Saoirse [she/her, comrade/them]

A distant voice from a terminal at the edge of the world, overlooking the rough sea. Transfem, out and on HRT for over 10 years, with work experience in healthcare. Here to help my trans comrades in any way I can.

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Joined 1 year ago
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Cake day: October 21st, 2023

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  • The working draft of the Republican Party's HHS funding bill for next year includes a stipulation to withhold federal funding from any recipient that provides HRT.

    For the last few years, the GOP has coalesced around an idea that would short-circuit essentially all trans health care in America: banning federal funds from going to businesses that provide health care specific to changing one’s sex or gender identity, including hormones and surgeries. It would essentially signal to the private sector that if it wants federal dollars, it needs to stay away from sex- or gender-affirming care, and bow down to right-wing pundits who aim to, in their own words, “eradicate” and “erase” this form of health care.

    Language in House Republicans’ most recent funding bill for the Health and Human Services Department would do just that — ban money from any federal program to entities that do “social transitioning” or drugs and surgery for “gender dysphoria.” Gender dysphoria is the specific diagnosis doctors use to justify those medical interventions. This legislation has not gotten a vote yet and would need to be reintroduced next Congress to be considered. But it has been a top priority for Republican lawmakers in the House, and Trump himself has promised he’d ask Congress “to permanently stop federal taxpayer dollars from being used to promote or pay for these [trans] procedures.” (You can hear all his promises on trans health care in this short campaign video.)

    Bans like these can lead to the private sector discontinuing behaviors altogether — and once they are in place, they are hard to get rid of: The Hyde Amendment, enacted in the 1970s, led to most abortions no longer being performed in hospitals, and is continually renewed each year.

    Medical groups and civil rights advocates in D.C. tell Rolling Stone they believe that if a Hyde-level ban on federal funding were enacted, many hospitals will simply prioritize federal dollars over continuing this highly specialized form of medical care. So much medicine is performed through hospital systems and universities that this could mean ending access for many.


    Given the Democratic Party leapt at the chance to scapegoat transgender people for all their own failures in the election, I think it would take a miracle to prevent this from going into law. It will immediately put large health institutions in certain states between a rock and hard place, as local legislation requires them to offer these services, which will likely lead to appeals, but as it stands I doubt they will make even a token effort to get this language out of the bill, and it will make HRT completely legally inaccessible for anyone who can't afford private practice virtually overnight. This article's author, Jael Holzman, is the guest on this week's Chapo, you can hear the story in her own words there.