What would you consider public funding of transgender care?

Page 2 of 6 [ 82 posts ]  Go to page Previous  1, 2, 3, 4, 5, 6  Next


How would you consider support for public funding of transgender health care within currently existing public programs?
As an extremist far-left position out of touch with reality. 32%  32%  [ 11 ]
As a leftist position, unacceptable to centrists. 9%  9%  [ 3 ]
As a mainstream idea. 0%  0%  [ 0 ]
As a conservative idea, designed to uphold the patriarchy. 3%  3%  [ 1 ]
As purely a medical question; the input of the lay public is irrelevant. 56%  56%  [ 19 ]
Total votes : 34

beneficii
Veteran
Veteran

User avatar

Joined: 10 May 2005
Age: 40
Gender: Female
Posts: 7,245

04 Apr 2014, 12:41 pm

appletheclown wrote:
beneficii wrote:
Kurgan wrote:
Whether or not insurance companies should cover this, should be entirely up to them. It should not be funded by the public, though. I've got nothing against transgendered people, but a line has to be drawn on what the public should and should not cover. The welfare systems across the globe are on a very tight budget as it is.


If you're willing to have some transgender people go without access to medically necessary treatments while non-transgender people get all of theirs, then I must say, you're not much of a friend of the transgender community.


A sex change is what we are talking about. If they are people, they get what everyone else does.

Sex reassignment surgery is not medically necessary.


Actually it is, in certain appropriately selected cases (chosen by following the standards of care). This is supported by statements by the major health organizations and the medical literature, including the Merck Manual which I posted.

Your statement that it is not is incorrect, and is opposed by the major health organizations and the medical literature.


_________________
"You have a responsibility to consider all sides of a problem and a responsibility to make a judgment and a responsibility to care for all involved." --Ian Danskin


appletheclown
Veteran
Veteran

User avatar

Joined: 5 Apr 2013
Age: 31
Gender: Male
Posts: 2,378
Location: Soul Society

04 Apr 2014, 12:48 pm

beneficii wrote:
appletheclown wrote:
beneficii wrote:
Kurgan wrote:
Whether or not insurance companies should cover this, should be entirely up to them. It should not be funded by the public, though. I've got nothing against transgendered people, but a line has to be drawn on what the public should and should not cover. The welfare systems across the globe are on a very tight budget as it is.


If you're willing to have some transgender people go without access to medically necessary treatments while non-transgender people get all of theirs, then I must say, you're not much of a friend of the transgender community.


A sex change is what we are talking about. If they are people, they get what everyone else does.

Sex reassignment surgery is not medically necessary.


Actually it is, in certain appropriately selected cases (chosen by following the standards of care). This is supported by statements by the major health organizations and the medical literature, including the Merck Manual which I posted.

Your statement that it is not is incorrect, and is opposed by the major health organizations and the medical literature.


Unless you are born a hermaphrodite, you have to deal with the hand you are dealt regarding genders.

It is never necessary.

For example. If I was born a woman, but still had the exact same personality, I wouldn't want to be a guy. I'd want to be an mma fighter and marry a nerd with long hair that can play the guitar.

Beyond this I am not going to go, I don't want to offend people.

But I still don't believe changing genders is the way.


_________________
comedic burp


beneficii
Veteran
Veteran

User avatar

Joined: 10 May 2005
Age: 40
Gender: Female
Posts: 7,245

04 Apr 2014, 12:50 pm

Health insurance companies in the U.S. also agree that it is medically necessary, but for most of their plans they elect to categorically exclude coverage for the treatment, meaning they will not pay regardless of necessity. For example, Aetna, a major health insurance company, states:

Quote:
Aetna considers sex reassignment surgery medically necessary when all of the following criteria are met:...


But, they also have this statement at the top (underline in original):

Quote:
Note: Most Aetna plans exclude coverage of sex change surgery (gender reassignment surgery, transgender surgery). Please check benefit plan descriptions.


http://www.aetna.com/cpb/medical/data/600_699/0615.html

Blue-Cross Blue-Shield of Tennessee makes extra clear in its fine print that just because a procedure is medically necessary, that doesn't mean they're going to cover it:

Quote:
While a policy or technology may be medically necessary, it could be excluded in a member's benefit plan.


http://www.bcbst.com/mpmanual/Gender_Reassignment.htm

That sweeps the insurance argument from out below your feet before you can even think about it.


_________________
"You have a responsibility to consider all sides of a problem and a responsibility to make a judgment and a responsibility to care for all involved." --Ian Danskin


beneficii
Veteran
Veteran

User avatar

Joined: 10 May 2005
Age: 40
Gender: Female
Posts: 7,245

04 Apr 2014, 12:52 pm

appletheclown wrote:
beneficii wrote:
appletheclown wrote:
beneficii wrote:
Kurgan wrote:
Whether or not insurance companies should cover this, should be entirely up to them. It should not be funded by the public, though. I've got nothing against transgendered people, but a line has to be drawn on what the public should and should not cover. The welfare systems across the globe are on a very tight budget as it is.


If you're willing to have some transgender people go without access to medically necessary treatments while non-transgender people get all of theirs, then I must say, you're not much of a friend of the transgender community.


A sex change is what we are talking about. If they are people, they get what everyone else does.

Sex reassignment surgery is not medically necessary.


Actually it is, in certain appropriately selected cases (chosen by following the standards of care). This is supported by statements by the major health organizations and the medical literature, including the Merck Manual which I posted.

Your statement that it is not is incorrect, and is opposed by the major health organizations and the medical literature.


Unless you are born a hermaphrodite, you have to deal with the hand you are dealt regarding genders.

It is never necessary.

For example. If I was born a woman, but still had the exact same personality, I wouldn't want to be a guy. I'd want to be an mma fighter and marry a nerd with long hair that can play the guitar.

Beyond this I am not going to go, I don't want to offend people.

But I still don't believe changing genders is the way.


Do you believe that if a majority of the public shares your ideology, that that should override the judgment of health professionals?


_________________
"You have a responsibility to consider all sides of a problem and a responsibility to make a judgment and a responsibility to care for all involved." --Ian Danskin


GGPViper
Veteran
Veteran

User avatar

Joined: 23 Sep 2009
Gender: Male
Posts: 5,880

04 Apr 2014, 12:54 pm

I see several people claiming that sex reassignment surgery is not medically necessary for individuals with gender dysphoria.

What I do *not* see are the medical credentials of those people making such claims documenting that they are actually informed on the subject. I - like many others - defer to the knowledge of the medical establishment, as I fully recognize my lack of personal expertise on the subject.

As such, I have to assume that Lukecash12, Kurgan, zer0netgain and appletheclown are all medical doctors with the extensive training (medical specialisation in psychiatry, urology, gynecology, surgery etc.) required to assess whether or not an individual has a medical need for treatment in the area of sex reassignment surgery.

After all, otherwise... you'd be guilty of quackery.



appletheclown
Veteran
Veteran

User avatar

Joined: 5 Apr 2013
Age: 31
Gender: Male
Posts: 2,378
Location: Soul Society

04 Apr 2014, 1:05 pm

GGPViper wrote:
I see several people claiming that sex reassignment surgery is not medically necessary for individuals with gender dysphoria.

What I do *not* see are the medical credentials of those people making such claims documenting that they are actually informed on the subject. I - like many others - defer to the knowledge of the medical establishment, as I fully recognize my lack of personal expertise on the subject.

As such, I have to assume that Lukecash12, Kurgan, zer0netgain and appletheclown are all medical doctors with the extensive training (medical specialisation in psychiatry, urology, gynecology, surgery etc.) required to assess whether or not an individual has a medical need for treatment in the area of sex reassignment surgery.

After all, otherwise... you'd be guilty of quackery.

And what if we are guilty of quackery?

I'm taking prescription meds, that as a side effect, could cause me to grow female breasts. I could care less! I have to take it to even be functional.

It isn't cool, but I deal with it. I'm sorry if people want this stuff to happen to them, but I'm not paying for it when it could happen to me without a choice.


_________________
comedic burp


The_Walrus
Forum Moderator
Forum Moderator

User avatar

Joined: 27 Jan 2010
Age: 29
Gender: Male
Posts: 8,867
Location: London

04 Apr 2014, 1:37 pm

appletheclown wrote:
And what if we are guilty of quackery?

Examine this graph carefully.
Image
At some point in human history, we stopped relying on quacks for medical treatment, and started trying to actually understand diseases and use treatments that would work.

Would you like to guess approximately when this happened?



Hopper
Veteran
Veteran

User avatar

Joined: 22 Aug 2012
Age: 45
Gender: Male
Posts: 1,920
Location: The outskirts

04 Apr 2014, 1:42 pm

I consider it a perfectly acceptable state of affairs.


_________________
Of course, it's probably quite a bit more complicated than that.

You know sometimes, between the dames and the horses, I don't even know why I put my hat on.


Kurgan
Veteran
Veteran

User avatar

Joined: 6 Apr 2012
Age: 36
Gender: Male
Posts: 4,132
Location: Scandinavia

04 Apr 2014, 1:52 pm

GGPViper wrote:
I see several people claiming that sex reassignment surgery is not medically necessary for individuals with gender dysphoria.

What I do *not* see are the medical credentials of those people making such claims documenting that they are actually informed on the subject. I - like many others - defer to the knowledge of the medical establishment, as I fully recognize my lack of personal expertise on the subject.

As such, I have to assume that Lukecash12, Kurgan, zer0netgain and appletheclown are all medical doctors with the extensive training (medical specialisation in psychiatry, urology, gynecology, surgery etc.) required to assess whether or not an individual has a medical need for treatment in the area of sex reassignment surgery.

After all, otherwise... you'd be guilty of quackery.


I do not have any credentials in political science, education, psychology, anything regarding any language, law or anything not related to engineering either. This doesn't mean that I'm not entitled to have an opinion about any of the aforementioned subjects, nor does it mean that I'm wrong when I say that some qualified teachers mislead the kids, that there's an overdiagnosis of CFS/ME and ADHD in Scandinavia, or that some lawyers are as crooked as scoliosis.

I soon hold a degree in computer science, my skills were picked up by the largest software developer in the north rather quickly, and I were among the top students in my class; does this mean that I'm right if I claim that the government should fund software for people?



Last edited by Kurgan on 04 Apr 2014, 1:58 pm, edited 1 time in total.

Kurgan
Veteran
Veteran

User avatar

Joined: 6 Apr 2012
Age: 36
Gender: Male
Posts: 4,132
Location: Scandinavia

04 Apr 2014, 1:55 pm

appletheclown wrote:
beneficii wrote:
Kurgan wrote:
Whether or not insurance companies should cover this, should be entirely up to them. It should not be funded by the public, though. I've got nothing against transgendered people, but a line has to be drawn on what the public should and should not cover. The welfare systems across the globe are on a very tight budget as it is.


If you're willing to have some transgender people go without access to medically necessary treatments while non-transgender people get all of theirs, then I must say, you're not much of a friend of the transgender community.


A sex change is what we are talking about. If they are people, they get what everyone else does.

Sex reassignment surgery is not medically necessary.


This.

I've gotten what I want in life by working extra hard because of my Asperger's syndrome; there's no reason why someone with gender dysphoria shouldn't be able to do the same.



appletheclown
Veteran
Veteran

User avatar

Joined: 5 Apr 2013
Age: 31
Gender: Male
Posts: 2,378
Location: Soul Society

04 Apr 2014, 2:01 pm

On second thought, if my medicine can cause me to grow breasts, and I need to have surgery to cut them off I guess I should understand. Never mind.


_________________
comedic burp


Kurgan
Veteran
Veteran

User avatar

Joined: 6 Apr 2012
Age: 36
Gender: Male
Posts: 4,132
Location: Scandinavia

04 Apr 2014, 2:05 pm

If I ever take steroids and develop gyno from it, I'd pay for the surgery myself.



ruveyn
Veteran
Veteran

User avatar

Joined: 21 Sep 2008
Age: 88
Gender: Male
Posts: 31,502
Location: New Jersey

04 Apr 2014, 2:15 pm

A sick person is a sick person whether or not it is transgender or not.

I might object to providing sex change operations at tax payers expense, but genuine medical care for injured or ill people must be administered on a uniform basis. The illness or the injury is what is being treated.

ruveyn



appletheclown
Veteran
Veteran

User avatar

Joined: 5 Apr 2013
Age: 31
Gender: Male
Posts: 2,378
Location: Soul Society

04 Apr 2014, 2:17 pm

Kurgan wrote:
If I ever take steroids and develop gyno from it, I'd pay for the surgery myself.


It is a non steroid prescription. But I understand that viewpoint.

I might pay for it myself as well even though I need the meds.


_________________
comedic burp


appletheclown
Veteran
Veteran

User avatar

Joined: 5 Apr 2013
Age: 31
Gender: Male
Posts: 2,378
Location: Soul Society

04 Apr 2014, 2:20 pm

ruveyn wrote:
A sick person is a sick person whether or not it is transgender or not.

I might object to providing sex change operations at tax payers expense, but genuine medical care for injured or ill people must be administered on a uniform basis. The illness or the injury is what is being treated.

ruveyn


This^


_________________
comedic burp


Lukecash12
Veteran
Veteran

User avatar

Joined: 12 Apr 2012
Age: 61
Gender: Male
Posts: 1,033

04 Apr 2014, 4:02 pm

appletheclown wrote:
beneficii wrote:
appletheclown wrote:
beneficii wrote:
Kurgan wrote:
Whether or not insurance companies should cover this, should be entirely up to them. It should not be funded by the public, though. I've got nothing against transgendered people, but a line has to be drawn on what the public should and should not cover. The welfare systems across the globe are on a very tight budget as it is.


If you're willing to have some transgender people go without access to medically necessary treatments while non-transgender people get all of theirs, then I must say, you're not much of a friend of the transgender community.


A sex change is what we are talking about. If they are people, they get what everyone else does.

Sex reassignment surgery is not medically necessary.


Actually it is, in certain appropriately selected cases (chosen by following the standards of care). This is supported by statements by the major health organizations and the medical literature, including the Merck Manual which I posted.

Your statement that it is not is incorrect, and is opposed by the major health organizations and the medical literature.


Unless you are born a hermaphrodite, you have to deal with the hand you are dealt regarding genders.

It is never necessary.

For example. If I was born a woman, but still had the exact same personality, I wouldn't want to be a guy. I'd want to be an mma fighter and marry a nerd with long hair that can play the guitar.

Beyond this I am not going to go, I don't want to offend people.

But I still don't believe changing genders is the way.


You seem to be undereducated on the symptoms of gender confusion.


_________________
There is no wealth like knowledge, no poverty like ignorance.
Nahj ul-Balāgha by Ali bin Abu-Talib