Obama Administration Makes Change To Social Security

  1. 5 Pipe:

    Most readers won't know that the updated policies announced last week by the Social Security Administration (SSA) are among the most humane and important public policy advancements for transgender people during the Obama administration or even ever.
    Last Friday, the SSA modernized its policy to allow transgender people to change the gender designation in their Social Security records based on either a legally changed birth certificate or passport or a health care provider's confirmation of the person's transition from one gender to another -- a much more reasonable standard than requiring some specific, arbitrary medical treatment that may not be universal.
    And though Social Security cards don't have sex listed on them, Medicare cards do, and what sex you are for Medicare comes straight from your Social Security records. If your SSA account says you are a man, Medicare declares you a man. So because of the updated policy, transgender older Americans won't need to out themselves every time they show their Medicare card to their doctor's receptionist or the cashier at the drug store.
    http://www.huffingtonpost.com/mara-k...ocial-security
    Most readers won't know that the updated policies announced last week by the Social Security Administration (SSA) are among the most humane and important public policy advancements for transgender people during the Obama administration or even ever.
    Last Friday, the SSA modernized its policy to allow transgender people to change the gender designation in their Social Security records based on either a legally changed birth certificate or passport or a health care provider's confirmation of the person's transition from one gender to another -- a much more reasonable standard than requiring some specific, arbitrary medical treatment that may not be universal.
    And though Social Security cards don't have sex listed on them, Medicare cards do, and what sex you are for Medicare comes straight from your Social Security records. If your SSA account says you are a man, Medicare declares you a man. So because of the updated policy, transgender older Americans won't need to out themselves every time they show their Medicare card to their doctor's receptionist or the cashier at the drug store.
    http://www.salon.com/2013/06/14/soci...r_designation/
    Last edit by Esme12 on Jun 18, '13 : Reason: Formatting
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  3. Visit  DoGoodThenGo} profile page

    About DoGoodThenGo

    From 'La Pomme Grand - NY'; Joined Jul '09; Posts: 3,843; Likes: 4,696.

    18 Comments so far...

  4. Visit  aknottedyarn} profile page
    2
    Good info. Thank you for sharing.
    sharpeimom and herring_RN like this.
  5. Visit  PMFB-RN} profile page
    2
    Great news!
    herring_RN and aknottedyarn like this.
  6. Visit  azhiker96} profile page
    2
    Okay, I guess it's better to let people decide what gender they want than to have it correspond with genitalia. I just don't understand why SSA needs to attach gender to a record anyway. It would be better to just eliminate that from the records entirely.
    herring_RN and tntrn like this.
  7. Visit  tewdles} profile page
    2
    I still struggle with this issue on a personal and religious level.
    Sometimes it is so hard for me to think about things from a civil freedom perspective rather from the perspective of my morals, ethics, and religious beliefs.
    I am going to have to pray about this...
    aknottedyarn and herring_RN like this.
  8. Visit  herring_RN} profile page
    3
    Gender is complicated.

    As nurses many of us have cared for people who don't fit the morphology of one gender.
    As a young SNA I gave a bath to a grandmother who had a penis. I was a bit surprised but ignored it except to wash and dry her entire body. My main concern at that time was something new to me then. Making an occupied bed.

    No matter which gender a person identifies with all people deserve the same rights as citizens. To some their gender is a matter of privacy or shame.
    Last edit by herring_RN on Jun 22, '13 : Reason: typos
    tewdles, sharpeimom, and aknottedyarn like this.
  9. Visit  azhiker96} profile page
    4
    Quite a while ago I decided that unless I was interesting in dating someone, their gender and orientation was a non-issue. There are much bigger fish to fry.

    I didn't read up on it when it was happening so forgive me if I get some details wrong. Within the past year, Phoenix leadership proposed that transgender folk could use the restroom more congruent with their orientation. OMG, some of the nurses I work with were horrified. They thought all women and children would be endangered. I asked if they thought any transgender people were currently using women's restrooms and if so, how many attacks they'd heard about in the news. It provoked a little thought because they agreed the use was probably occurring and they'd not heard of any bathroom assaults.

    Next came an opposition proposal to make it a crime to use a public restroom that didn't match your plumbing. Those who had previously been in an uproar thought this was a great idea and they'd feel safer. I asked if they truly supporting making it a crime to use the opposite gender's restroom and if they had ever used a men's room, maybe when the women's room was too crowded and the men's room was empty. There was some stuttering and a little thought.

    I know, this country has a lot of modesty when it comes to gender and genitalia. However, sometimes it borders on OCD like when identical single stall portapottys are labeled as male or female. Does it really matter what plumbing the last person had who sat on the seat? I think hygiene and how the seat was left matters more.
    tewdles, sharpeimom, aknottedyarn, and 1 other like this.
  10. Visit  aknottedyarn} profile page
    4
    MY DH and I once had to use the public facilities outside the U.S. He went in the door labeled for guys and I went through the one labeled for women. Imagine our surprise when we met face to face just inside those separate doors. No one was upset by it. It seemed senseless to me to have the two doors labeled but other than that - so what.

    Lately I have seen many facilities that are labeled for either, or perhaps that mean any ID. I have not seen any problems with these either.
    tewdles, azhiker96, PMFB-RN, and 1 other like this.
  11. Visit  DoGoodThenGo} profile page
    3
    Cannot speak for or to why much of this is happening but at least for these sort of policy changes put forth by the WH it is part of his vow to make things "eaiser" for LGBT persons without having to go through Congress. This current announcement fits in with previous ones this month such as the DoE removing "Father" and 'Mother" from financial aid form to be replaced by "Parent 1" and "Parent 2". And so it goes.

    While some females don't have a problem with men or anyone else in the powder room. quite a few still do and they fit transgender into that category. Far as they are concerned a " man is a man is a man", period.

    Know a few transgender RNs. Three went to nursing school during the 1980's and 1990's and none had an easy time of things.

    First because they were legally male according to their ID (high school transcripts, birth certificates, etc...) they were informed by those running said programs they would enter and be treated as male nursing students. This meant no visible make-up, nail polish etc.. and they had to wear the uniform assigned to their gender. The last bit created no end of problems as they all had begun hormonal treatments and had feminine figures including a bust. This became visually obvious under the standard "Dr. Kildaire" tunics the programs used for male student nurse's uniforms.

    At clinical sites they were told under no circumstances could they use the facilities designated for females. If the nurse's restrooms were unisex, fine; however if as with many older hospitals the female nurse's restrooms on the floors were part of the locker room, it was out of bounds.

    Final insult came at graduation/capping and pinning. None were allowed to attend in female attire and were told to wear whatever was required for male nursing grads. They weren't even allowed to order caps (why do you want one? male nurses don't wear them) as the women were. Happily some either got theirs from sympathetic cohorts or went out and got them from Kay's or elsewhere afterwards.
  12. Visit  sharpeimom} profile page
    3
    My first nursing job after graduation was in orthopedics. At report, I became very uneasy as I sat there listening to the other nurses snicker and laugh about a biker with many fractures and even more internal injuries. They were all adamant that none of them would take her as a patient.Uh... wait a minute! HER? Guess whose patient she was that day?


    I feel it was fortunate she was assigned to me that day because all I saw when I looked at my patient was a broken and battered body, and not a woman who had had double mastectomies in preparation for becoming the man her soul and psyche said she already was. She had not yet had her genital surgery.

    I still don't understand what the big deal was over his gender. What was important was seeing that he got the nursing and medical and PT care required for the fractures and internal injuries to heal so he could have the other surgery required to construct a penis and scrotum for him.

    I kept hearing, "She must be gay!" Why? Maybe in another generation, transgender won't be such a big issue. I hope so.
    azhiker96, aknottedyarn, and herring_RN like this.
  13. Visit  DoGoodThenGo} profile page
    1
    Know nurses that have no problems with gay men. Even the most effeminate gay male nurse is often welcomed as "one of the girls" and such, but somehow transgender gets up their noses both as patients and or co-workers. I've seen this even in NYC which is supposed to be a very liberal place.

    In the healthcare sector transgender employees can often get it from both sides, patients and staff. Another transgender nurse one knows had all sorts of problems as both a student and after getting her RN. She went to NS as "female" because that is what her papers said, but her instructor and or charge nurse would get complaints from certain patients about how they didn't want "him" taking care of them. It would take awhile to put two and two together and figure out who "he" was since by all accounts a female nurse had been assigned.

    OTOH you have some really outstanding nurses out there making a difference: Emmet Phipps, BSN, RN, ACRN | LinkedIn
    herring_RN likes this.
  14. Visit  tewdles} profile page
    2
    The hard part for me is that I, personally, see many of those surgeries as mutilation...
    I do recognize that this is my personal bias, and that deep sense colors my perception.
    I feel very sad for these people and I hope that they find the personal contentment that they seek.
    I wish it didn't have to involve surgery.
    CrufflerJJ and herring_RN like this.
  15. Visit  herring_RN} profile page
    1
    Quote from tewdles
    The hard part for me is that I, personally, see many of those surgeries as mutilation...
    I do recognize that this is my personal bias, and that deep sense colors my perception.
    I feel very sad for these people and I hope that they find the personal contentment that they seek.
    I wish it didn't have to involve surgery.
    Many people who had surgery as a baby agree.
    ... Surgeries done to make the genitals look "more normal" should not be performed until a child is mature enough to make an informed decision for herself or himself. Before the patient makes a decision, she or he should be introduced to patients who have and have not had the surgery. ...

    What does ISNA recommend for children with intersex? | Intersex Society of North America
    tewdles likes this.


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