Connect with us

National

Veterans Affairs to provide gender-confirmation surgery reversing 2013 ban

McDonough said that he pledged to overcome a “dark history” of discrimination and expand access to care for transgender veterans

Published

on

The new Orlando VA Medical Center at Lake Nona (Photo Credit: U.S. Department of Veterans Affairs )

ORLANDO – U.S. Department of Veterans Affairs Secretary Denis McDonough announced his Department is moving to provide gender-confirmation surgery through its health care coverage reversing a 2013 ban on those surgical procedures.

Speaking at a Pride Month event at the Orlando VA Healthcare System Saturday, McDonough said that he pledged to overcome a “dark history” of discrimination and take steps to expand access to care for transgender veterans.

With this commitment McDonough said he seeks to allow “transgender vets to go through the full gender confirmation process with VA by their side,” McDonough said. “We’re making these changes not only because they are the right thing to do, but because they can save lives,” he added.

The process to roll-back the restrictions may take upwards of two years. The federal rulemaking process, expected to begin this summer, will include a period for public comment, spokesman Terrence Hayes told The Washington Post on Saturday.

“This time will allow VA to develop capacity to meet the surgical needs that transgender veterans have called for and deserved for a long time,” McDonough said in his remarks. “and I am proud to begin the process of delivering it,” he added.

On February 8, 2013, the VA issued a directive that stated that the VA Healthcare System does not provide sex reassignment surgery. This directive sought to clarify a previous VA directive issued June 9, 2011, “Providing Healthcare for Transgender and Intersex Veterans,” which established the provision of hormone therapy, gender-related mental health counseling, and other transition-related services through the VA, as well as a mandate that the VA health system provides care “without discrimination and in a manner … consistent with the Veteran’s self-identified gender.”

“This directive, however, does not include coverage of surgical procedures although the VA does provide transgender veterans with pre- and postoperative care.”

The outcome was that the directive(s) effectively prevented transgender veterans from a surgery considered medically necessary by the World Professional Association for Transgender Health.

38 CFR § 17.38 Medical benefits package, is the specific federal code that makes provisions for veterans healthcare, which Section (b) clearly defines as; “Care referred to in the “medical benefits package” will be provided to individuals only if it is determined by appropriate health care professionals that the care is needed to promote, preserve, or restore the health of the individual and is in accord with generally accepted standards of medical practice.”

However, 38 CFR § 17.38 does limit care for transgender veteran’s stating: “(c) In addition to the care specifically excluded from the “medical benefits package” under paragraphs (a) and (b) of this section, the “medical benefits package” does not include the following: […] ‘(4) Gender alterations.'”

McDonough noted that changes “will require changing VA’s regulations and establishing policy that will ensure the equitable treatment and safety” of all transgender veterans.

“There are several steps to take, which will take time. But we are moving ahead, methodically, because we want this important change in policy to be implemented in a manner that has been thoroughly considered to ensure that the services made available to veterans meet VA’s rigorous standards for quality health care.”

In a study related to the 2011 and 2013 directives, the VA noted that research showed that the transgender population in general experiences severe physical and mental health disparities, compared to the cisgender population, including high rates of HIV, suicidality, depression, anxiety, and mental health-related hospitalization.

Studies have found that these disparities are even more glaring among transgender veterans. In a survey of transgender veterans and transgender active-duty service members, transgender veterans reported several mental health diagnoses, including depression (65%), anxiety (41%), PTSD (31%), and substance abuse (16%).  In a study examining VHA patient records from 2000 to 2011 (before the 2011 VHA directive), the rate of suicide-related events among veterans with a gender identity disorder (GID) diagnoses was found to be 20 times higher than that of the general VHA patient population.

McDonough acknowledged the VA research pointing out that in addition to psychological distress, trans veterans also may experience prejudice and stigma. About 80 percent of trans veterans have encountered a hurtful or rejecting experience in the military because of their gender identity.

“LGBTQ+ veterans experience mental illness and suicidal thoughts at far higher rates than those outside their community,” McDonough said. “But they are significantly less likely to seek routine care, largely because they fear discrimination.

“At VA, we’re doing everything in our power to show veterans of all sexual orientations and gender identities that they can talk openly, honestly and comfortably with their health care providers about any issues they may be experiencing,” he added.

All VA facilities have had a local LGBTQ Veteran Care Coordinator responsible for helping those veterans connect to available services since 2016.

“We’re making these changes not only because they are the right thing to do but because they can save lives,” McDonough said. He added that the VA would also change the name of the Veterans Health Administration’s LGBT health program to the LGBTQ+ Health Program to reflect greater inclusiveness.

Much of the push for better access to healthcare and for recognition of the trans community is a result of the polices of President Joe Biden, who reversed the ban on Trans military enacted under former President Trump, expanding protections for transgender students and revived anti-bias safeguards in health care for transgender Americans.

U. S. House Veterans’ Affairs Committee Chairman Mark Takano, D-CA, who is openly gay, issued a statement applauding McDonough’s actions.

“Veterans in need of gender confirmation surgery should not have to seek healthcare outside of the VA health system or navigate complicated processes to get the care they need,” Takano said. “VA must be inclusive of all veterans who have served, regardless of their identity.”

The Chairman of the Senate Veterans’ Affairs Committee, Jon Tester, D-MT also approved of the expansion of health care offerings for trans veterans.

“Every service member and veteran deserves equal access to quality care from VA, and this includes our LGBTQ+ veterans,” Tester said in a statement. “We must reaffirm our commitment to making VA a more welcoming place for everyone who fought to protect our freedoms.”

Gina Duncan, director of transgender equality for the statewide LGBTQ civil rights organization Equality Florida, told the Orlando Sentinel that her agency was “thrilled to have allies at the highest level of government” and noted the contrast with recent moves by the Florida Legislature and Gov. Ron DeSantis to limit transgender youth participation in school sports.

“In a moment of fierce state and local backlash against the transgender community, this move by the Biden Administration is a reminder that elections matter,” Duncan said. “Support for transgender veterans and the lifesaving healthcare they need to live authentically is a critical component to fulfilling our nation’s promise of caring for those who’ve served.”

U.S. Department of Veterans Affairs, Washington D.C. (Photo Credit: GSA U.S. Government)
Continue Reading
Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

Federal Government

Health care orgs ask Feds investigate trans healthcare threats

The groups also call on Twitter, TikTok and Meta-Facebook and Instagram, to do more to prevent coordinated campaigns of disinformation

Published

on

Robert F. Kennedy U.S. Dept. of Justice Building, Washington D.C. (Photo Credit: GSA/DoJ)

CHICAGO – In a letter sent Monday to U.S. Attorney General Merrick Garland, the American Medical Association joined with the American Academy of Pediatrics (AAP), and Children’s Hospital Association asking the Department of Justice investigate [the] increasing “threats of violence against physicians, hospitals and families of children for providing and seeking evidence-based gender-affirming care.”

The AAP and AMA collectively represent more than 270,000 physicians and medical students and CHA represents more than 220 children’s hospitals across the country. The groups wrote to Garland urging “swift action to investigate and prosecute all organizations, individuals, and entities responsible.”

The AMA letter highlighted one instance where a mother was prevented from seeing her newborn premature infant because the NICU was locked down due to a bomb threat. These attacks on children’s hospitals have effects on so many people who aren’t even involved in gender affirming care.

Attacks on American hospitals providing trans healthcare, especially those with clinics treating trans youth have been targeted by anti-Trans extremists led by the Daily Wire’s Matt Walsh and Brooklyn, New York-based Chaya Raichik, a former real estate agent whose ‘Libs of Tik-Tok’ have spread misinformation and lies about gender-affirming surgery which has fostered attacks on those healthcare facilities by far-right extremist elements.

“Whether it’s newborns receiving intensive care, children getting cancer treatments or families accessing compassionate care for their transgender adolescents, all patients seeking treatment deserve to get the care they need without fear for their personal safety,” wrote AAP President Moira Szilagyi, MD, PhD, FAAP. “We cannot stand by as threats of violence against our members and their patients proliferate with little consequence. We call on the Department of Justice to investigate these attacks and social media platforms to reduce the spread of the misinformation enabling them.”

In addition to the letter to the Department of Justice, the groups call on Twitter, TikTok and Meta, which owns Facebook and Instagram, to do more to prevent coordinated campaigns of disinformation. The organizations ask the platforms to take bolder action when false information is shared about specific institutions and physicians. They also urge social media companies to enforce safety and hateful conduct policies to stop the endangerment of patients, families, physicians and health care staff.

Raichik who has been suspended from Facebook and also Twitter for inflammatory lies and propaganda about Trans youth healthcare, pledged to redouble her attacks on hospitals providing trans people with health care, she wrote in a rant on her Substack in which she called gender-affirming care “mutilating the body.” 

Libs of TikTok has reportedly been suspended multiple times on multiple platforms, including InstagramFacebook, and Twitter. Raichik’s last Twitter suspension came for accusing LGBTQ people of “grooming” children, which Twitter confirmed violates its policies against hateful conduct.

Today as her latest suspension was lifted by Twitter, Raichik attacked the Barbara Bush Children’s Hospital in Maine as documented on Twitter by Harvard Law professor Alejandra Caraballo.

Just this past week, inspired by the Daily Wire’s Walsh, Tennessee lawmakers and Governor Bill Lee who provided Walsh with a statement, sent a letter Vanderbilt University Medical Center’s Pediatric Transgender Clinic demanding gender-affirming surgeries cease.

“We are committed to providing safe, supportive and inclusive health care environments for each and every child and family, and the clinicians and staff who are dedicated to caring for children,” said CHA President Amy Wimpey Knight. “Threats and acts of violence are not a solution, nor a substitute, for civil dialogue about issues of a child or teen’s health and wellbeing. At CHA, we are committed to working across sectors to prevent misleading and inflammatory comments that result in threats to those caring for patients.”

The groups wrote in their letter to Attorney General Garland, “Our organizations are dedicated to the health and well-being of all children and adolescents. We are committed to the full spectrum of patient care—from prevention to critical care. We stand with the physicians, nurses, mental health specialists, and other health care professionals who provide evidence-based health care, including gender-affirming care, to children and adolescents.”

Two months ago anti-LGBTQ+ far right extremists targeted Boston Children’s Hospital, threatening its employees and medical staff after falsehoods and disinformation was spread online about the healthcare facility’s treatment of transgender youth by Libs of Tik-Tok, Walsh, and conservative journalist and anti-LGBTQ+ activist Christopher Rufo.

The United States Department of Justice launched an investigation into the Boston Children’s threats according to an announcement by the United States Attorney for the District of Massachusetts, Rachael Rollins.

Last month D.C.’s Children’s National Hospital became the target of threatening phone calls, email messages and social media postings after Libs of Tiktok posted an incorrect report claiming the hospital routinely performs hysterectomies on transgender patients under the age of 18.

Continue Reading

Tennessee

GOP State lawmakers to hospital: Stop gender-affirming surgeries

The clinic is the only healthcare provider in Tennessee offering clinical care programs for transgender & gender-expansive children

Published

on

The Matt Walsh Show (Screenshot/YouTube)

NASHVILLE – A group of Republican state lawmakers in Tennessee sent a letter to Vanderbilt University Medical Center’s Pediatric Transgender Clinic demanding gender-affirming surgeries cease.

The letter came a few days after Republican Governor Bill Lee called for an investigation into the clinic at the Monroe Carell Jr. Children’s Hospital at Vanderbilt in a statement after reporting by transphobic far-right pundit Matt Walsh on his Daily Wire show.

“The ‘pediatric transgender clinic’ at Vanderbilt University Medical Center raises serious moral, ethical and legal concerns,” Governor Lee said in his statement. “We should not allow permanent, life-altering decisions that hurt children or policies that suppress religious liberties, all for the purpose of financial gain. We have to protect Tennessee children, and this warrants a thorough investigation.”

State Rep. Jason Zachary and more than 60 of his Republican colleagues sent a letter to addressed to the chair of the hospital’s board of directors calling on Vanderbilt to halt the Clinic’s trans youth healthcare regarding gender affirming treatments.

Zachary also noted the letter also requested that all conscientious and religious objections be honored.

Walsh and the far-right extremist anti-LGBTQ Twitter account Libs of TikTok, run by Brooklyn-based Chaya Raichik have previously grabbed headlines for spreading what Trans advocates and LGBTQ+ activists call anti-LGBTQ hate speech.

Raichik who has been suspended from Facebook and also Twitter for inflammatory lies and propaganda about Trans youth healthcare, pledged to redouble her attacks on hospitals providing trans people with health care, she wrote in a rant on her Substack in which she called gender-affirming care “mutilating the body.” 

Libs of TikTok has reportedly been suspended multiple times on multiple platforms, including InstagramFacebook, and Twitter. Raichik’s last Twitter suspension came for accusing LGBTQ people of “grooming” children, which Twitter confirmed violates its policies against hateful conduct.

In line with the earlier attacks on Boston’s Children’s Hospital and Washington D.C.’s Children’s with misinformation and misleading characterizations of the trans youth health care provided by those facilities, in a lengthy thread Twitter the Daily Wire’s Walsh attacked Vanderbilt’s clinic.

Vanderbilt opened its trans clinic in 2018. During a lecture the same year, Dr. Shayne Taylor explained how she convinced Nashville to get into the gender transition game. She emphasized that it’s a “big money maker,” especially because the surgeries require a lot of “follow ups” Walsh tweeted adding:

Vanderbilt was apparently concerned that not all of its staff would be on board. Dr. Ellen Clayton warned that “conscientious objections” are “problematic.” Anyone who decides not to be involved in transition surgeries due to “religious beliefs” will face “consequences”

In case the objectors hadn’t gotten the memo, Vanderbilt unveiled a program called “Trans Buddies.” The “buddies” are trans activists from the community who attend appointments with trans patients, monitoring the doctors to guard against “unsafe” behavior such as misgendering, Walsh continued.

Vanderbilt makes their Trans Buddies available to children, too. They make lots of “services” available to children, including chemical castration. Though at some point in the last month they removed explicit admission of this fact from their site. Here’s the archived screenshot:

But they must have forgot to delete a video from Vanderbilt Psychiatry’s Youtube channel back in 2020 which admits explicitly that they will give and have given irreversible hormone drugs to children as young as 13, Walsh wrote in the thread.

After they have drugged and sterilized the kids, Vanderbilt — as explained in this video presentation by plastic surgeon Julien Winocour and Physician’s Assistant Shalyn Vanderbloemen — will happily perform double mastectomies on adolescent girls.

So, let’s review. Vanderbilt got into the gender transition game admittedly in large part because it is very financially profitable. They then threatened any staff members who objected, and enlisted a gang of trans activists to act as surveillance in order to force compliance.

They now castrate, sterilize, and mutilate minors as well as adults, while apparently taking steps to hide this activity from the public view. This is what “health care” has become in modern America, Walsh finished.

Vanderbilt responded to Walsh in a statement:

“(VUMC) is now the subject of social media posts and a video that misrepresent facts about the care the Medical Center provides to transgender patients,” said the university. “VUMC began its Transgender Health Clinic because transgender individuals are a high-risk population for mental and physical health issues and have been consistently underserved by the U.S. health system.”

Walsh also shared a video that featured Vanderbilt University law and genomics professor Ellen Clayton, who discouraged physicians from religious objections to transgender surgeries.

“Saying that you’re not going to do something because of your … religious beliefs is not without consequences, and it should not be without consequences,” she said in the undated clip. “I just want to put that out there. If you don’t want to do this kind of work, don’t work at Vanderbilt.”

The University in its statement disputed that assertion by Clayton:

“Our policies allow employees to decline to participate in care they find morally objectionable, and do not permit discrimination against employees who choose to do so. This includes employees whose personal or religious beliefs do not support gender-affirming care for transgender persons,” Vanderbilt wrote.

The Tennessee Equality Project notes that the clinic is the only healthcare provider in the state offering clinical care programs for transgender and gender-expansive children and adolescents.

Continue Reading

Congress

Out U.S. Rep. introduces bill to create U.S. LGBTQ history museum

“It is vital to remember our collective past when certain states seek to constrain & repeal existing rights by passing laws that harm LGBTQ+”

Published

on

Rep. Mark Pocan (D-Wis.) (Blade file photo by Michael Key)

WASHINGTON – U.S. Rep. Mark Pocan (D-Wis.) has introduced legislation that would set up the process to create a National Museum of American LGBTQ+ History & Culture, potentially as an official site within the Smithsonian Institution in Washington, D.C.

Pocan, one of nine openly gay members of the U.S. House and co-chair of the LGBTQ+ Equality Caucus, said in a statement Thursday the measures would are effort to preserve LGBTQ history “as our community faces unprecedented attacks and attempts to erase our history.” The pair of bills is H.R.9070 and H.R.9071.

“It is vital to remember our collective past – particularly when certain states seek to constrain and repeal existing rights by passing bills that harm LGBTQ+ youth and our community at large,” Pocan said. “Let’s tell these stories, and honor the many contributions the LGBTQ+ community has made to this nation with a museum in Washington, D.C.”

The first bill, according to a news statement, would creates an eight-member commission of individuals with expertise in museum planning or LGBTQ+ research and culture “to look into the viability of establishing such a facility in the nation’s Capital.”

Among other things, the commission would be charged with recommending a plan on action for museum, including fundraising for the museum, and submitting to Congress a plan for construction of the museum, the statement says.

The bill would also instruct the commission to address whether the museum should be part of the Smithsonian Institution, based in the nation’s capital and the world’s largest museum and research complex, per the news statement. The full study, the statement says, would have to be completed in 18 months.

If the Smithsonian were to adopt the a museum on LGBTQ history and culture, it would be similar to other museums under its jurisdiction focused on minority populations in the United States, including the National Museum of African American History & Culture and the National Museum of the American Indian.

The second bill, according to a news statement, would be eligible for consideration by Congress after the commission completes its work and issues its recommendations and allow for formal creation of the museum. More than 50 lawmakers, including all nine openly gay members of the U.S. House, co-sponsor the legislation.

Continue Reading
Advertisement

Sign Up for Blade eBlasts

Advertisement

Follow Us @LosAngelesBlade

Advertisement

Popular