Gender Rising

The NHS in Northern Ireland is the worst in the UK. During the quarter April/June 2021, over 349,000 people were waiting for a first appointment, 53 percent for over a year, an increase of 39,000 for the same period in 2020. Adjusted for population size, waiting lists in Northern Ireland are 100 times greater than those in England, a country 50 times its size

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[T]echnological innovation is essential for growth to persist in the long run. But innovation requires detailed knowledge of production processes and what can make production more efficient. Any society that frowns upon hard work will be unlikely to have a robust class of innovators. Any society that disparages finance will be unlikely to have a thriving entrepreneurial class or significant investment in capital.--Koyama and Rubin

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Gender Rising

From January 2019 to December 2023, 13,994 minor patients received gender-transition treatments, with 5,747 undergoing sex-change surgeries and 8,579 getting hormones and puberty blockers, according to Do No Harm's database. (from Don)

Historically, the diagnosis of mixed gender was made in about 1 in 30,000 births. That diagnosis was anatomic at birth with mixed genitalia.

Androgen insensitivity (usually diagnosed at puberty) is a bit different.

Complete androgen insensitivity syndrome affects 2 to 5 per 100,000 people who are genetically male. Partial androgen insensitivity is thought to be at least as common as complete androgen insensitivity. Mild androgen insensitivity is much less common. In androgen insensitivity, male hormones and anatomy are normal but the cells do not recognize androgen stimulation and do not develop maleness. This, like the adrenogenital syndrome, results in a true dichotomy between the genetic and phenotypic.

The model Hanne Gaby Odiele in 2015.

The other cause of sexual ambiguity is the adrenogenital syndrome, an acquired increase of steroids that causes changes in physical appearance. It can occur at any age. Think of the famous track and field athletes, the Press sisters.
Both were genetic females who developed benign adrenal gland tumors that produced cortisone and, downstream, testosterone, which masculinized them. Although easily treatable, the swell Russians took advantage of the poor girls' medical problems and lhad them compete in women's track and field. Tamara Press was a world champion for years.

1 in 30,000 is 0.00003333333. If there were 20,0000,000 births during that five-year period, there should have been about 666 sexually ambiguous infants born. If true, where did 13,000 surgical candidates come from?