OK. Nominate a Democratic Senate candidate from West Virginia who is a clone of Jim Justice and Shelley Moore Capito, except he supports some infrastructure spending. Maybe some Medicaid spending and raising the minimum wage too.
Well, Dems ran your ideal candidate in West Virginia and he TANKED the policy, which likely contributed to Dems' loss heavily in 2024.
The point is, that's all you need to do. You don't need to run Elizabeth Warren in every single Senate seat. One is plenty.
If you build a party apparatus designed to accommodate the Joe Manchin types, these are the results you get.
See, here's the problem with that. If you don't win the election, no one cares who you did or didn't "throw under the bus," because you lost and you aren't going to implement ANY agenda.
The problem is we tried it your way and it got us Trump twice over. So in the end, was it worth it? If following your strategy led us to this conclusion, what was the point?
Well the Civil Rights Act and the Voting Rights Act required the votes of plenty of white moderates, so I'll leave it as an exercise to historians to determine if he was right about that.
You still don't get it. In a democracy, politics is downstream from the will of the people. People (e.g. progressive activists) put pressure on elected leaders, and elected leaders do the thing.
Much better than yours. There are a number of moderate Democrats who get elected in red states/districts. There are zero Bernie Bros who get elected in red states/districts.
To what end?
Overview of Gender-Affirming Care Success Rates
Gender-affirming care encompasses a range of medical, surgical, and psychosocial interventions designed to align a transgender or gender-diverse person’s body and lived experience with their gender identity. Success in this context is typically measured through
patient satisfaction, mental health improvements, reduction in gender dysphoria, and low rates of regret or detransition.
Multiple studies indicate that gender-affirming care is
highly effective, with
over 95% of recipients reporting improved quality of life and psychological well-being. These outcomes are supported by major medical organizations, including the American Medical Association and the Endocrine Society, which affirm that such care is evidence-based and medically necessary.
Patient Satisfaction and Regret Rates
Research consistently shows
extremely low regret rates following gender-affirming interventions. A 2024 study published in
Plastic & Reconstructive Surgery found that
99.7% of trans individuals who underwent gender-affirming surgery were satisfied with the results, with only
0.3% requesting reversal.
This aligns with broader findings: a 2022 study in
The Lancet reported that
98% of trans youth continued gender-affirming treatment into adulthood, indicating long-term commitment and satisfaction. Regret, when it occurs, is often linked to
external factors like social stigma, lack of family support, or surgical complications, rather than a change in gender identity.
For comparison, regret or dissatisfaction rates for common procedures like
knee replacement surgery range from 6% to 30%, far exceeding those seen in gender-affirming surgeries.
Mental Health and Well-being Outcomes
Gender-affirming care is strongly associated with
improved mental health outcomes. A study by the Trevor Project found that transgender youth with access to hormone therapy had
significantly lower rates of depression and suicide risk. Another study published in the
New England Journal of Medicine showed that two years after starting hormone therapy, trans youth reported
higher life satisfaction, reduced anxiety, and lower gender dysphoria.
Puberty blockers have also shown profound benefits: research indicates they can
reduce suicidality by over 70% in transgender youth compared to those denied care. The American Academy of Pediatrics and other leading health organizations emphasize that
early access to care can have lifelong protective effects on mental health.