Topic: being transgender: hurdling gatekeeping
❤ Harlot ❤ started this discussion 3 years ago #106,016
recently someone said they were going to do hormones eventually when things made sense for them in other areas of life. which is fine, but it is a medical thing, like pneumonia, or depression, or substance abuse or hemophilia. if you have a medical anything -don't treat it like you would the decision to renovate the kitchen. "Oh, we'll renovate the kitchen once the kids are out of the house and Tom gets that promotion at work," no, no, no.
yeah, you want to be responsible with your life and beliefs and big decisions, but, also, excuses are a kind of gatekeeping too, and once of the hardest to overcome, you are the first gatekeeper.
there's a lot of gatekeeping when it comes to being transgender. the next biggest one is the near complete and total lack of coherent strategies for how to approach being transgender. it can vary vastly by state, or by insurance company, and even things like religious views by medical staff can make it so INFORMING a patient of ANY kind of assistance isn't a guarantee. in fact, you could find out that your trusted medical confidant has denied access and left you uninformed about your rights to access healthcare. so, where does one begin?
you have to go to the single source for the most legally marked-up and verbose set of narrowly defined obligations to exchange services for your required monetary expenditures: your stupid insurance company. yup.
just call them up, and ask them to provide you with their "policies for transgender care" or "policies on gender dysphoria," depending on the legalese.
and, it almost reads like a set of instructions.
because they will NOT cover anything related to transgender care, even if you're transgender, unless you follow their guidelines and fulfill their requirements.
usually it'll start by asking your primary care doctor for a referral to a psychologist/psychiatrist/therapist from the insurance companies selection of covered providers.
then insurance USUALLY requires a certain number of sessions, over a certain period of time, and for the therapist to give a diagnosis of gender dysphoria, THEN there is a referral to an endocrinologist, required blood labs, and after that and you're healthy, THEN hormone replacement therapy can usually begin!
AND, it's all covered under insurance and your out of pocket cost is practically nothing! yup.
it's only crazy expensive if you don't follow the insurance companies guidelines and then you pay for office visits, lab work, and treatment all out-of-pocket.
but, you don't always get that info and your insurance company doesn't want you to know it, but, if you DO know it then they make sure there is a VERY narrow path you have to stay on so it's kinda hard to stumble onto it. you almost have to have an advocate who doesn't just support your beliefs by not killing you, but actually helps you advance your goals and isn't just gatekeeping.
you can actually talk to your insurance company and as them to put you in contact with a PATIENT ADVOCATE who's job is EXACTLY that.
the last thing they want to do is spend your money you've paid into insurance on YOU. but, if they have to, they will do it grudgingly. and provide you with a tightrope to walk on. but, it's better than having them take your money and NOT advance your goals to medically, surgically, or otherwise transition.
you don't have to be completely alone in your goals. don't let anyone tell you what you can't do. make the insurance company explain to you exactly what you can do and how in your state.
good luck ladies. i mean it.
yeah, you want to be responsible with your life and beliefs and big decisions, but, also, excuses are a kind of gatekeeping too, and once of the hardest to overcome, you are the first gatekeeper.
there's a lot of gatekeeping when it comes to being transgender. the next biggest one is the near complete and total lack of coherent strategies for how to approach being transgender. it can vary vastly by state, or by insurance company, and even things like religious views by medical staff can make it so INFORMING a patient of ANY kind of assistance isn't a guarantee. in fact, you could find out that your trusted medical confidant has denied access and left you uninformed about your rights to access healthcare. so, where does one begin?
you have to go to the single source for the most legally marked-up and verbose set of narrowly defined obligations to exchange services for your required monetary expenditures: your stupid insurance company. yup.
just call them up, and ask them to provide you with their "policies for transgender care" or "policies on gender dysphoria," depending on the legalese.
and, it almost reads like a set of instructions.
because they will NOT cover anything related to transgender care, even if you're transgender, unless you follow their guidelines and fulfill their requirements.
usually it'll start by asking your primary care doctor for a referral to a psychologist/psychiatrist/therapist from the insurance companies selection of covered providers.
then insurance USUALLY requires a certain number of sessions, over a certain period of time, and for the therapist to give a diagnosis of gender dysphoria, THEN there is a referral to an endocrinologist, required blood labs, and after that and you're healthy, THEN hormone replacement therapy can usually begin!
AND, it's all covered under insurance and your out of pocket cost is practically nothing! yup.
it's only crazy expensive if you don't follow the insurance companies guidelines and then you pay for office visits, lab work, and treatment all out-of-pocket.
but, you don't always get that info and your insurance company doesn't want you to know it, but, if you DO know it then they make sure there is a VERY narrow path you have to stay on so it's kinda hard to stumble onto it. you almost have to have an advocate who doesn't just support your beliefs by not killing you, but actually helps you advance your goals and isn't just gatekeeping.
you can actually talk to your insurance company and as them to put you in contact with a PATIENT ADVOCATE who's job is EXACTLY that.
the last thing they want to do is spend your money you've paid into insurance on YOU. but, if they have to, they will do it grudgingly. and provide you with a tightrope to walk on. but, it's better than having them take your money and NOT advance your goals to medically, surgically, or otherwise transition.
you don't have to be completely alone in your goals. don't let anyone tell you what you can't do. make the insurance company explain to you exactly what you can do and how in your state.
good luck ladies. i mean it.
(Edited 2 minutes later.)
Anonymous B joined in and replied with this 3 years ago, 1 hour later[^] [v] #1,191,559
This should be required reading for anyone interested in transitioning.
Erik !AltRitexT6 joined in and replied with this 3 years ago, 54 minutes later, 1 hour after the original post[^] [v] #1,191,563
Anonymous D joined in and replied with this 3 years ago, 2 hours later, 4 hours after the original post[^] [v] #1,191,571
No, it's the opposite problem apparently. On the TV news they say it's TOO easy, and all these children are accidentally getting hormones! 😱
❤ Harlot ❤ (OP) replied with this 3 years ago, 2 hours later, 6 hours after the original post[^] [v] #1,191,582
@1,191,559 (B)
It should be explained same as pap smears and checking for testicular cancer and stuff. Just, the stuff you do like breast exams and colonoscopies. Oh, ur a girl, do x, oh you're a boy, do x, oh, you're transgender do ax and ay and az and € and ¥ and £ and...
It should be explained same as pap smears and checking for testicular cancer and stuff. Just, the stuff you do like breast exams and colonoscopies. Oh, ur a girl, do x, oh you're a boy, do x, oh, you're transgender do ax and ay and az and € and ¥ and £ and...
Anonymous E joined in and replied with this 3 years ago, 21 minutes later, 6 hours after the original post[^] [v] #1,191,585
What is there to do really? Change your name, grow your hair out, take hormones, get a new wardrobe, and (optionally) get silicone bags put in your chest and have your peepee surgically rearranged into a crude approximation of female genitalia.
That's really all there is to it. You could fit the whole thing on an index card.
That's really all there is to it. You could fit the whole thing on an index card.
❤ Harlot ❤ (OP) replied with this 3 years ago, 7 minutes later, 7 hours after the original post[^] [v] #1,191,587
@previous (E)
And what is there to being a man?
Or a woman?
Either piss standing up or use vagisil on your stank.
See, both men and women fit the whole thing in 10 words. What more is there to say?
And what is there to being a man?
Or a woman?
Either piss standing up or use vagisil on your stank.
See, both men and women fit the whole thing in 10 words. What more is there to say?
shelly !pojRZAy7sI joined in and replied with this 3 years ago, 50 seconds later, 7 hours after the original post[^] [v] #1,191,588
@1,191,585 (E)
> What is there to do really? Change your name, grow your hair out, take hormones, get a new wardrobe, and (optionally) get silicone bags put in your chest and have your peepee surgically rearranged into a crude approximation of female genitalia.
>
> That's really all there is to it. You could fit the whole thing on an index card.
just b yourself
> What is there to do really? Change your name, grow your hair out, take hormones, get a new wardrobe, and (optionally) get silicone bags put in your chest and have your peepee surgically rearranged into a crude approximation of female genitalia.
>
> That's really all there is to it. You could fit the whole thing on an index card.
just b yourself
❤ Harlot ❤ (OP) replied with this 3 years ago, 2 minutes later, 7 hours after the original post[^] [v] #1,191,589
@previous (shelly !pojRZAy7sI)
Idk, there's probably some people that I would advise.... Uh, probably be someone else....
Idk, there's probably some people that I would advise.... Uh, probably be someone else....
dw !p9hU6ckyqw joined in and replied with this 3 years ago, 1 hour later, 8 hours after the original post[^] [v] #1,191,598
@1,191,585 (E)
I still don't get the whole transgenderism meme. Gender is an artificial construct so why would you need to do any of those things to change it and more importantly why would you want to
I still don't get the whole transgenderism meme. Gender is an artificial construct so why would you need to do any of those things to change it and more importantly why would you want to
Anonymous H joined in and replied with this 3 years ago, 4 minutes later, 8 hours after the original post[^] [v] #1,191,599
Anonymous D replied with this 3 years ago, 19 minutes later, 9 hours after the original post[^] [v] #1,191,600
@1,191,598 (dw !p9hU6ckyqw)
(((they))) erased transsexual from the dictionary! THOSE DAMNED LIBERAL DICTIONARY EDITORS HAVE TOO MUCH CONTROL OVER OUR REALITY, REEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
(((they))) erased transsexual from the dictionary! THOSE DAMNED LIBERAL DICTIONARY EDITORS HAVE TOO MUCH CONTROL OVER OUR REALITY, REEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
Anonymous I joined in and replied with this 3 years ago, 21 minutes later, 9 hours after the original post[^] [v] #1,191,604
@1,191,598 (dw !p9hU6ckyqw)
I think of it like this: they are uncomfortable in the bodies they were born with . Like, if I had some really uncomfortable shoes I'd definitely get some new shoes.
I think of it like this: they are uncomfortable in the bodies they were born with . Like, if I had some really uncomfortable shoes I'd definitely get some new shoes.
dw !p9hU6ckyqw replied with this 3 years ago, 50 minutes later, 10 hours after the original post[^] [v] #1,191,616
@previous (I)
Right but every well thinking person knows their body has naught to do with their gender. Also - who in the fuck is comfortable in their body??
Right but every well thinking person knows their body has naught to do with their gender. Also - who in the fuck is comfortable in their body??
Anonymous D replied with this 3 years ago, 25 minutes later, 10 hours after the original post[^] [v] #1,191,628
Green !StaYqkzUPc joined in and replied with this 3 years ago, 39 minutes later, 11 hours after the original post[^] [v] #1,191,634
I eat a lot of soy.
shelly !pojRZAy7sI replied with this 3 years ago, 1 minute later, 11 hours after the original post[^] [v] #1,191,635
goodbye john. goodbye martin. goodbye bobby. goodbye Robert
Kook !!rcSrAtaAC joined in and replied with this 3 years ago, 23 minutes later, 11 hours after the original post[^] [v] #1,191,637
shelly !pojRZAy7sI replied with this 3 years ago, 15 minutes later, 12 hours after the original post[^] [v] #1,191,638
Anonymous E replied with this 3 years ago, 8 seconds later, 12 hours after the original post[^] [v] #1,191,639
@1,191,587 (❤ Harlot ❤)
> And what is there to being a man?
> Or a woman?
Not doing any of those things.
> Either piss standing up or use vagisil on your stank.
Correct.
> See, both men and women fit the whole thing in 10 words. What more is there to say?
That cutting your dick off won't accomplish anything.
> And what is there to being a man?
> Or a woman?
Not doing any of those things.
> Either piss standing up or use vagisil on your stank.
Correct.
> See, both men and women fit the whole thing in 10 words. What more is there to say?
That cutting your dick off won't accomplish anything.
dw !p9hU6ckyqw replied with this 3 years ago, 19 minutes later, 12 hours after the original post[^] [v] #1,191,641
Anonymous I replied with this 3 years ago, 6 minutes later, 12 hours after the original post[^] [v] #1,191,643
Anonymous E replied with this 3 years ago, 23 minutes later, 12 hours after the original post[^] [v] #1,191,645
dw !p9hU6ckyqw replied with this 3 years ago, 10 minutes later, 13 hours after the original post[^] [v] #1,191,646
@1,191,643 (I)
no but I don't understand why someone would have to change something physical about their body to feel more feminine (except some idiots opinions but fuck them)
no but I don't understand why someone would have to change something physical about their body to feel more feminine (except some idiots opinions but fuck them)
KS replied with this 3 years ago, 9 minutes later, 13 hours after the original post[^] [v] #1,191,650
@previous (dw !p9hU6ckyqw)
I don't try to understand it because none of it matters to me. I take people for whatever they are.
I don't try to understand it because none of it matters to me. I take people for whatever they are.
dw !p9hU6ckyqw replied with this 3 years ago, 7 minutes later, 13 hours after the original post[^] [v] #1,191,651
❤ Harlot ❤ (OP) replied with this 3 years ago, 25 minutes later, 13 hours after the original post[^] [v] #1,191,686
❤ Harlot ❤ (OP) double-posted this 3 years ago, 2 minutes later, 13 hours after the original post[^] [v] #1,191,687
Y'all are all giving this all a lot of thought...
shelly !pojRZAy7sI replied with this 3 years ago, 1 minute later, 13 hours after the original post[^] [v] #1,191,688
@previous (❤ Harlot ❤)
> Y'all are all giving this all a lot of thought...
how is that an indictment
> Y'all are all giving this all a lot of thought...
how is that an indictment
❤ Harlot ❤ (OP) replied with this 3 years ago, 5 minutes later, 13 hours after the original post[^] [v] #1,191,690
shelly !pojRZAy7sI replied with this 3 years ago, 4 minutes later, 14 hours after the original post[^] [v] #1,191,693
@previous (❤ Harlot ❤)
weird thing to say in a discussion. 'oh you're really thinking about this'
gosh I hope so
weird thing to say in a discussion. 'oh you're really thinking about this'
gosh I hope so
squeegee (OP) replied with this 3 years ago, 7 minutes later, 14 hours after the original post[^] [v] #1,191,694
@1,191,650 (KS)
> I don't try to understand it because none of it matters to me. I take people for whatever they are.
@1,191,651 (dw !p9hU6ckyqw)
> Yeah someone's gender isn't exactly an important factor in getting to know them
@previous (shelly !pojRZAy7sI)
None of it matters, isn't exactly important
Fair enough, I usually just bypass threads when I have opinions like not caring one way or another about the subject. It's fine, I'm not being critical, just an observation. But, sorry for having an opinion that adds nothing to the conversation and voicing it. I'll put more thought into it next time. Sheesh.
> I don't try to understand it because none of it matters to me. I take people for whatever they are.
@1,191,651 (dw !p9hU6ckyqw)
> Yeah someone's gender isn't exactly an important factor in getting to know them
@previous (shelly !pojRZAy7sI)
None of it matters, isn't exactly important
Fair enough, I usually just bypass threads when I have opinions like not caring one way or another about the subject. It's fine, I'm not being critical, just an observation. But, sorry for having an opinion that adds nothing to the conversation and voicing it. I'll put more thought into it next time. Sheesh.