Transgender Inclusive Healthcare : A Hot Debate Topic Over The Last Couple Of Years Essay

Scholars have been critical of the medical establishment’s and state’s involvement in constructing and policing of transgender identity. These kinds of pressing issues have occupied the small existing literature. There is not much information and studying what is being done on transgender in traditional areas, family studies research, such as their dating behavior and formation of intimate relationships in adulthood. There is little research on the issues around being parents, their children’s experiences with having transgendered parents, as well as relationships in the family as a whole, and relationships in work and school.

Regarding access to healthcare, transgender individuals often face the most obstructive barriers when attempting to receive care. Whether they are seeking access to hormones, therapy, general health services, reproductive healthcare, or specialty healthcare, transgender patients typically cannot get what they need without jumping through many hoops or hiding their identities. This occurs especially so in cases of intersecting identities -- where an individual is not just transgender, but is transgender and a person of color, disabled, gay, indigenous, undocumented, poor, etc. These intersecting identities interact in multifaceted ways to produce even more barriers for trans individuals seeking healthcare due to healthcare provider bias, insurance requirements, and doctors’ general unwillingness to help coupled with inaccessibility founded on racism, transphobia, homophobia, mental illness stigmatization, etc.

Topics concerning transgender can be very overwhelming for some. When one thinks of the term transgender, one may think of the process of an individual identifying as the opposite sex. The opposite sex of what he or she was born as. For some, this may involve undergoing surgical procedures or taken hormonal medications to fulfill their desire. However, when thinking of this process, one automatically thinks of transgender adults. This is rarely a topic that one would assume would be racing through the minds of young children, but in fact it is. More children today than ever, are either speaking out about their identity concerns, or displaying it in their lives. In fact, according to Date Line NBC, “The handful of American doctors who specialize

The transgender population often have complicated medical needs and encounter numerous health disparities including discrimination, lack of access to quality health care and social stigma. Some health disparities include various chronic diseases, cancers, as well as mental health issues (Vanderbilt University, 2017). Transgender individuals are at increased risk of HIV infection with their rates being reported “over four times the national average of HIV infection, with higher rates among transgender people of color (Grant, Mottet, Tanis, 2011).” In addition, they usually do not have health insurance (Makadon, 2017) and have a lower probability of preventative cancer screenings in transgender men (AMSA, 2017).

With the establishment of these gender identity clinics, and the financial backing of philanthropist Reed Erickson, a transsexual man, the health care needs of transsexual people gained increased attention and support. Despite this new attention, the clinics used Benjamin’s model of “true” transsexuals. This differentiation between “true” transsexuals and other gender variants became a serious and highly important diagnostic decision as gender affirming surgeries were irreversible. This resulted in many transsexual individuals to be denied access to hormones and surgery. Specifically, transsexual men encountered difficulties, as transsexuality was primarily seen as a male-to-female only transition. In fact, during the late 1960s the United States leading UCLA Gender Identity Research Clinic debated whether trans men should be considered transsexuals. Many trans men themselves did not label themselves as transsexuals as they only knew about other transsexual women (Meyerowitz, 2002; Beemyn, 2014).

In “Intro-How Sex Changed: A History of Transsexuality in the United States,” Joanne Meyerowitz writes about the beginnings of transsexuality. She beings the article by defining cross-gender identification, as “the sense of being the other sex, and the desire to live as the other sex” (Meyerowitz 432), while transsexuality, “being the quest to transform the bodily characteristics of sex via hormones and surgery” (Meyerowitz 432). According to Meyerowitz, transsexuality began in the early 20th century. Experiments on changing sex, began in europe on animals. Then in 1920, on humans. Joanne Meyerowitz writes that “the debate on the visibility and mutability of sex” began after Christine Jorgensen, an american who went to Denmark to get a sex change in 1950, became a media sensation in America. While professionals were figuring this out, people “who identified as transsexuals, transvestites, lesbians, and gay men” (Meyerowitz 433) were having the conversation and creating the language within themselves. This conversation on sex change, occurred alongside the sexual revolution in the 60’s, opening “the movement of the organizing of programs, clinics, conferences, and associations to promote study of and treatment for transsexuals” (Meyerowitz 434).

In the article “America’s Transition” Steinmetz reports that George traveled to Denmark to begin his transition to a woman named Christine Jorgensen (40). In the 1950s the transition from male-to-female was very rare. The subject of transition from an assigned sex at birth to the opposite was taboo. After Christine’s story was published in the New York Daily News and Time, American society began to question the definition of gender and why George was now Christine. Deceptively like today, as Time magazine mentions, “history is filled with people who did not fit society’s definition or gender (40).” Media talks about transgender, and it seems new, but it is not. Transgender is not something that just occurred today and had never been heard of before. This subject is just now coming out into the open more often than usual. In parallel to the “coming out” from transition, society is not far from the 1950’s because there is still stereotypes and discrimination against the transgender

When people want to be theirself, doesn 't everyone deserve that chance at that much freedom? According to the national LGBTQ Task Force transgender people are not that lucky when it comes to the demographics of social media. On CNN website there 's an article that discusses how transgender people are twice as likely to be unemployed and four times more likely to live in poverty compared with the general population and these disparities are much greater for transgender black and latina woman said Emanuela Grinberg writer for CNN.

Discussion of issues related to non-normative sexual and gender identities as related to mental health began in the 19th century (Drescher, 2010). Initially medical and psychiatric providers viewed issues related to gender identity as resulting from delusional thought processes (Drescher, 2010). As a result the concept of surgery as a solution to gender identity differences was viewed as unnecessary and ultimately an incorrect form of treatment (Drescher, 2010). In 1952 the first gender reassignment surgery was performed in Denmark on an American citizen (Drescher, 2010). The publicity in the American media that followed this surgery brought the concept of gender identity to the public eye. During the 1960s research about gender identity started to develop and it was the work of Money, Stoller, Benjamin, and Green that ultimately change professional and public concept of Gender Identity (Drescher, 2010). These four individuals were among the first to conduct clinical and academic research on gender identity and gender roles (Drescher, 2010). As a result of their research beliefs about non-normative gender identity shifted from a problem of the mind to a biological disorder that was fixed and should be treated with

While things like marriage and anti-discrimination laws have made it safer and more accepting in the mainstream for lesbian, gay, and bisexual people, the transgender community remains largely unchanged by these things. One area in particular has remained almost completely stagnant since the 1980s, medicine. Most medical professionals willing to aid transgender individuals in Hormone Replacement Therapy (HRT) and Sexual Reassignment Surgery (SRS) operate under the gatekeeper model. The gatekeeper model is loosely defined as the practice where any combination of doctors, therapists, and psychiatrists take the majority of responsibility for the diagnosing and, “treatment,” of a transgender person seeking either HRT or SRS. Under this model nearly sole responsibility falls to that group of professionals, and because of that many problems in terms of proper diagnosis, ethics, and safety have sprung up. More recently a very small amount doctors have been operating under a new model. This model, called informed consent, allows the transgender individual to take some responsibility for their treatment, and in a lot of cases subvert the massive amount of unreasonable hoops and rules the gatekeeper model has. The informed consent model of treatment for transgender individuals is the superior model by far in terms of diagnosis, safety, and ethical treatment.

Sexual and social stigmas largely affect the health of the lesbian, gay, bisexual and transgender (LGBT) population. While many reports from the Institute of Medicine, Healthy People 2020 and the Agency for Healthcare Research and Quality recognize a need to improve the quality of health care, barriers still remain. LGBT patients face legal discrimination, especially with insurance, a lack of social programs, and limited access to providers competent in LGBT health care. Although the Affordable Care Act increased access to care for LGBT patients, unless these patients feel understood by providers and develop trust in the system, they are not likely to utilize care. Healthcare providers need to recognize how these vulnerabilities, as well as persistent racism and stigma linked to sexual orientation and gender identity, make the healthcare needs of LGBT patients more challenging than the general population. Healthcare providers also need to promote cultural competence within this population and broaden their clinical lens to include health promotion, in addition to addressing concerns mentioned above within the population. Additionally, medical and nursing schools need to ensure that future providers are adequately educated by including information about this population in the curriculum.

In the mid-twentieth century, Christine Jorgenson became the first publicly known American trans woman to undergo sex reassignment surgery. Christine initially referred to herself as a “homosexual with a large amount of femininity”, before she knew the language for what she actually was (Meyerowitz, p. 59). She claimed that she needed desperately to live as a woman and later claimed that her “condition” was “an error of nature” (Meyerowitz, p. 61). She was initially sent to a psychiatrist

Coming out as a transgender, identifying with a gender expression that differs from the assigned sex, has proven to be quite difficult through the ages. While the acceptance of transgender people has grown significantly higher throughout the years, people’s stance on them are still quite divided, and the uphill battle for transgender rights has proven this. Just giving transgenders the right to simply go to the bathroom they identify with has shown to be controversial according to the TIME cover Battle of the Bathroom. The TIME magazine makes sure to note the problem defiantly “far more than public facilities” (Scherer par. 9). Transgender rights are a problem that Jamison Green, president for World Professional Association for Transgender Health, thoroughly addresses in a report written by Alan Greenblatt for CQ Researcher. Jamison Green’s specific purpose in that report is to justify why transgender people deserve basic human rights like everybody else, as shown in society, through his use of facts, qualifiers, figurative language, counterarguments, and appeals to logic and values.

US Army veteran and Bronx native Christine Jorgensen was the first well-known public figure to undergo gender reassignment surgery in 1951. She used her influence as a public figurehead, along with her trademark charm and witticism to help advocate transgender acceptance across the nation.

The social issue that I chose which affects society today is transgender inequality. These issues are more recently gaining attention and becoming a prevalent topic of inequality within our country. A transgender person is someone whose gender identity, gender expression or behavior does not conform to that typically associated with the sex to which they were assigned at birth. As more and more transgender people share their stories in the media, the social problems that arise from these stories are discrimination within their everyday lives. They suffer from scrutiny and judgment from their peers, and thus many hide their gender identity from family and society. This social injustice can be as simple as a glance or staring, or offensive comments and questions to violent hate crimes. Transgender people are prone to violence and harassment, and often not feeling safe in any aspect of society. They are fired from jobs, denied medical insurance, and being murdered left and right solely for being transgender. “A staggering 41% of respondents reported attempting suicide compared to 1.6% of the general population, with rates rising for those who lost a job due to bias (55%), were harassed/bullied in school (51%), had low household income, or were the victim of physical assault (61%) or sexual assault (64%)” (National Center for Transgender Equality). The structure of this paper will consist of adding all the research that was gathered over the semester, news articles and peer