Stick to baseball, 4/28/24.

Nothing this week from me at the Athletic, but I need to write up a couple of minor-league games I’ve been to so there will be something in the next few days.

I reviewed the board game Ancient Knowledge over at Paste; it’s pretty clever, but I found the title and theme didn’t connect to the game play at all.

I’ll be back on Stadium on Monday at 2 pm ET on Diamond Dreams and on their new collectibles show at 2:30 for one segment, all to talk about prospects. You can watch via the app or if you subscribe to Roku, Youtube, or some other sites; I have figured out that the shows re-air all week, but you can’t just watch an archived version.

I also sent out a fresh edition of my free email newsletter on Saturday, talking about … death. Wait, that’s only the cat.

And now, the links…

  • A tech bro wants to “ethnically cleanse” San Francisco, in his own words. Balaji Srinivasan has worked at Coinbase, Andreessen Horowitz, and the genetic testing firm Counsyl (which he co-founded). He sounds insane.
  • The LA Times’s Michael Hiltzik excoriates the cash grab in Nevada, where state legislators are trying to hand hundreds of millions in taxpayer money to the Oakland A’s’ billionaire owner in a climate of increasing voter resistance.
  • Tennessee Republicans passed a law arming teachers over loud opposition from parents and students. How long until the first “friendly fire” death in a Tennessee school?
  • The risk of cardiomyopathy to young men from mRNA vaccines against COVID-19 actually decreases after the third dose, although the risk is always higher from even a single infection with the virus.
  • The Atlantic has an appreciation of John Sterling (tied, a bit tenuously, to AI). My confession: Even when I was an ardent Yankees fan, I didn’t care for Sterling’s style, which always seemed to put himself front and center over the game he was calling.
  • Also in the Guardian, a profile of two professors teaching the Gullah language, one of the only creole tongues based on English, including Harvard’s Sunn m’Cheaux (who is a great follow on Threads). Gullah is still spoken on some of the islands off the coast of South Carolina, and you may be familiar with it if you’ve read Pat Conroy’s book The Water is Wide.
  • There’s finally been some movement to pass legislation banning deepfake nudes, with over 20 states doing so or at least considering bills to do so, and the impetus is teenage girls who often find themselves the targets.
  • A former model decided to listen to some online wellness influencers rather than her doctors, choosing an all-juice diet to try to treat her stage 3 cancer. She nearly died before doctors convinced her to go the medicine route – but only after she kept refusing for several days while in intensive care.

Comments

  1. Re: Greg Abbott: Who would have guessed that the boot stamping on a human face forever would be a cowboy boot?

  2. Did you get to see Lauren Mayberry during her first solo tour? Amazing show, and reminded me [despite my current love of getting to sit down during concerts] of how much I used to love little shows in small venues when I was young. (Her show was at the 650-capacity Music Hall of Williamsburg.)

  3. Given you are in Chicago every Monday, have you thought of doing a monthly Chicago Eats post?

  4. Maybe those trying to debunk the Cass report can spend their time better by pushing for better studies for youth gender care instead of the shoddy studies we have to date.

    • Not everything needs an RCT. And something as profound and obvious as gender presentation can’t really be double-blinded anyway. The science we do have is thorough and all points in one direction: current best practices in gender medicine come with incredibly low risk and regret.

  5. The science for youth gender care is definitely not thorough and does not point in one direction. The overwhelming conclusion for these studies show we don’t really know what works. Too many people conflate those studies with gender care for adults. Medical groups throughout the world, including almost all EU countries that are ahead of the US wrt to gender care, have all realized the studies for gender youth care are severely lacking.

    • If you are on puberty blockers and change your mind, you simply stop taking them and proceed to go through puberty for the gender of your birth. There is minimal to no downside to this practice, whereas there is a clear and obvious downside to forcing people to go through puberty for the incorrect gender. And I can assure you that the right-wing European governments you’re referring to do not give two shits about “the science.”

  6. This is so completely wrong. We still don’t know all the long term effects of puberty blockers on minors, and recent studies show that some negative impacts may not be reversible.

    I think you need to go back and look at the EU countries that have put restrictions in place. Not sure how to figure they’re all right wing. And the “science” you refer to is completely unsettled despite your assertions.

    • Mark, you’ve already made these arguments here, and ignored all facts and research presented to you.

      We know there is harm in denying gender-affirming care to trans kids. It raises suicide rates, suicidal ideation, and severe mental illness. We have zero evidence of serious harm from long-term effects of puberty blockers; there are some ‘maybes’ and some studies outside of humans, but nothing rises remotely close to the level where it would outweigh the significant risk of suicide and suicide attempts from trans kids denied GAC.

      I don’t want more dead trans kids. The evidence on how to get there is quite clear.

  7. The most cited countries from the anti-trans brigade are Sweden and the UK, which are both currently ruled by right-wing parties.

    As for the “long-term effects,” there are two problems with this line of argument. One, there is such a clear and obvious short-tern benefit to the use of puberty blockers than any potential long-term effects would need to be *enormous* to outweigh that. Such a sizable effect is prima facie impossible since they’ve been in use for a long time and most trans people don’t drop dead at 30. Two, it’s very easy to concern troll about “long-term effects” for any “new” thing you don’t like. I saw people do the same with the covid vaccines, for one recent example. But the problem with both that complaint and that one, is that no one making such an argument is presenting some theory for the mechanism of how such a long-term effect would work, absent obvious short-term effects. Most treatments clear the body relatively quickly and are not able to directly cause long-term effects. When we do observe long-term effects to a treatment it’s through more complex and contingent pathways (see the ranitidine recall for a recent example). To this end, I have *never* seen someone making the long-term effect argument offer any sort of theory as to what mechanism would actually cause such a problem. Which makes such an argument dishonest, at best.

  8. Ah, the follow the science crowd here badly overstating results of studies that support their view while criticizing literally any single article or study that goes against that view. The Cass Review, and every other rigorous review of youth gender care, comes to the same conclusion – we can’t say what works and what doesn’t. Nice echo chamber here.

    • Don’t think you’ve actually read the Cass report because that’s not what it says: https://gidmk.substack.com/p/the-cass-review-into-gender-identity-132

    • I don’t get your comment, Mark. And I agree with Mike on the Cass Report – it doesn’t say what you say it does.

      Here’s the most salient argument, which Mike and I have both offered but which I don’t think you’ve addressed: GAC has a clear short-term benefit – reducing suicide rates (attempts and deaths) for trans kids. If, say, puberty blocker usage in trans teens causes bone density loss that has a negative impact later in life (one possible effect I’ve seen described in one study), well, isn’t that better than being dead?

  9. I’m late to the party here, but wanted to offer a contrary opinion: as a diehard Yankee fan I always loved Sterling’s style. He had his flaws – I always felt he stepped on his partners sometimes – but was tremendously engaging. (And Waldman was the perfect partner for him; she handled everything with grace.)

    I did some radio myself back in the day, and one year took advantage of the MLB’s online audio to listen to the other team’s broadcast one game each series. I mostly wanted to hear outsiders’ perspectives on the Yankees players, but what struck me most was how boring many of the broadcasts seemed by comparison. There were exceptions, and ESPN’s national guys were very good, but the experience made me appreciate Sterling that much more. I always felt lucky we had him.

  10. I would think if the benefits are so clear, it would be easy to point to a few rigorous, well developed studies that show how the positives of youth gender care far outweigh the negatives. But no one is able to do that, so they resort to ad hominem attacks of anyone questioning our approach or make outlandish claims like only right wing governments are walking back their guidelines. I mean I don’t even know where to start with that bogus claim.

    Again, for such a “follow the science” group here, it’s pretty sad to read unknown or unproven medical claims being stated as fact. The Cass Review, along with many others, show the science on youth gender care is currently unclear and the studies done to date are severely lacking. If you interpret the Cass Review differently, you’re clearly trying to force into your preconceived views.

  11. Analogous to chemotherapy?? More and more studies are showing for most youth experiencing gender dysphoria, this dissipates over time. For a small minority does it persist and that’s being compared to cancer treatment? Many of these suicide ideation studies have severe problems with selection bias, poorly defined terms for suicidal ideation, and any sort of rigorous peer review. And telling parents of any teen experiencing gender dysphoria that if they don’t get him/her this care they may kill themselves God awful. Even more so when you consider that is very much unclear what’s reversible with regards to hormone therapy/ puberty blockers.

    It’s a severely difficulty situation that the US medical community was way to cavalier in handling for years. Many not even advocating for any sort of serious mental health evaluation prior to beginning these treatments with currently unknown long-term impacts. And the studies you link to do nothing to clear that up.

    We’re obviously going to disagree on this. I think it’s very inconsistent to ridicule the right for their ignorance or refusal to acknowledge the actual science on most matters, but then be so insistent that youth gender care is basically settled. That is just not the case at all. Study after study, medical group after medical group around the world is finally realizing they plowed ahead way too quickly without really understanding the medical benefits of proposed treatments. As the Cass report showed, the politicization of this issue has made it difficult for the medical community to perform the rigorous studies greatly needed.

    From an advocacy standpoint, I’d argue many on the left with their insistence on pushing unknown or unclear medical treatments without clear scientific support as hurt the overall support for transgender individuals. Personally, I think any adult should have the right to go through whatever treatment that feel is necessary to help improve their lives. It gets much murkier when dealing with children especially when we don’t know the persistence of gender dysphoria. I would think the more popular view is supportive of adult trans treatments yet hesitant with youth treatment, but the far left has pushed away those with that view imo.

    • then be so insistent that youth gender care is basically settled

      That’s a straight-up strawman. I don’t see anyone here saying that. What I am saying, and what I think Mike is saying, is that the preponderance of evidence right now supports leaving GAC decisions to the patient, their doctor(s), and their parents or guardians – and thus should not be prohibited by state legislatures. Here’s a good lay summary of the evidence on the topic, which notes that the effects of puberty blockers appear to be reversible.

      Also, gender dysphoria and being transgender are not the same thing. It is not the case that anyone diagnosed with gender dysphoria goes right into GAC. Your comments on the “persistence” of gender dysphoria remind me of the bogus claims about gender dysphoria as a social contagion, which has been used as justification for many trans care bans.

      Many of these suicide ideation studies have severe problems with selection bias, poorly defined terms for suicidal ideation, and any sort of rigorous peer review

      Now you’re doing exactly the thing you accused Mike and myself of doing: “badly overstating results of studies that support their view while criticizing literally any single article or study that goes against that view.” For example, the very first link I sent you is a peer-reviewer summary paper that looked at 30+ papers on the topic – and only included those that were peer-reviewed – and if there’s a selection bias at work, it’s in the other direction, as researchers can only interview people who had suicidal thoughts but have not succeeded.

      I agree that we aren’t going to agree. I disagree with your assertions that I’m not “following the science,” or that I’m driven by some ideology, or that I’m claiming the topic is “settled.” You can advocate for appropriate care for trans kids based on current knowledge and evidence while still believing that we need more research and that standards for care will likely evolve as new information and analyses emerge.

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