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Many states are trying to limit gender appeal for adults too



Missouri this month became the first state in the nation to severely restrict gender-based treatment for people of all ages, following a series of quieter steps across the country that limited transgender adults’ access to health care.

Last year, Florida joined six other states in banning Medicaid from covering some forms of gender-based care for transgender people of all ages. These prohibitions apply approximately 38,000 beneficiaries public insurance programs, according to the Williams Institute, a research center at UCLA Law School.

And in at least five states, Republican lawmakers have proposed bills that would remove gender-based care for minors as well as young people. Some are trying to ban it for those under 21, while others are trying to ban it for those under 26.

Missouri’s new radical politics took a different approach. Citing consumer protection laws designed to regulate fraud, State Attorney General Andrew Bailey issued an emergency rule barring physicians from providing gender-based treatment to patients of any age unless they comply with a number of significant restrictions, including an 18-month psychological evaluation. . The rule also stated that patients should not receive gender-based treatment until any mental health issues were “resolved”.

Onerous restrictions amount to a “de facto prohibition,” said Jillian Branstetter, a communications specialist for the American Civil Liberties Union, whose Missouri chapter announced his intention to file a legal challenge to the rule.

“The political situation regarding health care for transgender people has always been in this direction,” Ms Branstetter said.

The rule excludes people who are currently undergoing treatment if they and their physicians “promptly” comply with psychological assessments and other restrictions.

Aro Royston, a 35-year-old transgender man from St. Louis, said he was shocked. under the new policy. He said he took testosterone for eight years with monthly supplements prescribed by his doctor. If he no longer had access to treatment, he said, he would be “devastated” and travel out of state to get help.

“I think what upsets me the most is that I am an active member of this society,” said Mr. Royston, program manager for an American defense contractor. “I worked on defense programs to protect my nation. And my nation can’t protect me?”

Missouri’s new policy goes into effect on April 27 and expires in February 2024, when the state legislature resumes its session. (Two bills which would ban childcare — and prevent Medicaid from covering it for all ages — didn’t move forward in this year’s session.)

While Mr. Bailey’s order applies to all ages, his public comments have focused on children, echoing the rhetoric of Republican politicians across the country and in Missouri. “As Attorney General, I will always fight for the protection of children because gender reassignment measures are experimental,” Mr. Bailey tweeted.

In February, his office launched an investigation into the Washington University Youth Gender Clinic in St. Louis after a former employee filed a whistleblowing report. complaint arguing that the patients were sent for treatment in a hurry and did not undergo an adequate psychological examination. (Clinic said that he followed accepted standards of care.)

Asked why his order includes adults, Madeleine Siren, a spokeswoman for Mr Bailey, said: “We have serious concerns about how children are treated in the state, but we believe everyone has a right to evidence-based medicine. and adequate mental health. take care.”

Fourteen other states — Alabama, Arizona, Arkansas, Georgia, Idaho, Indiana, Iowa, Kentucky, Mississippi, South Dakota, Tennessee, Utah, and West Virginia, and as of Wednesday, North Dakota — have passed laws restricting gendered care for minors.

Although there are disputes between them. medical workers about which children would benefit from gender-confirming care and when they should start treatment, several major medical groups in the United States, including American Academy of Pediatricsdenounced the statute.

For transgender adults, many studies have shown that transitional care Maybe improve psychological well-being and quality of life.

Terry Schilling, president of the US-based advocacy group American Principles, which advocates limiting the rights of transgender people, said in an interview earlier this year that the focus on minors was a short-term political calculation. He said his organization’s long-term goal is to phase out transition aid altogether.

“I feel about this whole issue the same way I feel about lobotomy or eugenics — it’s a bad medical fad,” he said.

Mr Schilling said the policy could include outright bans for people of all ages or bills to make it easier for people to sue health care providers if they regret making the switch. He also mentioned the possibility of classifying transitional care as “consumer fraud” – the same approach suggested by Mr. Bailey – because he claims that gender reassignment is impossible.

for many years, seven states Arizona, Florida, Missouri, Nebraska, South Carolina, Tennessee, and Texas have adopted policies that prevent Medicaid from covering certain types of gender-affirming care. (The federal insurance program for low-income people is partially funded by the states, which also have wide discretion in determining eligibility.)

The Medicaid bans are based “on a shaky legal foundation,” said Christie Mallory, legal director of the Williams Institute. Courts in Wisconsin and West Virginia have ruled that such bans violate the Affordable Care Act, which prohibits sex discrimination, as well as other federal regulations.

But some lawmakers are introducing broader bills that would ban gender-related care from public or managed health centers or those that receive public funding.

In Oklahoma, for example, a bill introduced this year by state senator Nathan Dam would withhold Medicaid reimbursement — for any procedure or treatment — at any health center that offers gender-based care or works with a provider that offers it.

In a January interview, Mr. Dam said his only goal was to prevent taxpayer money from covering the transition. “If an adult wants to make this decision and pay for it himself, he can do it,” he said. However, he also acknowledged that the policy may encourage some health care providers to stop offering care to adults.

Over the past few decades, physicians increasingly removed Obstacles, such as psychological assessments, for adults to receive hormonal treatment, shifting decision making to the patients themselves.

“There is a very, very broad consensus that gender-affirming adult care is appropriate and beneficial,” said Erica Anderson, a clinical psychologist and former president of the U.S. Professional Association for Transgender Health.

Dr. Anderson, a transgender woman, in public expressed concern about the growing number of adolescents, especially those with complex psychiatric problems, seeking help for gender reasons. She also supported the policies of some European countries, including Sweden another Britanniawhich have recently restricted when children can have certain medical procedures.

But last month Dr. Anderson joined hundreds of doctors in signing a letter emphasizing that gender-affirming care is beneficial and important for many transgender children and condemning legal prohibitions in the United States. Efforts to extend such restrictions to adults would cause significant harm, she said.

“The blur between youth and adult care is ominous,” she said. “This is an ominous sign of excess on the part of people who think the state should decide people’s privacy.”

Missouri’s rule also met with opposition from some conservatives in the state. This was stated by Secretary of State Jay Ashcroft, a Republican who recently announced that he was running for governor. St. Louis Public Radio that while he supported child bans, he did not believe the state should restrict adult care.

“I don’t think people should be doing this,” Mr. Ashcroft said, referring to adult gender treatment. “But there is a difference between what I think and where I think the government should be involved.”

Maggie Astor made a report.

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Release Schedule for Love and Death



Less than a year after Hulu went live candiesown retelling of the story of Candy Montgomery—the case of the Texas resident who murdered her secret lover’s wife in 1980 with an axe—HBO Max is about to tell this horrific story again in love deathwith Elizabeth Olsen as Candy.

The series again touches on the same obscene details of a story that is more than 40 years old: the monotony of the suburbs, spiced with the sinful date of two parents attending church, and punctuated by a bloody murder. Like the previous dramatized attempt, love death mainly relies on the final account narrated by John Bloom and Jim Atkinson in their 1984 book. Proof of Love: A True Story of Suburban Passion and Death. HBO Max series. love and death takes its title from a series of passages published in Texas Monthly, titled Love and death on the Silicon Prairie.

The series rarely goes beyond the events described in the works of Boom and Atkinson, offering little more than a sepia dramatization of the timeline. The audience seems to love and the critics just rolled their eyes.

Dallas morning news which published an update on the case at the end of 2021., tried to explain the continued interest in murder: “There is the most obvious reason: it happened in a white middle-class community. Take the same facts – with all their cruelty – and transfer them somewhere to a poorer and less racially homogeneous place. Will there be a streaming series? Would that be front-page news?

Probably no.

Although you can easily find out the details of the story through Texas Monthly series of articles, true crime fans will likely follow the series until its conclusion.

Here’s how to keep up love death until it spins.


When is the next episode love death exit?

Every Episode love and death will be available to stream on HBO Max on Thursdays. The next episode, Episode 4, will be available on Thursday, May 4th.

How many episodes love death left?

The series will consist of seven episodes. The first three episodes became available for viewing on the same day. The series will have four more episodes.

streaming love and death on HBO Max

Here is the full release schedule for love death

Episode 1 – Aired April 27.

Episode 2 – Aired April 27.

Episode 3 – Aired April 27.

Episode 4 – Broadcast May 4

Episode 5 – Broadcast May 11

Episode 6 – Broadcast May 18

Episode 7 – Broadcast May 25

Headshot by Joshua St. Clair

associate editor

Joshua St. Clair is Associate Editor of Men’s Health.

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Tablets that destroy stomach cells will help to cope with nausea and lack of appetite



The swallowed capsule is covered with grooves that drain liquid.

Jay McRae (MIT)

The tablet has been used to electrically stimulate stomach cells in pigs to increase levels of ghrelin, a hormone that regulates hunger and relieves nausea. If the technology is transferred to humans, it could treat nausea, vomiting, and lack of appetite in people with eating disorders or those being treated for cancer.

Current interventions using electrical stimulation to relieve gastrointestinal symptoms require invasive surgery. So, Giovanni Traverso at the Massachusetts Institute of Technology and colleagues have developed a non-invasive, growth-sized capsule that delivers small shocks.

Inside the capsule, a battery generates electrical currents that run through gold wire wound on the outside. Grooves etched into the surface of the capsule drain fluid so that the wire can electrically stimulate receptors in the stomach tissue that trigger the release of ghrelin. The device is coated with a thin shell that dissolves when it enters the stomach so as not to irritate the tissues of the esophagus.

Traverso and his team tested the capsule on 13 pigs that were fasted overnight and given anesthetics. Eleven animals received a 20-minute stimulation and two others received no stimulation.

The researchers measured blood levels of ghrelin before and 10 minutes after the stimulation. They found that, on average, ghrelin levels increased by about 40% in stimulated pigs, while ghrelin levels decreased by about 50% in unstimulated pigs.

“The levels we are seeing are comparable to the levels we would expect to induce hunger or suppress nausea, but we have not evaluated these levels. [symptoms] in animals,” says Traverso. “Part of the next steps involves doing this in humans to see if, for example, nausea can be treated with this system.”

Traverso said all animals cleared the capsule within two weeks, a normal time for pigs. Tissue samples taken from their stomachs, duodenums and colons showed no change or signs of injury, suggesting the therapy was safe.

“To my knowledge, this is the first ingestible device that can produce electrical stimulation of the gastrointestinal tract,” he says. Stavros Skid at the Feinstein Institute for Medical Research in New York. The technology can be modified to provide electrical stimulation to other tissues in the gastrointestinal tract, such as the colon.


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Lost investment case



The Q1 GDP report shows that the supply side of the economy is suffering from anti-growth policies.

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