.. Oy. Health Care Access Problems.

Reposted from Questioning Transphobia. I know, I know. I should write my own commentary. Oh well. This says pretty much everything I'd say.



So yesterday, the Bush administration yesterday granted sweeping new protections to health workers who refuse to provide care that violates their personal beliefs. Jill at Feministe has pointed out that while this undoubtedly chiefly aimed at women’s reproductive freedoms, this is actually not about abortion–which depressingly already has this exception–but easy access to contraception.

One point I want to make about that, which I’ve stolen from Lee Edelman’s No Future, is that America is being organised around the figure of The Child. Not actual children, let alone the adults those children grow into, but a rhetorical child who must be protected at all costs–from the corrupting influence of gay marriages, porn on the internet etc and who must always be allowed to exist.

The rights of the Child, who is figured as a full person and not as a body of cells or ffs an egg and a sperm, supercedes the rights of adult women to have control over their bodies. Never mind that people (and I want to make the point that it’s not just women, eg some trans men use birth control too. Seriously, pay attention cis feminists and stop making the normative assumption that reproductive health equals het cis woman) use the pill primarily for other health reasons–to regulate their periods, to moderate PMS and PMDD etc etc. And needless to say, The Child does not grow up to be queer, or trans, or sexually active outside the sanctity of marriage. And The Child is clearly normatively white.

But whilst it is clearly aimed at heterosexual cis women, it will have a massive impact on other groups–especially trans men and women.

From the Washington Post:

“The far-reaching regulation cuts off federal funding for any state or local government, hospital, health plan, clinic or other entity that does not accommodate doctors, nurses, pharmacists and other employees who refuse to participate in care they find ethically, morally or religiously objectionable.”

Ok, let that sink in a bit. Care they find ethically, morally or religiously objectionable. Now, where is that going to leave trans people? Sex workers? People they think are drug users (a highly racialized image after all)? People with disabilities?

Like queerness, being trans has been framed by many on the Religious Right as a moral issue. To be trans is to be, by definition, immoral. By situating health care as a “conscience” issue, this law allows transphobic health care workers–not just doctors, but pharmacists, emergency medics etc etc–full license to indulge their bigotry and to not treat us. So, even if you can get through the knife lined obstacle course that is the gatekeeper process and get through to a hormone prescription, the bloody pharmacist might not even give them to you.

We all know health care for trans people is already shitty, let alone giving health care providers carte blanche to treat us worse. Remember Tyra Hunter, who died because firefighters decided not to perform emergency resuscitation on her when they discovered she was trans, and then a doctor at Washington General decided not to treat her. Because she was trans, because she was a woman of color, because she was not a person, she was an “it.” And, because some people consider that our existence is immoral and must be squashed out.

This is a nightmare of a ruling that potentially allows any person in the health-care business to rule that treating trans people goes against their conscience, and when something serious is occuring, you don’t have the time to shop around for someone who will treat you.

And the intersection between transness and race here will be even more deadly. Medicine has a long history of being used against people of color in the US, and this gives health care people legal protections to further that. As Kristin “the mean one on Feministe” just said to me, making the horrid implications of this explicitly clear:

“I didn’t quite make the connection as to why doctors would want to refuse anyone treatment in the context of a miscarriage at first. It just clicked. Why would they want to do that other than to refuse treatment to people they judge to be the “cause” of the miscarriage? You know, people like, say, possible drug users. Or people otherwise marked as “unworthy” of care. Say, homeless people, immigrants… Fuck. I mean, why else would anyone demand that kind of “right”? Fuck fuck fuck… I think this is going to be even more evil in practice than it looks on the surface. If that kind of “protection” becomes a fucking protocol, oh my god… If this becomes widespread… Organized against a specific group, that’s genocidal.”