The Western Cape government has released a new circular to all medical professionals in the province, instructing them on the implementation of a radical transgender policy that will see all patients treated as potential transgender or "genderfluid" people, which indirectly pressures doctors into giving surgical and chemical treatment to anyone who claims to feel that they ought to be a member of the opposite sex, and encourages patients to see the idea of transgenderism as psychologically normal.

It couches the perverse and unscientific ideas in terms in language which suggests a scientific underpinning:

“By virtue, Evidence-Based Care for Transgender and Gender-Diverse People (ETGDP) is healthcare that holistically addresses the physical, mental and social health needs and wellbeing of transgender people while respectfully affirming gender identity. 5 Nationally data systems on gender still follow a binary approach. This makes it difficult to collect data on transgender health outcomes, barriers to care and health care utilisation.”

The document includes childish and unscientific nonsense from radical activist organisations to illustrate the ideological position they endorse.

The document is peppered with radical left-wing ideological clichés such as “lived experience”, “equity” and makes clear their intention to partner with radical transgender activists in the shaping of policy going forward, and make a commitment to a broad propaganda campaign to indoctrinate the public on their perspective, calling it “educating the public”, reflecting the approach taken by the Fabian Society over the past century.

The key issue here is that the Western Cape government is now committed to promoting mental illness and mutilation among the general population, and call it “evidence-based” and “scientific”.

It is not. But the efforts of the braver scientists not persuaded by the bullying tactics of their colleagues over the past 30 years or so has begun to yield fruits in more enlightened parts of the world.

Sweden, once the most aggressive proponent of transgenderism, has now reversed its longstanding policy, admitting that there is scant evidence that surgical and chemical treatments (which permanently sterilise patients and may leave them permanently sexually dysfunctional) are a justifiable treatment for the delusion that one is a different "gender" from the body one finds oneself in at birth. Britain has followed suit, closing the infamous Tavistock clinic, which followed no medical protocols or psychological testing, and encouraged patients to hide treatment from parents.

A good layman's summary of these reforms can be read here. The DA's civil servants are misleading about the scientific evidence, and are defending their policy based on a manipulative rhetorical exploitation of our societal norms regarding tolerance and acceptance of others.

The arguments for transgenderism do not come from medical evidence, but from sociological and psychological theories. Sociology by its nature does not produce reliable scientific theories and the psychological literature has been stuck in a crisis for the past decade known as the "replication crisis", after 85% of all literature in the research area was found to be unreliable due to researchers' inability replicate findings.

The efforts expended by activists in the West, often backed by state finance, has broken the neutrality of scientific research in the past 20 years, as attempts to use responsible double-blind control group studies have been subject to objections on the grounds of "ethics", while one-sided trials involving the administration of radical procedures has received milllions in funding.

The total body of adequately double-blind studies which escape this institutional filter, which isn't large, demonstrate that supporting transgenderism with surgical interventions instead of treating it as a mental illness increase the chance of suicide, and lead to lifelong excruciating medical complications.

There is no evidence for the claim that being denied "gender affirming care" increases risk of suicide.

But because of its profitability to the healthcare industry - the transgender industry is worth more than the sum-total of the entire entertainment industry - it allows healthcare companies to profit off of the misery they cause. Policymakers are effectively being instructing doctors to override their own judgment based on scientifically invalid treatments through commercial and political lobbying efforts.

What a serious implementation of this protocol implies, is that the doctors and other healthcare professionals in this Cape will now be encouraged to seduce vulnerable youngsters into the permanent destruction of their mental health and reproductive capacity. Parents would be well advised to keep a sharp eye on the inducements doctors tempt their children with.

Autistic children and social outcasts are most vulnerable to this, given that adopting a legally and socially protected identity affords them the hope of a social redemption, and escape from what is often an emotionally excruciating period in their lives.

But this is not the only interesting component in the document. The DA’s provincial government has also made a commitment to universal health coverage. This is strange, since free access to public hospitals is already a de facto reality.

“In alignment with the Healthcare 2030, the Road to Wellness, the vision of the WCDHW which emphasises access to person centred, quality care, the WCDHW is re-orienting the health system to move increasingly towards equitable healthcare. Health equity becomes a key lever towards fostering population wellbeing. The disparities in power, income, goods, and services both globally and nationally, are reflected in the unequal living conditions experienced by individuals such as access to health care, education, their conditions of work and leisure, their homes, and community environment. These disparities directly impact their chances of leading a flourishing life and perpetuate poor health, social gradients and inequities. On the journey towards Universal Health Coverage, it will be important to mitigate the risk of clients experiencing catastrophic financial difficulty while accessing care.”

It makes little sense unless one sees this as an endorsement of the NHI Act which, while the DA have made several public noises against  in the press, is not subject to any tangible plans of resistance from the Liberal coalition partner, and has in fact seen a marked softening in even rhetorical criticism.

There are two options here - either the DA has no control over the policies being passed in the departments they run, or they are way further to the left than they sell themselves as to their voters.

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