AS - Trans MTF

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I just found a very useful resource for arguing for coverage of transition-related care with employers

http://williamsinstitute.law.ucla.edu/w ... t-2013.pdf

Wanna watch me rip a condescending, ignorant jerk to shreds?

http://www.huffingtonpost.com/2013/11/2 ... -301543193

EDIT: For his or her last comment there are no words.

You both argue over the concept of "medical necessity".

I found this link ...

http://www.carcinoid.org/content/excerp ... ir-weapons

Many hospitals acknowledge this as the definition ...

They define Medical Necessity:

1. Not for convenience
2. Appropriate level of care
3. In accordance with generally accepted medical practice

However, "agentofreason" is arguing a position that the insurance industry has been known to take - that "medical necessity" means "absolute life or death".

Ja. There's also that last comment, where he/she says that even though the AMA says it's medically necessary, the AMA really is not. And the DSM-5 being a diagnostic manual and not a treatment guide contradicts my position, somehow. The person may not realize that the DSM was not my sources from the APA, but rather my sources were the APA resolution and the APA Task Force on GID's report.

I wonder if "agentoreason" is not actually a Poe of some sort, because that last post was something else. That poster's misrepresentations of the sources I found very stressful and nearly sent me into a meltdown. Luckily, I was able to take my mind off of it and take a nap.

I am still recovering from that conversation. That was a very stressful conversation. I don't do well when I have discussions with people that eff around and argue in bad faith. I think I need to become much more selective about who I will debate with.

Jeez.

Well, I asked him some clarification questions, along the lines of do you consider psychiatric illness to be medical illness, what you think AMA Resolution 122 says, and how on God's green earth the DSM-5 is relevant for whether sex reassignment surgery is medically necessary beyond providing a billable diagnosis.

I spoke with the head of our local company LGBT group and she says she supports me. She is waiting to hear back from the head of benefits for clarification on exactly what is going on, why transition-related care is excluded, and what could be done to remove the excluded.

Do any of you have any trans-central support groups that you can attend in your area, and if so, do you attend them?

I actually have two in my area, but I don't like either one of them. It usually ends up in a woe-is-me hug boxing spiral of lameness.

I have just one. It's OK. Their problem is that they end up talking about lots of boring irrelevant stuff. It seems only a few people will actually bring up issues; everyone else seems to be there to talk about like the latest video game or something. I'll still go, though, to explain what I'm doing.

I rarely attend. One group is on tuesdays, and is pretty structured, but gets boring. I have a hard time just sitting there and need something to fill the time while I listen to others. No cell phones or laptops, or any electronic devices. This group is also pretty helpful with asking others for advice and actually getting something back. Several have transitioned or are in their RLE and are going to get SRS soon.

But the structure can be overkill. And depending on who is running the meeting, some topics such as typical bashing of other groups or outright hate speech are verboten and others running let things slide.

The other group is pretty bad. The people are nice, but the group isn't that good a group. A weird connection thing between groups of people I know is that a self identified genderqueer works with two of my friends and attended the second group for a while and my friends have talked with him about the LGBT community and they have the you know, I know, the genderqueer knows but we're just not in the room type of conversations and the GQ person came back about the group with similar attitudes and mentioned that it easily happens where people just get all pissy or whiny without and try to spread their miserableness onto others. I got such a laugh out of that because unless the GQ is AS/HFA, which I don't believe they are, my view of the situation is unfounded despite my HFA/AS.

Are these people older?

They talked about trans politics when I went there. We sat around in chairs in a circle, and took turns sharing our problems. There were only MtF people there, some were fully transitioned , most not. No one mentioned being autistic.
No one cried. We laughed at ourselves more than anything.

I think I wanted to feel a connection, but I didn't.

Last edited by LoveNotHate on 30 Nov 2013, 7:43 pm, edited 1 time in total.

Could you go into more detail about that last part, about how your view of the situation is unfounded? I couldn't quite understand it.

What do they think about your ASD ?

Sorry about that. I mistyped that whole last paragraph. What I meant to say was --

My view may have somewhat grounded if someone else shares the same view. I really butchered the english language. Here's a re-write.

I feel that the other group is pretty bad. For the most part the people who regularly attend are nice, but the group isn't that good a group.

A connection between groups of people I know is that a self identified gender queer works with two of my friends who are not LGBT. The GQ also attended the trans support group for a while when I did. In a way to better understand the LGBT community, my two friends have convos on various subject matter relating to LGBT with the GQ. They also have me to refer to and they've correlated stories about the same group. My problems, and the GQ's problems with the group. The GQ described the group as a bunch of people with similar attitudes and mentioned that it easily goes where they get all pissy or whiny without and try to spread their miserableness onto others. I got such a laugh out of that because unless the GQ is AS/HFA, which I don't believe they are, my view of the situation is realistic despite my HFA/AS.

I hope that makes more sense.


I used to regularly attend, every week, both groups, and then I just couldn't do it anymore. Now it's once every few months if at all.

The structured group seemed pretty understanding. It's accepted that there are many of us in the community that not only deal with gender issues, but also with other mental and physical health problems, and a several of them had words of support. Many though were not familiar with it and this category includes most of the second group. I explained what I could when asked about AS/HFA, but the response was more like an Oh, that's what it is, and not much else. This isn't a bad thing. Ignorance is what it is and I try to fix it if I'm capable of it.



It's a mix. There are older MTFs in there 60's and 70's, some younger around my age in their 30's, and several younger, in there late teens, early 20's. It's a mix. Mostly due to outside life stuff also having to be done, it's easier for older people to regularly attend, but it varies.

I understand about the connection. I don't feel a connection with any of those who regularly attend.

Sometimes the convo is trans politics. Sometimes a person monopolizes about themselves. Sometimes it's about random things because someone has a problem with a non-trans item and just wants advice help on it. It can vary. But the last six times I went to the second support group(not the structured), it devolved into a woe-is-me, I/we hate these groups and these things unrelated to trans(even though several of you in here actuall support what it is) are suck and bad.

Three times I know of because I was there and I've heard from others about other times, rules were set. We do not talk about religion beyond giving directions to where a trans friendly denomination is located. We do not talk about politics unless it is local to our area or affects our area(basically we don't talk about politics that don't affect us, and talk only about what affects us). We are not supposed to spout hate speech about other groups as a double standard when talking about people doing hate speech against us. And no one sticks to the rules. There is crap for moderation. I don't go to the support group to hear people hate on my religion and tell me I"m wrong. I don't go to discuss a different states politics and laws, and regulations. I don't go hear hate speech, or say hate speech. It's frustrating.

i ran into this fellow many time... he is not interested in evidence or even constructive exchange. don't let his name fool you.

Oh, you're just saying that because you know you lost! [/agentofreason]

BTW, has anybody heard of, "Gender wipes the finger"? It's the username of someone on GenderTrender. It kinda reminds me of what the villain on The Silence of the Lambs said, "It rubs the lotion on its skin or else it gets the hose again." I guess making you want to associate trans with the villain on The Silence of the Lambs is the intent.