Yet another example of āthe cruelty is the point.ā
Posts by Alyssa Burgart, MD, MA (BurgartBioethix)
I spoke with journalist @raesdeng.bsky.social at @snopes.com about the withholding of evidence based care in prison.
You can read the whole story here:
www.snopes.com/news/2026/04...
The current order is on hold and the ACLU is fighting it.
But at least 19 prisons have not complied and continue to deny gender affirming care to incarcerated people.
It is the professional obligation of health care workers to ensure that patients benefit from the therapies they are providing, that they are not harmed; that patients get to make decisions for themselves that are in their own best interest; and that all patients receive just access to care. These are the four most basic principles of bioethics. This policy appears to violate every single one of them.
While the government plans to make the rules, it will be prison doctors and nurses used as tools to deny patients their most basic right to access care.
Just like using physicians to prevent access to abortion, the state uses physicians to prevent access to gender affirming care.
The irony of this situation while RFK Jr and his clown car of public health officials claim to want to increase shared decision making is not lost on me.
The governmentās policy claims to incorporate informed consent, but when patients are blatantly denied access to care thatās working for them - consent is impossible.
Cal Matters headline: āI would have been a great momā: California finally pays reparations to woman it sterilized (2024)
Just like California prisons violated patientsā autonomy through forced, unconsented sterilization, the federal system aims to force patients to detransition.
Further, she noted that the administrative record included papers on data collection and studies related to trans suicide risk. "It's strongly suggested that the BOP expects an increase in trans suicides, and rather than preventing these outcomes, it wants to sit by and collect the data," Vaca wrote.
They know what the result will be - the suffering, misery, and death of trans people.
This plan violates the most basic tenants of bioethics.
I suppose you could call it an experiment to see how many more trans people are profoundly harmed and perhaps killed in the prison system - Burgart said
The Trump administration aims to withhold gender-affirming care for incarcerated transgender people.
A rumor circulated that it was āmedical experimentation,ā but the government has no research question.
@raesdeng.bsky.social @snopes.com
Episode 29 is live! @alyssaburgart.com spoke with special guest Dr. Lara Jones about whatās happening in ICE detention centers and her work to free the children detained there. Even if you think you know whatās happening, Iād recommend listening to learn from Dr. Jonesās insights.
āA child who isn't eating and who has a fever needs to go see a doctor. Why isn't he being brought to a doctor?ā
From The Present Illness podcast:
Shut Down Dilley Detention Center with Dr. Lara Jones, Apr 17, 2026
podcasts.apple.com/us/podcast/t...
And itās so wonderful! I am so glad you wrote this book! šš
The latest episode of Philosophy Tube is about conversion therapy, why itās still legal in the UK, and the ways the British government is implicated in it making it NHS policy.
Proud to expose this stuff ā
youtu.be/_S5w18sjYLk?...
@arghavansallesmd.medsky.social YOU! We have to TALK! About SPACE BABIES! Have you seen⦠The Expanse?!?
I have not but my partner keeps wanting to watch it. So many I need to do that 𤣠š
ā ļø PSA - donāt take health advice from people who snort cocaine off toilet seats.
We are truly living in Idiocracy, and you can thank RFK Jr. for this outbreak.
Weāre not backing down. Patients come first.
To a degree, itās a badge of honor when these horrid groups are threatened by sound ethical reasoning supporting the people most impacted.
Itās also really really annoying that we have to think about them at all.
February 13th is the new deadline for the DHS funding bill.
šØšØšØ
New script at 5calls.org
#Pinks
#ProudBlue
Now being targeted by Libs of TT.
I will always put the dignity of our patients first. I will not stop speaking out for the nuanced, personalized clinical care our patients deserve.
Please make public comments opposing these bans. Trans and non-binary kids need access to expert care, not hatred from the government ā¬ļø
Context mattersā¦
Dr Oz is using his position with the US gov to target the Armenian community in LA.
Heās of Turkish descent and has publicly engaged w/Turkey and ErdoÄan.
Armenians are victims of genocide at the hands of Turkey. A historical fact they deny. Oz doesnāt acknowledge the genocide.
If I'm going to push this even further, given the ways that faculty are punished for speaking out about gaza, about palestine, about the Mad King and the declineof Empire, opsec is literally a labor issue for higher-ed
The Eugenicists-In-Chief are trying to ban gender-affirming care by restricting Medicaid funding to hospitals providing it.
Kids will die.
Please take 5 minutes to share your thoughts about the proposed ban.
Deadline: February 17, 2026, 5:00 PM ET
Submit to BOTH dockets:
š„ Hospital Ban (CMS-3481-P)
āFile code: CMS-3481-P
āSubmit at: www.regulations.gov/commenton/CM...
š„ Medicaid/CHIP Funding Ban (CMS-2451-P)
āFile code: CMS-2451-P
āSubmit at: www.regulations.gov/commenton/CM...
Please make public comments opposing these bans. Trans and non-binary kids need access to expert care, not hatred from the government ā¬ļø
āOur expert ethical analysis does not support withholding gender-affirming care from minors.ā
As pediatric bioethicists, we wrote this analysis of the ethical shortcomings and flawed conclusions driving the two proposed bans on gender-affirming care.
www.statnews.com/2026/01/30/g...
This drops tomorrow.
Disability justice advocate @vilissathompson.bsky.social joins B*tch, Listen, hosted by @angryblacklady.blacksky.app, to lay out how true crime reframes violence against disabled people as āmercyāāand what gets erased in the process.
š§ New episode ⢠Jan. 29, 2026
Love that you spoke with the brilliant @vilissathompson.bsky.social! Canāt wait to hear the show. The eugenics ideas are embedded everywhere. š¬
We must prosecute Bovino and all the other government appointees promoting tyranny.