Saturday, May 27, 2017

Friday, May 26, 2017

It Is Not Rocket Science

Our healthcare is not that hard to understand, there is nothing special about our needs, it is pretty much just standard treatments for common aliments just applied to us.

Hormones? There is nothing fancy about our dosage it is basically the same as anyone with an endocrine disorder. Blockers are also nothing special, spiro has been around since just after World War II so basically doctors have the knowledge to treat us.
Should Doctors Be Certified To Treat Trans Patients?
Inside the struggle to make doctors’ offices more inclusive.
Huffington Post
By Keren Landman, M.D.
May 8, 2017

When Chaslyn Heath first started looking for someone to prescribe her estrogen in her west Georgia town of Carrollton in 2014, she ran into a few dead ends. Then 16, she had identified as transgender for three years. She asked her pediatrician for help, and he put her in touch with a local therapist.

But during their first session, says Heath, the therapist demonstrated a profound misunderstanding of the origins and realities of being transgender: She asked if someone was persuading Heath to transition, if she’d gotten the idea from seeing Caitlyn Jenner come out, or if perhaps she was just confused.
Many health care providers are unable to provide high quality care to transgender people, whether due to a lack of education or exposure, or due to their own biases, but are nevertheless called on to treat transgender patients, both for general health concerns and for trans-related issues.
With so much at stake, how can a person determine how trans-competent a doctor might be? There is currently no clear answer, but a leading organization hopes that might soon change.
The World Professional Association for Transgender Health (WPATH) is doing training around the country for therapist and healthcare providers and they give a certificate for those who complete the seminar.
Now, they hope to offer a formal accreditation in transgender-competent care – something WPATH’s members have asked for, says Donna Kelly, the director of the organization’s education programs.

The formal program would require 35 additional hours of classroom and clinical work, passing an exam, two years of membership in WPATH, and an additional undisclosed fee. Currently, the certification exam is in the process of being vetted by specialists, but organizers hope to offer its first set of certifications within the year.

But is a certification necessary? Not everyone who works in transgender health agrees.
Here is where we get to the meat of the problem.
Indeed, some doctors who are otherwise trans-inclusive view a potential certification as an onerous requirement. Jeremi Carswell, medical director of Gender Management Services at Boston Children’s Hospital, says her first reaction to a certification process is, “that’s something else I have to do. More money...a burden.”

The medical aspects of transgender care are not complicated, Carswell says, adding they could be taught using an online training module. And, she says, the most important aspects of care – cultural competence issues like addressing people by their preferred names and pronouns – would be covered under more general LGBTQ training.
Ah… so what’s the problem?

Well as the article points out “that’s something else I have to do. More money...a burden” and also the insurance companies have caught on and some of them are requiring our letters for surgery and health care come from “certified” healthcare providers. In other words the therapist and doctor we have been seeing for years will not be able to give us a letter for our GCS we will have to hunt out a new therapist and healthcare provider that is certified.

An interesting discussion is taking place about Electronic Medical Records (EMR) and insurance companies about how they deal with trans people, one brand of EMR only lets the doctor only code us with F64.1 “Dual Role Transvestism” it doesn’t recognize “Gender Dysphoria” this happened because the company that owns the EMR program hasn’t updated it to the new ICD-10 codes so when they code it to F64.0 Transsexualism it doesn’t get processed by the insurance companies.

I Think The Answer Is Very Obvious

Transphobia/Homophobia is the answer as to why we are getting murdered.

It is because they cannot accept the fact that they are gay, so they hide their gayness by dating pre-op trans women who can pass. They think that they are not gay but then the transphobia/homophobia starts to creep in or one of their friends finds out that they are dating a trans woman and then the violence takes over.
Why Straight Men Kill The Trans Women They Love
"Bigotry is rarely as simple as we’d like to believe."
By Jen Richards
May 23, 2017

My heart was beating a little faster as I walked down the hotel hallway. I had done this plenty of times before, but Mark’s voice had betrayed a different kind of nervous energy than I was accustomed to. There was an edge to it.

I’m often the first trans woman a guy has been with. I’m white, passable, easy-going, confident, and a strict bottom—for the most part, I’m just a hot chick they get to have anal sex with. I’ve come to enjoy first-timers. It’s my specialty. I like their innocent anxiousness, the relief that washes over them when they see me and realize I’m even more attractive than they hoped. I know how to put them at ease, get them excited, make sure we both have a good time, and inevitably leave them hooked. I pride myself on being a kind of ambassador to trans sex.

For me it’s about much more than sex, though.

What I’m really seeking is affirmation of my womanhood, and this is the most available means of doing it. No one is more anxious about their sexuality that straight cis men, no one more frightened of being labeled “gay.” This is especially true for first-timers. Hooking up with them is like handling a volatile explosive—and I like the rush. I need that intensity. It’s the only thing that keeps the din of self-doubt and self-loathing at bay. Their wanting me is the proof I need of who I am.
That is the most dangerous time for us when the guilt and homophobia kicks in.
Women like Mercedes Williamson, a 17-year old trans girl living in Alabama. When her body was found in Mississippi, bludgeoned to death with a hammer, Joshua Vallum was tied to the crime. He originally told police that he only discovered Williamson was transgender when he put his hands down her pants, and that he blacked out and didn’t remember killing her. It was only later that it came out the two had been dating. After their relationship ended, when a friend of Vallum’s found out that Williamson was trans, that he went to kill her. Vallum was a member of the Latin Kings, which forbids homosexual acts, and he was afraid word would get out.
I don’t have much to say because we all know it is dangerous for us out there. I don’t care with whom you have sex with or why as long as you are both adults and above the age of consent. What I have a problem with is society that tries to marginalize and demonize us that creates hate and transphobia/homophobia.

Cosmopolitan has an article about dating…
8 dating struggles you only know if you're trans

1. Being seen as a fetish is so tiring
A LOT of the time, people just want to have sex with transgender people because it’s some sort of fetish for them. The majority of us don’t want to be seen as a fetish and want to be loved and respected like EVERY. OTHER. PERSON.
4. It’s frustrating when sex is the only thing on our date's mind
Sex with trans women seems to fascinate the (majority of) men we go on first dates with. It'd be nice if sometimes we could go on a date where sex isn’t on the radar. We’re the same as everyone else: just because you’re dating a trans woman doesn’t mean sex is automatically at the top of the agenda.
6. We see so much fear of homosexuality
We’ve come across many men who can't understand that dating or liking a transgender woman doesn't change their sexuality. Many guys are (wrongly) afraid of liking trans women as they think this somehow means they won’t be thought of as straight.

7. Lack of openness drives us mad
There’s nothing more disheartening than when a guy goes out with us, enjoys our company, but then says he can’t tell his family he’s dating a trans woman. This is something we witness all too often.
One time I was on a panel with a group of lesbians, one of them said she is totally supportive of trans people, that she considers herself as an ally. Somebody in the audience (which was mostly women) asked if she would date a trans woman and her answer was that she only dates “women.” She had no idea what she just said was transphobic, that she is not an ally for trans people if she doesn’t recognize  us as the women or men that we truly are.

I didn’t get a chance to answer since time ran out and there was another workshop waiting to come in but if I had I would have called her out on it.

Thursday, May 25, 2017

A New Report Is Out

One of the questions we are always asked is how many trans people…

We were asked that when we were trying to pass the bill banning conversion therapy on minors, we were asked that when we were trying to pass the birth certificate bill, also the non-discrimination law and when we do training at homeless shelters.

Now we have somewhat of an idea of the numbers of trans people in shelters in Connecticut.

Every year, one night is set to count the number of homeless people in Connecticut; it is not perfect but it is a start. That count is called the “Point-in-Time” and one of the questions that they ask the those who are homeless is “Are you transgender?”

Anyone want to guess how many said yes to the question in the 2017 PIT?

2% and if you do the math out of 3,387 that were counted 2% is 68 trans people that are homeless in CT. They also found,
Twenty-three percent of youth also identified as LGBTQIA (Lesbian, Gay, Bisexual,
Transgender, Queer, Intersex, Asexual)
Again doing the math and the number of homeless LGBTQIA people is 779, so we are a definitely a small part of the homeless people in Connecticut but for those 68 homeless trans people the numbers are meaningless.

Some of the other findings of the report,

  • TOTAL HOMELESS POPULATION LOWEST COUNTED IN CONNECTICUT: 3,387 total individuals counted, a 13% decrease from last year and a 24% decrease from 2007.
  • CHRONIC HOMELESSNESS DROPS SIGNIFICANTLY: The number of chronically homeless individuals (experiencing long-term homelessness and living with disabilities) decreased 60% since 2014; down 11% since 2016.
  • MOST CHRONICALLY HOMELESS ON THE PATH TO HOUSING: Nearly 60% of those counted as chronically homeless were in the process of securing permanent housing.
  • UNSHELTERED COUNT DROPS SHARPLY: 415 people were unsheltered – a 38% decrease from last year.
  • FEW VETERANS COUNTED AS HOMELESS: only 34 Veterans were identified in emergency shelter: a decrease of 24% since 2016; only 14 Veterans were unsheltered — a decrease of 67%. CT continues to house homeless veterans in about 90 days.
  • NUMBER OF HOMELESS FAMILIES FALLING: 392 families were experiencing homelessness, a decrease of 13% from 2016.
  • 4,396 YOUNG ADULTS EXPERIENCING HOMELESSNESS:  4,396 young people under the age of 25 were experiencing homelessness or housing instability across Connecticut.

When I was going to grad school for my MSW we had to analyze a government policy and I chose the Homeless Management Information System (HMIS) policy because that year they just added transgender to the subpopulation that are being counted.

A couple of the comments that I mentioned was one, that trans people might be reluctant to out themselves especially to the government, and many trans people do not identity as trans and they are just as likely to identify as male or female.

I have to wonder is we and the rest of the LGBT community will continue to be counted by the Trump administration or will it become like the census with no questions about anything LGBT?

Would You Take The Third Options?

Oregon is thinking about creating a third gender on their driver’s license…
Oregon moves toward allowing third gender option on drivers' licenses
By Terray Sylvester
May 11, 2017

Oregonians may soon be able to identify themselves as neither male nor female as Oregon works toward becoming the first U.S. state to allow a third gender option on its drivers' licenses and state identification cards.

Last June, Multnomah County Circuit Court Judge Amy Holmes Hehn granted a request by Army veteran Jamie Shupe, who has been transitioning since 2013, to change the retired sergeant's gender from female to a third, nongender option. It was believed to be the first decision of its kind in the United States.

"I deserve the right to properly classify my identity here on the homeland," Shupe said in an email to Reuters on Tuesday.

The rights of transgender people along with public policy involving gender have become polarizing issues across the United States, most notably in several states, including North Carolina, which have tried to address the use of public bathrooms.

Since Shupe's request was granted, Oregon's Department of Motor Vehicles has been researching the state's gender laws and determining how to incorporate the third option into state computer systems, DMV spokesman David House said.

"It was new territory for everybody," House told Reuters on Tuesday, noting that no other state offers a third gender choice.
The first thing that comes to mind is how the other states would handle somebody with the third gender on their driver’s license, especially states like Texas and North Carolina.

The other thing that I thought is that this would open the trans person to discrimination such as when you have to show your ID at a bar or when you are looking for a job.

What are your thoughts?