Trump signed an executive order that tries to write trans people out of existence today.
It's mostly symbolic.
It's still gonna make for a LOT of pain for the trans community--just probably not where you think it will.
It's gonna be real bad for grant funding, which means medical research.
A ๐งต
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Disclaimer first:
Because vital records other than passports and social security are reserved power to the states, and because social security and passports require case-by-case court orders to change, the only effect his "two sexes" declaration has in records is making passports hard to get for people who haven't gotten that done, or maybe haven't even realized that they're trans yet.
Profoundly shitty. But states are required under the constitution to respect things like name and sex changes done by other states. It's the same problem they ran into after MA started doing gay marriages.
Similarly, the "no federal dollars for gender transition" bit at the end is mostly symbolic. It's an attempt to stop Medicaid/Medicare funding for us.
Problem is, Obamacare mandates coverage for everything medically necessary, and specifically--black letter--identifies HRT and bottom surgery as medically necessary, then delegates the determination of what is and is not medically necessary to state insurance regulators. Medicaid/Medicare is subject to Obamacare because it's sold on the insurance marketplace.
So, in and of itself, until and unless they repeal it, Obamacare pretty much stops that one dead.
And they say they want to, to be fair.
But, to also be fair, they've been saying that for 15 years now. We still have it.
They're gonna absolutely fuck trans veterans, though, and they're gonna get away with it too. ๐ก
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@Impossible_PhD I'm confused - Medicare explicitly isn't part of the ACA marketplace. Straight medi-cal/medicaid isn't either. managed medi-cal/medicaid plans are, as best as I can tell, part of the ACA marketplace
So, especially with Medicare not being part of the ACA marketplace, that seems to potentially make this a significant issue for those on medicare seeking coverage for trans stuff
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@vantiss hmm. That's fair; I may have a misunderstanding here, and I can dig more. Any managed plans should be reasonably safe for sure.
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