▁as ▁people ▁would ▁not ▁understand ▁that ▁word ▁is ▁being ▁used ▁as ▁an ▁attempt ▁to ▁emp ower ▁inter sex ▁people , ▁not ▁class ify ▁them . ▁ ▁International ▁work ▁ ▁IS NA ▁made ▁various ▁efforts ▁to ▁spread ▁inter sex ▁activ ism , ▁and ▁were ▁a ▁resource ▁for ▁a ▁ 1 9 9 9 ▁Colomb ian ▁court ▁case ▁decision ▁on ▁surg ical ▁gu idel ines ▁for ▁inter sex ▁children . ▁ ▁Cl os ure ▁and ▁succession ▁ ▁By ▁ 2 0 0 8 , ▁even ▁though ▁IS NA ▁felt ▁that ▁they ▁were ▁able ▁to ▁come ▁to ▁a ▁" cons ensus ▁on ▁improvements ▁to ▁[ med ical ] ▁care " ▁for ▁people ▁born ▁inter sex ▁with ▁a ▁large ▁amount ▁of ▁the ▁medical ▁community , ▁they ▁ran ▁into ▁many ▁problems ▁in ▁implementing ▁these ▁ideas . ▁ ▁There ▁was ▁a ▁" con c ern ▁among ▁many ▁health care ▁profession als , ▁parents , ▁and ▁main stream ▁health care ▁system ▁fund ers ▁that ▁IS NA ' s ▁views ▁are ▁bi ased ", ▁and ▁many ▁of ▁these ▁people ▁fe ared ▁that ▁they ▁would ▁be ▁sh unn ed ▁by ▁colle agues ▁if ▁it ▁was ▁found ▁out ▁they ▁were ▁associated ▁with ▁the ▁IS NA . ▁The ▁IS NA ▁gave ▁a ▁statement ▁saying ▁that ▁" at ▁present , ▁the ▁new ▁standard ▁of ▁care ▁exists ▁as ▁little ▁more ▁than ▁ide als ▁on ▁paper , ▁thus ▁falling ▁short ▁of ▁its ▁aim [ s ]" ▁to ▁ful fill ▁its ▁goals . ▁The ▁IS NA ▁decided ▁its ▁best ▁course ▁of ▁action ▁was ▁to ▁" support ▁a ▁new