Activism and Politics > Discrimination

Discrimination in Healthcare

<< < (3/6) > >>

sarahc:
I think that the biggest problem in trans healthcare is that too many transgender people are forced to use practitioners who aren't trans specialists. The reality is that most non-trans specialists don't know what they're doing and create complications. Example: too many trans people are referred out to an endocrinologist for HRT - that is annoying and a waste. A trans-focused PCP (like mine) knows hormones enough to understand proper treatment and potential warning signs without needing to refer out to a separate specialist. In general, trans people would be much happier if they really stuck with specialists and had access to trans specialists.

I am very fortunate to live in a state with pro-trans insurance laws and a metropolitan area with plenty of trans care specialists - this has enabled me to have access to excellent care. Especially in large and medium-sized metropolitan areas, I think most trans people would benefit dealing solely with trans specialists as part of an integrated care setting (both medical and psychological). In fact, there are now many large research hospitals who have set up such networks (eg, Mount Sinai in New York, UCSF and Kaiser in the Bay Area, etc.), and these complement the previously existing transgender-centric services provided by LGBT-focused medical centers, like Callen-Lorde in NYC and Whitman Walker in DC (and other similar centers found in large cities).

The next step is to encourage the creation of such integrated transgender practices in medium-sized metros, especially those that can also serve as a hub for unserved rural areas in the vicinity of the metro area.

Tougher situation in very rural areas, because there aren't going to be enough people to support a full-time trans practice - the better first step there is to encourage more generalist LGBTQ medical practices in regional rural health hubs, especially with the LGB part of the rainbow having fairly broad acceptance in society at this point. Every rural state should have at least one well-marketed LGBT practice, which is on the cutting edge of offering virtual services.

Finally: it is commercially challenging to sustain trans-knowledgeable practices unless insurance reimburses for trans care. We still need continue to the political fight to get many conservative states to mandate trans care as part of their state insurance laws and regulations. Federal laws and regulations help, but the real unlocking power is getting more state insurance agencies to mandate coverage.

Sarah

NYC Nurse:
Great feedback from everyone, Thank you all so much!
     That's great Confused1/Mike, the video is positive energy and I very much would like the link to the longer video too!  What makes me happy about this group/for all of you is your resiliency.  I think we're all blessed, being able to live our authentic lives when so many others do not. 
     Do any of you know members of the trans community who haven't been so lucky?  What initially drew me specifically into the trans community was when I read a multitude of research studies that show statistically significant healthcare disparities where individuals do not have appropriate healthcare/insurance, have encountered employment and housing discrimination, high rates of incarceration, attempted suicides, depression, HIV,  alcohol and drugs and often forced to work in the sex industry.   It just breaks my heart. 

What do you think would have the most significant impact to turn these lives around?     
       
NYC Nurse     

sarahc:

--- Quote from: NYC Nurse on November 15, 2020, 06:47:28 pm ---Great feedback from everyone, Thank you all so much!
     That's great Confused1/Mike, the video is positive energy and I very much would like the link to the longer video too!  What makes me happy about this group/for all of you is your resiliency.  I think we're all blessed, being able to live our authentic lives when so many others do not. 
     Do any of you know members of the trans community who haven't been so lucky?  What initially drew me specifically into the trans community was when I read a multitude of research studies that show statistically significant healthcare disparities where individuals do not have appropriate healthcare/insurance, have encountered employment and housing discrimination, high rates of incarceration, attempted suicides, depression, HIV,  alcohol and drugs and often forced to work in the sex industry.   It just breaks my heart. 

What do you think would have the most significant impact to turn these lives around?     
       
NYC Nurse   

--- End quote ---

When you start talking about trans people who also have serious mental health issues and are poor, I think it’s more a broader societal problem, not a problem specific to the transgender community. Poor people, even with Medicaid, don’t have good, free access to mental health care. Improving care for trans people who face multiple challenges first requires addressing broader issues around access to quality mental health resources.

Sarah

NYC Nurse:

--- Quote from: Lady Sarah on October 27, 2020, 12:46:54 am ---Pay attention to what is happening in Texas right now, after Governor Abbot told social and healthcare workers to turn away LGBTs and the disabled.

--- End quote ---
Hi Lady Sarah!
It's disgraceful, on so many levels.  I stand with you, for you and advocate for you! I think the next 4 years are going to be much better for the LGBTQ+, the Universe and especially the Trans community!  Your post is exactly why I am here, in my opinion, healthcare is a human right, not something that depends on who happens to be in office.  When our elected officials attempt to deny rights, especially healthcare based on personal or religious views to any member of the LGBTQ+ community, especially the trans community we need to stand together and unite.  Recent attempts to discriminate against the trans community by refusing admission to homeless shelters and to allow any healthcare provider the right to deny care to a trans person based on religion is unconscionable.  I get so upset when I see members of our community supporting individuals creating these policies.  I want all of us to have equality, and most importantly healthcare that is free from unconscious bias and discrimination.  Hang in there, and never loose your positivity. Things are going to be OK.
~NYC Nurse           

Lady Sarah:

--- Quote from: NYC Nurse on November 18, 2020, 06:57:31 pm ---Hi Lady Sarah!
It's disgraceful, on so many levels.  I stand with you, for you and advocate for you! I think the next 4 years are going to be much better for the LGBTQ+, the Universe and especially the Trans community!  Your post is exactly why I am here, in my opinion, healthcare is a human right, not something that depends on who happens to be in office.  When our elected officials attempt to deny rights, especially healthcare based on personal or religious views to any member of the LGBTQ+ community, especially the trans community we need to stand together and unite.  Recent attempts to discriminate against the trans community by refusing admission to homeless shelters and to allow any healthcare provider the right to deny care to a trans person based on religion is unconscionable.  I get so upset when I see members of our community supporting individuals creating these policies.  I want all of us to have equality, and most importantly healthcare that is free from unconscious bias and discrimination.  Hang in there, and never loose your positivity. Things are going to be OK.
~NYC Nurse         

--- End quote ---
If you had paid attention, you would have noticed instant backlash that got that "law" reversed when many of the places that were expected to discriminate shut down, and the workers went on strike. If the LGBTQ++ community could not be served, nobody was going to be served. In the nation's biggest red state, that was a bold move, but not by just one office, but by dozens. That bold move told the state legislators that such a law was not going to be acceptable, even in Texas.

Navigation

[0] Message Index

[#] Next page

[*] Previous page

Go to full version