Insurers struggle to justify the sex discrimination of legally mandated “transgender care” while surgical providers continue to decline
October 30, 2014
Less than 50 physicians worldwide are willing to provide transgender surgical “sex reassignment” or “sex change” procedures, and as the few existing practitioners retire, no one is replacing them. Modern cosmetic and reconstructive surgeons at large are opting not to do these procedures, even when they are state mandated and funded.
Now, insurers are struggling to fulfill state mandates covering transgender surgical procedures for men that are excluded for women based on sex discrimination. Transgender state medical mandates pushed by lobbyists insist that procedures such as breast implants and “face lifts” are medically necessary for men who wish to look more like women, while denying coverage for those same procedures to actual women. Transgender advocates have successfully lobbied for such government provided “care” on the grounds that without such procedures men may become depressed or abuse alcohol or other substances, and that such men have a state-protected right to avoid being mocked or socially ostracized for their appearance. Males must declare a “transgender identity” to receive coverage.
From the Boston Herald:
Four months after the state Division of Insurance put health plans on notice that denying medically necessary treatment to transgender people is prohibited sex discrimination, insurers are still grappling with what constitutes medical necessity, and patients are struggling to find doctors who’ll treat them.
“We were concerned people were having to go all over the country for this surgery,” Dr. Joel Rubenstein of Harvard Pilgrim Health Care said yesterday at a Division of Insurance informational session. “We’re hopeful somebody would step up to put together the surgical piece so it could all be in one place.”
On the other hand, he said, Harvard Pilgrim does not want to approve procedures such as facial feminization for transgender people if those procedures would be considered merely cosmetic for other people.
But Ruben Hopwood of Fenway Health said facial feminization is not about wanting a “cuter nose.” A transgender person’s appearance is more likely to be the difference between getting a job or not getting one, and walking down the street unafraid or being attacked, Hopwood said.
Getting the proper treatment also can save money that might otherwise be spent on treatment for alcohol or substance abuse or depression, said Pam Klein, a nurse at Boston Health Care for the Homeless.
[bolding by me-GM]
October 26, 2014
Look at this prick. When you hear about the “transwomen” demanding entry into women’s colleges, this is what they are talking about:
October 24, 2014
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October 22, 2014
From a reader:
I just wanted to make you aware of something that is going on a lot in the various trans communities on reddit: they are falling all over themselves encouraging underage kids to order and take puberty blockers/hormones without doctor supervision and without their parents knowing.
“Just do your best to get a job, or ask your parents for allowance and order meds online. You probably can’t buy much with the amount a 14 year old would make, but it’s better than nothing, since you’re that upset about it.”
A fourteen year old kid (same kid that is featured here btw: http://bbrightstar.tumblr.com/post/98511520156/thirdwaytrans-atranspaige-does-anyone), is encouraged to get puberty blockers without his parents knowing about it.
In this post, commenters tell the kid that “puberty blockers have no side effects” (http://www.reddit.com/r/asktransgender/comments/2jitun/im_not_allowed_to_transition_even_socially_im/clchmu1)
They also tell him to “Just DIY secretly. Make friends with a transgender who lives near your area and ask them to help you get hormones.” (http://www.reddit.com/r/asktransgender/comments/2jitun/im_not_allowed_to_transition_even_socially_im/clcacyk)
Telling 14 year old kids to befriend random adults for favors is absolutely appaling.
And lastly: yesterday, that same kid made a post titled “What’s the safest way to DIY hormones(mtf, age 14)” (http://www.reddit.com/r/asktransgender/comments/2jx9hm/whats_the_safest_way_to_diy_hormonesmtf_age_14/)
And again, the posters are being very “helpful”, telling the kid to go ahead and import presciption drugs illegaly and behind the backs of his parents. Some posters tell him that it is dangerous, but they are downvoted. The kid also explicitly says that his pediatrician has advised against blockers and hormone treatment, but that is apparently not relevant to the good posters at r/asktransgender.
I’ve read a lot of this kids’ posts, and not surprisingly his parents are extremely rigid enforcers of gender stereotypes. He’s not allowed to grow out his hair or paint his nails.
October 20, 2014
Excerpted from here: http://www.pdxqcenter.org/q-center-statement-to-our-community/
“I rarely talk about what my transition means to me personally, and that’s because the times I have, the trans people I’ve talked to have gotten very upset even though I’m only talking about myself. Not about anyone else.
I can’t view myself as having always been a woman. Not can I view myself as being female now that I’ve transitioned. This isn’t about internalized transphobia. This is about me being proud of and accepting my past and who I am.
Before I even knew I was going to transition, I always knew I was attracted to men. I was very closeted through my teenage years, but I knew. When I finally came out the first time to my friends as gay, I swore to myself I would never be ashamed of who I was again. To say that I’ve always been a woman, more than that that I’m a straight woman, feels too much like hiding who I was. I refuse to hide or be ashamed of my past.
Because so much of my life is the story of a young gay boy struggling with acceptance, my life only makes sense to me when viewed as being male. Even since transitioning, my life still only makes sense when people know that. I can’t talk about my journey to deciding to transition without that fact. Since the moment I was declared male before I was even born, my life has been shaped by that. For 25 years it was shaped by that. Nowadays people see me as a woman, but it’s still being shaped by that.
Beyond just that, accepting that I have a male body has helped me come to terms with so much. It has allowed me to accept the things that are impossible to change while focusing only on what can be. I don’t want to spend my life hating myself for having too wide shoulders, or big hands, or a large head. Those things are just signs that I’m male and that’s ok. I couldn’t reach this point of personal self acceptance and love when I was trying to view myself as just like other women. I don’t feel I ever would have been able to either.
Yet even though this viewpoint has given me soo much strength to live, I’m afraid to talk about it because I don’t know how someone in the trans or queer community is going to react. I don’t know if they’re one of the many people who have hated me online for viewing myself differently than they view themselves.
When there are trans people online who will insult and try to ostracize people like me for speaking about only how we view ourselves, I can understand how anger has guided them to where their views on other trans people are. I would never detransition, transition has brought me too much joy, but other trans people have told me to detransition because they don’t want someone who sees themself as male while still being a trans woman. I’ve been called a terf sock puppet, a house tranny, told to kill myself, and had trans people purposely trigger my dysphoria just for saying that I found personal acceptance and a way to hold both those thoughts at the same time.
So I thank the q center for allowing these women to speak. Cause honestly until i heard about this, I’d accepted that this wasn’t something that i could ever tell other trans people again.
I didn’t know about new narratives when it happened, but if I did I would have gone. This is the first time I’ve heard of other trans women who understand my point of view. Judging by a number of the conversations I’ve seen online about this the past couple days, I’m not alone either. And it feels good to know there’s people in my community who can understand the personal journey I’ve been through.”
Read the Q Center Statement and more responses by following the above link.
Read more about New Narratives here: http://newnarratives2014.wordpress.com/