend at that time for that cohort?
06:33 ADHD.
06:36 Everyone was put on Adderall at a young age
06:39 because school teachers identified hyperactive kids,
06:44 and the process of going from being identified
06:48 as maybe a little different or whatever at the school level,
06:52 and then getting elevated to guidance counselors,
06:55 then to psychologists, then to clinicians,
06:58 and before you know it, you're prescribed
07:01 a very powerful pharmaceutical drug.
07:03 And I think something very similar--
07:05 - An addictive drug that'll give you brain damage.
07:06 - For sure.
07:07 And I'll tell you that drugs that are being administered
07:12 for transgender patients,
07:15 especially these puberty blockers, are far, far more dire.
07:19 - Can we just back up for one second?
07:21 And I remember that very well.
07:22 I had kids in school at the time.
07:24 The ADHD thing happened.
07:27 And I always thought it was a cope for boring teachers
07:30 teaching pointless material,
07:32 and when kids got jumpy, they're like, "You need drugs."
07:34 But I always assumed there was some sort
07:36 of longitudinal research on the effects of this.
07:40 - Well, at that time, it was still kind of a novel therapy,
07:45 and really gained an enormous amount of traction
07:53 in the '90s.
07:54 And I think what we're seeing--
07:56 - But they had no data to show
07:57 that this would improve lynching outcomes.
07:59 - I can't say whether there were peer-reviewed studies
08:03 at the time.
08:05 I believe that even today,
08:07 we don't know the long-term consequences necessarily
08:10 of some of those specific drugs,
08:12 but certainly with respect to the transgender pharmaceuticals
08:17 there are no long-term studies peer-reviewed
08:22 that show the efficacy or not
08:25 of taking these very powerful pharmaceuticals.
08:29 And we may not know for some time.
08:34 And in fact, what has resulted in,
08:37 this has resulted in a situation where clinicians
08:41 and institutions and academics and elementary schools
08:45 and the entire gamut of this supply chain
08:49 has had to fall back on protocols established
08:52 by an organization called WPATH.
08:55 WPATH stands for the World Professional Association
08:59 of Transgender Health.
09:01 It's technically a medical professional body
09:05 established in the 1970s.
09:08 But I think what's unique about it
09:13 is that it is for sure a medical entity,
09:18 but it is also an advocacy organization.
09:22 And-- - A political advocacy.
09:24 - For sure.
09:24 In so far as they are advocating
09:28 for the advancement of transgenderism.
09:30 So in other words, the protocols and clinical protocols
09:36 that health systems, large and small,
09:42 that are falling back on are the standards
09:45 that WPATH has enacted over the years.
09:49 - So can I ask you a question for one sec?
09:50 So in order for all of these therapies
09:53 to become mainstream, you have to change the definition
09:57 of gender dysphoria from something that you treat,
10:02 a problem, a psychiatric illness,
10:05 you have to change it from that to something very different.
10:09 - In fact, the clinical history shows just that.
10:13 So in 1952, the first sex reassignment surgery happened,
10:17 I believe at Johns Hopkins
10:20 with a patient named Christine Jorgensen.
10:23 It was very big news at the time.
10:26 And then about 10 years later,
10:29 Johns Hopkins established the first gender clinic
10:33 for purposes of performing sex reassignment surgeries.
10:38 But for most of the 20th century
10:41 and certainly the post-war period,
10:44 transgenderism or gender dysphoria as it's become known
10:49 was deemed to be a mental illness.
10:52 It was called transsexualism or gender identity disorder.
10:57 And this was kind of the basis for understanding treatments
11:03 and it was deemed to be psychiatric.
11:06 However, in 2013,
11:08 the American Psychiatric Association amended DSM.
11:13 DSM is the Diagnostic and Statistical Manual
11:16 of Mental Illness.
11:18 And in this change, they altered the nomenclature
11:22 of the condition such that transsexualism
11:26 or gender identity disorder became gender dysphoria.
11:30 And what's significant about this change-
11:32 - This is why the term transsexual,
11:34 which was the term of art that people used,
11:37 all people on all sides of the question has disappeared.
11:40 - Of course.
11:41 And well, I mean, let's face it.
11:43 If you remove the pharmaceuticals,
11:45 if you remove the surgeries, what are you left with?
11:49 You're left with a transvastite.
11:52 You're left with a crossdresser.
11:54 And that's it.
11:55 And that's what it was for decades and decades.
11:58 I mean, there were, like I said,
12:00 some surgeries here and there, very small numbers,
12:04 but really this, what we're seeing today,
12:06 accelerated after 2010.
12:10 - But I think most people, if I can interject,
12:12 didn't feel as threatened by that
12:13 or threatened at all, speaking for myself,
12:16 because the stakes are low.
12:18 You put on different clothes,
12:20 it's an eccentric copy of yours or whatever it is,
12:22 but you're not defacing your body.
12:26 You're not stopping the natural process of maturation.
12:31 - Right.
12:32 So by defining this condition as gender dysphoria,
12:37 what it effectively achieved was removing the notion
12:42 that this is a psychosexual disorder
12:45 and that is in fact a conflict
12:49 between a subjective self-perception of gender
12:54 or even a social perception of gender
13:01 and one's natural feelings about gender.
13:05 And therefore that distress that comes
13:10 from the discontinuity between those two
13:14 can be alleviated by surgeries
13:17 and these very radical pharmaceuticals.
13:20 - So I feel like I was born in the wrong body
13:23 through plastic surgery and drugs.
13:26 I can eliminate all of the anxiety
13:29 that comes from feeling like I'm trapped in the wrong body?
13:32 - I mean, that is the argument.
13:33 And certainly for many transgender patients,
13:37 they report positive benefits from the process.
13:43 However, many, many also report regret,
13:47 severe physical ailments that come
13:51 from the surgeries themselves,
13:54 which we can get into and the complications
13:57 that arise from those.
13:58 And then of course the pharmaceuticals.
14:00 - Well, let's get into that if we could,
14:01 'cause I spent, I don't know,
14:03 the last five years talking about transgender stuff on TV
14:07 and debating people on it.
14:09 And I don't think I've ever heard anyone describe
14:11 what exactly the surgeries are.
14:13 I don't think you're allowed to ask.
14:14 I haven't Googled for photographs
14:16 'cause I'm not sure I wanna see them,
14:17 but that's like not part of the conversation.
14:18 Like the details have kind of been omitted here.
14:21 So what are the surgeries?
14:22 - They're purposely omitted.
14:24 - So, well, okay.
14:25 So let's get specific and turn this off
14:27 if it bothers you.
14:28 - No, no.
14:29 For instance, I think probably one of the most graphic
14:33 and invasive procedures is called a vaginoplasty.
14:39 And that is where a male to female patient
14:44 is castrated, testicles removed,
14:49 the penis is inverted to create a vaginal cavity,
14:54 and then skin grafting is used to create
14:58 other elements of female genitalia, vulva, labia, et cetera.
15:05 But what we found is that there was a study from California.
15:10 - They can't even do lip filler
15:12 in a convincing way in this country.
15:14 You can't tell me they can recreate something
15:17 as complex as female genitalia.
15:18 I'm sorry.
15:19 - Of course they can.
15:20 And there's a study out of California
15:22 of 869 vaginoplasty patients.
15:26 And of those 869, 25% post-op
15:34 had side effects to the surgery that were so severe
15:39 that they required additional hospitalization.
15:42 Of those 25--
15:43 - 25%.
15:44 - Yes, and of those 25%,
15:46 44 had to have major revisional surgery
15:49 due to bowel injuries, bleeding.
15:53 Also associated with this particular procedure
15:57 is total loss of sensation.
16:00 In other words, sexual functioning.
16:03 - Total loss.
16:04 - Total loss, irreversible.
16:06 So that's one of the, I think,
16:13 one of the more explosive of these procedures,
16:18 but it also includes mastectomies,
16:21 which are performed at an increasingly rate
16:23 on minors, on girls.
16:25 Even the Biden administration
16:30 has kind of tacitly endorsed
16:33 genital reconstructive surgery for minors
16:37 on a case-by-case basis.
16:39 This was promulgated by, I believe, Admiral Levine,
16:44 Rachel Levine.
16:46 - Oh, the dude in the military outfit.
16:48 - Sure.
16:49 - But can I ask, so like 10 years ago, again,
16:51 just having spent life in cable news,
16:52 I remember all the debates.
16:54 You sort of wonder, like, whatever happened to that?
16:56 Like the female genital mutilation, FGM,
16:59 this was something that your garden variety NPR donor
17:03 was very upset about.
17:04 - Sure.
17:05 - Like 10 years ago.
17:06 - Yeah.
17:07 - I haven't heard anybody mention
17:08 female genital mutilation in the United States
17:11 in quite some time now.
17:12 Is that because we now officially engage in it?
17:14 - Of course, we export it to the rest of the world.
17:17 The rest of the world, the rest of the developed world,
17:21 which were, in fact, the Scandinavian countries
17:24 in particular had had, you know,
17:27 prior in the early 2000s and in the 90s even,
17:31 we're really at the forefront of this field of medicine.
17:35 - I thought it was the Muslims
17:36 who had these crazy radical ideologies
17:39 and they were exporting female genital mutilation
17:41 and now it's the West.
17:41 - Well, actually, I mean, actually in Iran,
17:45 Iran is one of the largest centers
17:49 for sex reassignment surgery in the world.
17:51 - What?
17:52 - Yeah, because they're anti-gay
17:55 and transgenderism, I mean,
17:58 it's a very quietly held but widely held view,
18:02 I think amongst the LGB community.
18:07 The transgenderism is anti-LGB.
18:10 - Well, of course it is.
18:11 - Of course it is.
18:12 And in Iran, where homosexuality is illegal,
18:16 they have a very simple solution, vaginoplasty.
18:18 - Cut it off?
18:19 - Yeah.
18:20 So-
18:22 - Well, you just blown my mind.
18:23 I had no idea.
18:24 - Yeah.
18:26 - Wow.
18:27 - And I'll tell you, in terms of the pace of growth
18:32 for let's say clinics serving pediatric patients
18:37 on gender issues, in 15, last 15 years in the United States,
18:42 we had zero down to over a hundred.
18:47 - Clinics?
18:48 - Clinics for kids.
18:54 - Why?
18:55 - It's a very complicated question
19:01 and there's a lot of different reasons why.
19:03 I would say that the biggest single policy catalyst
19:09 for this explosion is Obamacare.
19:13 When Obamacare was enacted in 2010,
19:17 there was a kind of very quietly
19:24 kind of written into the law,
19:25 a provision in which insurance companies were mandated
19:29 to provide coverage for what is deemed
19:32 to be medically necessary gender affirming care.
19:37 As a result of that, between 2010 and 2016,
19:42 there was a 50% increase in sex reassignment surgeries,
19:45 25% increase in insurance coverage
19:52 for transgender individuals.
19:55 And then at the very end of the Obama administration,
19:58 2016, an additional amendment
20:01 to the Affordable Care Act was made,
20:04 whereby gender identity could no longer be a basis
20:09 for denial of coverage by private insurance companies.
20:15 As a result of that, the next year, from 2016, 2017,
20:21 there was 150% increase in sex reassignment surgeries
20:25 in the United States.
20:27 The Trump administration, very early on,
20:31 revoked this provision.
20:33 And then of course, the Biden administration
20:35 put it back in place, I think within the first 100 days.
20:39 - So they're required to pay for it.
20:42 How expensive is it?
20:43 - Well, a total transformation or a transition rather
20:49 for male to female is approximately $142,000.
20:54 - And what does that entail?
20:56 - That would entail what's called bottom surgery
20:58 and top surgery.
21:00 - So that would be castration, fake non-functional vagina
21:05 and breast implants. - Exactly.
21:08 - But that does not, I mean, this is too crazy.
21:13 It's almost too crazy.
21:14 - It's perverse.
21:16 - Can I just ask a question?
21:18 Does anyone study the sex lives of post-op transsexuals?
21:22 Like how are they?
21:23 - Well, as I said, for many, many patients that have,
21:27 especially the male to females that have procedures,
21:32 general reconstruction procedures,
21:34 they face a lifetime of zero sexual function
21:39 because they lose sensitivity in this artificial vagina.
21:46 - What about constructing artificial penis?
21:50 Are they better at that?
21:51 - That seems to be more efficacious
21:54 because it involves- - Less complicated.
21:56 - Well, it's less complicated.
21:58 It's also, you know, part of the process of,
22:03 let's say administering testosterone to women
22:07 results in an enlargement of the clitoris.
22:10 - Yes.
22:11 - And that can be used as a basis to create a neophallus.
22:15 So that's one procedure.
22:17 That costs about 50,000.
22:19 That can actually cost up to $150,000
22:22 depending on the health system,
22:26 but it's generally about 50,000.
22:27 - So in that specific case, if, I mean,
22:29 since we know that testosterone and estrogen too,
22:31 I mean, these are really powerful chemicals
22:34 and they're implicated in all kinds of health,
22:36 they're necessary, but they're implicated
22:37 in health disorders like cancer,
22:40 but others as well.
22:42 If you pump a man full of estrogen
22:45 or a woman full of testosterone,
22:46 like what are the health consequences of that?
22:48 Leaving aside sex addiction.
22:51 - Again, we have no long-term studies
22:53 on the effects, long-term effects of these pharmaceuticals
22:58 on transgender patients.
23:00 There's simply none.
23:02 So clinicians fall back on guidelines
23:06 established by WPATH.
23:08 - By a transgender political group.
23:10 - Yes, yes.
23:12 This is a very interesting anecdote about WPATH.
23:17 There was a clinical psychologist at UCSF
23:22 who is the US chapter president of WPATH
23:27 and she is transgender.
23:29 And in 2000, I believe 2021,
23:33 she made a public statement that
23:37 she believed that the industry was moving way too fast
23:42 and there was sloppy medicine
23:46 and propensity for false positives in adolescents
23:51 resulting in potentially irreversible changes for these kids.
23:56 As a result of this statement, WPATH forced her to resign
24:01 and then issued a moratorium on all of its board members
24:05 from ever speaking to the press.
24:07 - That's crazy.
24:09 - Yeah.
24:09 - That's not science.
24:11 - No.
24:12 - But you have to wonder about
24:14 just your garden variety physician
24:16 who is swimming in the soup funded by the insurance companies
24:21 led by the nose by activist groups like WPATH
24:24 and Human Rights Campaign, et cetera.
24:26 And the effect is like scary medicine
24:29 that's destroying people's lives.
24:30 Like where are all the doctors standing up and saying,
24:32 "Whoa, that's not science.
24:33 This is bad for people."
24:34 I don't ever see them.
24:35 Where are they?
24:36 In this country, they're hard to find.
24:40 In other countries, which actually has longer histories
24:43 of this kind of treatments and product lines,
24:46 there's a significant pushback.
24:50 In fact, in England, the leading pediatric clinic
24:55 for gender dysphoria, it's called the Talistoc Clinic,
25:02 was shut down by the NIH, which is the UK health system,
25:07 or health administrator, because of, again,
25:13 sloppy diagnoses, concerns that doctors
25:18 were neglecting their duty of care, informed consent.
25:24 And so it's opening up potential tort litigation.
25:27 - But it does seem like, I mean,
25:30 we have tens of thousands of physicians in this country,
25:32 and they're all well-educated and by definition smart,
25:34 and you'd like to think they're responsible and ethical,
25:37 but it seems like they've been so corrupted.
25:40 Like how could they stand by and allow this to happen?
25:42 - Well, how can they go on TikTok and Instagram
25:46 and advertise specifically to targeted transgender youth
25:51 that are following these feeds and promoting their services?
25:57 Is that medicine or is that retail medicine?
26:00 - So I wanna ask you about the economics in a minute,
26:02 but I'm struck by the moral corruption and wondering,
26:06 I mean, there are a lot of crappy talk show hosts out there,
26:09 and I always felt like, "Well, I'm a talk show host,
26:10 I should probably say something."
26:11 You know what I mean?
26:12 'Cause it's embarrassing.
26:14 But I don't wanna hold anyone's life in my hands.
26:16 If I was a doctor, it feels like there's a moral obligation
26:19 to say something.
26:20 So this is a gender-affirming surgeon.
26:25 This is a lunatic with a knife called Steve Gallagher
26:30 describing a brand new group of patients.
26:34 Wondering if this is medieval.
26:36 Here you have apparently a physician proudly creating eunuchs,
26:40 presumably to guard the harem somewhere.
26:42 - Exactly.
26:43 - But where are all the other surgeons who are like,
26:47 "Wait, that's fully crackpot?
26:49 That's pre-science?"
26:50 - There is definitely a pushback,
26:55 but institutions are crushing that dissent.
26:59 - That's what it is, right?
26:59 - Just like what I cited with the clinical psychologist
27:03 at, who's the WPATH-
27:06 - No, that's what it is.
27:08 - US chair.
27:09 - It's the institutions.
27:09 Like everyone watched the 2020 election get stolen,
27:11 but nobody can say anything because you'll get crushed.
27:14 - Look, and it's not just healthcare institutions,
27:17 it's not just health systems,
27:18 it's not just pharmaceutical companies,
27:20 it's corporate America.
27:22 So for instance,
27:23 there is an entity called the Tawani Foundation.
27:28 Tawani Foundation is led by Jennifer Pritzker,
27:32 who is the transgender sister of governor of Illinois,
27:36 J.B. Pritzker.
27:38 And she established a nonprofit entity
27:42 called Tawani Foundation,
27:43 and then a private equity vehicle called Tawani Enterprises.
27:47 Tawani Foundation has established grants all over the world
27:52 to propagate transgenderism at the university levels,
27:59 funding legal battles and legislative initiatives,
28:05 but they have also partnered with corporate entities.
28:14 So for instance, in 2013,
28:17 Tawani in conjunction with Wells Fargo Foundation
28:21 established a grant at UC Santa Barbara
28:24 to study transgenderism in the US military.
28:28 - To study transgenderism in the US military, promote.
28:35 - Promote.
28:36 - So can you tell me what you think the motive is
28:41 in corporate America getting behind
28:43 something so obviously destructive?
28:45 - Well, I think that,
28:46 as you have opined many, many times,
28:52 corporate America gets their marching orders
28:56 from HR departments.
28:59 HR departments get their marching orders from universities.
29:03 Universities are,
29:06 we know what the culture and mores are of,
29:13 of our elite institutions.
29:16 And even these medical associations and boards,
29:19 WPATH included, have strong affiliations with universities.
29:25 These ideas are coming out of universities.
29:28 And why that is, there's many, many reasons why.
29:32 I would argue it's a kind of extension
29:34 of post-modernist cultural Marxism,
29:37 because transgenderism,
29:40 if we're looking at it philosophically,
29:42 is ultimately about rejecting
29:45 what is a foundational principle,
29:49 philosophical principle in Western civilization,
29:51 which goes back to Aristotle,
29:54 that there is such a thing as objective truth and reality.
29:57 - Yes. - But transgenderism--
29:59 - And beauty.
30:00 - Yes, but transgenderism is to say
30:02 there is no such thing as an objective reality
30:06 that you are born a male or female.
30:08 It is your subjective perception of your gender identity
30:13 that is actualized and made real,
30:16 and where it becomes kind of authoritarian as a movement
30:20 in the fact that the movement demands society recognize
30:25 that subjective reality as truth.
30:28 And I feel that that is one of the most disturbing things
30:33 about this entire movement.
30:35 They've created an entire lexicon that is,
30:38 for instance, gender-affirming care.
30:42 What does that mean?
30:44 What does it mean to be assigned a sex at birth,
30:49 as it's often referred to in the literature?
30:53 I mean, one argument can be made, it's very anti-God.
30:57 Right?
30:59 It is, you are assigned a gender,
31:02 and that can be changed by medical science.
31:04 - Because you're God.
31:05 - Because, right.
31:06 - It also looks a lot like human sacrifice to me.
31:09 I mean, castrate your sons, and you'll somehow benefit.
31:15 I mean, most people, I would say,
31:18 as long as people have existed,
31:20 kind of want their children to reproduce
31:23 and sort of carry on the line.
31:24 That's like the core human desire.
31:26 And this ends it.
31:28 I mean, you castrate your son, you have no grandchildren.
31:31 - But why are parents agreeing to this?
31:34 They're doing so because,
31:36 and there are many, many anecdotes related to this
31:41 across the literature
31:43 and across a lot of investigative journalists' reports
31:47 on this subject, is that parents are presented,
31:50 especially at that initial meeting at a gender clinic,
31:55 with a choice.
31:59 They'll say, "Your son can either be a daughter,
32:04 "or you can have a dead son."
32:06 And they will scare the hell out of them
32:08 with statistics about suicide rates
32:11 and all sorts of other mental illnesses
32:13 that will suggestively come to fruition
32:18 if you do not take this course of action.
32:22 Ironically, in Sweden, which was really a leader
32:27 in this area of medicine and in this field,
32:32 a Swedish study a couple of years ago
32:35 found that post-op transgender patients
32:40 have a significantly higher likelihood
32:43 of making suicide attempts
32:46 and requiring inpatient psychiatric care
32:50 than the overall general population.
32:53 - Is it only the white countries that are doing this
32:56 or are they non-white countries
32:57 that are super anxious to castrate their kids?
32:59 - Well, I can tell you it's not happening in China.
33:01 - Right.
33:01 - It's not happening in Japan.
33:03 It's not happening in India.
33:05 In Thailand, they have long had a cultural concept
33:10 of a third sex.
33:13 - Yes.
33:14 - So there's a lot of, in fact,
33:15 it's a big market for sex change surgeries.
33:18 - And for sex trafficking.
33:19 - Yeah, and for sex trafficking, too.
33:21 - What about Sub-Saharan Africa?
33:25 - (laughs) I mean, they certainly have,
33:28 I think, a strong market share
33:31 on the genital mutilation sub-segment.
33:33 - For sure.
33:35 - But in terms of transgenderism,
33:39 I think that's a non-starter.
33:42 This is an American export at this point.
33:44 - Yeah, but it's the Anglosphere, too,
33:46 and Scandinavia, and so it's Western Europe,
33:48 the United States.
33:49 - But in England, they're pulling back from this as well.
33:54 There are a number of important tort cases
33:58 centered around negligence by doctors
34:03 when it comes to duty of care
34:05 and informed consent for transgender youth.
34:10 - So just back to the money,
34:12 which I've given short shrift to, my apologies.
34:15 So who's profiting?
34:17 You bring your eighth grader into a gender clinic,
34:21 kid's gotta transition or else he's gonna kill himself.
34:24 Who makes money going forward?
34:25 - Well, Cedars-Sinai Hospital Health System in Los Angeles
34:30 is the market leader in the sex reassignment surgery,
34:34 US sex reassignment surgery market.
34:36 They have approximately 8% market share.
34:40 It's highly fragmented overall.
34:42 No single entity really has a share greater than 8%.
34:47 So these are very often regional
34:51 and highly competitive space, but regional.
34:56 And Cedars has a dedicated transgender clinic.
35:02 The revenue from the surgeries brought on by that clinic
35:08 in 2022 amounted to over $200 million.
35:15 That is on revenue of, I believe,
35:18 $8 billion for Cedars overall.
35:21 - Cedars doesn't have a board or there are no,
35:25 I mean, there's no oversight of this?
35:28 - The board encourages it.
35:30 In fact, there are very perverse incentives
35:35 for health systems to go full on board
35:39 with this line of service and this line of products
35:45 because entities like the Human Rights Campaign
35:49 have established what is essentially ESG for trans.
35:54 They call it HEI, Health Equity Inclusion.
35:59 So Human Rights Campaign about 15 years ago
36:01 established this national benchmarking tool
36:05 and it effectively is a equity and inclusion gauge
36:09 for health systems.
36:13 And it is used coercively.
36:15 And examples of that would be that in 2020,
36:21 the Children's National Hospital received a low HEI score.
36:26 And as a result of that,
36:28 the board of directors of the hospital
36:31 immediately established a DEI subcommittee
36:37 and then extended sex reassignment surgery coverage
36:40 to all of their employees and their dependents
36:43 under the age of 18.
36:45 The next year, Children's National Hospital
36:48 received 100% HEI score.
36:50 - But it's a hospital filled with self-described scientists.
36:53 Nobody's piped up and said, there's zero evidence
36:55 this is a good idea.
36:56 We don't have a single study suggesting this works.
36:59 No one said that?
37:00 - Well, I mean, there are certainly studies
37:04 that would show that, and again,
37:07 like they're not necessarily peer reviewed,
37:10 but there's studies that show that transgender patients
37:13 are sometimes very satisfied with results.
37:16 But on the other hand, many times they're not.
37:19 - Over what period?
37:21 - Well, I mean, that's a great question too, because-
37:24 - I mean, if you take a 17 year old
37:26 and pump him full of hormones he wasn't born with,
37:29 like, you know, there have to be massive physical
37:34 and psychological consequences.
37:35 - Well, okay, so with puberty blockers in particular,
37:39 which suppress testosterone in men in particular
37:44 for prostate cancers, as you cited,
37:47 and affect the pituitary gland
37:49 and suppress the onset of puberty.
37:53 This was also developed to address
37:56 what's called precocious puberty.
37:58 That would be, you know, kids-
38:01 - Early onset.
38:02 - Six, nine years old who start developing early.
38:06 This is what it's administered for.
38:07 But the long-term effects of these drugs,
38:12 especially in healthy, basically healthy patients,
38:16 and let's face it, transgender patients
38:19 do not necessarily have any other comorbidities
38:21 or medical problems.
38:23 They're healthy adults.
38:24 It's in the mind, you know,
38:27 that results in the initiation of treatment.
38:31 And in the case of puberty blockers,
38:36 you have concern, even amongst gender clinicians,
38:41 that brain development may be significantly impacted
38:47 by the administration of these drugs.
38:49 Because if you suppress, you know, natural maturation,
38:54 that includes brain development
38:57 at a very critical stage in adolescence.
39:00 So we have, you know, that's a side effect.
39:04 There's concerns about bone density.
39:07 There's certainly concerns about long-term fertility rates.
39:11 It goes on and on and on.
39:13 - You said there are two big manufacturers
39:18 of puberty blockers?
39:19 - Well, there's several.
39:22 The leading pharmaceutical players in this space
39:25 include Pfizer, a company called AbbVie Pharmaceuticals.
39:30 - Pfizer, what does Pfizer make?
39:31 - Pfizer makes testosterone, estrogen, and puberty blockers.
39:35 Primarily though, it's testosterone and estrogen.
39:39 And I want to stipulate that the overall sales
39:43 for these product lines within the pharmaceutical companies
39:48 are relatively small,
39:50 because the number of patients is very small.
39:52 There's 300,000 transgender youth,
39:57 so 13 to 17 in the United States.
40:01 That number has, by the way, doubled over five years,
40:04 from 2017 being 150,000 to 300,000 by 2022.
40:09 And so, you know, so these pharmaceutical companies
40:18 are not necessarily making huge amounts of money
40:21 off of these drugs.
40:24 I think really the big money is coming
40:28 from health systems and the surgeries,
40:30 'cause they're just so expensive,
40:31 and incorporate, you know, obviously a lot of ancillary costs
40:37 related to surgeries in general.
40:40 As I said, you know, revision surgeries are, you know,
40:44 a frequent issue with transgender sex reassignment,
40:49 because they're just so invasive and so complicated.
40:52 It takes 12 to 18 months to recover
40:55 from a vaginoplasty or a phalloplasty.
40:58 - Knowing as much as you do about how this began
41:02 and who's profiting, if you wanted to stop it
41:04 or slow it down, or make it less likely
41:06 that your eighth grader wants to transition,
41:08 what would you do?
41:10 - Well, I think that, I think when you're talking
41:16 about an eighth grader, for instance,
41:18 who exhibits, let's say, you know,
41:21 strong feminine qualities at an early age,
41:24 may very well just be gay,
41:27 but in the day, in the kind of the time that we live in now,
41:32 that eighth grader is scrutinized by, you know,
41:37 a eighth grade teacher,
41:39 identified as potentially gender dysphoric,
41:42 referred to a guidance counselor,
41:45 who then refers to a local psychologist,
41:47 who then refers the eighth grader and his parents
41:52 to a gender clinic, go to the gender clinic,
41:55 and a clinician will make a very stark assessment
42:00 and raise the stakes for these parents,
42:04 saying, you know, you can have, again, as I said,
42:07 a dead son or a transition daughter.
42:12 And there was a study that Reuters did last year
42:17 of 18 pediatric clinics, gender clinics in the US,
42:24 and to assess basically the process of evaluation,
42:28 they came to the following conclusion.
42:32 Effectively, patients will meet with a social worker,
42:37 a psychologist, and a clinician,
42:39 either a pediatrician or an endocrinologist.
42:43 They'll take a, you know, two-hour meeting,
42:46 assess medical history, talk about the benefits and risks,
42:50 and so on and so forth,
42:51 present these suicide statistics.
42:54 And Reuters found that seven of these 18 clinics
42:58 would, after, you know, after they were made sure
43:04 there was no obvious red flags or comorbidities
43:07 and that the child and parents were in agreement,
43:11 which I think is interesting,
43:13 the child would be in agreement to this
43:16 equally with the parents,
43:18 then most, then out of these seven clinics,
43:23 they are comfortable after this two-hour meeting,
43:27 after a first meeting,
43:28 to make a gender dysphoria diagnosis
43:31 and prescribe these powerful pharmaceuticals.
43:36 - Any idea what percentage of the families
43:38 were single parent, female-headed?
43:41 - I don't know that.
43:42 It's a good question.
43:43 - It's hard to imagine too many dads going along with this,
43:45 but maybe we're that degraded.
43:46 - But in California recently,
43:49 there was legislation that can effectively take custody away
43:54 from, let's say, a dad who objects
44:00 to the gender affirmation of their kid.
44:02 - Yeah, well, that's just stealing your child.
44:07 - And to what end?
44:09 - It's just interesting.
44:10 I mean, you know it's a passive country
44:11 that nobody's resorted to violence.
44:13 I mean, in a normal culture of someone saying,
44:14 "We're gonna take your child away and castrate him."
44:16 I mean, you would die before you let that happen.
44:19 - Yeah, I mean, again, I think that so much of this
44:23 has to be viewed in parallel with the radicalization
44:26 that happens at the primary school level
44:30 and at university school level.
44:32 Frankly, Elon Musk has talked about his own experience
44:37 with this at an elite private school in Los Angeles
44:41 where his daughter, or son rather,
44:47 became kind of politically radicalized
44:49 and then transitioned.
44:52 And you'll find, I think, that the political radicalization
44:57 and the gender radicalization
45:03 are both coming from the universities
45:05 and they both have the same end goals,
45:07 which is to break down the foundations of our country
45:13 and of our civilization as we have established for millennia
45:18 to replace it with something new in their image.
45:27 And it is a kind of playing God
45:30 and it's a kind of cultural revolution
45:35 that I think even has some parallels
45:40 to China's cultural revolution.
45:43 - Which seems a little bit less absurd than this,
45:47 just saying.
45:48 - Oh, in many ways.
45:51 - Chris, thank you for all of this,
45:52 all of the research you did.
45:54 - Thank you.
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