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Medical terminology for trans healthcare

I am finally enrolled in Kaiser Permanente’s transgender healthcare program. (Why I didn’t get enrolled when I first signed up for it is a mystery, but whatever.) Today I finally received my insurance form for submitting reimbursement claims for my hair removal.

It gave me a diagnostic code of F649 with an explanation of “Uncomfortable with one’s gender.”

This is… not great phrasing.

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On the current dumpster fire

Trump Administration Eyes Defining Transgender Out of Existence:

The Trump administration is considering narrowly defining gender as a biological, immutable condition determined by genitalia at birth, the most drastic move yet in a governmentwide effort to roll back recognition and protections of transgender people under federal civil rights law.

[…]

“Sex means a person’s status as male or female based on immutable biological traits identifiable by or before birth,” the department proposed in the memo, which was drafted and has been circulating since last spring. “The sex listed on a person’s birth certificate, as originally issued, shall constitute definitive proof of a person’s sex unless rebutted by reliable genetic evidence.”

To everyone who wonders why trans people are always so unhappy, or why I keep on caring about politics and getting upset about things I can’t control, THIS IS WHY.

This policy isn’t just about nomenclature or bathrooms (although those are both very important!), it also affects me directly in terms of the health services I can receive. It is yet another case of the Republicans being the party of personal freedom but only for the freedoms that they want.

Gender is (partially) a social construct, chromosomes don’t tell the whole story, intersex people exist, trans people exist, dysphoria is real, choose love, be kind.

I refuse to be legislated out of existence.

Dysphoria Discourse

There has been yet another explosion of discourse over on Trans Twitter as a result of a couple of prominent people talking about their beliefs regarding dysphoria and what it means to be “really” trans.

The term “transmed” has come about, as an attempt at a more “gentle” form of what many folks call “truscum,” namely that you must feel dysphoria to be Really Trans, and that the end goal absolutely must be a “proper” transition, which is such an incredibly reductive, prescriptive, and invalidating set of concepts that it does much more harm than good to people who are already having difficulty questioning themselves and need support and compassion to figure out where they stand and what they need.

The problem with discussing dysphoria is that it’s such an ineffable, subjective concept that it’s impossible for two people to even agree on what it is – hell, it’s difficult for one person to agree on what it is – and it can also refer to so many things, many of which overshadow each other and behave in confusing ways, and thus how can any objective criterion be formed based on what essentially comes down to what someone’s feeling?

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