If you take the King's shilling!! (Doctor's version)

[makattak]

http://dailysignal.com/2016/08/24/doctors-sue-obama-administration-for-forcing-them-to-perform-gender-transition-procedures/

The Obama administration now insists that doctors must perform procedures that are both against their conscience and medical judgement. Because "TEH GAYZOR!!!" (with which, somehow, the transgender people are grouped.)

So I guess that as the government takes over an industry, that means if you have been working there, you are now fully subject to the government's whims.

WHO could have foreseen anything like this? Oh, right- All of us on the sane side of the issue.

[Hawkmoon]

For example, HHS said a doctor “specializing in gynecological services that previously declined to provide a medically necessary hysterectomy for a transgender man would have to revise its policy to provide the procedure for transgender individuals in the same manner it provides the procedure for other individuals.”

Huh?

Hysterectomy (from Greek ὑστέρα, hystera, "uterus" + ἐκτομή, ektomḗ, "a cutting out of") is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries, fallopian tubes and other surrounding structures.

Unless the human body has changed sigificantly since I took Biology in the 9th grade, the males of the species don't have uteri, cervix, ovaries, or fallopian tubes. So how can it possibly be "medically necessary" to remove something that the patient doesn't have?

This is getting ridiculous.

[makattak]

Huh?

Unless the human body has changed sigificantly since I took Biology in the 9th grade, the males of the species don't have uteri, cervix, ovaries, or fallopian tubes. So how can it possibly be "medically necessary" to remove something that the patient doesn't have?

This is getting ridiculous.

Here's your problem. Language has been purposely muddled.

"Transgender man" is a woman who wishes she was a man. Thus it was "medically necessary" for her to get her female parts taken out so she could better resemble a man.

(Incidentally, I can't keep it straight because it's all so very insane. I have to always use context to remember what things mean in these "Crazy Times".)

[mtnbkr]

Unless the human body has changed sigificantly since I took Biology in the 9th grade, the males of the species don't have uteri, cervix, ovaries, or fallopian tubes. So how can it possibly be "medically necessary" to remove something that the patient doesn't have?

Female-to-male transgender.  AFAIK, they don't remove the uterus, so if problems develop later, said uterus must be removed.

Chris

[Firethorn]

Unless the human body has changed sigificantly since I took Biology in the 9th grade, the males of the species don't have uteri, cervix, ovaries, or fallopian tubes. So how can it possibly be "medically necessary" to remove something that the patient doesn't have?

That's because you're getting the language mixed up.  A "transgender man" is a female who ID's as male. 

So said patient has a uterus.  At least until it was removed.

I'm going to say that my feelings on this are "muddled".  If, as mtnbkr mentioned, it wasn't removed in the original transition, but a medical condition popped up requiring it's removal later, I'm not sure I'd want a doctor who's refusing to perform a medically necessary procedure that they'd presumably do if the patient ID'd herself as female. 

This isn't helping somebody transition.  Which makes the question of 'against their medical judgement' rather strange given that example - if the doctor truly thinks it's not medically necessary, of course they should have the option of refusing.

[MechAg94]

It is the "against their medical judgement" that I don't care for.  That is a bad path that we are probably already on.

[makattak]

It is the "against their medical judgement" that I don't care for.  That is a bad path that we are probably already on.

"I don't care what degrees you have on the wall, peasant, you'll do as you're told!"

[dogmush]

Reading comprehension is really very very important.

For example, HHS said a doctor “specializing in gynecological services that previously declined to provide a medically necessary hysterectomy for a transgender man would have to revise its policy to provide the procedure for transgender individuals in the same manner it provides the procedure for other individuals.”

That was a hypothetical that a .gov bureaucrat threw out in a quote to be scary.  There is no Doctor (so far) that has declined to give a hysterectomy that was medically necessary.  There may very well be Dr.'s declining to preform elective hysterectomies, but we'll never know because no one is looking for them.  The scary "Dr.'s are going to LET PEOPLE DIE because they are Trans!!!" is cover for the fact that the new HHS regs seem to cover reassignment surgeries.

Indeed the other side sliped a little:

The only thing a doctor is obliged to do is treat all patients, including trans patients, with dignity and respect and to make treatment decisions free from bias,” Weiss said. “If a doctor has a sound, evidence-based, medical reason to delay transition care for a specific patient, that would be respected under the regulations.”

They clearly don't think that "The Dr. thinks the whole transition is a bad *expletive deleted*ing idea, and Gender Dysphoria is a mental illness" to be a sound, evidence based, medical reason to deny care.

This kind of mandate was one of the things promised to lobbies in return for their support of the ACA. 

[De Selby]

So if you have anorexia or bulimia, we treat that instead of prescribing lipo suction and amphetamines to make your mental image match your body.

I honestly don't understand why we turn to hacking on the body for this.  im sure there are any number of body issues people encounter where extreme body modification isn't the prescription.

[Firethorn]

So if you have anorexia or bulimia, we treat that instead of prescribing lipo suction and amphetamines to make your mental image match your body.

Since the 'mandatory treatment' types aren't advocating that, obviously they see some differences between the two conditions.

Perhaps because a sex change operation isn't normally life threatening, while taking body fat that low would be.

[Hawkmoon]

It is the "against their medical judgement" that I don't care for.  That is a bad path that we are probably already on.

We started down that road many years ago, when health care insurance plans began having the decisions of your licensed medical doctor reviewed (and approved or denied) by a nurse.

[Firethorn]

We started down that road many years ago, when health care insurance plans began having the decisions of your licensed medical doctor reviewed (and approved or denied) by a nurse.

One of the many reasons why I don't think that healthcare insurance should actually be a thing.

[cordex]

That's because you're getting the language mixed up.  A "transgender man" is a female who ID's as male. 

No, I don't think he is the one getting the language mixed up.

[MechAg94]

One of the many reasons why I don't think that healthcare insurance should actually be a thing.

Are you referring to 3rd party paid medical care or actual insurance against financial loss?  I am fine with the latter.  I think the former is the cause of most of the problems these days.

[Firethorn]

Are you referring to 3rd party paid medical care or actual insurance against financial loss?  I am fine with the latter.  I think the former is the cause of most of the problems these days.

The former.  I shudder at calling it "insurance" actually, but don't have and alternative term that doesn't require a paragraph to explain.

Sometimes I call them "healthcare plans", but I'm sure you can see where that's still not accurate.