The Bethesda Declaration

78 perihelions 23 6/18/2025, 11:40:05 AM science.org ↗

Comments (23)

StatsAreFun · 12m ago
I don't know what the answer is necessarily but this declaration also appears very political in nature. If all of those Nobel laureates and high-profile researchers really do support the content of the declaration, why not attempt to meet with NIH leadership and work together on a solution? You know, reach out and talk this out? A public declaration and the resulting media attention from "opposite-side" news outlets just comes off as political gamesmanship to me, at least. Several other commenters have correctly pointed out the problems existing at the NIH and NIH-funded institutions so the "why now" question is especially relevant here. Anyone remember the massive research scandal involving Dr. Eliezer Masliah late last year?
jekwoooooe · 4h ago
I will echo sentiments that this is ironic. Where was a Bethesda declaration when the zeitgeist banned any research into things that would upset the narrative around trans medicine in the previous administrations? Where was any outrage over the AMA ignoring in whole the UK finding that giving hormones to children did not help and in fact was harming them?
whatshisface · 3h ago
We are talking about human beings here. Everyone's willing to ignore an injustice that they don't expect to happen to them. Now that everyone is affected everyone cares.
ForLoveOfCats · 2h ago
I'll take the bait and assume that you're engaging in good faith. I hope you assume the same of me in return.

Trans healthcare is far from a settled science, and there is a lot we don't know yet. Part of the reason for this is how new this is as an area of active research, a history of science on this topic being intentionally quashed[1], and frankly the relative low numbers of trans people in general. This is all despite trans people, like all queer people, exiting in some form or another since the beginning of recorded history[2].

I assume from what you said that you're referencing the Cass Review[3], a review of current literature in the area of trans healthcare, specifically where it pertains to minors. Further review of this publication[4] has shown it to have thrown away a much data, applied inconsistent logical standards to different arguments, and based a number of conclusions on disproven fallacies such as the concept of "social contagion". Yet even then it doesn't actually make the conclusions which you've implied.

To show my biases, I myself am trans and really don't like the Cass Review. It's based on bad science and relies on many misunderstandings, but even then it is *much* more even-handed than those who use it as justification for limiting gender-affirming healthcare like to claim.

Science is awesome, it's how we understand the world around us. Frankly I'd love to understand more about the origins of what makes someone trans, how to achieve better results when medically transitioning, ect. However it's important to recognize that not all published science is of the same quality, and that study replication as well as others reviewing published work is a crucial part of what makes science trustworthy in the long run. After all, that's what the Cass Review was trying to do in the first place.

[1] https://en.wikipedia.org/wiki/Institut_f%C3%BCr_Sexualwissen...

[2] https://en.wikipedia.org/wiki/Transgender_history

[3] https://en.wikipedia.org/wiki/Cass_Review

[4] https://www.erininthemorning.com/p/yale-researchers-internat...

jekwoooooe · 1h ago
Yes exactly what I’m trying to say. It’s not settled at all. We should not ban anything outright without evidence HOWEVER we should not prescribe things without evidence. The left was suppressing research that went against their politics just as much as the right is now for the same reason. They both suck, and both sides are saying the same thing to each other. It’s a circus watching this as a centrist.
anonymous_user9 · 1h ago
“Just as much”? Certainly not. Even if there was total censorship of studies critical of trans healthcare, that would be a tiny fraction of what the trump administration has already cut.

What in the world makes you think that suppressing science is a “both sides” issue?

skybrian · 3h ago
Where are the people who will explain what happened, rather than telling you what to think?

I mean, this stuff isn’t generally known, so at least link to something convincing if you want people to believe it.

absurdo · 3h ago
Put your mask back on and stand in line and don’t you dare question the settled Science, right-winger.
jekwoooooe · 1h ago
Masks do work though and it takes no effort to wear one. I believe in masks and covid and all that.
freen · 5h ago
100% guaranteed that this will get nuked.

No way anything even remotely critical of the current administration remains on HN.

djoldman · 4h ago
Generally things get flagged on HN because the posts are off topic and have a low chance of interesting and insightful commentary (or worse: likely to become flamewars). This is regardless of political leaning (right/left/other).

In short: the internet certainly does not lack for politics-centered content. HN isn't it.

ameliaquining · 2h ago
Do you mean this aspirationally or are you saying that politics-centered content doesn't in practice appear and get traction on HN? Because the latter does not seem true. (Not making any claims about the ideological orientation of said content.)
djoldman · 55m ago
I mean that the HN guidelines use these definitions as to what the site is meant to embody:

> What to Submit

> On-Topic: Anything that good hackers would find interesting. That includes more than hacking and startups. If you had to reduce it to a sentence, the answer might be: anything that gratifies one's intellectual curiosity.

> Off-Topic: Most stories about politics, or crime, or sports, or celebrities, unless they're evidence of some interesting new phenomenon. Videos of pratfalls or disasters, or cute animal pictures. If they'd cover it on TV news, it's probably off-topic.

So "Most stories about politics..." The guidelines are carefully written. If a story is political but has important tech ramifications, then it's likely on-topic.

Some posts are flagged that shouldn't be and vice versa. It's not a perfect system.

Is there a systemic bias one way or another? I'm not sure. I think people are just sometimes fed up with seeing stuff on HN that they're explicitly trying to avoid when they come here.

eej71 · 4h ago
Do you say that because you think the majority of HN readers are sympathetic to the Trump administration? Or do you say that because you think those with the power to flag this kind of submission are secret MAGA hat wearing loyalists? Or is there something else you see that makes you see it this way?

I ask these questions because in my experience here in HN and in most other related tech forums, the participants and those with the unlucky job of being a mod are usually not in tune with Team Trump.

esseph · 3h ago
There is a huge number of posts specifically over the past month that are both tech related and extremely political. The critical ones of the admin get flagged, seemingly without fail.

"We can't talk about that"

ameliaquining · 2h ago
I'd be curious if you have numbers to support this.
esseph · 1h ago
I have my anecdotal evidence and the number of comments in my post history that are discussing this, a long with the same comments from others.

It's fucking annoying, and arguably unethical and dishonest.

jonathanlydall · 4h ago
In my experience it’s anything political (regardless of “side”) which gets downvoted on HN, which is most likely because the HN guidelines specifically discourage it, which is a very common policy on forums due to them more often than not devolving into unproductive arguments.
esseph · 3h ago
I'm convinced
TrnsltLife · 4h ago
"in protest of the politicization of science and science funding at the NIH"

As if there wasn't politicization of science and science funding during the entire last administration. There was just more of an alignment of worldview between scientists and that administration. Scientists who didn't share the worldview or walk in lockstep still got oppressed and silenced.

jekwoooooe · 4h ago
Both things are true. Trump is destroying our science presence AND Biden and co heavily politicized science regarding gender, trans, all that stuff to the point where you aren’t even allowed to do research at all!

Science should ALWAYS be free to ask questions and explore them no matter how uncomfortable they sound. And this is a huge overreaction to how the left politicized science their way and continued to say that’s it not political. And now they complain about it… can’t have it both ways.

sparkie · 2h ago
Scientists should be free to research what they want of course, provided that research does not cause harm to anyone.

But, scientists should not have access taxpayer funding to conduct whatever little experiments they want. There's not an infinite pot of money, and it is elected officials who decide how the pot gets spent. And in turn, the people decide who the elected officials are through the ballot.

The administration was elected. These entitled signatories were not. It is not for them to decide how taxpayer money is spent.

If you want to conduct science without politics, don't depend on taxpayer money to do your research. Find a private source of funding.

jekwoooooe · 1h ago
Universities aren’t just a source of funding they are a means of doing the research. Universities have plenty of private money too but they refused to allow any research that went against a progressive narrative.