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Medicaid Should Meet The Needs Of Transgender People

A panel advising New York Governor Andrew Cuomo on the redesign of the state’s Medicaid program is considering recommending coverage for health care for transgender people.

New York could thus join several other states in providing all medically necessary care for transgender residents on Medicaid. Such a recommendation would be a welcome step forward in ending health care discrimination against transgender people, many of whom face severe discrimination in almost every area of their lives, including employment and housing.

Currently, New York’s Medicaid program specifically excludes coverage for sex reassignment surgery and hormone replacement therapy for transgender people. Exclusions that target the transgender community undercut the basic premise of health insurance coverage, which is to make medically necessary care accessible to those who need it. The American Medical Association, the Endocrine Society, and the World Professional Association for Transgender Health all recognize that transition-related care, including sex reassignment surgery and hormone replacement therapy, are safe and effective means of improving the health of transgender people. Unfortunately, few transgender people can afford such care on their own: according to a recent study, more than 20% of transgender New Yorkers make less than $10,000 a year.

Moreover, exclusions are often expanded in practice to include even routine medical care. According to the National Transgender Discrimination Survey released this year by the National Center for Transgender Equality and the National Gay and Lesbian Task Force, 17% of transgender New Yorkers have been refused medical care because of their gender identity or expression. Some were physically assaulted in doctor’s offices or emergency rooms.

Medicaid is a vital safety net for those priced out of buying their own coverage or who work jobs that do not provide health insurance benefits. The thousands of transgender New Yorkers in their state’s Medicaid program deserve a program that takes their health needs seriously. New York should set an example that shows other insurance programs riddled with transgender exclusions – including Medicare and many private insurance plans – how it’s done.

NEWS FLASH

Appeals Court Dismisses DADT Challenge As Moot, Vacates Previous Ruling | Today, the Ninth Circuit Court of Appeals dismissed the Log Cabin Republicans’ case against Don’t Ask, Don’t Tell as moot given that the discriminating law has been repealed. The Court also vacated last year’s ruling that the law was unconstitutional, creating a clean slate should a ban on gay military service ever be challenged in the future. Judge Diarmuid F. O’Scannlain went out of his way to write a separate concurring opinion stipulating that he thinks issues related to sexual orientation should only be examined with the lowest level of scrutiny. Read the full decision.

NEWS FLASH

Russia’s Arkhangelsk Region Bans Gay Pride Parades | Under pressure from the Russian Orthodox Church, Russia’s Arkhangelsk region has adopted a draft law banning gay pride marches. In 2010, the European Court of Human Rights fined Moscow authorities $40,000 for repeatedly denying activists their right to freedom of assembly by banning gay pride events. But in May over 30 people, including activist Dan Choi, were arrested and beaten while trying to stage a gay pride parade.

Karl Singer

NEWS FLASH

Pelosi Condemns GOP’s Booing Of Gay Soldier In ‘Ellen’ Appearance | House Democratic Leader Nancy Pelosi (CA) appeared on Ellen DeGeneres’ daytime talk show today to discuss the repeal of Don’t Ask, Don’t Tell and the GOP presidential candidates’ initial refusal to condemn the booing of a gay soldier during a recent debate. “It’s unthinkable…that none of the people who would be president, would be commander in chief, call a halt, make a statement right then and there that that was totally unacceptable in our country,” Pelosi said. Watch it:

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Clerk’s Refusal To Wed Same-Sex Couples Inspires Fox News To Finally Cover New York Marriage Equality

Deirdre DiBiaggio and Katie Carmichael are challenging Rose Marie Belforti for not doing her job, but they were not featured on Fox News. (Photo credit: Michael F. Mcelroy for The New York Times)

Fox News generally avoids covering stories that signify progress toward LGBT equality — when they aren’t bashing Chaz Bono for being transgender, they largely ignore news events like the certification of Don’t Ask Don’t Tell’s repeal, its implementation, and the passage of marriage equality in New York. In fact, Fox News mentioned the state’s same-sex marriage law in a few news alerts after it passed, while cable rivals MSNBC and CNN devoted substantially more airtime to the story. But now a story has emerged that has given Fox News a reason to finally give New York marriage a full segment: town clerks refusing to marry same-sex couples.

This afternoon, Fox invited Rose Marie Belforti on the air to discuss her horrible plight. Belforti is the elected town clerk in rural Ledyard, New York who raises religious objections to issuing same-sex marriage certificates. A lesbian couple who did not want to wait days for one of Belforti’s arranged appointments with a deputy is threatening to sue her for discrimination, and the vehemently anti-gay Alliance Defense Fund is defending her. Though many (including Fox News) are calling the situation a “test case,” Belforti is simply abandoning the responsibilities of her job and her civic duty to her community while she uses her religious beliefs as an excuse to treat same-sex couples as second-class citizens. Even New York Gov. Andrew Cuomo (D) has said clerks should not get to pick and choose which laws they enforce, suggesting, “If you can’t enforce the law, then you shouldn’t be in that position.” Watch the segment:

Of course, Fox News did not scrutinize Belforti’s self-victimization, nor did the network invite the lesbian couple or their counsel, People for the American Way, to offer any sort of retort. It seems that the only way to achieve “fair and balanced” reporting is to only report on LGBT equality when people make news for opposing it.

Sponsor Of North Carolina’s Anti-Gay Marriage Ban Falsified Medical Credentials

North Carolina state Sen. James Forrester (R)

On Tuesday, North Carolina state Sen. James Forrester (R) — the sponsor of the bill to add an amendment to the constitution outlawing same-sex marriage — embarrassed himself during a radio interview with SiriusXM’s Michelangelo Signorile when he was unable to back up his claims that people in the gay “lifestyle” live shorter lifespans. Forrester admitted, “I’m not an expert on everything there,” and later threatened to end the interview because he couldn’t explain how same-sex marriage undermines the institution.

Forrester is a medical doctor and he relies on his personal experiences with patients to opine on the health outcomes of the LGBT community. But now, his medical “credentials” are coming into question. Over at Pam’s House Blend, equality supporter Scott Rose investigated Forrester’s claim — made prominently on his campaign website — that he is a “Fellow of the American College of Preventive Medicine” and discovered that Forrester does not have any affiliation with the group. As the group’s executive director explains:

The quick answer to your questions is that Dr. Forrester is not, and never has been, a member of ACPM (much less a Fellow, which is our highest designation of membership). However, this is troubling to us, too, that he’s apparently claiming to be a Fellow of ACPM, and we would like to know where Dr. Forrester is making these proclamations so that we can approach him and demand that he cease falsely using ACPM credentials in his campaign or wherever else he’s using it.

While Forrester has yet to respond to the charges, the ACPM has contacted his office asking him to “please remove our name and any references to us from their website.”

NEWS FLASH

The LGBT Health Bill You Never Heard Of | Health care disparities along racial lines, sexual orientation, and gender identity, are a “function of not only access to health care, but also the social determinants of health” including the “environment, the physical structure of communities, nutrition and food options,” CAP’s Kellan Baker writes in a new column. “Discrimination limits opportunity and choice. As a result, gay and transgender people of color may be more likely than the general population—and more likely than either white gay and transgender people, or straight and nontransgender people of color—to be less healthy and experience greater disparities in health care access.” Fortunately, congressional lawmakers are taking important steps to close these disparities and have introduced “The Health Equity and Accountability Act of 2011” earlier this month. The bill — which seeks to include sexual orientation and gender identity questions on federally supported health surveys and eventually develop standards to guide the routine collection of high-quality data on the health of gay and transgender communities — “is the most comprehensive legislation ever to recognize that gay and transgender health disparities cannot be addressed in isolation from other health disparities, including disparities affecting people with disabilities, communities of color, women, and people in families with mixed immigration statuses.”

Minnesota’s Anti-Gay Coalition Casts Itself As ‘Underdog’, But It Outspent Equality Proponents 5-1

The effort to ban same-sex marriage in Minnesota’s constitution will undoubtedly be one of the longest ballot campaigns in history, given the vote is not until November, 2012. The coalition of anti-gay groups advocating for the amendment, Minnesota for Marriage, has repeatedly stated that it expects to be outspent by equality groups opposing the measure. But Andy Birkey at the American Independent did a little digging and found that over the past five years, Minnesota for Marriage has spent $3.7 million advocating for the amendment, five times what Outfront Minnesota and Project 515 have spent advocating on behalf of same-sex couples:

For opponents of same-sex marriage to claim that they are the financial underdogs is completely disingenuous. It was because of their incredible spending that the legislature approved the amendment to be placed on the ballot in the first place. And the Minnesota Family Council plans to raise another $5.25 million through Focus on the Family’s “Ignite” fundraising campaign, in addition to whatever the Minnesota Catholic Conference and National Organization for Marriage contribute.

Granted, Minnesota’s LGBT groups are now supported by national organizations like Freedom To Marry and the Human Rights Campaign, so those fighting constitutionally-enshrined discrimination will have some outside support as well. Nevertheless, Minnesota for Marriage is a financial powerhouse and anything but an underdog in this long fight.

NEWS FLASH

Washington School District Reverses Itself, Green Lights Gay Club | The Kennewick School District School Board in Kennewick, Washington has reversed a previous decision that had prohibited a Gay Straight Alliance from forming. Now, all clubs at the school will have equal access to resources. Board members claimed that they never had specific concerns about the GSA, but one of the students in the GSA remarked, “I never believed it was NOT about the GSA.”

NEWS FLASH

European Parliament Calls On World Health Organization To Affirm Transgender People | The European Parliament is calling on the World Health Organization to stop classifying people who are transgender as “mentally ill” to help combat the stigma and obstacles to medical care they face. Currently, WHO defines the condition of being transgender as “gender identity disorder” under the category of “mental and behavioral disorders.” The WHO referred to homosexuality as a mental illness until 1990.

Florida Councilwoman Rants Against ‘Homosexuals Who Want Favoritism’

A councilwoman in Jacksonville, Florida has come under criticism after ranting about homosexuals and terrorists during a hearing to finalize the city budget Tuesday evening. Kimberly Daniels, who says she is a former prostitute and drug addict, made the comments about an earlier proposal to cut funds to the Human Rights Council:

“Some groups want more than equality, they want favoritism. There are laws especially, if someone was to get in a fight with a homosexual they would get more time simply because that person was a homosexual,” she said. “When you have people of faith that stand for what they believe, they should have a right also to their freedom of religion,” said Daniels.

Daniels then focused on [city Human Rights Commissioner Parvez Ahmed], dredging up old opposition to his appointment:

“I would have supported that, based on information that I have concerning some strong contacts with terrorists; communications and some lawsuits and judgments that were made in Texas and even more info with that and direct contact with a man who cut his wife’s head off, and anyone who cuts his wife’s head off, that doesn’t have anything to do with human rights.”

Watch it:

Daniels — who is also the founder of Spoken Word Ministries– has previously opposed federal hate crimes legislation and same-sex marriage. She has also claimed to perform “exorcisms to cast out demons alleged to cause homosexuality, drug abuse, and insanity,” argued that “the Jews own everything!” and that President Obama is part of a Harvard-based Illuminati plot. She previously declared being grateful for the historical institution of American slavery without which, “I might be somewhere in Africa worshiping a tree.”

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NEWS FLASH

Judge Rules Illinois Can End Contracts With Discriminating Catholic Charities | A judge has ruled that the Illinois Department of Children and Family Service can begin canceling its contracts with Catholic Charities’ adoption and foster care services. The Charities had sued when the state decided to no longer subsidize their work because they refused to place children with same-sex couples in civil unions, which became legal in Illinois this summer. Catholic Charities will seek an appeal. Because the Catholic Church apparently refuses to do charitable works when it cannot discriminate against gays, the Catholic Conference of Illinois seems to be refocusing its charitable energy all toward fighting LGBT equality with the creation of a Defense of Marriage department.

The Morning Pride: September 29, 2011

Welcome to The Morning Pride, ThinkProgress LGBT’s 8:45 AM round-up of the latest in LGBT policy, politics, and some culture too! Here’s what we’re reading this morning, but let us know what you’re checking out too. Follow us all day on Twitter at @TPEquality.

- Metro Weekly completes its four-part series marking the 15th anniversary of the Defense of Marriage Act.

- Sen. Susan Collins (R-ME) is apparently unfamiliar with the federal impact of DOMA on same-sex couples and has not heard of the Respect for Marriage Act, which would repeal it.

- Expectations are high for President Obama’s speech to the Human Rights Campaign this weekend — will it be big news, or “just another HRC dinner where important people come to tell us nothing new”?

- A transgender veteran is speaking out about being discharged from the armed services, which still have no protections for people who are trans.

- NPR looks at the spate of transgender violence in Washington, DC.

- Perhaps countering the nonsense of Fox News’ Dr. Keith Ablow, CNN looks at the “painful quest” of transgender youth to realize their gender identities.

- GLAAD worked with The Insider to feature a panel of transgender leaders discussing the impact of Chaz Bono’s visibility on Dancing With The Stars.

- The communications manager of the National Center for Transgender Equality discusses racism he faced from one of the group’s supporters because he was perceived to be an undocumented immigrant.

- A small study in Spain suggests there could be promise for an HIV vaccine.

- Next weekend, the Presbyterian Church (U.S.A.) will ordain its first openly gay minister.

- Photographer Scott Pasfield discusses his new book, Gay in America, which features profiles of 140 gay men from across all 50 states.

- The National Organization for Marriage is now peddling pro-ex-gay research: a riveting study that found that about 6 percent of gay people can “shut down their sexual feelings or become a bit more bi.”

- Nigeria is now considering a proposal to criminalize same-sex marriage.

- The European Parliament applauds the United Nations’ efforts to end discrimination and persecution based on sexual orientation and gender identity.

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