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Exclusion of Medically Necessary Gender-Affirming Surgery for America's Armed Services Veterans

Dados Bibliográficos

ID15744264
AutoresWilliam M Kuzon (0000-0001-8752-703X, VA Ann Arbor Healthcare System, autor correspondente), Emily C Sluiter (0000-0003-1938-6145, University of Michigan), Katherine M Gast (William S. Middleton Memorial Veterans Hospital)
Ano2018
Volume20
Fascículo4
Páginas403-413
Data de publicação2018-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoThe AMA Journal of Ethic (JOURNAL)
Identificadores do periódicoISSN: 2376-6980 • E-ISSN: 2376-6980
EditoraAmerican Medical Association (PUBLISHER • US)
DOI10.1001/journalofethics.2018.20.4.sect1-1804
PMID29671736
OpenAlexW2794691393
IdiomaEN
Citações recebidas1
Referências citadas4

Gender dysphoria , the term used in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) to describe distress at the incongruence between one's gender and anatomy, affects approximately 0.6 percent of the population. It is estimated that there are 134,000 Armed Forces veterans in the United States with gender dysphoria. Although gender-affirming surgery is widely accepted as a medically necessary intervention for appropriately selected patients with gender dysphoria, the Veterans Health Administration (VHA) Health Benefits package and VHA Directive 2013-033 specifically prohibit gender-affirming surgery within Veterans Affairs (VA) facilities or using VA funding. This policy, which has been legally challenged after being reaffirmed in January 2017, denies medically necessary care to veterans, causing harm to individual patients and reinforcing discrimination and prejudicial treatment of a minority population. We argue that the policy is indefensible as it violates the basic ethical principles of beneficence, nonmaleficence, and justice

Beneficence · Distress · Economic Justice · Environmental health · Gender dysphoria · Health care · Mental health · Political science · Population · Psychiatry · Transgender · Veterans Affairs · Clinical Psychology · Diversity and Career in Medicine · Law · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sex and Gender in Healthcare

  • More Necessary than Medical

    Elizabeth Dietz•International Journal of Feminist…•2020

  • Inclusion, Access, and Civility in Public Bioethics

    Open Access•Rebecca Dresser•The Hastings Center Report•2017

  • Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery

    Open Access•Tiffiny Ainsworth, Tiffiny A Ainsworth et al.•Quality of Life Research•2010

  • The State of Transgender Health Care

    Daphna Stroumsa•American Journal of Public Health•2014

  • Transsexuals in the military

    Open Access•George R Brown•Archives of Sexual Behavior•1988

Obras citantes distintas1
Citações por ano0,17
Intervalo de citações2020 - 2020 (1)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 1
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