Peter Sprigg
Peter Sprigg’s lies take advantage of his incurious constituency

via YouTube/Newsmax

Peter Sprigg is the LGBTQ “expert” for hate group Family Research Council. Sprigg has all the answers and exudes certitude. Yet, Sprigg is always wrong. Sprigg, a Baptist Minister, is supremely confident and dependably wrong because the source of his “knowledge” about human sexuality is Bronze Age texts of dubious provenance.

Another hate group, American Family Association, has a post on its blog obnoxiously titled: Green Mountain State proposes to offer mutilation surgeries to minors. Peter Sprigg is the source of AFA’s erudition (which doesn’t say much for their discernment):

Family Research Council, an organization dedicated to advancing the family- centered philosophy of public life, does not think this issue deals with the root of the problem. Senior fellow for policy studies, Peter Sprigg, tells OneNewsNow “that this type of procedure is never medically necessary.”

We turn to the Medical Policy Manual of BlueCross BlueShield of Tennessee, a for-profit company in the heart of the Bible Belt:

Gender reassignment surgery is considered medically necessary if the medical appropriateness criteria are met.

You can read the criteria yourself at the above link. The essential part:

Documentation of 12 months of continuous hormonal therapy (unless the individual has a medical contraindication or is unable or unwilling to take hormones).

Two (2) referral letters are needed from a mental health professional with a minimum of a Master’s degree or Ph.D. in clinical psychology. If the first referral is from the patient’s psychotherapist, the second referral should be from the mental health professional that has only had an evaluative role with the patient.

Never say never Mr. Sprigg. Also, don’t tell lies of omission like the following:

“In fact, the federal government, the Centers for Medicare and Medicaid research, also said they could not issue a blanket declaration that is was generally medically necessary back in 2016,” he continues.

First, let’s get the name of the agency correct: Centers for Medicare and Medicaid Services. The word “research” isn’t in there. Yes, Sprigg has the word in lower case but he is clearly trying to pass off CMS as a medical research service. It is not.

Then let’s get the decision memo correct:

The Centers for Medicare & Medicaid Services (CMS) is not issuing a National Coverage Determination (NCD) at this time on gender reassignment surgery for Medicare beneficiaries with gender dysphoria because the clinical evidence is inconclusive for the Medicare population.

In other words, this is in regards to people age 65 plus. Sprigg leaves out that part of the Decision Memo.

To clarify further, the result of this decision is not national non-coverage rather it is that no national policy will be put in place for the Medicare program. In the absence of a national policy, MACs [Medicare Administrative Contractors] will make the determination of whether or not to cover gender reassignment surgery based on whether gender reassignment surgery is reasonable and necessary for the individual beneficiary after considering the individual’s specific circumstances.

The above is not the impression that Sprigg is trying to project. Sprigg tried to convey a false impression of CMS. Sprigg’s “never medically necessary” is a lie. Combined with his failure to mention that the CMS decision is limited to senior citizens and his failure to mention that Medicare considers gender confirmation surgery on a case-by-case basis, it is fair to say that the holier-than-thou Peter Sprigg is full of crap. Isn’t there something in his book about “bearing false witness?” Does it not mean that lying is prohibited?

However, Vermont is using Medicare dollars for the surgery, which does not resolve the transgender issue. The issue is a psychological problem referred to as gender dysphoria.

Sometimes it is hard to separate the stupidity from the dishonesty. The “however” in the above relates to the CMS decision. Vermont made a Medicaid, not Medicare, determination which states are free to do (the states have no role in the administration of Medicare). It would seem that Sprigg does know that the CMS memo related only to Medicare and he has confused himself with his own bullshit. Moreover, gender confirmation surgery is not intended to resolve “the transgender issue” (whatever the hell that is).

People become transgender because they have gender dysphoria. Sprigg defines GD:

The American Psychiatric Association classifies Gender Dysphoria as: “a conflict between a person’s physical or assigned gender and the gender with which he/she/they identify. People with gender dysphoria may be very uncomfortable with the gender they were assigned, sometimes described as being uncomfortable with their body.” They also claim, that it does not mean the person is gay/lesbian.

Since this story is supposedly about children, let’s get the complete sentence from the APA quoted (along with a following paragraph):

Gender dysphoria involves a conflict between a person’s physical or assigned gender and the gender with which he/she/they identify. People with gender dysphoria may be very uncomfortable with the gender they were assigned, sometimes described as being uncomfortable with their body (particularly developments during puberty) or being uncomfortable with the expected roles of their assigned gender.

People with gender dysphoria may often experience significant distress and/or problems functioning associated with this conflict between the way they feel and think of themselves (referred to as experienced or expressed gender) and their physical or assigned gender.

Sprigg forgot to include the part about “distress.” Moreover, the following paragraph explains why people are transgender, something Sprigg did not read or chose to neglect:

People with gender dysphoria may allow themselves to express their true selves and may openly want to be affirmed in their gender identity. They may use clothes and hairstyles and adopt a new first name of their experienced gender. Similarly children with gender dysphoria may express the wish to be of the opposite gender and may assert they are (or will grow up to be) of the opposite gender. They prefer, or demand, clothing, hairstyles and to be called a name of the opposite gender. (Medical transition is only relevant at and after the onset of puberty.)

Sprigg continues to drop turds:

Sprigg emphasizes that mutilation surgery can cause lifetime side effects, such as permanent sterility among them that cannot be reversed.

“People need to remember when we talk about gender reassignment surgery we are talking about the deliberate mutilation, amputation or removal of healthy body parts, perfectly healthy functioning body parts,” says the FRC spokesman.

But he adds that through counseling and willingness of the recipient, a transgender can be helped to align their preference with their biological gender.

The first two paragraphs, above, have absolutely no meaning once you correctly consider that gender confirmation surgery is medically necessary. Absent medical necessity neither the surgeon nor hospital will do the procedure. The third paragraph is complete bullshit. There is no intervention known to medical science to change someone’s gender identity which is what would be required for Sprigg’s “align[ment].”

People who have gender confirmation surgery have been living as their gender for at least a year, usually longer. They have been taking hormones. Gender affirmation helps to resolve the distress of GD which is why people are transgender in the first place. Surgery is just one more step in gender affirmation. In many cases, it permits the individual to have a gender-appropriate sex life.

Finally, the word transgender is an adjective. It is not a noun. Only a religious nitwit uses the word as a noun.

If a procedure is medically necessary then the word “mutilation” is hyperbolic bullshit. That is the handiwork of Charlie Butts, one of AFA’s in-house bigots.

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By David Cary Hart

Retired CEO. Formerly a W.E. Deming-trained quality-management consultant. Now just a cranky Jewish queer. Gay cis. He/Him/His.