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

Kuzon, William M.; Sluiter, Emily C.; Gast, Katherine M.

doi:10.1001/journalofethics.2018.20.4.sect1-1804

Cited by 11 publications

(2 citation statements)

References 15 publications

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“…In light of this study’s results, such policies may be of even greater public health interest. US federal policies related to gender-affirming care have included a recent reversal of Affordable Care Act insurance protections for gender affirmation and the continued prohibition of Veterans Affairs funding allocation for gender-affirming surgeries . Formulation of evidence-based policies for the financing of gender-affirming surgery will be crucial for advancing the health and well-being of TGD communities.…”

Section: Discussionmentioning

confidence: 99%

Association Between Gender-Affirming Surgeries and Mental Health Outcomes

2021

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IMPORTANCE Requests for gender-affirming surgeries are rapidly increasing among transgender and gender diverse (TGD) people. However, there is limited evidence regarding the mental health benefits of these surgeries.OBJECTIVE To evaluate associations between gender-affirming surgeries and mental health outcomes, including psychological distress, substance use, and suicide risk. DESIGN, SETTING, AND PARTICIPANTSIn this study, we performed a secondary analysis of data from the 2015 US Transgender Survey, the largest existing data set containing comprehensive information on the surgical and mental health experiences of TGD people. The survey was conducted across 50 states, Washington, DC, US territories, and US military bases abroad. A total of 27 715 TGD adults took the US Transgender Survey, which was disseminated by community-based outreach from

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Section: Discussionmentioning

confidence: 99%

Association Between Gender-Affirming Surgeries and Mental Health Outcomes

2021

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“…For example, Armed Service Veterans who receive health benefits from the Veterans Health Administration are denied access to gender-affirmation procedures, despite the consensus that these procedures are medically necessary. 6 Gender-affirmation surgery represents one example of how innovative procedures assist the growth of ethics in plastic surgery, testing whether society can balance patients' rights with newfound capabilities of surgeons. 7 However, it is unclear whether innovation and changes in clinical practice continue to outpace the necessary bioethical reflections in the plastic surgery community.…”

Section: Ementioning

confidence: 99%

Representation of Ethics in the Plastic Surgery Literature: A Systematic Review

Chappell

Kane

Wood

et al. 2021

Plastic &Amp; Reconstructive Surgery

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lastic and reconstructive surgery is unique for its use of aesthetic principles to restore form and function to any region of the human body. This broad scope of expertise challenges the surgeon to balance patient needs against medical decision-making for diverse issues, ranging from cosmetic enhancements to treating burn patients in critical condition. In addition, plastic surgery naturally lends itself to innovation and navigating uncharted surgical territory. As the specialty continues to push boundaries and develops increasingly complex treatments, it is crucial that ethical concerns are appropriately acknowledged. Surgical ethics in the United States is based on the moral theory of principlism, first described

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