By Carol Ann Alaimo
Arizona Daily Star2.23.2009
"You people don't exist."
Air Force veteran Diane Steen, who was born male and had surgery to become a woman, still gets steamed when she recalls the comment from a staffer at Tucson's veterans hospital, where Steen is a patient and a longtime volunteer.
The remark came, she said, when she asked the staffer, who had a military background, how much training he had received about people like her.
Officially, transgender patients barely do exist in the Veterans Affairs health care system. They often are denied treatments that experts say could help them most.
National Department of Veterans Affairs policy — now under review — specifically forbids veterans hospitals to perform or pay for "transsexual surgery." It also does not provide for the related health care that experts recommend, such as psychotherapy, hormone treatment and other measures.
Officials at VA headquarters, given 10 business days to answer, said they couldn't determine how many transgender patients are in the VA system nationwide.
Officials at the Southern Arizona VA Health Care System — Tucson's veterans hospital — said 48 VA patients in Southern Arizona are transsexual or have been diagnosed at some point with "gender-identity disorder," the medical term that covers such cases.
A national advocacy group estimates that about 300,000 active or retired military personnel are transgender, though experts say an accurate count is impossible because many live under the radar to escape social stigma.
In June, the American Medical Association approved a new policy on the care of transgender patients, effectively putting VA policy at odds with the recommendations of the nation's largest doctors group.
The association said gender-identity disorder is a "serious medical condition . . . which causes intense emotional pain and suffering" and can lead to stress-related illness, chronic depression and suicide if not properly treated.
The group urged all public and private medical insurers to cover the cost of mental health care, hormone therapy and sex-reassignment surgery whenever doctors deem them medically necessary.
Experts worldwide "have rejected the myth that such treatments are 'cosmetic' or 'experimental,' " the AMA said.
. . .Read More