Skip to comments.Does Medicaid pay for trans sexual operations?
Posted on 05/30/2009 6:08:49 PM PDT by cradle of freedom
Just wondering how those people who decide they want to change there sex get the money to pay for what must be very expensive proceedures and operations? Does Medicaid pay for this?
On the Laura Ingraham show this week, she spoke of a case of an 8 year old boy who goes to a Catholic school who says that he wants to be a girl. The parents say that he has wanted to be a girl since he was 2 years old. The parents say that they have been to professionals who are helping him to "transition."
Many questions come to mind such as what did those parents do to the kid to make him turn against his own masculinity. The next question is who are these professionals who are advising this kid and his family? Is there some gay/transexual pipeline of counselors who find confused people (even little kids!) and then pass them along to some unscrupulous surgeons who will be all to eager to do the operations for the money.
This is where the question about Medicaid comes in. Where are these people getting the money to perform long, complicated and expensive proceedures when many don't have insurance for real, necessary procedures? Does Medicaid pay for this and does private insurance pay for this?
It makes you also question the morals and ethics of people who would counsel anyone, especially an eight year old boy, to mutilate their bodies to fit some unfortunate delusion that they have about themselves. Is there anyone out there who would counsel these people to NOT mutilate there bodies? Is there anyone in the medical community who would recommend that they get psychiatric counseling to accept who they really are rather than destroying their bodies?
Do you think you smell a rat? I do. I think there must be a network of unscrupulous counselors and surgeons who perform these abominations. Maybe it is similar to those ambulance chasers who have doctors and chiropractors that they shop their patients to in order to milk the insurance companies for all they can get. I think that desreputable counselors and pychiatrists tell these confused people that they really are women in mens bodies then pass them on to these butchers who make a lot of money of these proceedures.
Once these parents had turned him against his masculinity, why did they go along with the idea of mutilating their own child? This is sick.
At eight years old, you don't really know yet that Transformers aren't real, that Tyrannosaurus Rex hasn't been brought back to life, and that Ben 10 can't really be all those lifeforms.
Maybe you can just be the sex you are, and yet you can buy a nice Toyota Solara and eat vegetables. It's a decent compromise. You are a boy. Deal with it.
Medicaid has been paying for sex-change operations for the indigent in NY for years.
Or is that a conservative urban legend?
Its called “sex reassignment surgery” and the answer is: yes, it does.
Absolutely, at least they do so in Pennsylvania.
Transexualism is considered to be a medical disorder, and a sex change operation is recognized as an appropriate treatment.
There are municipalities that pay for this insanity. Further, I read somewhere a while back that the prison system in California pays for “gender reassignment surgery” for inmates as well... don’t know if that is correct - but if it is - I hope California rots in their collapsing budget.
Unbelievable that it’s covered by medical insurance.
I can’t get my arms around the idea of an 8 year old boy undergoing this surgery. I guess I’m just not liberal and open minded. I don’t know what to say about an adult making an informed decision. But some lines clearly should be drawn. An 8 year old is way too young to even consider such surgery. His parents are guilty of child abuse in my opinion. If the parents weren’t enabling him, there’s no way an 8 year old could even conceive of any of this trans-sex whatever the official name of it is.
Does anyone here really believe that a child who hasn’t yet even gone through puberty has any concept of sexuality in the first place? And if they don’t have any concept of sexuality, how the heck can they be convinced that they are a girl in a boy’s body and all that??????
I would love to know how this developed. When the parents began to see that the boy wanted to be a girl, did they take him to a pediatrician? What did the pediatrician say? This is really disturbing to think that this little kid (and the parents) were not given another choice. Isn’t there anyone out there who would work with this family to help restore this boy to his true identity. I feel that someone robbed this boy of his life.
My 4 year old girl wants to be a butterfly. Should I take her to a doctor to get wings surgically implanted? Geez. Little kids want to be LOTS of things.
Yes, and then call the ACLU so they can help your daughter sue you for anti-Lepidopteran-American prejudice. /s
I wanted to be a bear. What kind of surgery can I get?
At about 60,000 to 100,000 a pop...your tax money
New York State had 211 Sex Reassignments done in 2007 and
thousands of partial assignments at 25,000 to 50,000 each.
Want to be a bear... be a grizzly!
“In a 1998 survey by the State of Iowa 40 other states responded that they did not provide coverage for sex reassignment surgery. “
While many state Medicaid programs have historically excluded coverage of transition related procedures through state regulations or practice, such blanket exclusions have often, but not always, been struck down by administrative judges and/or courts. Most of these have been “related procedures”, such as treatment of broken legs claimed to have been the result of hormone treatments causing osteopororis, treatment of injuries from assaults due to anti-transgender bias, and reconstructive breast surgery after mastectomy in the case of breast cancer..
Over 95% of health insurance policies specifically exclude sex reassignment surgery. Medicare Blue in Illinois (health insurer of last resort) recently dropped their coverage when they found out that none of the other insurers in that state provided it.
Costs vary - $30,000 is about standard for male to female in the USA, but the most experienced surgeons with lowest complication rates overseas cost $15,000 or less. Cost for female to male varies from $30,000 for a single-stage metoidaplasty to $120,000 for a 12-stage full phalloplasty. This is not popular due to the 70% failure rate.
Oddly enough, the major cost in male to female transition is usually facial hair removal using electrolysis (500-750 hours at $60 an hour) and facial feminisation surgery, re-constructing the skull. That costs anywhere from $20,000 to $50,000.
None of that is covered by any insurance policy.
You see, according to the New York Law School:
In 1997, however, the New York State Department of Health published a notice proposing a regulation terminating Medicaid payment for any treatment supporting gender transition. After an extended period for public comment, the regulation was adopted providing that payment is not available for the care, services, drugs or supplies rendered for the purpose of gender reassignment (also known as transsexual surgery) or any care, services, drugs or supplies intended to promote such treatment. ... U.S. District Judge P. Kevin Castel ruled on August 5 in Casillas v. Daines, 2008 Westlaw 3157825 (S.D.N.Y.), that New York States adoption and enforcement of a regulation adopted by the Pataki Administration prohibiting the use of Medicaid funds to pay for sex reassignment treatment does not violate the constitutional right to Equal Protection of the law, and that an individual whose coverage for hormone treatment that had been provided for almost a quarter century until they were cut off by adoption of this regulation has no legal claim against the state for violating her rights to continued Medicaid coverage to maintain her feminine body characteristics..211 sounds mighty high too, given that it's estimated only about 1000 such operations occur in the US annually, with another 2000 on US citizens overseas or in Canada.
In the US, 3 specialist surgeons (none in New York State) account for 50% of such operations, with another 20 performing no more than one a month.
Hello? All you men in womens' bodies? The taxpayers will pay for an addadictomy. Then you can enjoy the life of an American man. Hello?
It sounded a little funny to me when I read the stats, but hey I guess you can’t believe everything you read on the net.Thanks for the clarity.
Odin - Well said, sir.
I can’t blame you - there’s an awful lot of misinformation, and sometimes deliberate falsification, about this issue.
If you can remember the source, I’d be most grateful, because as with the “Plastic Turkey”, and virtually everything said about Gov. Palin, such falsehoods often get treated as established fact unless strongly and quickly refuted.
Out of all the "gender reassignment" surgeries, what percentage of them are women who want to be men?
About 1 in 4.
Most guys born with feminine bodies can live reasonable lives pretending to be butch lesbians. The problem they have is that, while the hormones work brilliantly, the surgery isn't ready for prime-time yet. $100,000 and a success rate of 30% discourages most of them.
Maybe I should say what we know transsexuality is now - it's a form of Intersex. That is, someone who's born with a body neither wholly male nor wholly female. Many Intersex conditions are obvious from external appearance. Others, you need ultrasounds and X-rays. Others, gene tests.
Autopsies and MRI scans have shown that every transsexual ever examined has had cross-gendered neurology in particular areas of the brain - and often elsewhere too.
As one Professor of Urology stated recently to the APA:
We spoke for 2 1/2 hours on why cross gender identity was a normal inherited variation of humans. We showed how Transgender Brains think, smell, and hear like the opposite sex.The effect isn't subtle. These really are men born with mostly female bodies, or women born with mostly male ones. I say "mostly", because quite often it's not just the brain that's cross-gendered, there's other , more obvious Intersex conditions too. Most of the knowledge in this area has come from biologists, neurologists, geneticists, urologists, endocrinologists and so on, as many of the psychs are still talking about "spirit release therapy", and the like.
This has not gone down well with many Leftists either, as it's been an article of faith to them that Gender is nothing but a Social Construct.
Parenthetically.... what's really interesting from sociological, psychological and even theological viewpoints are the rare Intersex conditions such as 5ARD or 17BHDD that cause a "natural sex change", usually from female at birth to male later. There's at least 3,000 men in the USA who were born looking like little girls, were brought up that way, but who had an unexpected male puberty. And maybe another 1,000 women who would have had one, except for emergency medical intervention. Not everyone with these conditions is neurologically male.
This fixing pyschological problems with medicine is broader than just this problem. It seems that many pyschiatrists are pretending to resolve deep rooted pyschological problems with some kind of physical treatment such as drugs or in the case of people with confused sexual identities going as far as mutilating the human body.
I think the case of the eight year old boy who said that he was a boy, it appears to fit the template of “fixing the kid” rather than looking at the whole family. It is easier to give the kid drugs than to look at the whole family dynamic. This case of the eight year old “transsexual” appears to be that way. I think that some way it was communicated to that boy that being a boy was not okay. He picked up these messages (which were probably subliminal) and began to dislike his own masculinity.
There may be other expressions of this happening. For example, the school shootings which are usually done by boys may have some element of boys with a displaced identity. Society today sends so many negative messages about maleness, add to that a home situation that is problematic and that combination of events can take the expression of violence. One kid turns against his own masculine identity and wants to become a girl, another kid explodes in an irrational anger that even he does not understand.
Another example of medicating the child rather than dealing with the crazy parents, is a case in Massachusetts where a five year old was drugged to death by her parents and pediatrician. This little girl had been molested by her either her father or stepfather but he was allowed to get back into the home. You can see how the little girl would have had problems living in a home like this. But rather than dealing with the pyschological problems of the adults, the system treated the little girl as if she was the problem and not the parents.
I think this happens in many ways, the pyschiatrist does not look the parents in the eye and tell them that they are causing the problems in their kids. The parents are the paying customers so they just do the bidding of the parents and give drugs to the kids. I believe this is what happened with the eight year old boy who wanted to be a girl. I believe the parents went to their doctor because the boy was acting in an abnormal way. I don’t know what the doctor said, but if the doctor didn’t say what the parents wanted to hear, they probably would have shopped around for another doctor who would let them off the hook and tell them that it was some chemical problem and let’s fix the kid by changing his sex - problem solved.
It sounds like you are describing people with physical abnormalities. I don’t think we are talking about the same thing. I was speaking of people who were physically of one sex and then decided at some time that they wanted to become the opposite sex. For instance, there was a notorious case in Massachusetts of a man who murdered his wife then decided he wanted to become a woman. This man was married to a woman, and I believe that he had children so it seems that he was a man like any other man but then decided late into his life that he wanted to be a woman. This doesn’t sound like he is someone who was born with a physical abnormality.
The trouble is, as I’ve said, that every person presenting with the symptoms of what we call “transsexuality” has shown the same pattern.
There are psychological conditions that appear superficially similar, but the diagnostic criteria are completely different. They’re easily distinguished. Basically, the psychotics are, well, psychotic, while the transsexuals are obviously sane in all other ways.
Of children who exhibit cross-gendered behaviour, only 1 in 3 are transsexual. The rest grow up to be gay though, indicating a biological cause for this minority of gay people. This is intractable, no amount of beatings, electroshocks, or other “aversion therapies” changes this.
As for the person who murdered their wife, then decided to “become a woman”, I’m maybe a little cruel. I say let him. Castrate him, and give him female hormones. Take MRI scans over years and you’ll be able to see the male neurology progressively degenerate under those conditions. You’ll see the brain shrink. Put him on 24 hour suicide watch though, the discomfort is reportedly extreme.
50% of transgendered children self-harm before age 20. It’s probable that the suicide rate for transgendered people who don’t at least get endocrinal correction is over 50%. To deliberately make someone transsexual would be cruel and unusual punishment. But fitting if they ask for it.
You sound like one of the few informed persons on this very controversial subject. I don’t pretend to understand how this condition might present itself, nor do I pretend to understand how such a person might feel. It’s a wierd thing. Thank G_d that I was born with a penis and I’m OK with that.
In Florida, August, 2012, we find gynocologists blocking pain management, requiring new PCP changes and illegal canellation of Medicare Advantage plan HMOs. At the same time the State employees are arguing that drug testing laboratory analysis constitutes unlawful search or seizure, the new doctors demand tests right after the patient has already passed screening, with one exception: the legal prescription for pain medication comes back from the lab as PCP, angel dust, after over four years of quarterly testing without contaminated results. In Viet Nam, troops were trained to oppose all treatment for pain, and wound up with the veterinarian pain medication for animal surgery PCP. You can donate your organs if you want to in Medicaid, but I never qualified for that program.
It is a conservative urban legend. In New York, the Department of Health prohibits any benefits under medicaid for any health care related to gender reassignment. See 18 NYCRR 505(2)(l). The rule was implemented in 1997 and has remained on the books ever since. However, the basis for this exclusion is that the treatments haven’t been proven to be safe and effective over the long term. An avalanche of studies since the mid-1990’s has shown the very opposite so New York’s rule may not be viably defended on that basis if challenged. Further, many studies have shown that sexually dimorphic brain anatomy and functioning of transsexuals is, in terms of gender and sex, cross wired. Despite their XY or XX chromosomal compliment, the sex specific elements of their brain and their brain’s neuronal functioning match that of the opposite sex. They are thus biologically intersexed. They have functional anatomy of both sexes when one includes the brain on the list of anatomical, sex-specific differences between men and women. Study after study after study shows that the human brain is sexually dimorphic just as much as are breasts and testicles and in fact, has far more influence on identity and behavior than more obvious anatomical differences.