However: those messages state that it is a (inferred biological) women’s clinic, an OBGYN clinic. Without the trans side it caters to biological women and has doctors that specialize in biological female anatomy. These are not doctors who know biological male anatomy. They do not know how certain treatments will affect those levels of hormones or testosterone. They do not know how to deal with that anatomy. And by LAW your doctor has to be able to advise you in order to treat you.
Is this why they’re not doing it? I don’t know. However don’t just look at the surface, part of stopping a circle of hate is trying to understand the why of the other side as well. There may be legal reasons, there may be training deficiencies, there may be money deficiencies for treatment.
Thank you for explaining this in such clear terms. As you say, every licensed medical professional is limited by “Scope of Practice” written into the law. Our Nurse Practitioners and Doctors are trained & licensed in gynecology - limiting our scope of practice to biological female anatomy. (We don’t provide obstetrics at FWHC, another limitation.) Our medical staff are not specialists in biological male anatomy. The services we can provide all people, STI/STD testing & treatment for example, are not dependent on the biological sex of the person. Due to our scope of practice, we can not perform tests that require a urethral swab of the penis. Honestly, there is a lot we can’t do in our clinic that we wish we had the capacity for. Capacity includes space, funding, time, training, and community involvement. We are open to suggestions and solutions!
You have to look at this in context, that is with respect paid to the reality of pervasive transmisogyny and trans women’s exclusion from resources and spaces that are open to trans men. There is a double-standard where trans women aren’t permitted any resources or services that aren’t also inclusive of trans men, while at the same time trans men are often able to access women’s resources and spaces that are totally off limits to trans women. Prime example: I don’t know of any clinics operating under an informed consent model that offer HRT for trans women but not trans men, however, the inverse is certainly true. This, despite the fact that most of the public funding for said services actually comes out of funds designated for MSM. Should such programs exclude people who aren’t “biologically male” (ouch)?
No, providers recognize that 1) this reproduces historical divisions that have been hugely detrimental to trans people as a whole and 2) if they are able to bend the rules so to speak enough to allow HRT trans women, it doesn’t require much extra in the way of knowledge or training to pull out the prescription pad for trans men. However, having such services available eases an immense burden on us (i.e. going through the whole costly gatekeeping process before we can get hormones; and here in Atlanta heavy gatekeeping seems to be the norm which is why this bothers me so much). Again what you’re doing to trans women on the basis of their male-ness isn’t leveraged against trans men who want to access these kind of resources even though providers could easily spin it that way, and this whole double standard results from/plays into a culture of pervasive transmisogyny. In light of the whole situation surrounding trans health your engagement here does seem like a hasty, ad hoc defense of a policy that stems from deeper prejudices. Maybe this is a colossal misunderstanding but how you’re framing the issue does nothing to dismiss it. It’s like you’re not even aware of or sensitive to this and your website didn’t make any mention of why you exclude trans women or anything about them. It’s just like “Trans Health Initiative, oh and by the by, in small print, we mean Trans Male Health Initiative. No explanation required. Screw you, have a nice day.” And when you do finally provide a seriously belated rationale, it’s entirely at odds with how trans healthcare largely has operated in recent history. And it’s at odds with biology. The whole spiel about HRT for trans women being more difficult and involved and requiring more careful supervision is completely disingenuous. You’re not fooling anyone with that, really. It absolutely does not require an endocrinology specialist. My prescribing physician isn’t one.
In so many words everyone is saying the same exact thing…and that is what the problem is. You have no foundations to believe they hate trans women..yall talking about a man (the coordinator) who is not here to defend himself and has no control over the decision making process…while im sure he is advocating for equal trans’ healthcare…. they’re clearly saying they recognize the problem and are willing to fix it with positive community help and input…everyone is saying how MTF HRT is not difficult or not as intricate as they are making it…so uhm that means they CLEARLY they dont KNOW what to do lol. Their attempt @ an explanation/response again CLEARLY shows they dont KNOW!!! ITS ALOT OF ASSUMPTIONS GOING ON HERE BUT NO ONE IS CALLING THE PEOPLE AND ASKING THE QUESTIONS!! Social media is the fucking demon..PLEASE LISTEN: NO1 CARES NEITHER DOES IT METTER WHAT YOU SAY ON SOCIAL MEDIA…its what you do and say in person that matters, cowards!! If you gone fight the fight, fight the good fight compiled with a solution to the problem..fuck them long boring ass side street psychologist/politicians/semi-advocates’ explanations. I cant help falling asleep reading most of these comments lol…
Okay so lets say everyone is right and the point is proven..THI is a transmisogynistic program that hates trans women..so what is supposed to happen next? Someone…ANY1…please enlighten me!! Where the fuck are the solution minded people!!?? *wind whistling past my ears..o just like I thought NO1…. I feel that any feminist organization should be a safe haven for all trans* people and any organization that recognizes their short falls and then are willing to fix them and learn more…the community should help! Education = Growth!!!