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Inside Planned Parenthood's Gender Factory

An Ex-Reproductive Health Assistant Speaks Out

A month ago, I was sent a Tweetstorm written by a woman who had worked as a “reproductive health assistant” at Planned Parenthood for about 18 months prior to March 2020. If you assumed that the employee had abortion on her mind, then your knowledge of Planned Parenthood is outdated. Planned Parenthood is now one of the largest providers in the United States of cross-sex hormones like testosterone to females seeking medical gender transition.

The employee’s responsibilities included screening patients, taking down their lists of medications and medical histories before the nurse arrived to treat. (Later, I was able to interview her and verify her employment from an old paystub.)

The employee insisted (both on Twitter and during our interview) that she was reluctant to say anything critical of Planned Parenthood because she believes in its core mission.

“[T]hey still provide vital services for women,” she wrote on Twitter, and anti-abortion activists “will jump at any opportunity to smear them.” But she went on to write: “Having said that, their recent roles in trans activism are abhorrent, and they’re digging their own grave.”

The Planned Parenthood clinic where she worked was located in a small town of roughly 30,000. Abortions were the clinic’s “bread and butter,” something this employee fully supports. But, she noted, “trans identifying kids are cash cows, and they are kept on the hook for the foreseeable future in terms of follow-up appointments, bloodwork, meetings, etc., whereas abortions are (hopefully) a one-and-done situation.”

How significant is this revenue stream? I’ve never been able to obtain numbers on that, though the Planned Parenthood website for Central and Western New York states that: “Nationally, Planned Parenthood is the second largest provider of Gender Affirming Hormone Care.” It seems reasonable to conclude that hormone treatments—pricey as they are—now contribute materially to Planned Parenthood’s bottom line.

According to the employee, based on her recollection, 1-2 new biologically female teen patients seeking testosterone would arrive per day. A few reasonable assumptions and some arithmetic reveal that a shocking percentage of the town’s teen girls came through the clinic over just a few years.

There were no doctors at the clinic where she worked. Nurse practitioners were the professionals with the highest medical training, she said. The clinic employed a gender counselor who had “no actual professional credentials or formal training other than being MtF” (that is, a male-to-female transgender person). Adolescents would come and speak to this gender counselor and Planned Parenthood would then forward the counselor’s “notes to an actual licensed mental health professional somewhere off-site, and rubber stamp approve the patients to begin their transition. This is basically how they circumvented the requirement to speak to an actual counselor,” according to the employee’s Twitter post.

Whether patients received specific treatments—a course of testosterone, say—was decided by the “clinic manager,” with “no prior medical experience” whose prior job was “managing a Wendy’s,” the employee wrote.

Each day, new teen girls would present at the clinic (sometimes with mom). They often arrived in groups of girlfriends, all claiming childhood histories of gender dysphoria and asking to be put on testosterone. Did she believe their testimonies? “I think they were telling what they perceived to be their authentic history to them at the time. Like, I was a 13 year old girl, you know. Everything is very dire, everything needs to be remedied immediately,” she said.

by Anonymousreply 54February 11, 2021 9:52 PM

In any case, the script Planned Parenthood instructed her to read from didn’t grant much room for evaluation of patient histories. “The questions that we asked were like, very closed ended…It would be, ‘you know, at what age did this start’? Boom that is it. ‘What kinds of dysphoria do you feel’? Boom that's it, you know? ‘What do you want out of your transition’? ‘Do you want top surgery?’ ‘Do you want bottom surgery’?”

In taking their histories, the employee did discover that these girls seemed to be suffering from a great deal of emotional pain. “A lot of them have serious emotional issues, a lot of them had a history of abuse and baggage.”

Anxiety, depression, and bipolar disorder were ubiquitous. Often, the employee said, they had visible “self-harm scars” and even “fresh self-harm marks.” But, she said, the medical professionals were never supposed to address those marks. “We just move on exactly the issue at hand”—that is, affirming the adolescents’ self-diagnosed dysphoria and proceeding to a course of treatment.

This treatment—testosterone—carries serious risks for adolescent girls, particularly at the doses at which it is administered, ten to forty times what their bodies would normally handle. Risks include deepened voice, enlarged clitoris, increase in red blood cell count and greater risk of heart attack, infertility, vaginal and uterine atrophy, endometrial cancer—as well as all the unknown risks the come with any major and novel intervention.

She would present the girls with pages that listed a series of medical risks and obtain signatures indicating their “informed consent.” Did any of the girls ever seem troubled by these risks? “I can say anecdotally that I never saw anybody read it,” she said.

Most interesting to me was the fact that, according to the employee, the girls would often arrive to the clinic with a group of friends. (For what other medical treatments do girls arrive with peer group in tow?) It smacked more of the gleeful trips teen girls once took to the mall for ear piercings than the sober medical treatment of a genuine mental health disorder.

What was the mood in the waiting room among these friends? “Super cheerful, giggly. It’s a fun thing,” she said, a touch of cynicism whetting her tone.

I asked her if she and the other nurses and reproductive health assistants didn’t think there was something suspicious about girls’ showing up in groups of friends for treatment—whether it didn’t cross the employees’ minds that peer influence might be at play. “It's kind of one of those things where you just roll your eyes.” She told me. “The extent of our intervention” was to grant “their requests to start the hormone therapy.”

Offsite Link
by Anonymousreply 1February 10, 2021 1:24 PM

Did she ever feel like she was participating in something wrong, I wondered. These were, by her own estimation, a notably vulnerable group of girls: they were on all kinds of medications for anxiety and depression and even anti-psychotics like Abilify and Clozaril. “I’ll tell you, I struggled with the morality and reconciling of our actions in giving these kids testosterone and estrogen and stuff. I struggled with that more than I did being in operating room for like a 20 week abortion. It’s a lot to see these kids, like, interpret their feelings in such a way that they end up being confused about their gender,” she said.

Did she or other staff members voice their misgivings about whether they were giving these girls the best treatment? “Yeah. Every day,” she said, before adding: “I mean, it would be one of those things that would be a conversation among professionals. You know, we’re nodding our heads, we’re doing this thing. And then we clock out at the end of the day because we cannot bring it up in discussion with management or the clinic directors or anything because they have these directives from administrators upstate.”

As far as she knew, did any of the girls asking to start a course of testosterone ever get turned down? Perhaps some were sent for psychiatric evaluation before proceeding with testosterone treatment? “None of the girls,” she said. “One of the boys who did confess that he smoked so much weed that he was doubling up on his estrogen… We did end up ceasing his therapy until he saw—I think it was like a substance abuse counselor or something like that. But other than that, we never turned away anybody.”

According to the Planned Parenthood employee’s testimony, in affirmative care clinics like this one, for teens seeking fast medical transition—the medicine cabinet is fully stocked, the customer is always right, and the light is always green.

by Anonymousreply 2February 10, 2021 1:24 PM

And?

by Anonymousreply 3February 10, 2021 1:29 PM

Wait, so are they only supporting FtM and not MtF? Planned Parenthood is for all genders isn’t it, it has never been an exclusively female service provider right?

by Anonymousreply 4February 10, 2021 1:33 PM

And this is one of the reasons I’m not upset to see Trump go. He tweeted about defunding Planned Parenthood but he never actually did it. Huge missed opportunity to crush this evil organization.

by Anonymousreply 5February 10, 2021 1:35 PM

MTF cant get pregnant? R4. just guessing here

by Anonymousreply 6February 10, 2021 1:36 PM

r4, in youth, FtM outnumber MtF by 400%, as of 2018. Most MtFs are middle aged straight men, upper middle class, with wives and children who have an autogynephilic fetish.

by Anonymousreply 7February 10, 2021 1:38 PM

R6 Planned Parenthood is about reproductive health, all genders have reproductive sex organs. I’m mean boys have been able to go there and get testicular exams if needed right?

by Anonymousreply 8February 10, 2021 1:39 PM

R5 - showing your true colors again DeFactor. PP is not an evil corporation because a small percentage of their funds facilitate abortions. Just like in your other post, immigrants from the last 50 years is not what ruined America - although you blame that on Johnson's repealing of the racist immigration laws and quotas from the 1920s.

Do you have any self awareness why people can't stand you on this board? Why do you come here?

by Anonymousreply 9February 10, 2021 1:40 PM

r8, do you mean gender or sex? There are two sexes. Gender is performative nonsense grounded in sexist stereotypes and is the root of homophobia.

by Anonymousreply 10February 10, 2021 1:43 PM

R8 i honestly have no idea . As a gay man i have stayed light years away from this organization. I did notice when balancing my 95 yr old mother's check book recently i saw she wrote $50 donation to them.

by Anonymousreply 11February 10, 2021 1:43 PM

OP is an anti-trans MK Ultra loon. Of COURSE they will post absolutely anything they find about Planned Parenthood being evil.

by Anonymousreply 12February 10, 2021 1:45 PM

Why do I block R5 in thread after thread but he always pops up again, unblocked? I just blocked the creep 10 minutes ago and now I'm looking at his asshole post again. WTF?

And it's ALWAYS this same extremely online troll.

Muriel? Can you look into this please?

by Anonymousreply 13February 10, 2021 1:47 PM

Ah, the lady who wrote this is the lady who loves conversion therapy and always couches everything about trans in creepy sex talk, like her book about trans "seducing our daughters."

by Anonymousreply 14February 10, 2021 1:47 PM

R13, you've probably maxed out your ignored list. Go out to ignored, and if you have 255 ignored, you'll need to remove one of those people and then put DeFacto on ignore again. It should take once you do that.

by Anonymousreply 15February 10, 2021 1:48 PM

anybody with 255 ignored has no business on this forum

by Anonymousreply 16February 10, 2021 1:50 PM

So one single anonymous source cited by this woman is proof?

by Anonymousreply 17February 10, 2021 1:50 PM

All these kids being pumped full of hormones for so long, it’s not gonna be pretty when they get older.

by Anonymousreply 18February 10, 2021 1:53 PM

“Abortion is their bread and butter.” Right there I knew this was a lie. Abortion is 3% of their services. Anti-abortion groups claim abortion is up to 94% of their services, but they’re lying.

The right has made trans issues one of their latest propaganda issues. They’re just trying to find a different way to get rid of PP or encourage terrorist attacks on it. In their minds, PP is evil, so lying about it is “lying for the Lord.” And Biden isn’t going to shut them down, so they have to try something else. They’re just terrorists trying to whip up violent attacks by delusional Qanons.

by Anonymousreply 19February 10, 2021 2:03 PM

So every PP website says they will supply gender-affirming hormones only to people over 18.

I doubt that giggling school girls from middle-school are coming in together in packs and they're being prescribed hormones.

And let me add - they don't GIVE them hormones. PP is not a pharmacy - they provide a prescription if they meet the criteria and are over 18.

Are teens allowed to show up to pharmacies to get prescriptions without an adult or insurance? NO, right?

This sounds like utter bullshit.

by Anonymousreply 20February 10, 2021 2:18 PM

Here’s what PP says about it.

You may need a parent or legal guardian’s permission if you’re under 18. Sometimes finding a provider who offers these treatments can be difficult depending on where you live.

What health services can Planned Parenthood give me if I’m transgender?

Planned Parenthood health centers are open to people of all gender identities and sexual orientations. Whether you're transgender or cisgender, you can visit your local Planned Parenthood health center for STD testing, birth control, physical exams, other sexual and reproductive health services, and referrals. Find your nearest Planned Parenthood health center and learn about the services it offers.

At this time, only some Planned Parenthood health centers are able to offer hormone treatments for trans people. The best way to learn about the services available in your area is to call your nearest Planned Parenthood health center. Below is a list of Planned Parenthood health centers that currently offer trans services.

Offsite Link
by Anonymousreply 21February 10, 2021 2:20 PM

More right-wing propaganda infesting our gay leftist website. These trolls never stop.

by Anonymousreply 22February 10, 2021 2:23 PM

r22 do gay men routinely need abortions?

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by Anonymousreply 23February 10, 2021 2:43 PM

PP is one of the largest providers of low-cost reproductive health in the US. They provide cancer prevention care (pap smears, breast cancer screening, etc). That is one of their critical health services, in addition to birth control.

When a woman is treated for STDs it is essential, if she has a partner, to get that partner in and treat as well. So yes, PP has long provided STD screening/treatment to male partners of PP patients.

As mentioned above, abortion is a tiny fraction of PP health services.

PP provides vital health services to low income women across the country.

by Anonymousreply 24February 10, 2021 3:49 PM

PP is funded almost entirely by republican billionaire and “trans woman” AGP Gen. “Jennifer” Pritzker. He spent decades financing Republican candidates on the condition that they destabilize PP and once that had been accomplished he swooped, ‘saved’ them and implemented his trans conversion therapy mandates.

by Anonymousreply 25February 10, 2021 4:26 PM

R25 - what? Link for proof.

by Anonymousreply 26February 10, 2021 9:32 PM

Wow! Lots of right-wing horseshit stinking up this thread, some old, some new.

[quote]Abortions were the clinic’s “bread and butter,”

Aaaaaand right off the bat we know this is a made up story by a nonexistent person. Abortions are a tiny percent of PP clinical services, they can’t bill Medicaid for them nor lots of other insurers, and they offer sliding scale and other alternatives for people who can’t afford the cost out of pocket. Not remotely lucrative.

[quote]the girls would often arrive to the clinic with a group of friends… It smacked more of the gleeful trips teen girls once took to the mall for ear piercings than the sober medical treatment of a genuine mental health disorder.

Another LOL. PPs (even on NY) are inundated with protestors and perverts who love to harass women and girls. Anyone showing up is at risk of being followed, harassed, having their picture taken and disseminated, license plate searched, etc. It’s no trip to the mall.

[quote]According to the Planned Parenthood employee’s testimony, in affirmative care clinics like this one, for teens seeking fast medical transition—the medicine cabinet is fully stocked, the customer is always right, and the light is always green.

Nope. They’d be sued into oblivion. Really stupid lie here.

[quote]Planned Parenthood is for all genders isn’t it, it has never been an exclusively female service provider right?

Correct. A lot of their services are for everyone (like HIV/STD testing and treatment), and they have services for men including testicular cancer screening, erectile dysfunction treatment, and vasectomies.

[quote]PP is funded almost entirely by republican billionaire and “trans woman” AGP Gen. “Jennifer” Pritzker.

Not just a lie, a colossally stupid and easily fact-checked one. About ⅓ of PP’s funding is private donations (about ⅓ is government funding and the remaining third is payment/billing for services). And their annual revenue is in the billions, so any billionaire “almost entirely funding” them is not going to be a billionaire anymore.

Gonna have to try harder, trolls.

by Anonymousreply 27February 11, 2021 3:43 AM

so, what is so great about PP vs other organizations and clinics?

by Anonymousreply 28February 11, 2021 4:05 AM

I can think of few news sources more reliable than abigailshrier.substack.com, OP! (But why did you hide the source away on your second post? I can't imagine why you didn't want everyone to see it on the front page!

by Anonymousreply 29February 11, 2021 4:09 AM

I've noticed that PP had begun to buy into the trans stuff a while ago. I get regular correspondence from them as a long time supporter. I was becoming concerned because I had already cut off the ACLU because of their fight against the female runners in the Connecticut case. So now PP has been "captured?. I have been looking for signs of the erasure of women by PP and I haven't seen prrof positive yet but I am seeing some language change.

There is a huge propaganda movement to try to discredit Abigail Schrier's new book on the transing of children. Especially girls.

Even Amazon has been persuaded to play games with the sale of her book at their website.

The TRAs know they need to deny the reality of transing youth because that is something - like make bodies in girls' sports - that can awaken a huge backlash. The TRAs have been able to do so much stealthily so far flying under the radar without a lot of public awareness and disguising it as a case of denying human rights or denying needed medical care to children labeled trans.

by Anonymousreply 30February 11, 2021 4:15 AM

That's male bodies not make bodies.

by Anonymousreply 31February 11, 2021 4:17 AM

Here's the book, Irreversible Damage by Abigail Shrier.

The TRAs are sure trying tio shut her up. Typical.

Offsite Link
by Anonymousreply 32February 11, 2021 4:20 AM

Troll thread full of lies. NEXT

by Anonymousreply 33February 11, 2021 4:27 AM

An organization that roids kids with hormones is dead weight. How can PP provide such abusive treatments?

by Anonymousreply 34February 11, 2021 4:32 AM

TRAa have become expert liars. From everything from the nonexistent suicidal rates among "trans children" to the myth that you can change sex and everything in between.

Un-be-fucking-lievable. I keep waiting for the sane honest people to enter the discussion in droves but it seems a long time coming.

by Anonymousreply 35February 11, 2021 4:38 AM

Every org has bought into the TRA nonsense, despite women (and some men) vocally letting them know how they feel about it. This has been and always will be about money.

by Anonymousreply 36February 11, 2021 4:43 AM

Lot of angry inverted dicks in this thread. Best go dilate all that tension away um “ladies”.

by Anonymousreply 37February 11, 2021 4:48 AM

I mean, wouldn’t this make sense? In terms of the area of specialization and their sheer size as an organization? I think op is trying to suggest that it’s one of their main functions. It’s not. This is just more anti trans silliness.

by Anonymousreply 38February 11, 2021 5:11 AM

You TRAs need to know that we're not going to forget what you've done. Your assaults on and attempts to colonize LGB and women's existence and rights will not be forgotten. All of the lives and bodies you have destroyed will be revealed and you will be held accountable. You will not be forgiven.

by Anonymousreply 39February 11, 2021 9:16 AM

Is this where Jazz's mother took her when Mom decided she didn't want a gay son?

by Anonymousreply 40February 11, 2021 10:59 AM

r40 Jazz's homophobic mom took him to see an AGP doctor who botched his castration like 3 times.

by Anonymousreply 41February 11, 2021 2:07 PM

You know you have a dedicated batch of trolls when getting called out for really dumb lies doesn't stop them. Just keep blundering ahead as if you're succeeding!

by Anonymousreply 42February 11, 2021 5:34 PM

Is this that Matt A troll again? He's obsessed with trans issues and anything he can twist into being anti-Jew or hatred of white heteros

by Anonymousreply 43February 11, 2021 5:47 PM

It is absolutely correct that abortion has been their bread and butter for a very long time. Birth control and later abortion became their rallying cries for contributions and support mostly from women.

Whether PP made money off abortions is not the issue - the cost of abortion was always relatively low - in 1972 in NY City an abortion cost $125mat the city's premier PP center - which still exists today. The abortion cause is what made money for PP.

At first birth control was still controversial and illegal in most places - until the mid 1960s when the Griswold case was decided - and that fight was over but then the abortion fight became the rallying cry. I still get messages asking for support for PP specifically addressing the issues of diminishing abortion access. Which is a very effective tool for fundraising.

Work on the trans medicalization is an ongoing business. For life. Abortion is a one time low cost event.

Typical though of TRAs to lie about this as well as all the other thngs they lie about.

by Anonymousreply 44February 11, 2021 5:54 PM

[quote]It is absolutely correct that abortion has been their bread and butter for a very long time. Birth control and later abortion became their rallying cries for contributions and support mostly from women.

Except it isn't. Only about 1/3 of their funding is private donations. They rely just as much on government funding, and that expressly excludes abortion.

Besides, that is not how the claim was made in the "article" (LOL) at OP. The fake PP worker was fake-ly claiming that now instead of raking in cash off abortion patients they are raking in cash off long term medical treatment for trans children. Total fucking bullshit.

But keep trying, troll!

by Anonymousreply 45February 11, 2021 5:59 PM

Sorry, R45, but a third of your budget is a huge factor for any organization. They couldn't survive without it.

Your argument that this former worker doesn't have all the details of PP funding is irrelvant to the crux of her information and does not negate the observations about the recent influx of teen girls seeking trans treatment and that the proper psychological and medical safeguards do not seem to be in place or being followed. THAT is what is important. That needs to be investigated.

by Anonymousreply 46February 11, 2021 6:05 PM

"This total lie bolstered by a bunch of other lies needs to be investigated!"

What happened, dear? Sad that the election fraud nonsense flamed out so spectacularly?

by Anonymousreply 47February 11, 2021 6:10 PM

R47 wih its whataboutism on full display. LOL!

At least try to color within the lines, dear.

by Anonymousreply 48February 11, 2021 6:16 PM

R46 I’m not who you were talking about but you’re really muddying up your statistics. “Bread and butter” reads as more than half to me, so you’re off to a bad start with your misrepresentation. Then when you cite “a third of the budget” that would only be true if every single private donation was based on their abortion services, which is.....unlikely. So even if we assume your “PEopLE ONLy dONAtE b/C oF ABoRtioN!!1!” take to be true one could only reasonably assign maybe 40% of that third to be true #abortiondonation monies so it would maybe be somewhere around 10% of their budget?

Honey if you’re gonna play with facts remember that they’re based in truths, so you can’t just assign lies to them and hope nobody checks them.

by Anonymousreply 49February 11, 2021 6:27 PM

[quote]you’re really muddying up your statistics... you can’t just assign lies to them and hope nobody checks them

But this is the entire raison d'etre of a right-wing troll.

by Anonymousreply 50February 11, 2021 6:42 PM

OP’s Mama should have sluiced him out when she found out she was knocked up with him.

by Anonymousreply 51February 11, 2021 7:49 PM

[quote] “Bread and butter” reads as more than half to me

Than you for that scientific definition of "bread and butter" LOL. This is what you're hanging on as support for what Plamned Paretnhood is now engaging in with teen age girls? Some off-hand remark that is really irrelevant.

It makes no difference whether this former employee knew where the money for the national Planned Parenthood comes from - and, of course, you are looking at national figures and not sepcific local clinic figure.

This is just a dustraction from the meat of the report which is that Planned Parenthood has entered into the trans medicalization of young girls without the proper safeguarding that needs to be done before you recommend or enable irreversible physical damage to a young girl's body.

But then to focus on that is to destroy your entire argument.

by Anonymousreply 52February 11, 2021 8:35 PM

R52 ummm my whole point by mentioning the ‘bread and butter’ term was not to give it a meaning but to show that you were using language that was intentionally vague in order to misrepresent statistics. I know you don’t have many functioning brain cells left but you should have been able to understand that.

The rest of your comment is just a mix of intentional and unintentional confusion. Typical anti-trans troll dross.

by Anonymousreply 53February 11, 2021 9:16 PM

[quote] The rest of your comment is just a mix of intentional and unintentional confusion.

It's all intentional, trust.

by Anonymousreply 54February 11, 2021 9:52 PM
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