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 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.
September 8, 2014
In the UK, Children as young as three years of age are now being admitted to state medical clinics for “corrective treatment” of sex-role noncompliance, with the aim of upholding social norms of gender and to prevent the development of “visibly transgendered” adults. Such treatments involve administration of drugs which halt normal child development (“Puberty Blockers”) followed by the lifetime administration of cross-sex hormones, resulting in sterilization. In the US, the first federally-funded state eugenics program in over thirty years will be launched in Oregon on October 1, 2014, specifically targeting pre-pubertal children deemed by parents and providers to be “transgender”. Surgeons now routinely perform complete “Sexual Reassignment Surgeries”: removing the genitals and reproductive systems of children as young as sixteen.
The following are excerpts from an interview featured in this month’s issue of LGBT Health Journal, discussing the “Current Practice and Future Possibilities” of sterilized transgender children:
“Dr. Eyler: So there are treatments for trans adults who want to become parents. Would the two of you like to discuss the needs of transgender youth, particularly children who may not complete pubertal development in the natal sex, and possibilities for future fertility for them?
Dr. Pang: My experience has been only with postpubertal individuals. The youngest transgender person whom I have treated was 22 years old, so I do not have any experience with children who are either early postpubertal or prepubertal. I think that more transgender young people are becoming interested in potentially being parents. Last year, I was contacted by the mother of a transgender teenager, a 15-year-old transgender son. Her son is interested in fertility preservation; they had questions so I explained to them what it would involve. The technologies that I have to offer are useful only for postpubertal youth, such as someone his age, but I am sure that you, Anderson, might have ideas about how to help prepubertal children.
Dr. Clark: In the trans community, more and more trans youth are being treated at younger ages, such as at Dr. Norman Spack’s clinic at Children’s Hospital in Boston. Some gender variant children are treated with puberty suspending medications, GnRH analogs, similar to the treatment of children who are experiencing precocious puberty. This keeps them from going through the full puberty of the birth sex, spares them from developing secondary sex characteristics that are misaligned with their psychological gender, and gives them some time to mature.
Dr. Eyler: Cognitively and emotionally.
Dr. Clark: Yes, to be able to decide, when they get older, whether they want to medically transition. Some gender variant children are not actually transsexual or transgender as such, and will eventually decide to stop treatment and experience the puberty of the birth sex. Others, with the support of their parents and clinical team, find that they need cross-sex hormone treatments to proceed with the puberty that is aligned with their gender.
The Endocrine Society Guidelines1 support puberty-suppressing treatment beginning as early as Tanner (sexual maturity rating) stage 2, so this can precede significant hormonal and sexual development. Some adolescents, therefore, don’t develop the ability to produce viable gametes (eggs and sperm). Adolescent trans girls may lose fertility from estrogen treatment, even if they developed the ability to produce sperm before this was started. When they reach the age of majority, trans youth may also proceed with gender-affirming surgery that includes removal of the gonads.
For children and young adolescents, it is often the parents who are thinking about future reproductive capacity, because they would like the possibility of grandchildren, and because they are looking after the future interests of their children. When I speak at community conferences, they often come to ask about reproductive options for their children.
Dr. Eyler: Yes, and as a biologist, you are prepared to discuss the significance of the gametes not maturing and what future reproduction might involve.
Dr. Clark: Yes. The most applicable research has been performed on behalf of children who are treated for cancer and are rendered infertile. The Society for the Preservation of Fertility focuses on the needs of both postpubertal and prepubertal youth who may experience sterility from cancer treatments.
August 22, 2014
Denver State Women’s Wellness Center now to offer cervical cancer screenings to men who feel like they are female
April 3, 2014
“DENVER — A state-run women’s wellness program now provides breast and cervical cancer screenings for transgender women, announced the Colorado Department of Public Health and Environment Wednesday.”
UK “Transgender Chicken Circuit” pre-teen Leo Waddell denied puberty blockers: Doc says long term effects unknown
September 10, 2013
12 year old Leo (formerly Lily) Waddell’s hopes were put on hold last week in her bid to become one of the rarest of breeds: a marketable female “transgender child”. Leo and her hairdresser mother Hayley have been making the rounds in the UK this year publicizing the child’s transgenderism and her participation in another rare breed: an experimental program of chemical castration for gender nonconforming children using “puberty blockers”.
Why, what’s so rare about that, the reader asks? Dutch clinics do this, Australian clinics. In the US there are such clinics in Boston and Los Angeles and Chicago and at least a dozen other places. In the US there are doctors like Dr. Michelle Forcier in Rhode Island who will even wave all psychological evaluation for these kids, and surgeons like Dr. Beverly Fischer who perform “sex-change” surgery on children as young as twelve. Administering chemical castration to gender nonconforming children is a gosh-darn bonafide medical trend, a tsunami, the reader exclaims!
Well, here’s the difference. It’s all in the word “experimental”. For something to be experimental, data has to be collected about the subject. Unlike all those other clinics who are administering drugs to stop the growth of children’s sex organs the one in the UK, -funded by the National Health Service- claims to be actually keeping records of the experiments they are doing on children. None of the other physicians administering these off-label unapproved drugs have bothered. Dr. Marvin Belzer who oversees the pediatric transgender clinic at Children’s Hospital of Los Angeles says he was “too busy treating” the children and “never had the time to do the research”. None of the children who have been subjected to these treatments have been followed into adulthood, nor the results of such treatments tracked, even though they have been going on for nearly two decades. No follow-up data of any kind, physiological or psychological, has ever been collected.
The problem with medical data collection and oversight is that it tends to introduce accountability: the dreaded paper trail. Which is what inconvenienced our twelve-year-old friend Leo last week when her mother approached her family doctor to administer the experimental pre-pubertal chemical castration injections. Her physician performed due diligence and researched the medication. What she found is that the long-term effects of puberty blockers have never been studied. The manufacturers of the medication warn that the long-term effect on children is unknown. Side effects can be profound, disabling, and irreversible. Transgender activist and Philadelphia Trans Health 2012 keynote speaker Ryan Cassata reports becoming so violently ill on the medication that she was forced to abandon “treatment”. Leo’s doctor reached the reasonable clinical conclusion based on this information and protected the health of her patient by not administering the medication. Leo and her mother went to the news media. To the Mirror. To the Mail. To the daytime TV talk circuit.
From the Mirror:
Leo, who underwent extensive psychological and hormone tests before being prescribed the medication, would have been one of the youngest in the UK to receive the drug. But his family doctor refused to give him the injections because she did not know how they would affect Leo in later years.
Leo from Lowestoft, Suffolk, said: “I’m devastated. This was the one thing that would’ve made a massive difference to me and it’s been taken away.”
Mum Hayley, 48, also slammed the GP’s refusal. She said: “We asked why and she said because she didn’t know anything about the long-term effects.
“But that’s why they’re researching it. Leo has a disorder, and needs treatment. He’s been showing signs of puberty for a while now and it’s upsetting for him. He needs to have treatment.”
Hayley is now approaching other surgeries in the hope of finding one to give Leo the monthly injections.
The Sunday Mirror revealed earlier this year how Leo was to take part in the study by University College London Hospital and the specialist Tavistock and Portman clinic in West London.
In a statement, Leo’s GP Dr Jennie Morrison said: “I have had no previous experience of administering this specialist medication to young people and have already sought advice from my prescribing authority.
“Any clinical decision I make always gives consideration to every aspect of the patient’s wellbeing. My priority has always been, and continues to be, the welfare of the patient.”
The Tavistock and Portman clinic said: “We respect different views, which have at their heart a concern for the long-term welfare of young people.”
You may or may not have noticed that although females comprise the majority of children being administered off-use maturity-stopping puberty blockers, the females themselves hold little celebrity cache on what transsexual BenGirl blogger Elizabeth calls “the Transgender Chicken Circuit”. Marketable “transgender children” are almost solely male. Female (F2T) representation seems to dilute the popular narrative. Jazz, Coy Mathis, Nicole Maines, “My Princess Boy” : all male. Girls who want to wear pants and have adventures and avoid being raped are a dime a dozen and they are not a marketable commodity.
The “Transgender Chicken Circuit”, for the uninformed, is a patchwork of media appearances, news and feature articles, talk shows, documentaries, convention and seminar appearances that savvy parents can weave together into a modest cottage industry of transgender child celebrity. Think of it as a Munchausen-marinated transgender version of “Toddlers and Tiaras” whose fans are aging cross-dressing male autogynephiles in possession of both a wistful longing for an unexperienced girlhood, and a generous disposable income. These men are the funders of the agencies and lobbying groups promoting the medicalization of childhood gender nonconformity. The best known example is billionaire financeer and lifelong closeted crossdresser (and father of three) James “Jennifer Natalya” Pritzker whose Tawani Foundation single-handedly funds the experimental pediatric transgender drug clinic at Children’s Hospital of Chicago.
There is a disturbing element of pedophilia exhibited by many “fans” of the “Transgender Chicken Circuit,” as evidenced by plentiful transgender adult male YouTube channels featuring dozens of videos of these children, creepy-ass fetishized “fan sites”, and expensive glossy coffee table photography books of the sort that would get Calvin Klein into trouble. Add the transgender pornography sites which track the children’s “progress” and it’s pretty clear that sexualizing these children is a large part of their marketability.
Leo is due to star in an upcoming documentary funded by her mother Hayley under the “MyGenderation” imprimatur owned by transgender reality show “star” Raphael Fox . The pre-teen disturbingly brands herself as “Leo Sexy Waddell” on her Facebook page.
Beyond the overt pedophilia, and the marketing of a fetishized version of “girlhood” to adult male fantasists, the transgender movement “needs” to create transgender children (as activist Autumn Sandeen has explained) to “take the sex out” of the transgender equation whose most dominant practitioners are adult male sexual fetishists. But perhaps the most important reason to impose transgender labels onto children is to publicize a “born this way” narrative like the one the gay liberation movement used to pacify critics.
The transgender politic supports, celebrates and covets sex-based social stereotypes, a value undermined by their own sex being in opposition to the role they wish to occupy. The only solution to this dissonance is to frame sex-based social stereotypes as innate but reproductive sex itself as malleable. Transgender activists forward the pseudoscience of “brain sex” to posit sex stereotypes as inborn and have tried to co-opt the experiences of child victims of reproductive birth anomalies (“intersex”) to destabilize the concept of human reproductive dimorphism. Intersex activists invented terms like “assigned male at birth” to discuss the medical procedures performed on them as infants. The transgender movement colonized the experiences of intersex children and adopted these terms for themselves, insisting that having ones gonads surgically altered or mutilated in infancy is the identical experience that every healthy child goes through every time their reproductive sex is identified.
Intersex activists have for decades resisted attempts by the transgender movement to use the experiences of children born with disorders of sexual development as correlative evidence of an inborn defect causing certain men to experience sexual excitement by inhabiting a female sexual “object” or “form”. Harry Benjamin, the “father of transsexualism” claimed that transvestitism, transsexuality, and homosexuality all result from unidentified developmental disorders of the reproductive system (Of course, he also believed irradiating women’s sex organs would “rejuvinate” them, among other things.) Intersex advocates have been forced to withdraw from and disband their own organizations, even cease using the word “intersex” in order to prevent their programs from being colonized by the transgender movement’s bid for “born this way” legitimacy. They ultimately succeeded (mostly) in divorcing themselves from trans rhetoric due to the fact that their movement goals are increasingly in opposition to that of the trans politic. The intersex/DSD movement lobbies AGAINST nonessential medical treatment on children designed to cosmetically “normalize” their gender before the age of consent. Their philosophy OPPOSES the very concept of “congruity” between cosmetic biological sex morphology and social gender role that is the core value of the transgender movement. This year the DSD movement saw the United Nations declare that medicalization to promote gender “congruity” is a human rights crime against children. Last month a ruling in the US opened the door for cases involving the medical treatment of sex/gender incongruity in children to be tried on the basis that such treatments infringe the constitutional rights of a dependent population. Which is exactly opposite to the aims of the transgender politic.
With the failure of the transgender movement to destabilize reproductive dimorphism in the public sphere by relating their experiences to the experiences of children with DSD the trans lobby attached themselves to the very same population the gay movement had used to gain “born this way” legitimacy: lesbian and gay children. Sixty years of research shows that the largest demographic of transgenders- heterosexual men- are in no way gender-nonconforming as children. Gay kids are. You won’t see adorable pictures of these heterosexual transgender men as toddlers wearing tiaras and being fabulous. Their “gender identity” started at puberty with an erection while wearing mother’s panties. Such men have little interest in the concerns of girls like Leo but they will use them to promote the “Born This Way” meme when they can.