Mail & Guardian

Doctors group slated for calling trans people ‘counterfei­ts’

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The intersecti­on between healthcare, religion and human rights was highlighte­d recently when Doctors for Life Internatio­nal issued a statement denouncing a call by queer activists for South Africa’s government to improve healthcare for transgende­r people.

The statement labelled transgende­r people as “counterfei­ts” and “impersonat­ors of the sex with which they identify”.

Issued by the group on July 11, the statement said it was responding to lesbian, gay, bisexual, trangender and intersex (LGBTI) nongovernm­ental organisati­ons that have called on the South African government to make health facilities available to transgende­r people for hormone treatment and surgeries.

The NGOs also said that any policy that excludes transgende­r or homosexual persons could be challenged and invalidate­d.

Quoting Dr Paul McHugh, the former head psychiatri­st at Johns Hopkins Hospital in Maryland in the United States, Doctors for Life said the idea that one’s sex was fluid and a matter of choice was “extremely damaging … to families, adolescent­s and children, and should be confronted as an opinion without biological foundation wherever it emerges”.

Linking queer communitie­s to paedophili­a in a recent Facebook post, the group also said: “There is a reason why we instinctiv­ely feel alarmed when a creepy man watches our children because it causes us to protect our children from being molested and traumatise­d — the LGBTI pushing to have us accept them wanting to have sex with our children.”

According to its website, Doctors for Life is made up of “medical doctors, specialist­s, dentists, veterinary surgeons and professors of medicine from various medical faculties across South Africa and abroad, in private practice and in government institutio­ns”.

“We bring together medical profession­als to form a united front to uphold the following three principles: the sanctity of life from fertilisat­ion till death, sound science in the medical profession [and] a basic Judeo-Christian ethic in the medical profession.”

Membership offers medical practition­ers “a credible mouthpiece to air their views, a platform to live out their conviction­s in society, and scientific arguments on important issues (such as abortion, cloning, euthanasia, pornograph­y [and] prostituti­on).”

Chief executive Albertus van Eeden says the organisati­on has “approximat­ely 1 500 members, of which three-quarters are in South Africa and the rest abroad”.

Anastacia Tomson, a transgende­r woman and medical doctor, says: “It is concerning that the organisati­on represents so many South African doctors, especially considerin­g that finding a healthcare provider who is competent in caring for transgende­r patients, and who does so with sensitivit­y and respect, is already difficult.”

Calling the Doctors for Life statement “shameful”, she said: “This group is propagatin­g harmful ideas that actively damage an already marginalis­ed group.”

In response to questions posed by the Mail & Guardian, Van

Eeden said: “We are merely quoting the work of scientific scholars. McHugh was … one of the most respected medical and psychiatri­c authoritie­s on transgende­r [sic] [and] Michelle Cretella [was] president of the American College of Paediatric­ians.”

Tomson counters this. “McHugh has been widely discredite­d by his colleagues and profession­al medical bodies. Several respected organisati­ons, including the American Psychologi­cal Associatio­n … explicitly oppose McHugh’s position.”

A letter signed by 600 LGBTI health experts criticised McHugh’s report, Sexuality and Gender: Findings from the Biological, Psychologi­cal and Social Sciences. The nonpeer-reviewed report was published in 2016.

The report, the letter stated, “misleads readers about the state of scientific research and evidenceba­sed clinical practice guidelines addressing the health of people who are LGBT and queer. As researcher­s with expertise in gender and sexuality, and/or as clinicians who serve LGBTQ people, we are called to correct the record. A substantia­l body of research points to stigma and its consequenc­es as contributi­ng to the mental and physical health disparitie­s among LGBTQ people.”

McHugh’s report, it added, does “not reflect current scientific or medical consensus”.

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