AMA takes several actions supporting transgender patients

Contributing Writer
AMA Wire
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Acknowledging that individuals’ gender and sexual identities do not always fit neatly into binary paradigms, delegates to the 2017 AMA Annual Meeting in Chicago took several actions that support broadening how gender identity is defined within medicine and how transgender patients are treated by society.

The AMA House of Delegates (HOD) did so in an attempt to enhance care for the thousands of Americans who identify as transgender, as well as for many others who do not identify with one particular gender.

Delegates directed the AMA to work with other appropriate organizations to “inform and educate the medical community and the public on the medical spectrum of gender identity.” The authors of the adopted resolution wrote that gender is “incompletely understood as a binary selection” because gender, gender identity, sexual orientation, and genotypic and phenotypic sex are not always aligned.

The HOD also adopted policy opposing any efforts that would prevent a transgender person from “accessing basic human services and public facilities in line with one’s gender identity.” Transgender people who live in states with discriminatory policies have “statistically significant increases in mental health and psychiatric diagnoses,” according to the resolution delegates adopted.

“Prejudice and discrimination affect transgender individuals in many ways throughout their daily lives, often in the form of physical or verbal abuse or bullying," said Jesse M. Ehrenfeld, MD, MPH, member of the AMA Board of Trustees.

"Laws and policies that restrict the use of public facilities based on biological gender can have immediate and lingering physical consequences, as well as severe mental health repercussions," Dr. Ehrenfeld added. To protect the public health and to promote social equality and safe access to public facilities and services, the American Medical Association is opposed to policies that prevent transgender individuals from accessing basic human services and public facilities in line with their gender identity.”

In another action, delegates called upon the AMA to work with the Food and Drug Administration to establish a gender-neutral patient categorization in risk evaluation and mitigation strategies (REMS). The idea is to take the focus away from gender identity and place it on reproductive potential. That is because there are patients who identify as male who may be taking medication that puts them at risk for damage to their biologically female reproductive systems.

Delegates also called for future AMA meetings to take place, whenever possible, only in those counties, cities and states that have nondiscriminatory policies.

Read more news coverage from the 2017 AMA Annual Meeting.

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AMA dear lord what is wrong with you all? Where was your support of transgender patients when Hirschfeld operated on Einer Wegener and killed him with that experimental surgery? Where was your support when Harry Benjamin began giving female hormones to his first male patient without first understanding the causative factors of the condition? Where was your support and concern for transsexual patients when John Money destroyed the lives of the Reiner Twins and family? Where was your support when Stoller separated Gender out from sex and not a single one of your members questioned or challenged his theory? And now you want to stand up and show your support with this linguistic tap dancing BS that "males can be pregnant" and show just how sensitivity the medical profession is to the patient. OMG. If the lot of you want to show your support for patients who are confused about their sex and sex role, then find out what is the cause of it. Then do real research, real scientific, down in the weeds research and find out if all these pills and plastic surgery and sexual mutilation is the right treatment for the ailment. It's been a hundred years of brutal, deadly and Nazi like experimentation and none of you know the reason why I and thousands like me are confused with our sex and social roles. Now you doctors want to show your support by playing this linguistic mind game by using neutral gender pronouns. Keep your politically correct show of support and give me cold hard irrefutable science to back up your medical treatments. Then and only then I will applaud your support.
America sees that the AMA is a group of doctors that states that "transgender" is a mental disorder, but should be accepted and supported by everyone. The act of forcing everyone to accept the actions of transgender people against their will, takes away the rights and privileges given unto other people. North Carolina past House Bill 142 that forces everyone and place to allow everyone to use the restrooms, showers and locker rooms of the sex in which they identify with and against the will of the opposite sex with them in these places. This action effects the rights, mental comparison and actions other people will take against these actions. The First Amendment states in the US Constitution "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble and to petition the Government for a redress of grievances." This means that Congress, judges and the AMA can not take any action that takes away the rights of other people to exercise their religious beliefs and freedom of speech. This also means that everyone has the right to exercise their belief that the actions of transgenders to be wrong and that they believe their actions are hurting America with their right to freedom of speech. NC's House Bill 142 has students in public schools using the restrooms, showers and locker rooms of the gender they identify with against the will of other students and their parents. The acts of transgenders are welcome in public schools against the will of other people, but followers of Christianity is denied in every public school. Does the AMA not believe that all transgender students should attend and learn from private schools like the government has forced Christians to do? Does the AMA believe that transgenders should have their own restrooms and not be forced upon people of the opposite sex against their will? NC has had men stating they are transgender, enter women's restrooms and take pictures of females using the restroom. The police said these men did nothing wrong. How far should these actions of supporting transgenders continue before laws are past against it, placing restrictions on transgender's actions. The AMA and doctors supporting these actions of the transgenders, can be sued by other citizens for malpractice for the amount of money they believe their malpractice has hurt them. Think of the billions of dollars that AMA and doctors are ready to be paying for their support of transgender's actions. Is the cost worth this action of support?
Why are the effects on transgenders the only concern? “Prejudice and discrimination affect transgender individuals in many ways throughout their daily lives, often in the form of physical or verbal abuse or bullying" may certainly be a concern, but where is the report of the effects on six year old girls coming out of swim practice at the local YMCA who have to share a shower with a grown man? I'm all for protecting the dignity and privacy of the transgender individuals who make up 0.03% of our population, but I'm even more concerned about privacy, dignity and innocence of those that make up the other 99.97%. The only excuse I can find is that that AMA lacks the ability to perform basic math or this is a political report rather than a medical one. Bathrooms, locker rooms, showers and all other separated facilities where privacy is expected are not separated by identity. Claiming that they are separated by "gender identity" is denying the very reason these facilities were separated in the first place. They are separated by genitalia. Locker rooms are not a gender social club where men and women separate to relax among people of their own kind. They are separated so that people don't have to expose their genitals to members of the opposite sex and they don't have to have genitals from members of the opposite sex exposed to them. The keyword is SEX and sex is defined by genitalia, not identity or personal preference.
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Nov 16, 2018
The AMA House of Delegates took unanimous action on the issue, reaffirming the Association’s age-old commitment to equity, fairness and respect.