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The Pyrrhic Victory of OHIP-Funded SRS: Nikki's new column

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  • The Pyrrhic Victory of OHIP-Funded SRS: Nikki's new column

    www.tgirlnews.com

    At long last, I finally finished and published my recent SRS article. Check it out:

    The Pyrrhic Victory of OHIP-funded Sex Reassignment Surgery

    An open letter to George Smitherman and David Caplan

    by Nikki S., Transgender Columnist

    Like others in the trans community, I was pleased to hear that the Liberal government had taken the bold step of re-listing Sex Reassignment Surgery (also known as SRS, GRS, or simply, “the operation”) under the list of OHIP-provided services. When it was removed in 1998, it caused a great deal of hardship to many people.

    There’s no question that, for some, SRS is a medical necessity. For those with severe gender dysphoria, SRS is the only cure. No amount of psychotherapy or hormone treatment will alleviate the pain of being disgusted with a major aspect of one’s own body. For those who suffer the most, surgery is the only option, and without access to quality services and medical care, some people choose to undergo this procedure however possible – often with devastating consequences and horrifying results.

    It should also be noted that not every person identifying as “trans” desires, or intends to undergo, Sex Reassignment Surgery. It’s a personal decision that each person must make for themsel ves, and I also believe that a significant period of living in one’s identified gender, combined with hormone therapy, should be part of the education process for anyone who desires SRS. This process is necessary to determine one’s comfort with their new gender role, and to see how the body reacts to the physical and psychological changes brought about by cross-gender hormones. SRS, for male-to-female transsexuals, removes the main producers of testosterone, which leads to major changes in one’s physiology, emotional state, and perception of the world. It’s something that a potential SRS patient needs to be aware of, in order to make an informed decision.

    However, after someone has chosen to live permanently in their identified gender, has undergone hormone therapy, and has been properly educated on the limitations and potential complications associated with SRS, the decision should ultimately by up to the individual. As long as they can demonstrate an understanding of what the procedure can and cannot do for them, they should have the opportunity to make this medical decision for themsel ves. The real tragedy behind re-listing SRS under OHIP is that decision is not in the hands of the individual – it has been placed back in the hands of the CAMH Gender Identity Clinic.

    It is not my place to dig up old graves, and re-examine the horrors and despair that this branch of CAMH has wrought upon our community. The cases are well-documented, and are well known to those who have been subjected to their “reparative therapy” over the years. Of particular notoriety is the Child and Adolescent Gender Identity Clinic, which has brought untold pain to children and adolescents who exhibited behaviours not normally associated with their gender. This is not the place where we want decisions about our lives being made for us.
    Read the rest of the article at http://www.agoracosmopolitan.com/hom.../11/02457.html

    Comments and feedback are appreciated, and thanks to everyone for your continued support.

  • #2
    Health Care

    Give 'em hell Nikki! AHC here in Alberta covers it as does almost all provinces. I don't get why they would make such a detrimental choice to the well being of their constituents... err sorry, mistook polticians for people lol

    I kinda miss London
    Kisses ,
    Amy!
    www.amydark.net

    Comment


    • #3
      Wow.. u r so articulate Nikki..

      u go girl!

      Comment


      • #4
        Originally posted by TGirl Nikki View Post
        www.tgirlnews.com

        At long last, I finally finished and published my recent SRS article. Check it out:

        Read the rest of the article at http://www.agoracosmopolitan.com/hom.../11/02457.html

        Comments and feedback are appreciated, and thanks to everyone for your continued support.
        great article nikki!!I am too familiar with CAMH as also know as urrassic Clarke!)I believe their mandate is a little primitive on the way they treat and have treated the trans community>This is a few steps back before we can say that we have moved forward> I too was a patient of Clarke and a friend of mine who wrote an interesting article about her experience with Clarke(lesley carter) who i consider to be mother theresa in my books.She really helped and guided me to overcome an obstacle in my life.Here is the link http://www.tsroadmap.com/info/clarke-institute.html alyssa
        Just a fly on the wall

        Comment


        • #5
          Thanks everyone, it took me forever to finish it, but I'm glad it's done. I've sent it to a friend that works for Xtra.ca, so hopefully it'll get picked up by other news outlets as well.

          I really appreciate everyone's support, and I have a few more columns on the way, so keep checking out the site for updates.

          Comment


          • #6
            You should see American health insurance!

            They wouldn't cover any of that. Our system is so fucked up. And we pay up the ass too! Its almost 1000$ USD for health insurance though our employer.

            Thats another topic though...
            _______________

            No I am not an Escort. All are welcome to PM me, just don't PM about escorting. Kisses!!!

            Comment


            • #7
              camh

              Great article. It's too bad that camh is dropping the ball on transgender issues because I think on the whole they do a good job in an extremely challenging field. As a former patient (depression) and current volunteer I have been a big booster of the hospital. It would appear the mandate of the institution has been hijacked by the mealy mouthed politcians and special interest groups when it comes to sexual mores. It strikes me that gender issues are only mental health issues due to the inability of society to accept that there are actual physical differences at play. As long as society continues to maintain that sexuality is a matter of choice there will always be mental health repurcussions.
              Of course they might just think I need stronger meds.

              Comment


              • #8
                LadyMissKier: It all depends on who your provider is. Some insurance companies cover every conceivable transition expense - hormone therapy, electrolysis/laser, breast augmentation, facial feminization surgery, travel costs, and eventually SRS. Other companies don't cover anything at all. At least the USA offers you some degree of choice in who covers you - provided one can afford it, of course.

                All that it takes to receive coverage from most carriers is a diagnosis of Gender Identity Disorder. Then, you do your one-year real-life experience, get your two signatures, and have SRS.

                In Ontario, the only way you can receive OHIP-covered SRS is through CAMH, and they only cover the operation itself - assuming you live up to its horribly unrealistic standards. They also require you to have experienced severe gender dysphoria from a very early age, and rarely recommend anyone with teenage or adult onset of dysphoria.

                The debate between public or private health care is a tough one, but in this case, I'm strongly on the side of private care - and I have personal experience with it. OHIP doesn't cover any of my expenses, and I don't expect them ever to do so; however, my U of T drug plan covers 100% of my hormone therapy, and I didn't even have to provide a diagnosis for it - just a letter from my endocrinologist stating that it was necessary.

                I appreciate you taking the time to read and comment on my article, but I'll have to respectfully disagree with your position. For all its faults, the US health care system offers a great deal that the Canadian system does not.



                Cobbler: CAMH is a huge organization, with a vast range of services. It's a shame that one tiny department has so alienated the community it serves. The mandate is rigidly controlled by a select few people who have a vested interest in proving their theories on trans identities - Kenneth Zucker and Ray Blanchard are both serving on the DSM-V revision task force, focusing on Gender Identity Disorders and Paraphilias.

                Zucker is known for using negative reinforcement and reparative therapy on children that don't conform to gender norms, and feels that he can help kids grow up to be healthy homosexual adults. He feels that a gender transition and SRS is an unhealthy outcome, and he has caused untold misery in literally hundreds of children. I know some personally, and the stories I've heard are heartbreaking - electroshock therapy was apparently commonly used.

                Blanchard coined the term "autogynephila" and has a strong interest in incorporating this term into the fifth edition of the DSM. With these two on the task force, that seems unfortunately likely.

                Politicians don't really care about such minor details, particularly when it affects such a small and relatively poor demographic. This is why it's imperative for us to make our voices heard, and make them understand the pain that CAMH's Gender Identity Clinic will continue to inflict on our community - and the very reason I wrote this open letter in the first place.

                Thanks to both of you for your comments, and your interest.

                Comment


                • #9
                  Nikki

                  Thank you for responding to my comments and also for writing the article in the first place. The only way positive change will occur in the mental health industry is by people like you shining a light into the dark corners of the system. Keep up the good work.
                  On a lighter note, you're beautiful. Sorry, couldn't resist.

                  Comment


                  • #10
                    Originally posted by cobbler View Post
                    As long as society continues to maintain that sexuality is a matter of choice there will always be mental health repercussions.


                    Of course they might just think I need stronger meds.
                    I am awe struck by what you just said.

                    You have put thousands of words and thoughts into one line of simple prose.

                    Hats off...



                    Fin.
                    _______________

                    No I am not an Escort. All are welcome to PM me, just don't PM about escorting. Kisses!!!

                    Comment


                    • #11
                      Well thank you Lady MissKier. I only wish the rest of the world was able to look at the issue rationally instead of with the hate induced hypocracy currently at play.

                      Comment


                      • #12
                        nice work

                        Thanks for being a positive advocate, the community needs more concious individuals.



                        Originally posted by TGirl Nikki View Post
                        www.tgirlnews.com

                        At long last, I finally finished and published my recent SRS article. Check it out:

                        Read the rest of the article at http://www.agoracosmopolitan.com/hom.../11/02457.html

                        Comments and feedback are appreciated, and thanks to everyone for your continued support.
                        .

                        Comment



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