Transgender Rights

Recently some questions were asked. Some of these questions were:

A common theme is that if everyone were stealth, then Trans rights would never progress.

Do you agree?

What are examples of Trans rights? Are they special rights for people born Trans?

What does stealth look like to you?

Is stealth possible in 2014 for an adult transitioner?

I did not attempt to answer all of those, just the ones that most interested me. My answer is below.

Trans rights are confirmation of rights that should be accorded to trans people but often are not. As I have explained elsewhere, as explained to me by a lawyer, in the United States, unless a law explicitly covers a group, then that group is not protected.

Case in point – ENDA. Over 80% of Americans believe that discriminating on the basis of gender identity is already illegal because discriminating based on sex is illegal. But it’s not illegal because it doesn’t work that way. So firing you because you are trans is completely legal today in most states because we are not explicitly protected.

Another case in point – Rick Perry, when he found out that a transwoman could remain in her existing marriage, that a transwoman could also with identifying documents marry a man, got a bit upset. He said he thought a transwoman shouldn’t be allowed to marry anyone. And he and Greg Abbott, the Texas state attorney general, have been hoping for a legal ruling in the Nikki Arraguz Lloyd case that would support them doing exactly that. Unfortunately for them, the appeals court just ruled completely in Nikki’s favor. I expect the Texas Supreme Court to overturn that ruling, thus forcing the question to the SCOTUS since, at its core, it is a 14th amendment issue.

Likewise, trans people can be denied housing because the existing laws do not explicitly rule out such discrimination. Same for medical services. Because they are trans. And because of these completely unfair forms of discrimination, trans people fall into poverty four times as often as the general population. Trans people have suicide attempt rates of 41% versus 1.5% for the general population. And study after study shows this is not because trans people are trans but because of the social distress caused by this sort of discrimination and poor treatment.

There is a reason the AMA considers this a medical condition. There is a reason the AMA supports insurance coverage for trans health care. And no, it’s not due to any sort of political correctness. It’s due to the science. It’s due to science that confirms that transition, as a treatment for those with severe GID is the most effective treatment available. Trans haters like to point to post transition suicide attempt rates of 4.5% – 200% higher than the general population. But they don’t want to mention pre-transition 41% suicide attempt rates. As one psychiatrist said, when you can reduce suicide attempts by 90%, that’s a good treatment.

Let’s circle back to trans rights. Trans rights are human rights. They are explicit laws that formally codify that trans people should not be discriminated against just because of an accident of birth, just like discrimination based on sex,

Then you have the “religious freedom” nonsense. Those people want to codify their “right” to discriminate against you as trans using the excuse of their religious beliefs.

So there are legitimate issues and reasons to fight for what we call trans rights. How do we do that?

Let’s look at other civil rights movements. Blacks began to make progress when they stopped waiting for whites to eventually “come around” and instead became active and visible. Part of that visibility came via major media. For example, as Martin Luther King noted, Nichelle Nichols, in Star Trek, was one of the first positive black role models on television. He even convinced her to stick with the show and the role, both because he liked her work as an actress and because he wanted to convey to her the importance of being visible to other black youth. Black visibility led to changes.

Likewise, we began to finally see significant changes in public attitudes towards GLB people when those people began to be more visible, especially in entertainment media, and not cast as sociopaths, criminals, addicts, etc. Gay celebrities, athletes, newscasters… all these things began to shift the public opinion to where today, those supporting gay rights now are in the majority. And the younger generations are overwhelmingly in favor of gay rights, again, at least in part, because of positive visibility and role models.

That brings us to the visibility question about trans folk. Some people argue everyone should be visible. I disagree. It’s a highly personal decision that must be weighed by each individual, their own mental health taken into consideration, as well as an honest evaluation of the likely pressures associated with trying to be a positive public role model. So no, not everyone should be “out and proud”. It’s stressful because trans rights are still widely ignored, because the haters are very real, because violence and discrimination against trans people can happen quite often, particularly if you are a public trans figure. An acquaintance recently made the choice to retreat from public visibility to some degree. That’s exactly why this needs to be a personal choice and why I disagree with the “everyone out and proud” assumptions.

Yet at the same time it is important to note that somebody needs to step up and become that public face. Sometimes it happens accidentally. Sometimes deliberately. But we need those positive trans role models so society can get past its hangups about trans people. No, not everyone needs to do this but we do need visibility. And everyone can help, even if they are stealth, by donating to trans organizations. No, it doesn’t have to be a lobbying organization or a politically active organization. You can donate to shelters for trans folk, particularly for trans youth. Donating doesn’t out you. It just says you’re a supporter and you can donate anonymously too. Often your local trans support group can accept donations. That’s one way to help right there.

In the end, progress has to be pushed. I do not believe progress just happens, all by itself. Neither did Martin Luther King.

 

 

Second E3000 Session Results

As promised, I am visually documenting my progress with E3000. I forgot to take an immediate pre-session before photo so I grabbed one at the 1.5 hour break mark. By that time the upper lip was largely cleared and work had also begun on the lower right side of the chin but it still conveys the amount of facial hair which was about the same as session one. I was told not to expect significant decrease in facial hair overall until we’ve completed at least four sessions but I will remark that there were more small “bald” spots on my face this time meaning less overall hair total.

E3000_session2_before_after_resized

 

The above were taken February 13th, 2014, in Dallas. The before photo was about 1.5 hours into the session and the after photo was immediately upon arrival back at my hotel around 5pm.

Second E3000 Session This Week!

My second E3000 session will be later this week. I’ll be sure to take some before and after photos and try this time to get an immediate after photo to show the usual swelling as a reference.

I got a very nice PM from one of my daughter-in-laws. She’s so very sweet. I really wish I could see my new grandson but I know that will never happen. It’s something I have to move past. But I am thankful that she at least acknowledged me this once.

I’m going to be going to Memphis, Tennessee in March to see a very very dear friend and hopefully a second who may be coming down from Madison, Wisconsin that same week. I’m excited!

The ethinyl estradiol continues to work and better than the prior estrogen form I was taking. I’m finally noticing more feminization occurring so this is a good thing!

A friend of mine finally joined Facebook. I hope I can make her presence there more comfortable.

Life proceeds apace. I’m gathering materials to have handy for my coming out to HR and management in early March.

Small steps, baby steps, but onward I go.

 

I hit a nerve, didn’t I?

Because that’s all some of these people have – is raw nerves.

I never said that I supported Michelle Kosilek. I never said that I was happy that this lawsuit was filed. I never asked for such to be filed. But it’s there and we cannot ignore it.

What one particular voice wants to ignore is that if the state decides that GCS is medically not necessary, then you can bet that every insurer in that state and in any state where that precedent can be used (which is likely to be many because of the nature of the federal court system) will use that decision as a basis for claiming that transgender health care should be excluded from coverage.

Yes, yes, some companies negotiate to cover that now. But open heart surgery isn’t a negotiated item. It’s required, because it can be medically necessary. The reason that we have this entire patchwork mess was because back in the 1980s, certain other shrill voices managed to convince the Reagan administration that GCS was not a medically necessary procedure, and even to call it “experimental” despite the fact that it had been in use successfully to treat GID since the 1930s.

For the federal courts to agree that it is a medically necessary procedure provides reference and precedent when reviewing the status of Medicaid coverage of GCS, which just so happens to be under review this year. And if Medicaid says it is medically necessary, most insurers rapidly fall in line and agree with the federal government. This has happened on all other manner of health care before – a federal decision which prompted the health insurance industry to stop treating something as optional. So your assumption  that this decision can’t be relevant elsewhere flies in the face of things I’ve been directly told by people with legal training.

I’ve not cheered on Michelle Kosilek. I’m not carrying any torch for her, despite your misguided attempts to paint me in that light.

As for your fear of answering those who questioned, you answer them honestly. Every single prisoner under the care of the state is entitled to medically necessary care. Even Charles Manson. That doesn’t mean anyone “supports” these people. That’s an absurd attempt to twist this into an emotional argument so you can maintain your faux moral outrage about this case.

You claim that I am supporting this when I never said any such thing. What I am saying and will continue to say is this decision is pure black and white due process. If the doctor’s diagnosis is medically necessary, then the state has no choice, no matter how much you, I, or your neighbor may dislike it.

Unless, of course, Jennifer, you want to amend the constitution to permit cruel and unusual punishment? Because that’s the alternative here. Deny medically necessary treatment, an act which is already deemed cruel and unusual punishment by prior US court cases, and which therefore violates the Eighth Amendment to the US Constitution.

You can’t have it both ways, Jennifer. I wish this case had never come before the courts. But it did. It’s here. And either the law has to be blind or we’re not a nation of laws.

It seems you no longer want to be governed by law but instead by moral outrage. Such a pity.

Faux Moral Outrage Among Shrill Transgender Harpies

A federal judge upheld the right of a transgender inmate to receive gender confirmation surgery at the expense of the state. As usual, a particular crowd of transgender voices arise at this “outrage”, about how the “community” brings “shame” upon ourselves because some of us supported this decision. Since I cannot post my unfettered thoughts elsewhere, where these harpies gather like shrill ravens shouting down anyone who disagrees with them, I’ll post my thoughts here. What follows is what I would have addressed to these irrational, illogical, constitutional defying shrill voices of faux moral outrage had I been allowed to say it where it should have been said.

Some of you seem to hold the notion that prison should be cruel and unusual punishment, despite a clear constitutional prohibition against the same.

Some of you seem to want to pick and choose what the government is allowed to call “medically necessary”.

Some of you seem to want to deny that the AMA and APA have stated that GCS can be “medically necessary” in specific cases.

Some of you seem to want to deny the long standing legal finding that anyone in prison is thus a ward of the state and the state is therefore mandatorily obligated to provide “medically necessary” health care, because the state has removed the opportunity for the individual to do so themselves.

Given the above, the decision of the judge follows in clear black and white logic.

Some of you seem to not give a damn about the US constitution, two hundred years of legal precedents, the advancement of modern medicine, and the formal recognition by the scientific community that being transgender is a medical condition.

Here’s a hint – if GCS is medically optional for this prisoner, it is medically optional for every single one of you too. If it is medically optional for this prisoner, and not covered, then it should legally not be covered for you either.

I don’t care of you like or dislike this human being. I certainly don’t. I think what she did was reprehensible. But you cannot play the selective game with medically necessary treatment without also establishing legal precedent that it is therefore selective for everyone else,  including you.

There is a word for the short-sighted thinking you present and that word is hypocrisy. I would suggest you reconsider the legal and logical ramifications of your short sighted position, but I know better than that. That’s simply impossible for those motivated by such hypocrisy. Your quasi-moral outrage appears to be more important to you than consistency of legal application of the law in light of the AMA’s position on transsexual surgical health care. Your faux moral outrage defies facts and logic before the law but you’d rather “feel good” about your faux moral outrage than have consistent and fair legal precedents.

And yet some of you wonder why we have so much trouble getting insurance coverage for GCS for the rest of us? Go look in the mirror. You are why so many of us have such trouble. YOU  are the problem! You! Because as soon as you argue that this procedure is not medically necessary for Michelle Kosilek, you have argued that it is not medically necessary for you either. If you, as a layman, call into question the diagnosis of medical professionals in one case, you have created the legal basis for a layman to question that diagnosis in every other case.

So the next time a trans brother or sister wonders aloud why getting coverage for GCS is such a legal mess, please have the courage to stand up and say, “Me! Me! I’m the one who screwed you over, for my faux moral outrage! You’re welcome!” But I’ll bet not one of you has the guts to stand up and take responsibility for what you represent. Not one.