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Texas Children’s Hospital has fired Vanessa Sivadge — less than two months after the nurse practitioner publicly alleged the hospital had illegally used Medicaid funds to pay for transgender medical interventions on minors.
“This is unlawful for two reasons,” Sivadge wrote in a statement published by investigative journalist Christopher Rufo. “It is retaliation for coming forward on TCH’s egregious pattern of deception and Medicaid fraud, and…also illegally disregarded my request to transfer [jobs] due to my belief that these procedures bring irreversible harm and lifelong regret to children confused about their sex.”
Fellow whistleblower Dr. Eithan Haim decried Sivadge’s termination on X (formerly Twitter), writing:
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Sivadge plans to fight her termination with the help of Burke Law Group — the same group defending Haim. But even jobless and facing an expensive legal battle, Sivadge says she has no regrets.
“The risks have never been higher for whistleblowers who come forward to expose wrongdoing,” Sivadge tells supporters on her fundraising page. “But when the lives and wellbeing of children are at stake, it is always worth it.”
The misconduct at TCH reveals the deep inroads gender ideology has made into medicine and law — and the lengths those in power will go to defend it.
Individuals like Haim and Sivadge have sacrificed their personal wellbeing to bring this corruption to light. Citizens must, in turn, identify gender ideology for what it is — a religion that celebrates child abuse.
Calling out evil starts with being educated. Check out the Daily Citizen’s updated timeline for everything you need to know about the Texas Children’s whistleblowers.
February 2022 — The Harbinger
Texas Attorney General Ken Paxton releases a legal opinion suggesting transgender medical interventions performed on children could be investigated as child abuse.
March 4, 2022 — The Closure that was Not a Closure
Citing Paxton’s opinion, TCH announces it will no longer provide so-called gender-affirming care, a move they claim will “safeguard our healthcare professionals and impacted families from potential legal ramifications.”
The announcement comes about a year after Sivadge reportedly notices a “dramatic rise” in the number of children treated for gender dysphoria by TCH.
January 13, 2023 — The Conference
TCH and Baylor College of Medicine invite Dr. Richard Ogden Roberts— an assistant professor at Baylor and transgender doctor at TCH — to speak on “gender-affirming care” at the prestigious Pediatric Grand Rounds lecture series.
The presentation, published months later by investigative journalist Christopher Rufo, calls transgender medical interventions “life-saving” and “medically-necessary.”
Among other oxymorons, Roberts assures doctors that “Gender Affirming Hormone Therapy” — administering opposite-sex hormones or “puberty blockers” to minors with gender confusion — “appears to be safe and effective,” despite simultaneously acknowledging that “long-term outcomes require ongoing research” and that there are “risks of which to be cognizant.”
Photo courtesy of material published by Christopher Rufo.
May 16, 2023 — The Whistleblower
Christopher Rufo publishes an article in City Journal featuring redacted documents from then-anonymous Haim.
The operating-room schedules obtained by Haim “show that, despite its public statements, [Texas Children’s Hospital] — the largest in the United States — had secretly continued to perform transgender medical interventions, including the use of implantable puberty blockers, on minor children,” Rufo writes.
Rufo further notes entries showing Roberts continued giving patients “gender-affirming care” long after the hospital claimed to cease such interventions.
Surgeon Kristy Rialon apparently joined Roberts in completing “under-the-table” transgender medical interventions. OR records indicate she implanted a hormone-delivery device in an 11-year-old just three days after the hospital supposedly ended its transgender program.
May 17, 2023 — SB 14
The Texas House and Senate successfully pass Senate Bill 14 banning physicians from performing transgender medical interventions on minors.
May 23, 2023 — The Second Whistleblower
Rufo publishes another article featuring a second whistleblower backing up Haim’s allegations. Sivadge later revealed herself to be the second leaker.
May 24, 2023 — The Second Closure
TCH President and CEO Mark A. Wallace sends out an internal memo shutting down the hospital’s transgender program — for a second time.
“Over the next few months, Texas Children’s will modify the gender-affirming care we offer to comply with the new law,” Wallace writes. “We will work with patients and their families to manage the discontinuation of hormone therapies or source appropriate care outside of Texas.”
Wallace goes on to describe the change as “immensely heart-wrenching.”
June 2, 2023 — The Law
Texas’ governor signs Senate Bill 14 into law. Set to go into effect on September 1, 2023, it was quickly disputed. It is currently being adjudicated in Texas’ Supreme Court.
June 23, 2023 — Knock, Knock, Who’s There?
Hours before Haim’s graduation from surgical training, two officers from the Department of Health and Human Services (HHS) knock on his door.
Investigating a “medical records” case, they claim, the men try to film an interview with Haim in his kitchen.
“My wife, who is an attorney, and I told them we would not participate in an interview without an attorney present,” Haim later recalled in an interview with the Daily Citizen. “So the officers left me with a target letter, which is a piece of paper saying I was a potential target of a criminal investigation.
“A few minutes after the door opens, the door closes, and we knew our life had been permanently changed.”
July 2023 — The Second Shakedown
Footage from a doorbell camera released this week shows two FBI agents paying Sivadge a visit in summer 2023.
In her most recent interview with Rufo, Sivadge says the agents called her “a person of interest” in an investigation into TCH’s leaked records.
“They threatened me,” she remembers. “They promised they would make life difficult for me if I was trying to protect the leaker. They said I was ‘not safe’ at work and claimed that someone at my workplace had given my name to the FBI.”
This impromptu federal visit reportedly inspires Sivadge to more closely examine the treatment of “transgender” children at TCH.
January 12, 2024 — Going Public
Haim publishes an article in City Journal revealing himself to be the first whistleblower
“I knew that it was my moral responsibility to expose what was happening to these children,” Haim writes, “but as the saying goes, no good deed goes unpunished.”
It’s in this piece that Haim announces his intentions to fight the obscure case against him.
To [the HHS agents], the prosecutor, and their political handlers, I was a criminal because I had told the truth. It didn’t matter that we exposed the fact that the largest children’s hospital in the world was lying to the public about the existence of a program in which children were manipulated, mutilated, and even sterilized. …
None of this mattered, I believed, because I had exposed a truth that threatened their ideology. This was the reason for their frightening show of force. The intent was to intimidate me. If I agreed to stay silent, though, I would be legitimizing their lies and sacrificing the truth. Instead, I decided to fight back.
April 24 and 25, 2024 — The Interview
The Daily Citizen publishes interviews with Haim and his lawyer, Marcella Burke, who exposes the legal improprieties occurring behind the scenes, including the lack of evidence against her client:
Before reviewing the evidence, the prosecutor tells Dr. Haim to admit wrongdoing to avoid felony prosecution. A basic HIPAA violation is at most a misdemeanor, and it’s never really been prosecuted absent some additional significant criminal conduct. But, more importantly, she hadn’t seen or provided evidence of wrongdoing!
In sum, Burke says simply:
This is clearly an ideological, political persecution of an inconvenient truth teller. This prosecutor is using laws with protections against whistleblowers as a sword to threaten them.
Click here to read the Daily Citizen’s interview with Burke. To read our interview with Haim, click here.
May 29, 2024 — The Sword Falls
The Department of Justice indicts Haim on four felony HIPAA violations, alleging he reactivated his TCH log-in credentials “under false pretenses” to access patient records. Additionally, while the indictment acknowledges that Haim redacted patients’ names on documents he gave to Rufo, it argues the “dates of service, diagnosis, procedure codes and physician names” are also HIPAA protected.
Haim allegedly broke the law, not to save children from mutilation, the filing implies, but to ruin the hospital’s reputation.
“As a result of Haim’s actions,” the indictment reads, “TCH resulted [sic] in medical delays in previously scheduled patients as well as threats and harm to its patients and esteemed physicians. In furtherance of his malicious intent, Haim obtained unauthorized HIPAA protected information and intentionally contacted a media outlet to grossly mischaracterize TCH’s medical procedures in order to damage the reputation of TCH and its physicians and to promote his own personal agenda.”
If found guilty, Haim could go to prison for up to a decade and have to pay up to $250,000 in fines.
May 31, 2024 — Sivadge Requests A Transfer
Sivadge submits a religious accommodation request asking to transfer from the endocrinology clinic to her “core competency” — the cardiology clinic.
“My role as clinic nurse [in endocrinology] primarily involved providing medication refills and working with physicians to answer questions about treatment plans,” Sivadge later wrote in a statement to Rufo. “I explained to TCH that this expectation as part of my current role … was devastating to me and requested an internal transfer to a different department.”
As part of her religious accommodation request, Sivadge told her supervisor she believed “men and women [are] image bearers of God with intrinsic, biological differences that cannot be erased or reassigned medically.”
June 17, 2024 — Haim Goes To Court
Haim pleads not guilty in court, declaring himself innocent of all charges.
Burke told Fox Digital of the arraignment:
I am honored to represent Dr. Haim. We received the indictment moments before his arraignment. It appears that the government has its facts wrong, they misunderstand the situation, and it’s unclear they understand how HIPAA works. Our client will have his day in court and we are going to fight these charges.
June 18, 2024 — New Allegations
Rufo publishes his interview with Sivadge, who claims TCH used Medicaid funds to pay for transgender medical interventions.
After the FBI visited her in summer 2023, she recalls, she started studying the treatment records of transgender teens (now over 18 years old) remaining in the clinic.
Sivadge discovered that a number of patients receiving “gender-affirming care” from Roberts and another transgender doctor, David Paul, were simultaneously enrolled in TCH’s STAR program — a “no-cost Medicaid managed care plan.”
In Texas, it is illegal to use Medicaid to pay for any transgender medical interventions — but STAR programs use Medicaid money to pay for participants’ treatments.
Further, in an affidavit connected to the case against SB 14, Roberts himself states that several patients in the transgender program at TCH “receive their health coverage through Medicaid.”
June 19, 2024 — Investigation
Texas representative Brian Harrison asks Dade Pheland, the Speaker of the Texas House of Representatives, to create an investigative hearing to determine if:
- TCH is using Medicaid funds illegally.
- Federal government officials were helping TCH continue transgender medical interventions on minors after Texas law made it illegal.
- The legislature can continue to function well after the “stifling” of potential whistleblowers.
A representative for Attorney General Paxton’s office confirms it is investigating claims of Medicaid fraud at TCH. It is unclear whether the investigation is civil or criminal.
June 19, 2024 — Clean-Up
TCH quietly erases Roberts and Paul from its website. Baylor College of Medicine similarly removes Roberts’ profile.
TCH puts Sivadge on leave, allegedly citing “things shared publicly” and her religious accommodation request.
July 22, 2024 — Denial
TCH releases the results of an internal investigation into “all relevant cases and all relevant Medicaid billing rules and regulations,” finding “no evidence of fraudulent billing.” No information about the investigation’s scope and criteria is released.
TCH purports to “welcome” additional whistleblower reports.
August 16, 2024 — Termination
TCH fires Sivadge.
August 19, 2024 — Impending Litigation
Rufo publishes a statement from Sivadge announcing that she had been fired.
Sivadge argues her termination had been retaliation for blowing the whistle and disclosing her religious beliefs — apparent violations of laws protecting whistleblowers and conscientious objectors.
Sivadge says she intends to challenge TCH’s actions in court with the help of Burke Law Group. As of August 26th, 2024, no suit has yet been filed.
This is a developing story. The Daily Citizen will continue to publish updates.
Additional Articles and Resources
Texas Children’s Whistleblowers Speak at First Joint Event
Texas Children’s Hospital Embroiled In Fraud Scandal as Haim Case Kicks Off
House Oversight Committee Investigates Texas Children’s Medicaid Fraud
Focus on the Family exists to help families, and that includes help navigating the issues of homosexuality and transgenderism. Focus offers a free, one-time counseling consultation with a licensed or pastoral counselor. To request a counseling consultation, call 1-855-771-HELP (4357) or fill out our Counseling Consultation Request Form.
Addressing Gender Identity with Honesty and Compassion
The Journey Back to My True Identity
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