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i learned that each woman spends approximately $5,600 on her period over her lifetime (x)

There is so much more I could say about this, but there is not enough room. Remember to check with reality rather than believing conspiracy theories promoted, supported, and funded by white nationalist hate groups.

Missouri is proposing 20% of the nation’s anti-trans legislation this session. Gender-affirming care for young folks is on the edge of being criminalized (so much love to trans friends in states where that has already happened).

Please keep up with the anti-trans legislation in your state and combat it. There are lives at stake.

Transphobes do not touch this post.

Image ID: a 10-image cartoon comic featuring Joey, a boy with short hair.

Image 1: Joey, upset, gesticulates towards an open laptop. Text reads: The reality of St. Louis trans kids. Last week, a former (non-medical) employee of Washington University’s Pediatric Transgender Center was featured in a viral article about how the clinic was “rushing” kids into medical care and “mutilating” us. Every single thing she said was a lie, but the media loves it. Footnote reads: I wouldn’t give any more attention to this, but it is immediately endangering the lives of trans people. Missouri has launched a state investigation and is actively attempting to criminalize gender-affirming care based on conspiracy theories.

Image 2: Joey points to a map of the United States where Missouri is singled out, and a map of Missouri where St. Louis is indicated with a star. The text reads: The Transgender Center, located in St. Louis, Missouri, has been the target of hateful attacks from the far-right state legislature for years. It is part of Washington University Hospital, a branch of a prestigious private university.

Image 3: A younger Joey injects his T shot in his leg while someone takes a photo. Text reads: I can tell you that everything in the article is false because I received care at the Transgender Center beginning at 16 years old. My medical transition has brought me nothing but joy. What a gift it is to be trans!

Image 4: A younger Joey sits on a couch and stims with a tangle fidget toy. Text reads: No one is “rushed”. I sat on many waitlists, had to have 6 months of specialized gender therapy and a diagnosis of gender dysphoria before even being referred to the Center, and I was denied as “not ready enough” by an endocrinologist the first time I finally got an appointment. Footnote reads: If you’re curious about what it looks like to be a trans kid, I did another piece on that! Check out tinyurl.com/transkidscomictumblr.

Image 5: A colorful map of the United States shows how many states have a Negative Gender Identity Policy Tally and how many states have criminalized gender affirming care. Joey holds a credit card. Text reads: St. Louis’ Pediatric Transgender Center is the only one in the region, meaning the waitlists are extremely long. Plus, no one in the only industrialized country without free healthcare is getting medical care for fun. Many American trans folks have to fundraise for our care.

Image 6: Joey, distressed, sits on a couch while talking on the phone. The person on the other end says: “That’s me!” Text reads: This former employee spoke about specific cases, and patients have been able to identify themselves. She shared our private medical info and called us horrifying.

Image 7: This is split into two panels. In the first, Joey holds up a box of condoms and a packet of birth control pills. Texts reads: She especially hated trans men such as myself, saying that trans ideology was destroying “girls”. She lamented about hormones making us “sterile”, which is a complete lie. We trans mascs have to actively prevent pregnancy. In panel two stands a doctor. Text reads: Every time I had an appointment at the Center, doctors reminded me: Remember: testosterone is not a contraceptive! Footnote reads: The wonderful Erin Reed wrote a breakdown debunking all the lies in the article. See tinyurl.com/erinreedmissouri.

Image 8: Joey, masked, sits at a circular table with his brother, an unmasked boy with fluffy short hair. Joey’s brother is showing him his phone. Text reads: Major newspapers continue to platform these complete lies because they bring in engagement and money. The Washington Post tracked down my little brother’s personal cell phone number to try to get in contact with our mom – the president of an organization supporting trans kids in Missouri. Freaky, right?

Image 9: Joey, looking disgusted, leans against a door frame while talking on a cell phone. Text reads: But no one wants to talk with me, the adult who medically transitioned at this clinic as a minor and has not “desisted” in six years. The Washington Post reporter, who didn’t know anything about trans people, talked with me for 20 minutes and used a sentence of mine in an article about “both sides of the debate”. She didn’t mention that this former employee is being legally represented by a recognized anti-LGBT hate group, nor that all of her claims are unsupported by reality or science.

Image 10: Joey looks angry and gesticulates. Beside the drawing are two photos of Joey, one of him happy in front of a trans flag, and the other of him drawing up testosterone to take his first T shot. Text reads: There is no debate. There are trans people, and there are people who want us dead. There is truth and there are conspiracy theories. Where is my viral article in a major paper?

Published Feb 16, 2023. End ID.

Yall stay safe and that includes from yourself.

I know things are tough and you feel like you cant go on but please keep fighting. I believe in you and i cant wait for you too see yourself the way i see yall.

I love yall stay safe please.

I really cannot emphasize enough the mental health benefits of abandoning the idea that you're special.

So with everyone abuzz about the Britney Trial, and appalled and shocked and horrified at what she has had to go through, I want to take the time to state that this is commonplace and a very real threat for neurodivergent folks of all stripes. If you have a paper diagnosis of something it can and will be used against you by abusers. If you are disabled and/or neurodivergent you are owned in the eyes of the law and society by the people you depend on. This obviously and predictably creates situations where abuse is prevalent.

What Britney revealed in this trial did not shock me at all because this is the reality of many many people. This is the threat that hangs over people like me if we dont conform and burn out to please an arbitrary standard of normal and don't lie like hell to doctors.

At any moment if my mother felt like it, she could simply take my autonomy away legally because I can't live alone. If I didn't censure myself all of the time around certain people regarding neurodivergence, I could end up in a similar position because a doctor decided I was too crazy to have rights, and unlike Brittney, there is no mass movement for justice for us common people.

I want everyone to realize that what Britney has said is commonplace for people deemed 'too crazy to function' and disabled people in general. We are abused at startlingly high rates by our caregivers (parents, doctors, etc), society thinks that our rights should be taken away for our own good. I want people to extend the horror and desire to see change to the rest of us who arent high profile and use that horror to enact real change.

Not just hashtag freebritney, but push to pass laws to protect the autonomy and freedoms of those of us who are effected by conservatorships, institutionalization, and general stamping on of the rights of neurodivergent and disabled folks in every area of our lives.

How it's going as a trans person in Florida: Planned Parenthood, 26Health, and Spektrum Health have announced they have paused all gender affirming care.

To recap, DeSantis signed several anti-trans bills into law this week. Care is banned for minors, care is all but banned for adults, Don't Say Gay has been extended, children can be kidnapped from affirming parents by non-affirming family, and there is a bathroom bill that subjects trans folks to arrest for using government owned facilities, such as those in courthouses, airports, many stadiums and parks.

The adult effective ban was felt immediately. The main elements are:

signing at every visit an in-person informed consent form created by the state

all care come from physicians instead of nurse practitioners

no telemed for gender-affirming care

Currently, it is unknown if existing HRT prescriptions written by NPs will be honored by pharmacies. I personally know one person who was able to pick up testosterone yesterday, but I have also read many reports of folks being denied. I myself don't have a refill ready for another 10 days and will report back after I try my own pickup.

What's additionally dangerous is those of us, myself included, who get non-HRT prescriptions from our gender clinics now face the uncertainty of continuing of *all* of our medical care. Our health clinics are at risk of shuttering permanently as they lose major income, and many of us will lose STD meds, depression meds, heart meds, etc, etc.

When we say "this will kill us," it goes beyond suicide risk from forced detransition.

"But you can still get HRT from a physician."

So many suck or are outright hostile and the demand outstrips the supply. Before I found my NP-run clinic, one physician just decided to not call in my Rx, another was so shit at reading lab results, he thought I had hepatitis, and the third I had to threaten to kick in the teeth for trying to force too large a speculum in me.

Also, the state-required consent form has not been finalized and distributed yet, so at this point, everything has pretty much ground to a halt.

It was estimated that 80% of trans adults would lose their healthcare because of how many use providers like Planned Parenthood, but the impact seems even greater now.

"You can get your non-gender care elsewhere still."

DeSantis recently signed a bill that allows healthcare professionals to discriminate against trans people.

LGBTQ Nation

Florida Gov. Ron DeSantis signs bill legalizing anti-LGBTQ+ medical discrimination

The law allows any medical provider or insurer to deny care based on "ethical, moral, or religious beliefs...

Sure, we can try to find care elsewhere, but it will be a slow and expensive process, with no guarantees. It took me over 20 years to get my heart condition treated because of transphobic doctors.

What can I do as a trans Floridian?

Stay in communication with your clinic - many are working on getting physicians added to the roster to prescribe HRT. Lawsuits are being filed and it's possible the changes to adult care can be rolled back.

Continue to try to pick up your meds, but begin looking for care elsewhere, though. Inside and outside the state.

Remember that while telemed for gender affirming care has been banned, you can still cross state lines for care. See Erin's map of informed consent clinics.

Many people will turn to DIY, but be sure you are aware of the risks here, especially if on testosterone, which is a controlled substance.

What should I be worried about next as a trans Floridian?

I worry about the following next steps towards genocide:

Banning getting care out of state. This is from the anti-abortion playbook. They will likely start with kids again, but we've seen how quickly adult care gets axed.

Being declared mentally incompetent or a risk in some way. This could be anything from being barred from gun ownership to not being allowed to work for the government.

Being declared a de facto predator. This has already happened with the latest bathroom law (cis people can eject trans people from government owned single-gender facilities, with arrest as a penalty), so watch out for it being applied to privately-owned facilities. Watch for discussions of official lists of trans people.

Gender presentation enforcement laws, essentially banning "cross dressing". Laws that block or rollback documentation changes.

These all have historic precedence and are huge "I'm in danger" red flags.

What can I do as a cis person?

Amplify all this news. Talk frankly about how this is genocide. And donate what you can to trans mutual aid campaigns so people can travel to get healthcare or even leave the state.

Here's some articles to get started on building awareness:

Tallahassee Democrat

'We're just people': As care ban becomes law, trans Floridians face excruciating decisions

Florida Republican leaders said regulating transgender health care was about kids. But a new bill signed by DeSantis also restricts care for

Rolling Stone

Ron DeSantis Just Took Two Big Steps to Make Trans Lives Illegal

Bills signed into law Wednesday will further restrict trans rights in his state, and there’s no telling how far the extremist politician wil

erininthemorning.com

Florida's Trans Bathroom Ban Signed: Arrests To Follow Regardless Of Legal Gender Status

Governor Ron DeSantis signed several anti-trans bills today. One of these bills, a bathroom ban, is likely to lead to many arrests of transg

erininthemorning.com

Florida Agencies Manipulated Research To Ban Trans Care And Coverage

Florida has banned gender affirming care for trans youth as well as Medicaid coverage for trans adults. New information in court findings sh

Medium

Gender-Affirming Care for Trans Youth Is Neither New nor Experimental: A Timeline and Compilation…

NOTE: this essay is a 15 minute read. If it’s listed as longer than that, it’s because it contains a list of over 100 references at the…

Take care, everyone, of yourself and each other.

^^^

Happy Indigenous Peoples Day, October 10, 2022