General Discussions > Health

Are you happy with your health care?

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Devlyn:
How do you feel about the health care that you have or have not received? I just left the poll as a simple 1 through 5 choice, but feel free to expand on what you liked/didn't like about your experiences.

I voted 5, I think the care that I received was top notch. I went through Fenway Health, an LGBTQIA+ clinic in Boston. They use a WPATH approved informed consent protocol. I received an appointment one week after contacting them and had HRT prescriptions one week after that. I had surgery with Dr Oates in Boston seven months later.

Dr Oates is a world class urologist, and his waiting room was a highly amusing experience for me. The several times I was in his office there was a mixed crowd of transgender women and confused looking old men, seemingly unsure if they were in the right place.  :laugh:

Please share your experiences, too.

Allie Jayne:
Let me see, my psychologist had to write a letter to my endocrinologist telling him his hormone regime was putting me at risk. My endocrinologist kept citing WPATH recommendations that older trans women be kept on post menopausal (very small) doses, and this is based on a 20th century study called the Women's Health Initiative which is widely discredited as it was based on synthetic hormones with higher risks, which are rarely used any more. When it came time for my surgery letter, my WPATH registered psychologist, who claimed to have treated many trans people, had no idea how to write the letter, so I wrote it for them. Then we discovered she didn't have the required level of qualification, and had to find a non WPATH clinical psychologist to write my letter again and sign off on it having never seen me.

My WPATH registered surgeon demanded I stop hormones in the perioperative period, and wouldn't read the latest research papers I gave him, and as I predicted, I became very sick in my recovery days with menopausal symptoms causing me to have severe headaches, light intolerance, and sweats so bad my heat rash was bleeding into my sheets! His trans specialist head nurse apologised for the treatment I was given, and quit after I recovered from this unnecessary ordeal.

As I made further enquiries of health professionals i discovered a complete lack of training in Trans care, some saying to me it was mentioned in a lecture about LBGTQIA people which focused on AIDS. Most doctors are working from old texts about cis people. The American Psychiatric Association last year admitted that trans was a medical condition, and that for years they maintained they could diagnose it as psychological so we would have access to funding! And this does raise the huge problem that now, there is no accepted diagnosis for being trans, and so our very existence is constantly debated.

I was recently involve in a survey study by Melbourne University which showed that over 75% of more than 1000 respondents were unhappy with their treatment due to lack of training and knowledge, and lack of available health professionals to treat trans people, leading to months, if not years of delay. Technically, we can get GAS on our national health scheme, but practically, there are no surgeons who will work for the government rate, meaning if you can't afford private health cover, and co payments of $30,000, you simply can't have these life saving surgeries, and yes, people die every year because they aren't rich enough.

I was lucky enough to be able to pay my way, and access a gynecologist who focuses on trans care, and does read the latest research papers, and now I am getting the care I need, but I have had to talk people down from doing tragic things because they can't. So I think it's safe to say I am very dissatisfied with the Health Care of trans people, and I know in many countries it's worse than here in Australia.

Hugs,

Allie



 

Jessica_K:
I have voted 1.
The NHS is going from bad to worse. There is NO NHS transgender support in the UK, GP’s wash their hands of gender issues by spouting they can do nothing but refer you to a GIC, and they are gate keeper ensuring you are kicked into the long grass. I despair

Jessica xx

Allie Jayne:

--- Quote from: Jessica_K on May 06, 2022, 08:25:39 pm ---I have voted 1.
The NHS is going from bad to worse. There is NO NHS transgender support in the UK, GP’s wash their hands of gender issues by spouting they can do nothing but refer you to a GIC, and they are gate keeper ensuring you are kicked into the long grass. I despair

Jessica xx

--- End quote ---

Jessica,   I so feel for you and all those on inadequate public health systems around the world! Canada is also really slow to get anything done, and in Germany, you need to pass the real life test before you qualify for treatment, this means living a year in your true gender before you can have the benefit of hormonal changes! I have friends in the US who are not covered for trans treatments under their company's insurance, so they either pay their own way or have to find other employment, often in another state. I know people who are getting basic treatment from the VA, but are in despair waiting for surgery to be covered.

If this were just an inconvenience, it wouldn't be so bad, but a good percentage of the more than 40% of suicide attempts in our communities can be attributed to poor or non existent health care. People are dying from this, but it is not a statistic our governments or health services would ever allow publicised as they are responsible. I hope things might improve as humanity becomes more enlightened, but I'm not confident it will.

Hugs

Allie

 

Rakel:
I voted very satisfied.

I have a very comprehensive health insurance policy, but even with this, I had to pay for most of my own gender related medical care. Fortunately, for me those costs were acceptable. In the US, we have many providers and if one provider is not able to provide a service, there is always another who will.

The only real question is, "Who pays?". Money talks and without money, we have sparse resources and finding them where a person needs those resources is often a challange, even in the larger cities.

The fundamental problem is this, when we buy health insurance, we are sharing the risk of needing those services with all the other people who have purchased health insurance. These are limited funds. Only a certain amount of money is available to provide all the services covered in that policy. When the number of services is increased, the costs for that insuranse company increase as well and the premium (the monthly cost for any insurance policy) increases as well. Affordable health insurance has limited covered services. This is called rationed care and transgender related services are very low on the priority list for many of the lower cost health insurance policies.

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