Transition Now Tax Deductible, But Who Counts?

The US Tax courts ruled transitional care tax deductible yesterday in response to a case O’Donnabhain v. Commissioner. The ruling reverses the IRS’s position set in a 2005 decision to not count gender identity-related care as a non-taxable medical expense. (Chief Counsel Advice 200603025).

An 8-judge majority held that:

  • “TP’s (I assume stands for trans patient/person) gender identity disorder is a “disease” within the meaning of  § 213(d)(1)(A) & (9)(B).
  • TP’s hormone therapy and sex reassignment surgery were for the treatment of disease within the meaning of  § 213(d)(1)(A) & (9)(B), and thus not “cosmetic surgery” excluded from the definition of deductible “medical care” by § 213(d)(9)(A).
  • TP’s breast augmentation surgery was directed at improving her appearance did not meaningfully promote the proper function of her body or treat disease within the meaning of § 213(d)(9)(B), and thus was “cosmetic surgery” excluded from the definition of deductible “medical care” by § 213(d)(9)(A).”

This is indeed good news, but what does it mean? You know if anyone is gonna complain about a good thing its gonna be me. So, here it is.

The statement declares that “male-to-female gender reassignment surgery” may be included as a deductible medical expense. I can’t help but be curious about those who are not transitioning from a male sex. I’m sure it would apply, its just always so noticeable when only one part of our community is listed. Breast augmentation isn’t covered because it is called “cosmetic” but what about chest reconstruction/breast removal? Is transmasculine top surgery somehow more important to fragile trans mentalities than having some boobs you really love? I am curious.

I willingly admit to pretty much never be satisfied with anything society has given us so far. I try not to think of it as me being negative, its just me having high standards, you know, like others may give up on being treated “decently” for what they are, but I want to be treated like a legitimate human regardless of what I am.

My dear friend Helen has alerted me to a conference call regarding this, which takes place tonight. Information can be found here or at her blog en|Gender.

Republican Candidate Paul Scott Targets Trans Folk

Paul Scott, republican candidate for Michigan secretary of state  released his platform last week and was kind enough to include transfolks in his agenda. Among his desired changes of immigration restrictions and traceable RFID  chips inside state IDs he has included a statement for us trans folks too:

I will make it a priority to ensure transgender individuals will not be allowed to change the sex on their driver’s license in any circumstance.” -Official Paul Scott Weblog

Now, the average person doesn’t know a thing about trans-related issues in any scope, let alone specific ID policies.  So how can such an issue be of public interest? As with all discriminatory smears it is surely a scapegoat to screen the state’s real problems. But out of the potpourri of things that conservative right-wingers hate, why pick on the genderqueers? Honestly, I think that Scott wanted to pick something that would shock people in a “look what the dirty liberal government did behind your back” kind of way. By bringing trans elements to the forefront he is gaining attention via a conservative fear mongering crusade. And with abortion being way overused and therefore unexciting, he had to find something that would appall people more than dead unborn fetuses. Enter transSEXuals, cause they aren’t just out to get fetuses, they’re out to get everyone.

Scott has made statements about his opinions being an issue of “social values”, clearly implying that if you have good values you will agree with him, and if you don’t you are a horrible person contributing to the moral downfall of society. However, Scott goes further to say that his main drive behind policy change is “preventing people who are males genetically from dressing as a woman and going into female bathrooms.” What value system does this relate to other than that anyone who is not normal by specific definition is therefore a violent threat? And because gender is involved sexualization comes into play and turns a genderqueer into an automatic sexual predator. It’s the age old stereotype that men are going to put on dresses just so they can sneak into women’s bathrooms and rape every female in sight… cause that has totally happened before. (FYI never been one report (TransgenderLawCenter, Peeing in Peace)). Promoting this false fear of transfolk attacking women is all part of the bigger picture of society’s default appeal to heterosexist, transphobic attitudes which have no actual standing scientific or otherwise in creating a safe, equal-value based society.

Another reason why Scott’s position is such a great concern is that the secretary of state is the primary government official who deals with issues like document and ID changes. For this reason, among others, having an anti-trans person in that position is clearly more than just problematic. Along with being a  human rights and equal treatment and access issue, in many cases a change in documents can be a huge protection from discrimination, threat, and death. Clearly Scott could care less about Midwest transfolk’s right to stay alive.

I’m going to be looking into any activist movements being formed around this issue, as my no being in or from Michigan makes it difficult to head up such a project alone. Here’s hoping there will be updates on progress.

xposted AmplifyYourVoice, Trans Group Blog, Queer Today

GenderQueer in the Midwest

Mini-documentary about your favorite pink haired femme boy by Hunter Stuart at Stuart Productions

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The Midwest is crawling with queers. Not because of any strong presence but in the more literal sense. Queers are crawling because we do not have the space to stand up. We do not have the resources that would enable us to live full, healthy lives. We, like so many others, are isolated in our homes, in our towns, controlled and confined by others, longing for life and being unable to live it.

I was born and raised in Cincinnati, Ohio. When I came out as trans I didn’t know anyone who was like me and I had no way of finding them. The city‘s “gay“ scene was practically extinct and no trans or queer scene it had never existed in the first place. There was no space for me, so I decided to try and make one.

Continue reading “GenderQueer in the Midwest”

What we used to be….

Lots of folks are talking about David Letterman’s transphobic behavior on the Late Show in regards to recent government appointee Amanda Simpson. Letterman discusses Simpson’s appointment and how she is transgender. Another character in the show begins screaming “Amanda used to be a man? Oh my god!” and runs out of the room disgusted and horrified.

Also recently Scott Turner Schofield appeared on a reality TV show called “Conveyor Belt of Love.” (In Scott’s defense, he said never thought it would air.)

When word got out that he was trans, the uproar started about how Scott “was really a girl” and therefore a proponent of “trickery.”

I was not surprised, or shocked by any of it. I think I am so adjusted to seeing this behavior that I was barely even offended. What stuck out to me was the common phrase “used to be.”  I feel like we use it all the time to talk about our people, to talk about ourselves… “I used to be a girl, but now…”  But now what? How does one stop being something they have been?

I would like to add a disclaimer that this method of thinking can’t be applied to most trans people. In fact, most trans people I talk to about it don’t know what the hell I’m talking about. But it makes sense to me. I am not a “girl” but I used to be one… no I am not a girl, but I still kinda am one.  If I say “I used to be a girl…” I always stumble over my words, correcting myself with awkward throw ins.  In someways I was never a girl, in others I totally was… and am. Why does it matter what I used to be? Shouldn’t all that matters be what I am now? If you slept with someone who was woman but at one point was male bodied, does that change the face that you slept with a woman? If I was a girl once, am I really a girl now? Does that make me not really a boy? Where does our history stop and the recognition and realness begin? Does there have to be a stop and start in the first place? I can’t escape my history and my life, nor do I feel a need to. I can never completely stop being the me I used to be because somewhere in my brain are my memories of myself, my concept of myself from years past. Who I used to be is a part of who I am now.

It is the societal hate of changing ourselves that makes us feel that we have to exchange who we used to be for who we are now. They try to train us to reprogram our minds and bodies and re-write our histories. It is out of fear of disgusting others, of being hated, of being killed, that we feel the need to hide who we used to be and as a result we hide ourselves.

To sign a petition to promote the Late Show posting an apology, go here.

The Inevitable “She”

A voice answered. I dropped my voice to its lower octave and spoke. I overheard the man speaking to his supervisor. “She says….”

She. It used to crush me.  As a newly out transguy nothing could wreck my day like the wrong pronoun. I had to accept that I wasn’t going to pass. Once I did “she” moved from a crushing reality to a minor inconvenience. After I started T “he” began to make more of an appearance, but that’s all it ever made. An appearance. Eventually I stopped caring. My friends tell me that I “don’t look anything like a girl.” I may not look exactly like a girl, but I look (and sound) enough like one to be read as one. It isn’t about self-deprecation. It’s about reality. To some I am read as male, but to most I’m not. The reason has to be I look and sound within the general concept of what a female would or could be.

Originally my theory for this was based on familiarity with visible queerness. People who where more accustomed to non-normative or otherwise queer gender presentation in women would more likely think I was a woman too, and even stress using “she” to show they recognize me. Consequently, people who had little to no exposure to queerness would always read me as male simply because they didn’t know any better. Makes sense, right? But it isn’t accurate. A queer/queer savvy person has just as much chance to use “she” as a rural Ohio store clerk. Regardless of population or location, I am significantly unreadable and under-recognized.

Sometimes I get pissed about it, especially if I’m in a space where I think people should know better. One random “she” here and there isn’t much to get upset about, but I have a hard time standing the brunt of three to six to twelve “shes” flying in my face like bugs on a windshield. It’s as if I can actually feel myself getting cut down, every pronoun pulling me farther and farther away from any hope of correction or recognition. My friends are often quick to correct people, but I rarely do anymore. I wonder if they think I’m a coward for not standing up for myself. I wonder if they feel sorry for me. I don’t feel sorry for myself; it usually doesn’t bother me… that much. The explanation is often more painful than the mistake because it often leads to more questions or, at the very least, an unfavorable look.

Sometimes I don’t know what’s wrong with people. I think I look like a guy. I think they must be crazy, or maybe I’m the one who’s crazy; crazy for even wanting to pass, for caring what other people think. Maybe I’m crazy to think that I should be able to have the pronoun I want no matter what I look like. Maybe I’m crazy to continue to look like I do in this world. Once when I was upset about not passing a friend (also trans) said “if you want to pass there are things you can do…” but I don’t want to do them. I already did them and I grew out of it, it isn’t me anymore. I don’t want to pretend I’m someone or something I’m not, and that includes going by “she.”

Its not that I’m ashamed of being female bodied, or otherwise hate it. I just don’t like it infringing on my identity. What sucks is that it’s not up to me whether it does or doesn’t. Its other people’s perceptions that continually push my birth sex in my face. I’m not opposed to being placed inside the feminine spectrum either. I self-identify as a femme, but that doesn’t mean I’m a girl. I’m a guy, and as femme as I am, it doesn’t change my gender identity. Sometimes I think of upping my T dose but I never do. I don’t want to give up the androgyny and I think my body is having a hard enough time with the strain from T as it is. I guess this is just how it’s gonna be, and since I got over the preliminary experiences of not passing, there’s no cause for me not to get over this… It’s just that I thought I was near the end, you know? I was never under the illusion that T would make life easy; I didn’t take it for that. I just thought it would make life easier… at least, easier than this.

After I was passing a little, I started to genderfuck more to suit my personality. I had been building up the confidence to do it. T was my final push across the binary line. Once I died my hair and started to “femme up” the way I wanted there was no going back to butch. Butch was gone and I guess that any chance of “he” setting roots went with it.  Like I said, I’d rather be this way than not, it’s who I am. I’ll just hang out with the other genderqueers until the binary breaks down enough for us to have a space. In the mean time, I do enjoy fucking with people who have no idea what gender I am. I think of it as a little form of payback. If I’m not gonna get my pronoun yet, I might as well get to freak people out while I wait.

The Future of Trans in Genetics?

Recently scientists have found that a specific gene can be altered to make a female body begin functioning as a male, and another to make a male function as female. Now, I am not a molecular geneticist, but my parents are, so I feel entirely capable of talking about this situation by summarizing what other people wrote. ;)

If you remember your 6th grade science class, it has been commonly thought that physical sex is determined by X-chromosomes and Y-chromosomes (XX, XY, XXX, XYY etc). The research for this new study, published in the journal Cell, challenges that concept. The genes known as FOXL2 (active females) and SOX9 (active in males) are found on a non-sex chromosome that is in both the male and female sex. The new discovery states that genes are all that stand between changing the female sex (XX) into the male sex (XY), and ovaries into (non-sperm producing) testes. Long story short, FOXL2 and SOX9 are the light switches between the male and female sex.

When active FOXL9 bonds with estrogen and “blocks” high levels of testosterone from being produced. When working with mice, scientists found a way to artificially “switch off” FOXL2, un-blocking the testosterone (along with other elements) making an otherwise female sexed body function as male. The body begins to produce testosterone at the levels of a healthy male and eventually turns the ovaries to testes. FOXL2 and SOX9 both exist in males and females, but if FOXL2 is on, SOX9 is on. (Apparently Dr. Seuss is a geneticist.) For the female sex to become male, turn FOXL2 off which will turn SOX9 on. The research also suggests, or is interpreted, to show that FOXL2 is continually fighting to keep ovaries as ovaries, resulting in several articles titled “Battle of the Sexes,” along with some cute ones like “Minnie to Micky…” and the poorly written mess in “Gene Stops Ovaries from TESTIfying”

What does this mean for humans, you may ask? The researchers are hoping for this information to be useful in understanding and treating medical conditions such as premature menopause in women and, less in my favor, disorders of sexual development AKA intersex conditions which can lead to more problematic, non-consensual “fixing.”

Another possibility especially relevant for us trans folks is that this can help us in physical transition. If scientists can “switch off” this gene in humans, it would trigger the growth of secondary sex characteristics, like facial hair or breasts, and and chromosomally transform human ovaries into testes and testes to ovaries.The body would begin to naturally produce testosterone or estrogen, which means bye-bye needles and pills. Hormonal transition would be entirely internalized. In addition, the research found no adverse health effects and a normal lifespan, something we can’t say for current hormone therapy. Sterility would still be an unhappy result, but the overall process would be significantly less invasive, healthier,  and possibly cheaper in long term.

Sounds great, right? Honestly, I think it does, as long as we keep things in check. There are many ways the institution can flip this around and make it totally inaccessible to all of us… but lets try to be optimistic for a minute. I’d like to have some hope for a minute.

xposted: TransGroup blog, QueerToday, GenderBlogs

For Your Entertainment: part II

HBO is planning a new drama series about a trans-masculine transition. Who else is worried about this?

“T” as the show is known, follows a person who is transitioning from female to male. The creators of the show are the same as those who created “In Treatment” an HBO show that surrounds sessions of psychotherapy. Charming. I’m surely looking forward to how  bunch of non-trans hollywood know-it-alls are going to portray us.

Now, maybe I’m being overly pessimistic.  Just because the popular media has a habit of portraying us as self-hating hideousos, lying tricksters, and fame-seeking sideshow acts doesn’t mean that this new portrayal will be a disaster… It just makes it highly probable.

With the growth of our movement, there is an expected growth of attention. More people will talk about us, more people will wonder about us, more people will hate us, and inevitably, more people will be fascinated with us. I never quite know how to interpret the fascination factor. Should I be flattered that my identity is so interesting? Am I a better person because I am supposed to be more complex and my story is more… entertaining?

As I wrote back in June about growing trans attention, I feel that sensationalizing difference is another form of societal oppression. Making a TV special or going on Oprah where no real information or acceptance is promoted is no different than displaying us in a cage for view. Of course I realize that tons of people and identities are put on display every day. That doesn’t make any one instance more or less acceptable. Most media representation isn’t about helping a movement, its so people can sit in front of their TV and say “Holy shit, what a freak. Glad I’m not like that.” Its so big-wig “non-profits” can get recognition by being seen as an authority as they slap a mental disorder on us. Or so a bunch of bored hipsters can ask invasive questions and claim us as friends for cool points. I fucking hate hipsters….

These people don’t care about us, they are working for their own interests. So, who’s out there working for us? It sure isn’t them. It has to be us. We have to make our own public image, and if people choose to be fascinated by us, we’ll know its because of our hot sexy fabulousness, not because of what Oprah says.

The International Oppression Spreads

It has finally happened. Gender Identity Disorder (GID) has infiltrated Thailand. GID was previously only in countries whose mental health coding was determined either by the DSM (Diagnostic and Statistical Manual of Mental Disorders)  or the ICD (the International Classification of Diseases, whose GID diagnosis directly based off of the DSM’s language). Now GID is now making moves East.

Countries like Thailand have been one of the last harbors for those seeking gender confirming surgeries without GID and without the high price. The Medical Council of Thailand has now moved to following similar requirements to those in the Harry Benjamin Standards of Care where psychiatric evaluation(s) and “one year life experience” are demanded to prove the legitimacy of a person’s identity. Thailand also requires that foreigners looking to have gender confirmation surgery there must get approval from a psychiatrist in their home country AND one in Thailand before being approved. The Medical Council of Thailand representatives state that “at least two psychiatrists must give guarantees in order for someone to be allowed access to services. What kind of guarantees are they looking for?

Like the person mentioned in the article, by the time a person is ready for a gender confirming surgery they have already been living as themselves, some for over 20 years. Some people don’t have the luxury to live as themselves because it isn’t safe where they live, and some people live in ways that doesn’t match with what GID describes as “real life experience.” And apparently the concern isn’t for our well being alone. We also need to worry about the society we live in.

“Sex reassignment surgery would affect the physical body (of the person undergoing the operation), as well as people’s mental health and society around them.”

Well, Hella forbid I upset someone else with my identity. If I ever wanted to have surgery, not only am I sure that my life would not be considered “real” male experience, I am certain that I would not be considered a promoter of society’s mental health. Does that mean I’m not trans? Who makes the decision? Apparently they do. Silly me for thinking I should know myself. Do I even need to continue my rant here? Or should I just write out a big FUCK YOU. In the wise words of Cartmen I say,”Whateva, I do what I want!”

I do want to point out that I don’t think that greater regulation of these procedures isn’t needed. Many people have experienced serious problems due to the lack of regulation of surgeries in ALL countries. My interpretation of that is that the lack of accessibility is forcing people to put themselves at risk. Spreading the malice of GID is not the answer to bettering out lives and our access to transitional medical care. What we need is accountable AND accessible care that doesn’t force people to die of infections or bleed out on tables because they don’t have the money or the means to access the system’s care.

No More Cincinnati GenderQueers

I have just found out that the radical, genderqueer activist organization I founded almost four years ago has reworded its description. What once described the group as “a radical queer group for all gender identities and sexualities, focusing on queer, trans, and genderqueer issues” now reads that it is a “queer social, support and activist group for lesbian, gay, bisexual, transgender and allied students focusing on gender issues.” In the year and a half I have been gone, GenderBloc has gone from being a genderqueer and trans focused, queer radical organization to a LGBTQ social activist group… and just like the rest of the movement gender has moved from the forefront to an afterthought.

I cried when I read it.

Now the current focus of the group is “LGBTQ rights, inclusion, and visibility” and that it discusses “topics of gender a lot particularly in regards [to] those people who have a non-normative gender identity such as transgender or genderqueer.” Well, at least they talk about gender “a lot.” They wouldn’t want to leave “those people” out. They need our money and our blood to power our movement machine. They need us to die on the front lines because they are too pretty to do it. They need us to stir their souls into knowing that there is more here than what we’ve all been told… but they’ll never tell anyone about it.

I realize that this is an honest attempt to make GenderBloc better. I realize this makes GenderBloc more packagable. I realize that some people feel queer isn’t good enough and need to separate us into an acronym. I realize that there aren’t hoards of genderqueers around Cincinnati so people think we don’t need help. And I’ve finally realized that GenderBloc isn’t my baby anymore…

Someone once said to me, “I love GenderBloc is because its a place to belong for people who have never belonged anywhere.” It was one of the best things anyone has ever said to me, and I’ll always have that.

x-posted Amplifyyourvoice.org

How Inclusive is Queer Inclusive Healthcare?

This year Columbus pride not only had HIV testing, but also Syphilis and Hep A & B vaccines. Awesomeness, for sure. I checked out the tent, curious to see if I needed any vaccines. The volunteer was very helpful at first…

“Since you’re a woman…” he began, and went on to list high risk activities and why I would or wouldn’t need a vaccine. I ignored the statement, reasoning to myself that I am female bodied so it makes sense to be grouped with women… right?

I listened in to a friend getting the vaccine spiel. He was female bodied also but was read as male. As a result, he got different information and different medical treatment. I started to think… Am I missing out on information I need? I’m female bodied but I live as a man. My sex practices are both like a female bodied person and a male bodied person. Which group am I supposed to be in?

There was no information about trans populations offered, and no options for trans identity to be selected. As the volunteer continued to speak I mentioned injecting testosterone, hoping he would take the hint. He seemed to get it, and then totally didn’t seem to get it. By the end of it, I felt too awkward to disclose. I let it go and was left wondering whether I had all the protection I needed –just in case. Of all places with queer health care, pride should be prepared for trans folks to be included.