A short thread on why the Census issue is hurtful to trans people:
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Replying to @EmilyGorcenski
There is almost no solid data on trans healthcare. The best survey on US prevalence? It uses smoking cessation surveys and stats games.
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Replying to @EmilyGorcenski
Because we're often excluded from inusrance coverage, doctors don't use the diagnosis code that would best apply: F64.1 in ICD-10.
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Replying to @EmilyGorcenski
Every doctor uses different codes. When my insurance had me coded as male, my endo used "hypertrophy of the breast."
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Replying to @EmilyGorcenski
I've seen all sorts; my favorite was "agenesis of the cervix." But this is super harmful actually.
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Replying to @EmilyGorcenski
If you break your arm in a bicycle accident, there's a code for that. If you're involved in a spacecraft accident, there's a code. Really.
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Replying to @EmilyGorcenski
But since we can't use gender dysphoria codes, we have no tracking at all. Which means we have no data on health outcomes.
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Replying to @EmilyGorcenski
Which also means it's nearly impossible to direct resources in any meaningful way other than dropping LGBT clinics in the big cities.
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Replying to @EmilyGorcenski
So the census could have given us, at the very least, a denominator to understand where and how. But now we have to wait another decade.
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Which basically equates to another decade of trans folks sharing anecdata on what works and what doesn't. Which sucks if you have no network
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Replying to @EmilyGorcenski @mycoliza
Or if your network is abusive/withholding. Lots of people have networks, that also harm them, where pub. services are impartial.
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