The GOP just ran this 2 minute 49 second video at their midterm convention today. Portions of this will likely play in TV markets in competitive elections around the country over the next few weeks. This video is brought to you by the letter D, for Democrats, who, despite a handful of current nominees running in purple states who are willing to call men men and stand against pediatric sex rejecting procedures, are still largely voting in lock step to put boys and men in girls' locker rooms and to allow the state to take children from parents who reject this insanity. The Republicans will have this as an issue to cudgel the Democrats for as long as that is the case. Many of the people featured in the clip are even publicly known to NOT be Republican voters or to be independent voters. Joe Rogan, Stephen A. Smith, Sophie Cunningham, Charles Barkley - none of them are actually on the record as Republican voters, but by publicly stating the most obvious thing in the world - men are not women and should not be walking around naked in women's locker rooms, they have aligned with Republicans on at least one issue and their quotes, taken entirely in context, are fair game to be used to beat the Democrats severely about the head and neck. My liberal friends in the gender trenches seethe at this. I don't blame them, but until there are enough of them to actually break the lock that queer activists have on the Democratic party, the beatings will continue.

The Wolves in White Coats report detailed the evidence that widespread billing fraud is occurring in gender medicine. Those of us who have been looking at this for a while know that this is not the whole story and the idea of civil cases against these doctors seems like a consolation prize in the effort for justice. I recently called this the “Al Capone” strategy, referencing the fact that the gangster went to jail for tax evasion, not murder or racketeering. However, I was, to put it simply, mistaken. There are legal avenues that will allow the federal government to seek, and in some cases I am confident, obtain, criminal convictions. The reason is that the performance of medically unnecessary procedures can take these cases out of the realm of the civil False Claims Act and into the *criminal* health care fraud statute (18 USC 1347). The case of Dr. Javaid Perwais is an important case to look at and it should give comfort to reformers as much as it gives the gender doctors cause for concern. In 2021, Dr. Perwais was sentenced to 59 years in prison. Since he was 71 at the time, even if he were eligible to receive earlier parole, this sentence pretty much assured that he will die in prison. What did Dr. Perwais do to merit such a steep sentence? Simply put, he lied to women to convince them to consent to medically unnecessary hysterectomies. He did this to many women over many years, motivated by what the government described as “insatiable and reprehensible greed.” Over the course of his entire career, Dr. Perwais engaged in a pattern of fraud, not just with insurers, but with his own patients. One item of evidence was a phone call that a patient recorded with FBI consent in which Dr. Perwais told the patient she had tumors that she, in fact, did not have. “These fraudulent and destructive surgeries caused irreversible damage to the victims. In many instances, the defendant shattered their ability to have children by using fear to remove organs from their bodies that he had no right to take.” (Sound familiar?) This aspect of the case changed the outcome for Dr. Perwais in a number of ways. First, this is a textbook description of the elements of medical battery. Medical battery is intentional physical harm inflicted by a doctor, including the performance of procedures that the doctor knows are not medically necessary. This goes back to one of the most basic components of any civilized code of laws - the prohibition on physical violence. In the absence of a patient’s consent, a doctor knocking them out, cutting them open and removing or slicing into organs would be a ghastly crime. If the consent is improperly obtained, then it is not valid, and thus a crime has been committed - medical battery. The distinction between malpractice and medical battery is one of the doctor’s intent. If the doctor was acting in good faith, reasonably attempting to comply with informed consent requirements, but *negligently* failed to disclose a risk, this is malpractice. However, if a doctor *lies* to obtain consent or never attempts to obtain consent, as sometimes happens while a patient is already “under the knife” for another procedure, then the doctor has committed medical battery. Yet medical battery is not mentioned anywhere in the indictment or the press release announcing the sentence. Instead, Dr. Perwais was tried under 18 USC 1347 (not the Federal False Claims Act). This is because the federal government does not have jurisdiction to prosecute a doctor for medical battery and state prosecutors have been reluctant to prosecute this crime because it is so hard to prove. However, when a doctor lies to a patient to obtain their consent to a medically unnecessary procedure, 18 USC 1347 gives the DOJ an avenue to prosecute as criminal fraud. Dr. Perwais only defrauded insurers out of $20 million, which is not even close to one of the largest cases of fraud. In a lot of cases, theft of this amount alone would not have resulted in any, or only minimal prison time. However, the element of medically unnecessary procedures leads to much steeper penalties. Federal sentencing guidelines mandate this because of the "reckless risk of death or bodily injury." Going back to the Wolves in White Coats report, the report only mentions potential criminal liability as an aside, but the entirety of the report lays out the elements of criminal prosecution fairly clearly: - WPATH's campaign to create fraudulent standards of care, with the aid of doctors and academics, - the existence of billing fraud, which demonstrates the intent needed to prosecute, and - the stories of detransitioners, demonstrating the risk, and actual occurrence, of bodily harm, including those who were coerced into giving consent through fraudulent use of the "dead son or live daughter" threat.

Big Trouble in Gender Medicine. Colorado courts have ordered Colorado Children's Hospital to resume sex rejecting procedures on minors. The problem is that NONE of the doctors on staff at the hospital are willing to do so, citing "the hostile environment" around the procedures. The hospital is now in contempt of court and, presumably, has called the doctors as witnesses for its defense that it can't find doctors to do the procedures. The doctors aren't even willing to testify publicly, so the court is letting them do so anonymously. Some take aways: - Courts can't force people to perform work they don't want to do. The court could, in theory, force a hospital to provide a service, but if no doctor is willing to perform the service, either the court or the hospital is stuck. What this will boil down to in is that the court could force the hospital to hire new staff - presumably at premium salary and perhaps lower credentials. The hospital clearly doesn't want to get back in this business or it already would have done so. - This ruling is the result of the insanity prevailing in blue states that deem these unproven, dangerous medical experiments to be a "constitutional right". In Colorado, the state even pays for it, for minors and adults. - What are these doctors afraid of? Colorado protects them as much as legally possible. It has shield laws and state funding. Colorado leads the way in legally protecting gender medicine. What they are primarily afraid of is the federal investigations that are already underway regarding their billing practices. If they go back to their practice and keep fraudulently billing, they increase their liability. If they start billing accurately, then they implicitly admit that they were committing fraud previously. As @HiKidHey has reported, we know there is massive billing fraud at this hospital because a few doctors have admitting to performing at least 20x the procedures that the entire hospital legitimately billed for. If a little sunshine has the ability to shut down these procedures in a state like Colorado (and a few weeks ago in Connecticut), that is very encouraging because the DOJ and CMS are just getting started. The Wolves in White Coats report is only two weeks old. There will almost certainly be more settlements and investigations announced soon. Buckle up!! canoncitydailyrecord.com/202…