Category Archives: sex and health

But will Medicare pay for lube?

drawing You might have missed the part about the penis pumps. It was in a New York Times article about Medicare overpaying for things like oxygen tanks. Apparently Medicare, despite its potentially enormous bargaining power, spends more for many items than they would cost in your neighborhood pharmacy or surgical supply store. In the midst of the article is this paragraph:

For example, last year Medicare spent more than $21 million on pumps to help older and disabled men attain erections, paying about $450 for the same device that is available online for as little as $108. Even for a simple walking cane, which can be purchased online for about $11, the government pays $20, according to government data.

The article doesn’t comment at all on whether penis pumps are a legitimate Medicare expense, which I think is interesting. Given our government’s very conflicted attitudes about sex, I find the news both heartening and irritating. I am glad that Medicare takes the needs of aging men seriously and considers sex a part of healthy living. We were just discussing that when we were discussing Pepper Schwartz’s book Prime. TracyA linked to a great post by Supercrone about sexual desire in her 80s, Mimi of Sexagenarian in the City writes about her own re-entry into dating and sex, and so I’m glad that the US takes the sexual needs of the elderly — at least elderly men — seriously. I wonder why it denies the sexual needs of so many of the rest of us. Our own internal contradictions around sexuality are pretty amazing. Medicare, an entitlement program for older folks, will pay for penis pumps. Medicaid, the program that provides health care for poor people, does not cover abortion services (thanks in large part to Henry Hyde, who died the other day) though states are apparently free to provide such coverage. (For example, in New York State residents enrolled in Medicaid are entitled to “Free access” family planning — including contraception and abortion — even if their Medicaid Managed Care Provider does not cover those services.) We see inability to have intercourse as an illness for the elderly but don’t want to teach young people about safer sex.We spend our tax dollars foolishly in either case, overpaying for penis pumps or paying at all for abstinence-only education.But back to the penis pumps again: is this an example of sexism in health care again? I mean, older women are less likely to be in need of contraception or other family planning services, but does Medicare pay for lube? Or are women expected to deal with the changes in their sexual function on their own while men’s physical changes get medical attention? (And if Medicare does cover lube, what are they paying for a bottle of Astroglide, do you think?)And is Medicare paying for condoms to keep these older men from getting and transmitting STIs? Or are we again in a situation where we’ll pay to address the disease (inability to maintain erection) but not to prevent disease?If, like me, you were wondering about the efficacy of penis pumps in the first place, here is a link to Corey Silverberg’s piece on them from About.com. He points out that penis pumps are pretty reliable at generating erections but that unless well aroused, or if the man has a problem maintaining erections, that the erection created by the pump might not last. He mentioned that better penis pumps, of the sort sold by medical professionals (which he says run about $200, not the $450 that the US pays) come with “constriction rings” (read: cock rings) that help maintain the erection.I wonder if Medicare would cover the cost of cock rings alone for men who have no trouble getting erections but do have trouble maintaining them.And what about sex ed for older folks so that they know that there is plenty of good sex to be had without erections and penis-vagina penetration? What about some workshops on manual sex? Oral sex? Sex with toys? Training in orgasm without intercourse, anyone?Meanwhile, lets make sure that all government provided health care treats sex as an important component of healthy living. Lets make sure that Medicaid and Medicare cover sexually-related health care costs, whether those be penis pumps or lube, or contraception or abortion. If sex is a party of a healthy life, those things are all important.Lets make sure that private insurance plans do the same!And lets pay for smart sex education for sixty-year-olds and for sixteen-year-olds!Illustration, “Penis Pump,” by Derek on Flickr, and used under a Creative Commons Attribution, Noncommercial, Share alike license.NOTE: This is also published on our community site, SexInThePublicSquare.org. Join us there!

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Filed under Education, Gender, Health, medicine, New York Times, News and politics, public discourse, sex, sex and health, sexuality and age

Prevention bill(s)* still stuck in committee while Democrats increase Abstinence-Only Funds

File this under “with friends like these…”

What has happened to the Prevention First Act (H.R. 819/S. 21)? Why are these bills stuck in committee while the Democrats are INCREASING funding for abstinence-only education? Don’t they at least have an obligation to hold the line on such misappropriate of funds? We’re talking about the spending of 141 million dollars on programs that we know don’t work and that actually put our communities at risk. And we’re talking about the party in control, the one that is supposed to be friendly to smart sexual health policy, granting this increase in spending and as a result teaching kids that abstinence-until-marriage is the only legitimate approach to sexuality and that condoms don’t work well.

James Wagoner at RH Reality Check, expresses his outrage about this far more articulately than I could express mine. He writes:

I am constantly told that it’s not “politic” to call out our friends on an issue like sex education. There are bigger fish to fry. I’m not buying that anymore. Not when ten thousand young people get an STD, two thousand become pregnant and fifty-five contract HIV every single day in this country. Not when poll after poll shows this issue to be a political winner, not a loser, for Democrats. Not after Democrats exploited this issue in opposition and now, with control of Congress, act like it’s an insignificant chit to be bartered away at the whim of a recalcitrant committee Chairman.

It is now time to call this what it truly is. A stunning disgrace.

A stunning disgrace, indeed. And this is not a new story. We wrote about this here back when the Dems in the House of Representatives voted to approve the increase when they passed the Labor/Health and Human Services appropriations bill. But its in the news again because the bill has just come out of the Democrat-controlled conference committee and the increase is intact. And the increase is outrageous. SIECUS reports that the Senates version of the bill would have reduced funding for abstinence-only programs. Why didn’t they hold that position in the conference committee?

We’re nearing election day and it is important to remember that the Democrats are not so clearly our friends. And they ought not be allowed to continue to get away with hurting us just because the Republicans might hurt us worse.

You know, it really starts to feel like an abusive relationship, doesn’t it? You know, the kind where you are being beaten but feel trapped because if you leave you’ll be worse off?

We need shelters for the battered body politic. I think they’re called multiple-party systems. You know, where real choices are possible.

Maybe that would be a truly “pro-choice” system.

I think we need to start building one.

Now.

*The Prevention First Act is only one of a slew of bills that were introduced to try to make sane sex ed and contraception policy. The REAL (Responsible Education About Life) Act is another that is stuck in committee. For a look at the whole list, depressing though it is that none are moving, click here.

Note: This piece is also published on my blog at our community-building site, SexInThePublicSquare.org. Drop by and join in!

Photo of “Condom Police” sign not taken in the US no matter how much it may feel that way. The sign was photographed in Vanuatu by “Phnk“, posted on Flickr and used here under a Creative Commons Attribution-Noncommercial license.

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NCSF Survey on discrimination and sexual diversity

Just a very short post to request that you take a few minutes out of your day to take the National Coalition for Sexual Freedom’s survey on violence and discrimination against sexual minorities.

From the first page of the survey:

Please help us by taking a moment to fill out this survey even if you have not been a victim of discrimination or violence. We are tracking demographics of our community and we also need to know the types of crimes, discrimination, harassment and abuses of authority that occur based on sexual expression or the perceived association with BDSM-Leather-Fetish groups.

This is an anonymous survey being distributed to the BDSM-Leather-Fetish communities throughout the world. We do not ask for your name, address or any other identifying information and all responses made on this website are fully encrypted. Any questions that require a response are marked with an asterisk.

You may contact the authors of this survey by emailing surveybdsm@gmail.com, or by writing to us at: Survey of Violence and Discrimination, 875 Sixth Avenue Suite 1705, New York, NY 10001.

Thank you for helping us raise the level of awareness of this important issue to our community. By completing this survey you are not only helping us to better understand ourselves, but you are helping in the fight for sexual freedom and sexual equality for all sexual minorities.

The National Coalition for Sexual Freedom is a leader in the national effort to protect freedom of sexual expression and end discrimination against those who participate in BDSM, polyamory, and other forms of sexuality that challenge this society’s sex norms. The more good information they have the better able they are to do that work. The survey only takes a short time.

By the way, this is National Coming Out Day. What better day to reveal, even anonymously, a bit about the impact your own kinks have had on other aspects of your life?

Click here to take the survey.

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Canada, Church, Charters and Choice

I’m back in the city, which means I’m back in the country.

I just returned to NYC from Alberta and British Columbia where I spent six days meeting cousins on one branch of my partner’s family tree, seeing beautiful countryside. We put over a thousand miles (1707 km) on our rental car, saw the oil industry service sector outside of Edmonton, the ranch land west of Calgary, the mountains separating Alberta and British Columbia, the lush greenness of British Columbia’s Shuswap Lake region, and even got a peek at some of the disappearing glacier behind Lake Louise. And of course, as all my travels do, this one generated some sex-related insights.

One of the most unexpected was this: Conservative Christians sometimes sing very passionate songs in church! We went to a Christian Reformed Church service with my partner’s uncle and aunt (the CRC being nearly as close to Dutch Calvinism as one can get in an organized church in the US or Canada). The CRC congregation that my partner’s mom belongs to doesn’t sing much that doesn’t come straight out of the Psalter Hymnal in the back of the pew in front of you. But the CRC congregation in Red Deer sings Christian Rock type songs that include verses like this one from Beautiful One by Jeremy Camp:

You opened my eyes to your wonders anew
You captured my heart with this love
Because nothing on Earth is as beautiful as you
You opened my eyes to your wonders anew
You captured my heart with this love
Because nothing on Earth is as beautiful as you are.

(chorus) Beautiful one I love you
Beautiful one I adore
Beautiful one my soul must sing.
Beautiful one I love you
Beautiful one I adore
Beautiful one my soul must sing.

All the singing was led by the youth chorus (one young man on the piano and five young women: three singing, one on the keyboard and one playing flute). The singing was passionate. The young people in the front of the church had exactly the look that the singers of love songs have in their music videos: full of longing and desire and adoration. And it wasn’t just the young people. At times I could hear passion in the voices coming from the pews around me.

I wondered about the wisdom of inflaming desire through music, a very powerful medium. On the one hand, the collective singing of music binds people together in really powerful ways. On the other hand, there was no denying the undercurrent of sexuality running through these songs. Another song focused on the act of giving one’s heart, and ended with the word “come” repeated insistently as the music faded:

Come, now is the time to worship
Come, now is the time to give your heart
Come, just as you are to worship
Come, just as you are before your God
Come

(Come, Now is the Time To Worship, by Brian Doerksen.)

Meanwhile at roughly the same time as this passionate singing other young folks were out distributing sex ed materials, answering questions and promoting sexual civil rights for young people in Canada. From Canada.com:

Throughout July and August, the Know Your Rights street team — made up of young people — travelled across Canada stopping at county fairs, music festivals and a regatta.

Not only did they answer questions youth might have about sexual health or contraceptives, but they also gave out an estimated 6,000 condoms, held condom rolling contests and demonstrations and collected more than 500 signatures for a petition.

These young folks wrapped up their tour this past Sunday as I was listening to the passionate voices of CRCers in love with their God. The petition the Know your Rights team is supporting is directed at the House of Commons, pressing them to adopt the Charter for Sexual and Reproductive Rights for Youth, which is being drafted with direct input from young people across Canada.

These young activists are proudly and vocally pro-choice, and they have a pretty nuanced take on that label, too. They believe, and the Charter expresses, that ” choice encompasses all ideologies, even if that means choosing abstinence or being anti-abortion.” The charter is really very clear and very simple. It lists the “fundamental rights” that youth must have in order to “have and maintain their sexual health.” Among those rights are the right to accurate information about sex (something that some religious organizations interfere with), the right to decide when and if to have sex or bear children (something that many laws interfere with), and the right to confidentiality and care without seeking permission from parents or guardians.

This put me in mind of our discussion a while back about Michelle Vitt and whether she had been raised in a way that allowed for choice or not. It made me wonder how to reconcile the choices of parents with the rights of children and teens. It made me think back to the singing I’d witnessed Sunday morning, and the way that it very likely helped to redirect the passions felt by the young singers away from boys or girls or sex and toward the church and ideas of holiness. Another song, Refiner’s Fire, by Brian Doerksen, sung with the same kind of fervent passion, included this chorus:

Refiner’s fire, my heart’s one desire
Is to be holy,
Set apart for You Lord.
I choose to be holy,
Set apart for You my Master
Ready to do Your will

How likely is it that one of those singers would feel free to choose other than “holiness” as defined by the congregation gathered there that day? Certainly some rebel and are rejected, while others rebel and are ultimately accepted at home even if not in the Church, and certainly the passions ignited or fanned by these songs can set a person on a very thin double edge: bonding them closely to their community on the one hand, and then on the other hand enflaming emotions that can easily be sexual and unruly and difficult to contain.

This strange confluence of events, my sitting in church listening to passionate love songs as young people toured the country promoting sexual rights for youth, really focused my thoughts on the tensions between our various rights and freedoms. Sexual freedoms, religious freedoms, parents’ rights and rights for youth, these are territories that overlap. If you map the boundaries of one so that they lie just where you think they should, you have probably taken over some part of one of the others.

I come down on the side of sexual rights and accurate information for youth over parents’ rights to limit their kids access to information or to limit their informed decision-making. But would I go so far as to say that a parent did not have the right to raise her child in the faith that she chose? I can’t bring myself to say so. But, I would be more than willing to insist that regardless of faith all kids must be exposed to scientifically accurate information about sex and health and given access to nonjudgmental and independent sources of advice about sexual behavior.

That exceedingly sharp double edged passion that is ignited by religious fervor can slip, even in the hands of the faithful, and those youth need the information necessary to protect themselves when it does.

(Note: This post is also published at SexInThePublicSquare.Org)

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Democrats vote to increase funding for abstinence-only “education”

I don’t know how I missed this item posted on the Advocates for Youth web site last week:

Democrats INCREASE Funding for Discredited Abstinence-Only Policy
Ignore Findings that Programs Don’t Work

WASHINGTON, DC (July 19, 2007) Today, by a vote of 276 to 140, the House of Representative passed the Labor-HHS Appropriations Bill which included an unprecedented $27.8 million increase for failed abstinence-only-until-marriage programs, bringing the total annual funding for Community-Based Abstinence Education (CBAE) to $141 million.

“In one spectacularly cynical move, the Democrats turned their backs on science-based public health and chose political expediency over the health and well-being of young people,” said James Wagoner, president of Advocates for Youth. “With friends like these, who needs conservative Republicans?”

Democrats who have been ardent critics of abstinence-only voted to increase the very programs they opposed when Republicans controlled the Congress.

“With this vote, reproductive health ‘champions’ like Representative Nancy Pelosi and Nita Lowey have aligned themselves with ultra-conservative abstinence-only proponents,” added Wagoner. “They are now complicit in funding programs that promote ignorance in the era of AIDS.”

Since 1982, Congress has allocated over $1.5 billion for abstinence-only-until-marriage programs that censor information about birth control and the health benefits of condoms in the prevention of sexually transmitted diseases. A 10-year congressionally mandated evaluation conducted by Mathematica Policy Research, Inc. and released in April, 2007, found that “youth in the [abstinence-only] program group were no more likely than control group youth to have abstained from sex and, among those who reported having had sex they had similar numbers of sexual partners and had initiated sex at the same mean age.”

“It’s becoming increasingly difficult to tell our friends from our opposition these days,” concluded Wagoner. “The majority of Democrats say they oppose these ineffective programs because they withhold life-saving information, yet they failed to act on those beliefs. Shame on them!”

Cynical? Cynical doesn’t even come close.

Now I know these provisions are buried in huge appropriations bills. And this one is interesting because in at least some states (New York, California, I haven’t checked them all!) it is the Democrats who tended to support the bill and Republicans who tended to it. So clearly the vote wasn’t “about” abstinence-only “education.” It was more likely about the funding of things like public schools and hospitals, for museums and libraries, public broadcasting, programs for the blind, for Medicare, for the National Labor Relations Board, and other important stuff. (Click here for the text of the bill, its provisions, and the programs it funded.)

But Democrats certainly had an opportunity in moving the spending bill through the House to amend it or alter provisions to which they objected, and they certainly could have cut funding for abstinance-only programs and allocated money instead for comprehensive sex education programs (which, by the way, also promote abstinence as the best policy for teens).

Here is the section of the bill that deals specifically with “abstinence education”

Provided further, That $136,664,000 shall be for making competitive grants to provide abstinence education (as defined by section 510(b)(2) of the Social Security Act) to adolescents, and for Federal costs of administering the grant: Provided further, That grants under the immediately preceding proviso shall be made only to public and private entities which agree that, with respect to an adolescent to whom the entities provide abstinence education under such grant, the entities will not provide to that adolescent any other education regarding sexual conduct, except that, in the case of an entity expressly required by law to provide health information or services the adolescent shall not be precluded from seeking health information or services from the entity in a different setting than the setting in which abstinence education was provided: Provided further, That within amounts provided herein for abstinence education for adolescents, up to $10,000,000 may be available for a national abstinence education campaign: Provided further, That in addition to amounts provided herein for abstinence education for adolescents, $4,500,000 shall be available from amounts available under section 241 of the Public Health Service Act to carry out evaluations (including longitudinal evaluations) of adolescent pregnancy prevention approaches: Provided further, That up to $2,000,000 shall be for improving the Public Assistance Reporting Information System, including grants to States to support data collection for a study of the system’s effectiveness.

We are now spending almost 137 million dollars to teach teenagers that abstinence is the only acceptable method of preventing STDs and pregnancy, and we are prohibiting organizations that accept grants from this allocation from offering “any other education regarding sexual conduct.”

Ironically, or not, this same bill in Title V section 517 b provides that “None of the funds made available in this Act may be used to disseminate scientific information that is deliberately false or misleading.”

Click here to find out how your legislators voted (once there, click on your state to see each of your legislators’ votes) and then call them or email them and let them know you’re outraged that they didn’t address the problem of abstinence-only funding but instead voted to increase funding for the very programs they claim are harmful to kids. You can use the “Speak Out!!” box on the left side bar to find contact info for your representatives.

By the way, this same bill in Title V section 507, continues the ban on spending federal money to provide abortions (so they aren’t covered for poor women, or for women insured under federal health insurance programs).
__________________________
This is posted here and also at SexInThePublicSquare.org

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The good news and bad news about the new teen birth rate data

A new study by the Federal Inter-agency Forum on Child and Family Statistics reports that the teen birth rate is at an all time low. The current birth rate for teens between 15-17 in the US according to the study is 21 per 1000.* (That’s down from a high of 39 per 1000 in 1991). The same report gives a teen pregnancy rate of 44 per 1000 in 2002, the most recent year for which they give a rate, and some of the drop is attributable to an increase in condom use. You can see a PDF version of the report here.

Any drop in the teen pregnancy rate, the teen birth rate, and any increase in the rate of condom use is certainly very good news. But the good news is hardly unqualified. There is a fair bit of bad news that surrounds those important bits of good news.

One bit of bad news is that the teen pregnancy rate in the US is still much higher than it is in other western postindustrial societies. In the Netherlands and in Switzerland there were only 5 births per 1000 women between 15 and 19 in 2002 according to UN data. (There were 53 per 1000 young women in the US that same year according to the UN figures). The UN data I found did not report pregnancies, only births. Data from the Guttmacher Institute indicate that the pregnancy rate in the Netherlands was 12 per 1000 in 2001.

Another bit of bad news is that in the US there are significant differences in birth rates for girls of different racial and ethnic groups. The lowest teen birth rate is found among Asians (including Pacific Islanders). That group has 8 births for every 1000 girls between 15 and 19. For non-Hispanic White teens, the rate is 12 per 1000, for Native Americans (classified as American Indian/Alaska Native) the rate is 31 per 1000, for non-Hispanic Blacks it is 35, for Hispanics it 48 per 1000.

These differences must reflect, at least in part, access to health care, contraception, accurate sex education, and abortion services. The differences are not likely to be primarily related to differences in sexual activity between groups. A study published by the National Center for Health Statistics reporting on National Survey of Family Growth data from 2002 finds that Hispanic girls between 15-17 are less likely than their non-Hispanic black or white counterparts to have had sex. The same is true for 18-19 year olds. In the first age group 30% of non-Hispanic white girls, 41% of non-Hispanic black girls, and 25% of Hispanic girls report having had sexual intercourse with a male. In the second age group 68% of non-Hispanic white girls, 77% of non-Hispanic black girls, and 59% of Hispanic girls report having done so (p. 24). And, of those girls who had had sex in the previous four weeks, 19% of non-Hispanic white girls had had sex 4 or more times in that period compared with 13% for both black girls and Hispanic girls.

Why do white girls have lower pregnancy and birth rates if they’re having sex more frequently? This same study found inequality in use of contraception (which may provide some support both for the observation of unequal access and also of the observation of cultural barriers to use). White girls were more likely than either other group to be on the pill at the time of their first intercourse (18% compared to 13% of black girls and 10% of Hispanic girls), and were also more likely to use both pills and condoms together during their first time (15% compared to 9 % for black girls and Hispanic girls). This may speak at least in part to their access to multiple methods of contraception and to their ability to gain access to birth control pills before becoming sexually active.

In fact, when asked whether they had ever used specific methods of contraception, the study found that only 37% of Hispanic girls had ever used birth control pills (compared to 68% of white girls and 55% of black girls). Given an intersection between ethnicity and religion, and the prohibitions against contraception by the Catholic church, some of this difference might be explained by religion and culture. But given that Catholics around the world use birth control pretty regularly, I think that inequality of access to health care and prescriptions is a big part of the story.

There is no teen sex crisis in the United States, but there is a sex education and sexual health care crisis in the United States. If we want to bring our levels of teen pregnancy and teen births down to rates that are in line with those of countries like the Netherlands, we need to start addressing teens sexual health as a serious matter, treating teens with respect, and giving them the tools they need to make smart decisions and creating an environment in which those decisions are respected.

We need to do this while paying attention to race, class and ethnic inequality. Teen parenthood is associated with long term disadvantage for parents and for their children. Girls who become parents in high school are less likely to finish high school, and less likely to go to college. Children who start their lives in poverty are less likely to make it into the middle class. They’ve got all kinds of structural factors working against them.

The answer is definitely not to continue promoting abstinence-only sex education. The answer is complicated, but it certainly requires promoting sound, accurate sex education where the values of abstinence are taught in conjunction with the importance of contraception, relationships skills, and emotional well-being. It involves providing support for teen parents so that they are not so disadvantaged. It involves making sure that access to emergency contraception is secured for everyone, and that abortion remains a legal option for young women. It involves providing equal access to health care. And it involves the acknowledgment that we can’t talk about inequality without talking also about sex.

*The original version of this post incorrectly labeled that rate as the “teen birth rate” which would have been the rate for girls between 15-19. The error was brought to my attention by a very careful reader, Carole Joffe, of UC Davis, who continued:

“…the overall figures from 15-19 (birthrate) was 40/thousand–in fact, nearly identical to the year before. This fact aside, I think your analysis of the Report is right on. I look forward to reading more of your postings. Best wishes from a fellow sociologist, Carole.”


Return to the corrected sentence.

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A quick update on the Holsinger confirmation hearings

The AP filed a story this afternoon that was then run on the New York Times web page. It’s a disconcerting story in its utterly bland representation of the 1991 paper that Holsinger wrote on homosexuality. Here’s a quote:

Committee Chairman Edward M. Kennedy, D-Mass., said he was worried that Holsinger would let his own ideological beliefs cloud his scientific judgment. He referred to the paper that Holsinger wrote on homosexuality for a study committee of the United Methodist Church.

”Dr. Holsinger’s paper is ideological and decidedly not an accurate analysis of the science then available on homosexuality,” Kennedy said. ”Dr. Holsinger’s paper cherry picks and misuses data to support his thesis that homosexuality is unhealthy and unnatural.”

Holsinger said the 1991 writing was not intended to be a scientific paper and relied on the information available to him at the time.

”First of all, the paper does not represent where I am today. It does not represent who I am today,” Holsinger said.

Holsinger said he was personally troubled by allegations that he harbors bias against gays.

”I’ve worked diligently to provide quality health care to everyone regardless of personal characteristics including sexual orientation,” he said.

As I wrote two days ago, the problems with Holsinger’s paper go beyond the views he expressed on homosexuality, and go beyond what Kennedy claims is a cherry-picking and misusing of data. The problem in that paper, which Holsinger says was not intended to be a scientific paper, is that he doesn’t even cherry pick the data well, nor does he misuse the data in a way that really supports his arguments. The whole paper (which you can find here) is poorly reasoned and weakly written. Whatever it’s intended purpose, it does not represent the quality of work I’d have expected of a 52-year-old doctor (Holsinger’s bio on Wikipedia indicates he was born in 1939).

The article goes on:

Holsinger’s paper is interpreted by gay groups and others as saying that homosexuals face a greater risk of disease and that homosexuality runs counter to anatomical truths.

In the paper, which focuses extensively on human anatomy and the reproductive system, Holsinger said the ”varied sexual practices of homosexual men have resulted in a diverse and expanded concept of sexually transmitted disease and associated trauma.”

Health and Human Services officials said Holsinger wrote the paper when he was asked more than 17 years ago to compile a survey of peer-reviewed scientific data on health issues facing homosexuals.

”Since then, the science has deepened with continued research on these issues. Dr. Holsinger remains focused on addressing the health of all in need, including gay and lesbian populations, consistent with sound science and the best medical practices,” said Health and Human Services spokeswoman Christina Pearson.

It isn’t that gay groups and others interpret the paper to say that homosexuals face greater risk of disease or that homosexuality runs counter to anatomical truths. The paper does say those things. Explicitly. It isn’t a question of spin or interpretation. It’s a question of basic reading comprehension.

And it isn’t okay to explain the paper away by saying it was written more than 17 years ago as a review of peer-reviewed literature on homosexuality, and that the science has deepened since then. Of course the science has deepened since then, but Holsinger’s use of the science that existed when he wrote the paper is poor at best and ideologically driven at worst. It’s nice to say that Holsinger is committed to “addressing the health of all in need…consistent with sound science and the best medical practices” but his paper doesn’t instill confidence in his ability to parse sound science or appropriately evaluate medical or scientific literature.

Meanwhile, HRC reports on the organization’s blog that Holsinger was temporarily stumped today when asked about the Don’t Ask Don’t Tell policy that keeps gays in the military closeted, or fires them if they come out:

Got this email a little while ago from Lara Schwartz, our legal director, on Holsinger’s stance on Don’t Ask, Don’t Tell:

Sen. Sherrod Brown mentioned the 52 fired linguists and asked Holsinger whether homosexuality is more dangerous than untranslated documents and he actually floundered! He eventually stumbled to Al Qaeda being more dangerous, but it took a while.

It’s disconcerting to say the least that a nominee who knows his views on homosexuality are going to be questioned would be unprepared for such a question. It is even more disconcerting that a doctor could possibly believe, or be tempted to believe, that the presence of openly gay members of the military could cause more harm to the military or to the country than might the presence of untranslated intelligence.

It’s not too late to call the Senate switchboard and encourage your senator to support science, intelligence, expertise and experience over loyalty and ideology.

P.S.: According to the AP/NYT article linked above, Holsinger did say he’d resign rather than submit to political pressure to censor his science and his public health program agenda. But he hasn’t convinced me his science-and-health agenda isn’t already in line with the politicians that have done the censoring in the recent past.

 

 

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