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When Supreme Court justices debated Tennessee’s ban on gender-affirming care yesterday, they kept calling the science “evolving” and “uncertain. ” Last year, Tennessee made it illegal for doctors to provide gender-affirming care to trans teens. Their reason? The state claims it needs to make sure young people don’t become “disdainful of their sex” — that’s the actual language in the law. That’s not how medicine works, doctors say. “When we ban care or slow down care, we’re affecting an entire age cohort and putting them at risk for worse mental health,” says Dr. Carl Streed Jr., who leads the World Professional Association for Transgender Health’s U.S. chapter and runs research at Boston Medical Center’s GenderCare Center, told USA Today . The state’s case leans heavily on claims about medical uncertainty. But Dr. Joshua Safer, who heads Mount Sinai’s transgender medicine center in New York, also told USA Today the approach for treating trans youth is already “conservative” and carefully individualized. “We try to be thoughtful and conservative when we support parents and kids,” he said. What Tennessee’s law actually does is block doctors from using the same medications for trans kids that they can freely prescribe to other youth for different conditions. It’s this bizarre contradiction that’s now before the Supreme Court. Major medical organizations filed receipts with the Court in the form of amicus briefs. The American Academy of Pediatrics brought the data : Studies show that access to puberty blockers and hormone therapy, when prescribed according to established guidelines, significantly reduces mental health crises for trans youth who need them. But Tennessee’s case relies heavily on six doctors—and that’s where things get sketchy. A recent investigation by Accountable.US found that courts have repeatedly called out four of these experts for: These are the basic facts that got buried in court: While Justice Roberts called this an “evolving situation,” medical groups say the basic science is solid. What’s actually evolving is the political fight—25 states have passed similar bans despite major medical associations opposing them. RECOMMENDED • silive .com Popular ‘90s band cancels upcoming shows after singer ends up in hospital Dec. 5, 2024, 12:47 p.m. Dear Abby: I just found out my fiance is secretly bisexual or gay Dec. 4, 2024, 6:00 a.m. The American Medical Association’s position is clear: “Trans and non-binary gender identities are normal variations of human identity and expression.” They warn that blocking care access can have “tragic health consequences.” The Court will rule by June. At stake isn’t just Tennessee’s law— similar bans in 25 other states could be affected. For trans teens and their doctors caught in the middle, the wait continues.The Fort William BIA has a very clear message for the City of Thunder Bay and its proposed temporary shelter village. “Stop this project and leave it to the experts,” said Aldo Ruberto, chairman of the Fort William BIA. The former councillor was joined by seven local business owners to address their opposition to the development of a temporary homeless village in the south core. City administration is recommending a Miles Street lot for 80 small housing units as an alternative for those living in tents at encampments in the city. Tony DiPaolo, owner of Armani’s and vice chairman of the BIA (business improvement area), explained how members of the BIA researched success numbers of similar villages in Peterborough and Kitchener — Ontario cities that Thunder Bay is modelling its village on. They found that in a period of four to six years of operating the villages, six people have transitioned into permanent housing in Kitchener and one person, of 50, transitioned in Peterborough. “As we looked into it more, we found a lot of holes in their modelling,” DiPaolo said. Ruberto says the success is not there. “If we’re going to have solutions, let’s have long-term solutions. Let’s do things that will take care of the people. And if you want to spend money, spend it on addiction centres and counselling. That’s where the real help is required — with mental health” he said. “The bottom line is the City is not an expert in this area. They need to leave it to the experts.” DiPaolo said the $40,000 allocation to the BIA from the City to offset security and revitalization concerns is “nice, and would help the BIA members. . . . But there’s a bigger issue and it’s not worth us taking $40,000 when this could be financially impacting on the whole area for years to come.” The BIA spent $40,000 on cleaning and security last year, according to DiPaolo. He also said the BIA asked how the City will get people to transition into long-term housing. “(The City) told us they’ll have metrics, they’ll look into it, they’ll analyze it,” he said. “But there isn’t really a plan yet. As business owners and area residents, the biggest concern is when you start bringing in an influx of more people, there are some side effects. There’s additional garbage on the street, there are additional encampments in lanes, and additional people and unfortunately, drug use. This scares area residents and businesses.” Ruberto said the BIA asked the City about other possible locations for the village and were told the City would keep those sites for future development. “With the millions of dollars we’re spending on revitalizing the downtown core, how does this attract new businesses, new opportunities for people that want to come in the core area? Is that what (the City) is telling the people and the businesses in the south core? That there is no future development down here?” Ruberto added that the District of Thunder Bay Social Services Administration Board will receive $16.2 million a year for the next three years, thanks to the provincial and federal governments. They have created more shelter spaces for the demand that might come up in the winter. “It’s fantastic. That’s what happens with social services and most agencies — if there’s a demand, they’ll step up. The federal government and the provincial government will also step up.” Ruberto also called the City’s (proposed village) survey “flawed” because there was “no room on the survey for someone to object to the project.” “They said you have two choices: here or there — not another choice that says we don’t agree with the project or the location,” Ruberto pointed out. “Of the people that are impacted directly in the area, 100 per cent are against it, but people that live on the other side of the city or live outside the city fill out surveys online and say, ‘Yeah, we support it because it doesn’t affect us.’” He said council is in a jam and want a quick solution. “And I get that, and I understand that, because people are sympathetic, empathetic, and want these people (safely) off the streets.”NBA Spread and Total Picks for Today, December 30slot bet 0.20 。

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Post Traumatic Stress DisorderUS to send $1.25 billion in weapons to Ukraine, pushing to get aid out before Biden leaves officeStoke have sacked head coach Narcis Pelach after just 19 games - and fans have been quick to have their say on the decision. Pelach, who was appointed in September at the age of 36, won just three of the 18 league games for which he was in charge and departs after a 2-0 Boxing Day defeat at home by Leeds which left Stoke 19th place in the table, just three points clear of the relegation zone. The Catalan was only appointed in September after the sacking of Steven Schumacher , and his dismissal sparked an outpouring of anger from Stoke City supporters. Here is what some of them have been saying on social media... Dan Huntley: Surely Walters has to go as well? This has chronically backfired. Dean Watkins: Whose manager shall we pinch and ruin next? What a shambles we are on and off the pitch. Sam Hill: Ah, shame. He seemed a lovely, hard working bloke, even if he was a bit rubbish as a manager. Wish him all the best. SDK: I can see the appeal of the guy, he's obviously a very good coach, just wasn't as good a head coach as was expected. A harsh lesson for Walters who will learn a lot from this. We have to get the next appointment right. Please not Robins, we need someone of Prem standard. CJ: As much abuse as JW is getting, you have to credit him for acting quick. People talking about SS, but in all fairness he should have gone at the end of last season. JW took a risk which could have gone either way. Unfortunately it went bad. Rather than waiting too long like MH, NJ etc. Orbs: That’s 3 managers in 2 seasons. Just didn’t expect those 2 seasons to be autumn and winter. Midge: Part of me feels sorry for him because the job was too big for him. We need a manager not a coach, and I feel the players have also let him down. Dan Hyde: Thank God for that. Awful appointment. Adam Paul: One down, one to go - your turn to leave now Walters because this is all on you. Andy Stevenson: Where SJW is correct is that Pelach is a good coach BUT not the right coach for us at this time, which makes his initial appointment and the shoddy treatment of Schuey even more mind-boggling. It may already be too late to repair the damage of the last 3 months. Karl: He’ll make a good coach down the line but we needed experience, and he’s not got that. It’s on Coates and Walter’s not Pelach. MarkJ: How can we keep hiring managers and then getting rid so soon? Thought Schumacher dismissal was particularly harsh but this is almost as bonkers. Complete lack of time for yet again for the 'right person'.

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Alex's best bet: New England Patriots at Miami Dolphins predictionWEST PALM BEACH, Fla. (AP) — An online spat between factions of Donald Trump's supporters over immigration and the tech industry has thrown internal divisions in his political movement into public display, previewing the fissures and contradictory views his coalition could bring to the White House. The rift laid bare the tensions between the newest flank of Trump's movement — wealthy members of the tech world including billionaire Elon Musk and fellow entrepreneur Vivek Ramaswamy and their call for more highly skilled workers in their industry — and people in Trump's Make America Great Again base who championed his hardline immigration policies. The debate touched off this week when Laura Loomer , a right-wing provocateur with a history of racist and conspiratorial comments, criticized Trump’s selection of Sriram Krishnan as an adviser on artificial intelligence policy in his coming administration. Krishnan favors the ability to bring more skilled immigrants into the U.S. Loomer declared the stance to be “not America First policy” and said the tech executives who have aligned themselves with Trump were doing so to enrich themselves. Much of the debate played out on the social media network X, which Musk owns. Loomer's comments sparked a back-and-forth with venture capitalist and former PayPal executive David Sacks , whom Trump has tapped to be the “White House A.I. & Crypto Czar." Musk and Ramaswamy, whom Trump has tasked with finding ways to cut the federal government , weighed in, defending the tech industry's need to bring in foreign workers. It bloomed into a larger debate with more figures from the hard-right weighing in about the need to hire U.S. workers, whether values in American culture can produce the best engineers, free speech on the internet, the newfound influence tech figures have in Trump's world and what his political movement stands for. Trump has not yet weighed in on the rift, and his presidential transition team did not respond to a message seeking comment. Musk, the world's richest man who has grown remarkably close to the president-elect , was a central figure in the debate, not only for his stature in Trump's movement but his stance on the tech industry's hiring of foreign workers. Technology companies say H-1B visas for skilled workers, used by software engineers and others in the tech industry, are critical for hard-to-fill positions. But critics have said they undercut U.S. citizens who could take those jobs. Some on the right have called for the program to be eliminated, not expanded. Born in South Africa, Musk was once on an a H-1B visa himself and defended the industry's need to bring in foreign workers. “There is a permanent shortage of excellent engineering talent," he said in a post. “It is the fundamental limiting factor in Silicon Valley.” Trump's own positions over the years have reflected the divide in his movement. His tough immigration policies, including his pledge for a mass deportation, were central to his winning presidential campaign. He has focused on immigrants who come into the U.S. illegally but he has also sought curbs on legal immigration , including family-based visas. As a presidential candidate in 2016, Trump called the H-1B visa program “very bad” and “unfair” for U.S. workers. After he became president, Trump in 2017 issued a “Buy American and Hire American” executive order , which directed Cabinet members to suggest changes to ensure H-1B visas were awarded to the highest-paid or most-skilled applicants to protect American workers. Trump's businesses, however, have hired foreign workers, including waiters and cooks at his Mar-a-Lago club , and his social media company behind his Truth Social app has used the the H-1B program for highly skilled workers. During his 2024 campaign for president, as he made immigration his signature issue, Trump said immigrants in the country illegally are “poisoning the blood of our country" and promised to carry out the largest deportation operation in U.S. history. But in a sharp departure from his usual alarmist message around immigration generally, Trump told a podcast this year that he wants to give automatic green cards to foreign students who graduate from U.S. colleges. “I think you should get automatically, as part of your diploma, a green card to be able to stay in this country," he told the “All-In" podcast with people from the venture capital and technology world. Those comments came on the cusp of Trump's budding alliance with tech industry figures, but he did not make the idea a regular part of his campaign message or detail any plans to pursue such changes.Should the U.S. increase immigration levels for highly skilled workers?