Texas Medical Association Captured by Gender Ideology? Feat. Dr. Lisa Ehrlich & Joseph Figliolia

In this episode of The Right Idea, TPPF's Brian Phillips and Derek Cohen break down how political activism has seeped into Texas healthcare — influencing diagnoses, treatments, and public policy.

They’re joined by Dr. Lisa Ehrlich, internal medicine physician and former TMA trustee, and Joseph Figliolia, Manhattan Institute policy analyst and author of a major report on the TMA’s drift into ideological advocacy (https://manhattan.institute/article/t...)

Together, they examine:
How the TMA embraced gender-affirming care despite weak evidence
Why many physicians feel silenced
How institutional capture happens inside medical organizations
The impact on children, parents, lawmakers, and the practice of medicine
What reforms are needed to bring medicine back to evidence-based practice

00:30 – Thanksgiving politics & family discussions
03:40 – Today’s topic: Gender ideology in healthcare
05:18 – Guest introductions: Dr. Ehrlich & Joseph Figliolia
05:42 – Why Joseph investigated the TMA
07:23 – Is the TMA doubling down despite national pushback?
09:07 – Evidence problems & reversals in Europe
10:25 – Dr. Ehrlich: What clinicians saw on the ground
11:38 – Social contagion & the rise of gender questioning
13:12 – Vulnerable populations & patterns emerging
14:58 – Why endocrinology led the shift
16:02 – “Science by consensus” and activist medicine
17:36 – The problem with WPATH & activist guidelines
18:33 – How TMA was captured: institutional mechanics
19:23 – Why doctors stay silent
20:57 – Fear of being labeled discriminatory
22:08 – Dr. Ehrlich: Intimidation inside the TMA
23:56 – Identity sections and cultural politicization
25:05 – Personal attacks vs scientific debate
26:31 – Medicine requiring ideological pre-commitments?
27:55 – Historical parallels (e.g., lobotomies)
28:58 – Pandemic mandates & ethical shifts
31:09 – Three separate issues: dysphoria, treatment, ideology
32:57 – Suicide risk, treatment failures, evidence gaps
34:18 – Is someone funding this movement?
36:01 – TMA’s definitions avoid “gender dysphoria” entirely
37:44 – The financial incentives behind affirming care
38:39 – Do associations influence medical boards?
41:15 – How TMA influences Texas policy
42:07 – Is Texas protecting kids effectively?
43:30 – Evidence-based standards being ignored
44:56 – CME problems: outdated, debunked studies
45:14 – Can the TMA be fixed?
47:34 – Structural governance problems
49:24 – What shoe drops next?
51:07 – The comprehensive HHS gender dysphoria review
51:35 – Dr. Ehrlich’s advice for physicians afraid to speak up

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