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The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. This medical association was founded in 1847 and is headquartered in Chicago, Illinois. Membership was 271,660 in 2022.
Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequities, and face worse health outcomes than those who are able to access certain resources. It is not equity to simply provide every individual with the same resources; that would be equality. In order to achieve health equity, resources must be allocated based on an individual need-based principle.
The Vanderbilt University Medical Center (VUMC) is a medical provider with multiple hospitals in Nashville, Tennessee, as well as clinics and facilities throughout Middle Tennessee. VUMC is an independent non-profit organization, but maintains academic affiliations with Vanderbilt University. As of 2023, the health system had more than 3 million patient visits a year, a workforce of 40,000, and 1,741 licensed hospital beds.
Stephen Barrett Levine is an American psychiatrist known for his thesis that gender dysphoria and being transgender are often caused by psychological issues that should be treated psycho-analytically as opposed to with gender-affirming care. He co-founded Case Western Reserve University School of Medicine's Gender Identity Clinic in 1974, served as the chair of the World Professional Association for Transgender Health (WPATH) drafting committee for the 5th edition of their Standards of Care (SOC-5) published 1998, and served on the American Psychiatric Association (APA) DSM-IV (1994) Subcommittee on Gender Identity Disorders.
In the United States, the rights of transgender people vary considerably by jurisdiction. In recent decades, there has been an expansion of federal, state, and local laws and rulings to protect transgender Americans; however, many rights remain unprotected, and some rights are being eroded. Since 2020, there has been a national movement by conservative/right-wing politicians and organizations to target transgender rights. There has been a steady increase in the number of anti-transgender bills introduced each year, especially in Republican-led states.
Lesbian, gay, bisexual, and transgender (LGBTQ) people in the U.S. state of Florida have federal protections, but many face legal difficulties on the state level that are not experienced by non-LGBT residents. Same-sex sexual activity became legal in the state after the U.S. Supreme Court's decision in Lawrence v. Texas on June 26, 2003, although the state legislature has not repealed its sodomy law. Same-sex marriage has been legal in the state since January 6, 2015. Discrimination on account of sexual orientation and gender identity in employment, housing and public accommodations is outlawed following the U.S. Supreme Court's ruling in Bostock v. Clayton County. In addition, several cities and counties, comprising about 55 percent of Florida's population, have enacted anti-discrimination ordinances. These include Jacksonville, Miami, Tampa, Orlando, St. Petersburg, Tallahassee and West Palm Beach, among others. Conversion therapy is also banned in a number of cities in the state, mainly in the Miami metropolitan area, but has been struck down by the 11th Circuit Court of Appeals. In September 2023, Lake Worth Beach, Florida became an official "LGBT sanctuary city" to protect and defend LGBT rights.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of Missouri may experience some legal challenges that non-LGBTQ residents do not. Same-sex sexual activity is legal in Missouri, in accordance with 2003's Lawrence v. Texas decision. In 2006, Missouri codified the legality of same-sex sexual activity into its statutory law.
Puberty blockers are medicines used to postpone puberty in children. The most commonly used puberty blockers are gonadotropin-releasing hormone (GnRH) agonists, which suppress the natural production of sex hormones, such as androgens and estrogens. Puberty blockers are used to delay puberty in children with precocious puberty. Since the 1990s, they are also used to delay the development of unwanted secondary sex characteristics in transgender children, so as to allow transgender youth more time to explore their gender identity under what became known as the "Dutch Protocol". They have been shown to reduce depression and suicidality in transgender and nonbinary youth. The same drugs are also used in fertility medicine and to treat some hormone-sensitive cancers in adults.
Gender-affirming hormone therapy (GAHT), also called hormone replacement therapy (HRT) or transgender hormone therapy, is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender or gender nonconforming individuals for the purpose of more closely aligning their secondary sexual characteristics with their gender identity. This form of hormone therapy is given as one of two types, based on whether the goal of treatment is masculinization or feminization:
Transgender health care includes the prevention, diagnosis and treatment of physical and mental health conditions for transgender individuals. A major component of transgender health care is gender-affirming care, the medical aspect of gender transition. Questions implicated in transgender health care include gender variance, sex reassignment therapy, health risks, and access to healthcare for trans people in different countries around the world. Gender affirming health care can include psychological, medical, physical, and social behavioral care. The purpose of gender affirming care is to help a transgender individual conform to their desired gender identity.
In the United States, a religious freedom bill is a bill that, according to its proponents, allows those with religious objections to oppose LGBT rights in accordance with traditional religious teachings without being punished by the government for doing so. This typically concerns an employee who objects to abortion, euthanasia, same-sex marriage, civil unions, or transgender identity and wishes to avoid situations where they will be expected to put those objections aside. Proponents commonly refer to such proposals as religious liberty or conscience protection.
Detransition is the cessation or reversal of a transgender identification or of gender transition, temporarily or permanently, through social, legal, and/or medical means. The term is distinct from the concept of 'regret', and the decision may be based on a shift in gender identity, or other reasons, such as health concerns, social or economic pressure, discrimination, stigma, political beliefs, or religious beliefs.
Arkansas House Bill 1570, also known as the Save Adolescents From Experimentation (SAFE) Act or Act 626, is a 2021 law in the state of Arkansas that bans gender-affirming medical procedures for transgender people under 18, including puberty blockers, hormone therapy, and sex reassignment surgery. The law also bans the use of public funds for and prohibits insurance from covering gender transition procedures, while doctors who provide treatment in violation of the ban can be sued for damages or professionally sanctioned. The measure makes Arkansas the first U.S. state to make gender-affirming medical care illegal.
Genspect is an international group founded in June 2021 by psychotherapist Stella O'Malley that has been described as gender-critical. Genspect opposes gender-affirming care, as well as social and medical transition for transgender people. Genspect opposes allowing transgender people under 25 years old to transition, and opposes laws that would ban conversion therapy on the basis of gender identity. Genspect also endorses the unproven concept of rapid-onset gender dysphoria (ROGD), which proposes a subclass of gender dysphoria caused by peer influence and social contagion. ROGD has been rejected by major medical organisations due to its lack of evidence and likelihood to cause harm by stigmatizing gender-affirming care.
Transphobia in the United States has changed over time. Understanding and acceptance of transgender people have both decreased and increased during the last few decades depending on the details of the issues which have been facing the public. Various governmental bodies in the United States have enacted anti-transgender legislation. Social issues in the United States also reveal a level of transphobia. Because of transphobia, transgender people in the U.S. face increased levels of violence and intimidation. Cisgender people can also be affected by transphobia.
The Society For Evidence-Based Gender Medicine (SEGM) is a non-profit organization that is known for its opposition to gender-affirming care for transgender youth and for engaging in political lobbying. The group routinely cites the unproven concept of rapid-onset gender dysphoria and mistakenly claimed that conversion therapy techniques are only practiced on the basis of sexual orientation rather than gender identity. SEGM is often cited in anti-transgender legislation and court cases, sometimes filing court briefs.
Florida Senate Bill 254 is a law that prohibits gender-affirming care for anyone under the age of 18, places restrictions on adult patients accessing this care, and allows the state to take temporary custody of children who may be receiving gender-affirming care now or in the future. In June 2024, a judge permanently blocked the law from taking effect. In August 2024, the 11th Circuit Court of Appeals stayed the permanent injunction while the matter is appealed.
Miriam Grossman is an American psychiatrist and activist aligned with anti-LGBT and conservative advocacy organizations. She is an opponent of gender affirming medical care for transgender people, and opposes sex education in schools, which she describes as a "Marxist approach to human development".
United States v. Skrmetti is a pending United States Supreme Court case on whether bans on transgender medical procedures for minors under the age of 18 violate the Equal Protection Clause of the Fourteenth Amendment to the United States Constitution.
Misinformation and disinformation about transgender health care are false and misleading claims about gender diversity, gender dysphoria, and gender-affirming healthcare that have been used in proposed attempts to ban such healthcare. These include claims that most pre-pubertal transgender children "desist" and cease desiring transition after puberty, that most people who transition regret it, that gender dysphoria can be socially contagious, and that gender dysphoria is caused by mental illness, among others.
References
- 1 2 Andrews, Michelle (6 July 2023). "How Health Care May Be Affected by the High Court's Affirmative Action Ruling". KFF Health News. Retrieved 18 June 2024.
- 1 2 3 4 5 6 McMillan, Jeff; Kruesi, Kimberlee (2023-05-20). "Meet the influential new player on transgender health bills". AP News . Archived from the original on 2023-07-04. Retrieved 2023-09-06.
- ↑ Flood, Brian (2022-04-19). "Do No Harm aims to keep liberal ideology out of healthcare: 'Physicians are being pushed to discriminate'". Fox News . Archived from the original on 2023-09-05. Retrieved 2023-09-06.
- 1 2 "Transgender health bills often came from a handful of far-right interest groups, AP finds". Chicago Sun-Times . 2023-05-22. Retrieved 2023-09-06.
- 1 2 Balevic, Katie. "Do No Harm, a group of 'medical professionals' fighting 'woke healthcare,' is behind many anti-trans laws". Business Insider . Archived from the original on 2023-06-06. Retrieved 2023-09-06.
- ↑ "Anti-LGBTQ". Southern Poverty Law Center. Archived from the original on September 5, 2021. Retrieved 2024-06-05.
- ↑ Watrobski, Kristina (28 December 2023). "Major medical association slammed for offering 'segregated' scholarships to students". WPMI. Retrieved 18 June 2024.
- ↑ Morgan, Laura (19 December 2023). "Do No Harm Releases New Report: "Racial Concordance in Medicine: The Return of Segregation"". Do No Harm. Retrieved 18 June 2024.
- ↑ Pappert, Tom (November 29, 2024). "Medical Professionals Organize Rally to Support Tennessee as SCOTUS Considers Law Blocking Kids from Transgender Surgery". Tennessee Star . Retrieved December 3, 2024.