When does a transgender person need care?
The term transgender, which is now a widely accepted term, has long been used in medical circles as a term that refers to a person whose gender identity and expression differs from the one typically assigned at birth.
A transgender person is someone who identifies with the gender that was assigned at conception, the person’s birth certificate, or their parents’ name on their marriage certificate.
In a 2016 paper, “The Transgender Patient,” Dr. Steven N. Zucker, the president of the American Academy of Pediatrics, outlined the criteria for a transgender diagnosis.
It is also the medical definition of “mental health” for transgender people.
Dr. Zucker’s paper was a milestone for the transgender community, and it helped to change the language around the transgender care that is offered by health care providers.
But even as the medical community changed its language around transgender health, the underlying problem remains: the way transgender people are treated is still not consistent with the way that many transgender people experience their own gender dysphoria.
While some transgender people have had better access to medical care than others, other transgender people may not have the same access to gender-specific care as cisgender people.
What is gender dysphoric?
Transgender people experience a lot of discomfort and dysphoria related to the physical characteristics of their assigned sex at birth, including the shape of their body, hair, and nails.
For instance, a transgender woman may experience a sense of being “not myself,” while a cisgender person may have an increased sense of “being like other people.”
The medical terminology used to describe this dysphoria has been a topic of heated debate.
The American Psychiatric Association has made several statements about transgender identity, but none explicitly say that transgender people need to have gender-neutral, non-pervasive care.
Dr Zucker wrote in his 2016 paper that “transgender care for transgender patients should be gender-free, nonpervasive, and based on the needs of the individual patient rather than a system of rigid gender stereotypes.”
Gender-neutral care is a term for healthcare that does not address the gender identity or expression of a person, and non-gender-specific healthcare is what some health care systems provide to people.
A gender-nonconforming person can be treated with the same healthcare as cissex people.
Gender-non-conforming people have been described as having a “gender identity disorder,” meaning that they experience gender dysphorical feelings, and they are at higher risk for experiencing gender-related health problems.
The World Health Organization’s International Classification of Diseases, Ninth Revision, defines gender dysphorian disorder as a disorder of gender identity, sexual orientation, or gender expression.
Some transgender people who have been diagnosed with gender dysphorias say they are able to access gender-affirming care that meets the standards of a gender-sensitive, nongender-based health system.
However, the World Health Organisation’s definition of gender dysphoriacy, which includes some gender-based issues, still does not include transgender people in its terms.
Gender dysphoria is not a medical condition.
Gender is not an illness.
And yet, the way trans people are identified and treated is one of the main barriers to their access to health care.
What are the consequences for a trans person who has a gender dysphorie?
Transgender women may not receive gender-appropriate healthcare in some health settings, for example, in some insurance plans.
This may be due to the fact that gender-transforming surgery is not covered by insurance and the healthcare provider may not know how to provide the necessary medical treatment.
Transgender people may also not receive the appropriate healthcare in their chosen healthcare provider’s office.
Some trans people, including trans women, may not even be able to afford their own healthcare, because insurance plans exclude transgender people from coverage.
This means that some transgender patients may not be able, for instance, to obtain needed health care for their gender dysphorians.
In addition, many transgender women may face discrimination in the healthcare system.
Transgender women face discrimination when it comes to access to healthcare and their healthcare providers.
They may be unable to access health care because their insurance plans do not cover gender-confirming surgery, and other gender-conformity-related procedures are also excluded from coverage under insurance plans, such as sterilization.
Transgender health care is an especially difficult and often unanticipated area for transgender individuals to navigate because of the stigma associated with their gender identity.
Many trans people may fear that they are “asking for trouble” by seeking care in the medical system.
This is the result of societal expectations that transgender individuals are seeking gender-reassignment surgery, which they believe will change their sex, rather than their biological sex.
This fear may result in the transgender person feeling isolated and feeling alone.
The medical system also may not understand or care for the needs that transgender patients have, such a lack of gender-critical healthcare providers and a lack for adequate gender-fluid health care that includes gender-inclusive healthcare options.
What can transgender people do about discrimination?