Oneness Ministry

We are One

Medically Necessary Part II

Con’t from Nov. 21st

What this question is really speaking to is the insurance industries requirements for payment of treatment.  The fact that it is treatment means it is considered a disease and that it is a social non-conformity that needs correction.  Gender Dysphoria is presently in the DSM and the treatment includes GRS/SRS, FFS, etc. (as listed above).  So my answer would be yes, it is medically necessary from the medical/social perspective, because society as a whole expects people to be either male or female.  However from the Spiritual perspective, the answer would be no, it is not necessary because life is not being threatened by not having the surgery.  Some argue that the individual will commit suicide if they do not get this surgery or the person is marginalized into a high risk group for hate crime, thus it is life threatening.  I simply do not agree with this analysis.  It is an excuse plain and simple.  This does not mean that it is right or wrong.

Surgery is a coping mechanism, one way to cope with the perception that one’s body is incongruent with the person’s self-image or gender identity.  There are other ways to cope and it is the responsibility of the patient and their therapist to explore these options.  This is where things get very tricky!  Perception is a personal thing and others may perceive things differently.  In all manners of equality though, one has to ask if having any surgery is “medically necessary”?  Just because someone dies; it is not a bad thing.  Life goes on!  Maybe not that individuation of life and the belief that all life is to be preserved is based in compassion.  To me this is the crux of the issue, Compassion!  Caring for another’s needs whether “real” or imagined takes compassion and this is why surgical intervention is necessary.  Either a life has value and must be preserved or it does not and can be allowed to pass.  Who makes this choice?  It should be the individual’s choice and most often it is, with a few exceptions.

Life is about choice, because we are constantly choosing our path, the quality, and the extent of the experience (everything you think, say and do is a choice).  The value we place on this path/experience determines what we get out of the experience, including whether surgery is medically necessary.  Of course once we decide it is necessary, the medical community has to agree with us, which is done by offering lots of money, or the opportunity for caring compassion, or both.  Societal views are shifting in a more compassionate direction so more and more insurance companies are covering the surgery and many more surgeons are performing it.  The medical community after all is based on the compassionate care of others for the betterment of mankind. (this includes insurance companies!)

🙂 Sequoia Elisabeth

Unity in Gender Diversity    Free eBooks


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Medically Necessary?

What exactly does this mean?  I posit that it is a very dangerous term being slung around, at, and by the transgender community.  I ask you to consider the ramifications of using this phrase.

In the transgender/transsexual world the treatment for Gender Incongruency or Gender Dysphoria is to transition from one gender role to the other including surgically altering both primary and secondary sexual characteristics.  This includes for MtoF, Facial Feminization Surgery (FFS), Breast Augmentation (Breast implants), and GRS/SRS (Genital Reassignment Surgery/Sexual Reassignment Surgery).  For FtoM, the surgeries include, Breast reduction/reconstruction, Hysterectomy, Metoidioplasty with urethral lengthening, Scrotoplasty with testicular implants, and Vaginectomy.  And this is list does not include all possible surgeries, for instance other cosmetic surgeries could also be included.

The question is… does the above surgery fall into the “Medically Necessary” box?  And I would have to say it depends on which model of medicine you follow.  It also depends on your Spiritual beliefs and understandings.  The body you were given at birth is a gift, plain and simple.  What you do with your gift is up to you; or your parents more realistically, at least to the age of 16 (18 in some locations).

Each person is perfect in the eyes of God!  If birth defects are present it means they are meant to be there for the benefit of the individual and the people involved – family, medical professionals, friends, etc.  It is an opportunity to express who you are, to learn and to grow (expand this self).

Would it be right to surgically change this body to conform to societal “norms”?  Do we really have to stay within the gender binary?  Is this not the point of being transgender in the first place?  Meaning there is no binary and in fact it is a gender spectrum.  How an individual expresses their gender and sexuality is a personal statement of either non-conformity or conformity.  There are many factors involved, however ultimately this is simply a fact of individuality.  There is no right or wrong!

“Medically Necessary” is a phrase used by the insurance and medical community to substantiate surgically altering the body or not.  Is it really medically necessary to surgically alter the body?  To whom is it necessary and for what purpose?  Is being Transgender or Transsexual a life threatening medical disease?  Based on past medical precedent surgery is used to correct the bodies function to maintain life.  It is also used for cosmetic reasons to make the body more attractive.

More on this topic tomorrow!

🙂 Sequoia Elisabeth

Unity in Gender Diversity    Free eBooks