New York City voters approved three ballot questions on Tuesday concerning race proposed by the city's Racial Justice Commission.

Former NYC Mayor Bill de Blasio established the commission in 2021 as a "temporary appointed government body that is tasked with reviewing the entire City Charter and proposing amendments," according to the commission’s 2021 final report. 

One of the ballot measures approved in the Nov. 8 election creates a permanent Office of Racial Equity within the city government, along with a Racial Equity Commission to establish priorities and "review agency and citywide Racial Equity Plans."

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Another ballot measure added a preamble to the city's charter stating that New York City "must strive to remedy ‘past and continuing harms and to reconstruct, revise, and reimagine our foundations, structures, institutions, and laws to promote justice and equity for all New Yorkers.’"

The third successful ballot measure proposed by the Racial Justice Commission mandates that the city draw up a yearly "True Cost of Living" measurement to look into the true cost of city living, including housing, childcare, food and other factors.

The commission promised to investigate "structural racism within NYC… to identify structural barriers facing Black, Indigenous, Latinx, Asian, Pacific Islander, Middle Eastern and all People of Color (BIPOC*) in NYC and, based on community input, has put forward Ballot Questions aimed at eliminating barriers and promoting racial equity."

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In its "recommendations" section, it advocates for "public naming and acknowledgment of past harms and traumas" in the form of "public apologies, and reparative actions." In creating the commission, de Blasio likened the commission’s role in NYC to the Truth and Reconciliation Commission established in Apartheid South Africa.

"That got to the whole impact that apartheid had on that society, and then talked about everything and acted on everything that needed to be different. Well, that’s what we are going to do here in New York City. We are going to systematically look at the history of racism in this city, the way it lives today, the structural and institutional reality of racism," de Blasio said in 2021.

Fox News' Thomas Phippen contributed to this report.

A new study of nationwide hospital databases found that at least 1,130 adolescents between 2016 and 2019 received “gender-affirming” chest surgeries in the U.S.

The study, published in JAMA Pediatrics, saw a 389% increase in adolescents (ages 12-17) obtaining chest surgeries from 2016 to 2019. An overwhelming majority (1,114) of the adolescents seeking this surgery were female (98.6%), and just 16 were male (1.4%).

“To our knowledge, this study is the largest investigation to date of gender-affirming chest reconstruction in a pediatric population,” the paper’s authors wrote, who are each affiliated with Vanderbilt University Medical Center. “The results demonstrate substantial increases in gender-affirming chest reconstruction for adolescents.”

But Leor Sapir, a fellow at the Manhattan Institute, believes the study significantly underestimates the number of adolescents who have received gender-related chest surgeries, as it only contains hospital-based data and not private surgery centers. The data was collected from the Nationwide Ambulatory Surgery Sample (NASS), an out-patient hospital surgery database in the United States.

“JAMA included only procedures performed in hospitals, not by plastic surgeons in private settings,” said Sapir. “Because these procedures yield around $10,000 per patient, many mastectomies take place outside of hospitals in surgery centers owned by plastic surgeons themselves.”

Image provided by JAMA Pediatrics

The ages of the pediatric patients ranged from 12 to 17, with 42 (5.5%) of the recipients between 12 and 14, 131 (16%) aged 15, 291 (34.5%) aged 16, and 365 (44%) aged 17.

Race and ethnicity were collected from hospital records only in 2019, the authors note. The vast majority of patients were white (77.9%), followed by Hispanics (12.2%), blacks (2.7%), Asian or Pacific Islanders (2.5%), and Native Americans (0.5%). About 4% were categorized as “other race.”

The median total charges for chest reconstruction were $29,886 ($21,285–$45,147), a number that was adjusted for inflation, the authors note. Most of the chest surgeries (61.1%) were covered by private health insurance, 16.5% used public health insurance including Medicaid, 15.8% paid out of pocket, and 6.7% indicated “other.”

Most adolescents included in the analysis lived in a densely populated area, with 68% living in a county with over one million residents, 21.9% lived in a moderately densely populated area, and only 9.8% lived in a county with less than a quarter million residents. Over half of those who obtained chest surgeries had a family annual income of over $82,000.

Psychiatric comorbidities for patients were listed, which included anxiety (21.1%) and depression (16.2%), but this is likely a significant underestimate since these numbers were much lower than the high rates of depression typically seen among trans-identified teens. It is therefore likely that mental health data in the hospital database were not comprehensive.

In July, the same four authors, with the addition of two others, published a separate study on adults who received “gender-affirming” chest reconstruction surgeries. Their results, also using NASS outpatient hospital data, found that 21,293 individuals obtained chest surgeries between 2016 and 2019, a 143.2% increase. The large majority of chest surgeries were performed on female patients, with 82.1% receiving double mastectomies; 27.9% of trans-identifying males received breast augmentations.