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They fail to understand that their skill doesn't generalise.
That and the hyperglazing and platforming they get for having said skill makes them a prime candidate for exposing how average they are.
> "I do not believe that humans have an attribute called gender," Shazeer wrote, news site the Information reported Friday. "I do not believe that G-d puts people in the wrong bodies. I do not believe that it is okay to sterilize children. You have the right to your beliefs. I do not share them."
It's not dumb, and it's ridiculous if Google really has a problem with this. But it also says he kept accusing coworkers of being antisemitic, which clearly crosses the line into disrupting work.
And of course he's not directly accusing his coworkers of "sterilizing children", but he's 1) using language that compares politically sensitive health services that many of his coworkers or their families may have used and/or may feel defensive about to atrocities and 2) accusing his coworkers of supporting atrocities. That feels quite disruptive and inappropriate in the work environment IMO.
Anyway, to double back once, it actually doesn't really "assume it's a medically necessary procedure"; we can soften it to something like a "medically desired procedure" and the point in fact still stands that Shazeer's wording - which really should be the point here, not re-enacting the tired trans healthcare debate - is deliberately incendiary and manipulative. Broadly, no one is advocating for parents to be sterilizing their children as an end to itself, so it shouldn't be characterized as such.
Another controversy is physician-assisted s–... euthanasia. Some doctors would consider it medically necessary, but they can't legally perform or even recommend it, as it's considered murder. They can in Canada. Abortion of a viable fetus not threatening the mother is illegal in all 50 US states, but legal in many states in earlier stages, again based on what the states consider murder (but the doctor judges what is viable or a threat to the mother).
Anyway if gender-affirming care is just medically desired but not medically necessary, the sterilization is accepted but not necessary. I agree with the spirit of the wording, even though it's imprecise, because it highlights that children are taking on an irreversible side effect. It's a short quote and not a whole essay where he gets to clarify.
For me it was a really confusing issue until I became close friends with someone whose childhood best friend is trans.
If he was born a decade earlier, he probably would have killed himself (this was the path he was on, which is incredibly tragic and all too common); the gender dysphoria invoked depression was unbearable.
Instead, he was able to work through therapy and medical care to understand his gender dysphoria and receive gender affirming care in his late teens.
Now (over a decade post treatment) he’s among the most cheerful people I’ve ever met. He inspires joy as a band teacher, is inspiringly happily married, and is raising a beautiful baby girl.
I often think about him when people talk about the issue in the abstract. The hundreds of children whose lives he’s impacted for the better, let alone the lives of his friends and family. Removing gender affirming care is implicitly saying you don’t want any of that to happen, because the logical conclusion of removing is people like him in a pit of depression and despair that often ends in suicide, all over an affliction that they did not choose.
This is where the “medically necessary” part of gender affirming care comes from.
I didn’t understand it before I knew him and his story so I don’t begrudge people who are in shows I used to walk in. But I’d encourage people to try to understand and lead with empathy and meet people where they are.
It's different now and children are being encouraged to transition. They aren't just told that some are naturally uncomfortable with their gender, but that conforming to a gender is abnormal. Way more are doing it than before, and even afterwards are committing suicide at high rates. So I can't support it. I still think people should have the right to do it on their own dime, and won't judge them for it either way. I can't trust any studies on this anymore because it's become politicized and weirdly speech-policed. This isn't a unique or nuanced opinion, it's probably the majority one and I sound like the rest.
The range of human (mis-)behavior is extremely wide, so I wouldn’t doubt that some doctors and patients are doing what you fear here. I don’t think we should form opinions on such a broad situation on the basis of a few extreme people and situations.
The question I would ask is would you rather have more people suffer from not having care, than some people suffer from receiving care that they later regret? The latter is something that’s incredibly sad, no doubt, but it’s an intractable and tragic side effect of offering major medical treatments and interventions in general; the “false positive” aspect is not unique to gender affirming care, either in its existence or its magnitude. (The politicizing of the false positive is, though, because gender in general is incredibly politicized).
Gender dysphoria solved by one-way-door gender affirming care is quite rare (there are many intermediary steps people can try and ultimately be helped with), but education about the issue and the availability of treatment helps people like my friend. I think it’s pretty unambiguously positive to universalize the availability of that care in the same way as any other form of healthcare and education, because it’s genuinely the only way some people can feel comfortable in their skin. And although there may be problems with the standard of care, the standard for care can only improve with time and experience.
Maybe 15 years ago there was an option to have neither, maybe we can go back to that. As it already is in some other countries.
Google knows Shazeer's value & paid $2bn to c.ai for it: Its undesirable for anyone (regardless of their seniority) to engage in a discussion without being invited to it. Flaring up discord isn't how someone in a leadership position at a huge company is supposed to operate. It is another thing if they've got the "fuck you" money & a few feathers to rattle; then they do whatever without care.
> But it also says he kept accusing coworkers of being antisemitic
Per reports, Sergey Brin said something similar in the internal forums, too. Don't think its the only problem. After all, Shazeer can literally pick & choose where they want to work, and probably has more leverage over GDM than GDM does over him.