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Mayur B

Gender-affirming care

Gender Non-Conformity

1 in 10 US adults report having a trans family member

The Big Idea

Many people throughout history have gravitated towards a gender that they were not born with. Today one of the biggest political debates revolves around trans people and their interaction with the medical system.

Currently, transgender people must get diagnosed with gender dysphoria to get the appropriate gender affirming care. However, every step of this process is complicated by restrictive legislation and massive waitlines for diagnosis and treatment.

How can we address this?

Today, a third of trans youth are at risk of losing gender affirming care

Bigotry

Obstacles

The main issue with trying to get gender-affirming care right now is the bigotry that faces the trans community.

This presents itself in two ways, systemic and social.

Systemic transphobia comes from lawmakers and the wealthy funding, for example, transphobic bills.

Social transphobia is interpersonal, coming from individual bigotry or ignorance.

60% of queer youth who wanted medical care in the past year were not able to get it

Medicalization vs Demedicalization

Solutions

The two approaches to addressing this issue are split on the medicalization of dysphoria.

Medicalization is the process by which nonmedical problems become defined and treated as medical problems

Those against medicalization for gender-affirming care might ask why trans men are asked to get a diagnosis for breast reduction when cisgender women are not.

Systemic Change

Option 1

If gender affirming care is not seen medically, it would remove the massive barrier that is getting diagnosed with gender dysphoria. This would greatly increase access to treatment.

However, many argue that this radical change is not only difficult, due to transphobia among the politcal elite, but also potentially damages, since insurance would no longer be obligated to cover transition.

Social Change

Option 1

This approach focuses on social change within the current system. Instead of a change of the current healthcare system that would change how the public treats trans people, one could focus on the public itself.

If a vast majority of America stood against transphobia, then the laws would, over time change to reflect that.

This is much more realistic, but critics argue that it is not ambitious enough.

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