#instead of gender affirming care

[artpigeons]

Desperately trying to explain to my mum (who for sure has an undiagnosed eating disorder that she's projected onto me and my siblings our whole life) that I'm not that interested in losing weight. Like if my doctor says I'm perfectly healthy - which she does - then fuck do I care how wide my ass is?

Anyway interesting to hear someone obsessed with weight and skinniness try to come up with a response to that. Apparently I'd "just feel better" and I "have been getting sick a lot lately". She straight up was trying to tell me I'd catch fewer colds if I dropped a few pounds

"You'd feel better", no, you would feel better if I was skinny.

[lesenbyan]

There are few things worse, I think, than reading a call to action memoir that is so close to right but really should have been shelved for at least 5yrs before going to print so the author has time to learn enough to see all the false equivalencies that really hinder the point

[imworkinghere]

if a 1% regret rate for transition is so bad... and any population is about 1-3% trans... wouldn't that make the potential regret rate of NOT giving kids puberty blockers... three times worse than giving them puberty blockers?

[dysphoric-culture-is]

Dysphoric culture is knowing a gender affirming procedure would likely greatly help your dysphoria, but not looking into it because getting that procedure done would require acknowledging the thing that is causing said dysphoria exists and is a problem, and that’s just too painful

(Aka disassociation go brrr)

Dysphoric culture is!

Also, mod dealt with this too for many years. But as bad as the dysphoria from acknowledging the issue is, the reward is worth it! Medical transition will reduce your dysphoria long-term and also means that you won't have to deal with the issue anymore or as much.

For example some people who get surgery to remove something (ex: breasts, penis) are dysphoric about admitting that they have that body part and find the examination/surgery prep very painful mentally, but often they feel super relieved afterwards that they got it over with! There's a great article about this topic that mod can't find anymore but still anon mod hopes you do look into the procedure!

[so-i-did-this-thing]

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.

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:

Take care, everyone, of yourself and each other.

[probablyasocialecologist]

And so it makes sense that these are now the places where fascism grows; that’s what these places were designed for. The suburbs were invented as a reactionary tool against the women’s liberation and civil rights movements. The US government, in concert with banks, landowners, and home builders, created a way to try and stop all that, by separating people into single homes, removing public spaces, and ensuring that every neighborhood was segregated via redlining. The suburbs would keep white women at home, and would keep white men at work to afford that home. These were explicit goals of the designers: “No man who owns his house and lot can be a Communist,” said the creator of Levittown, the model suburb. “He has too much to do.” The reason Target has become the locus of today’s particular right-wing backlash is the same reason countless viral TikToks attempt to convince women that they’re at risk of being kidnapped every time they’re in a parking lot. It’s the reason why true crime is one of the most popular podcast genres in America, and why many refuse to travel without a gun by their side and shoot people if they set foot on their driveway.

[...]

It is of course true that these mass hysterias are part of an organized right-wing movement that is attacking human rights across the country—through legislation banning abortion, gender-affirming care, and books, and making it illegal for educators to teach American history accurately. But the shape this movement has taken is not coincidental; it is in fact the product of the unique shape of public life in America, or lack thereof. Suburbanites do not have town squares in which to protest. They do not have streets to march down. Target has become the closest thing many have to a public forum. We often hear that urban areas are more liberal and suburban ones more conservative, and we’re often told that this is because of race. That may be partly true, though cities are whiter than ever and suburbs more diverse than ever. Instead, it may be that suburbanism itself, as an ideology, breeds reactionary thinking and turns Americans into people constantly scared of a Big Bad Other. The suburban doctrine dictates that public space be limited, and conflict-free where it exists; that private space serve only as a place of commodity exchange; that surveillance, hyper-individualism, and constant vigilance are good and normal and keep people safe. It is an ideology that extends beyond the suburbs; it infects everything. Even cities, as Sarah Schulman writes in The Gentrification of the Mind, have become places where people expect convenience and calmness over culture and community. What is a life of living in a surveilled and amenity-filled high-rise and ordering all your food and objects from the Internet to your door if not a suburban life? To make matters worse, the people who have adopted this mindset do not see it as an ideology, but as the normal and right state of the world; they, as Schulman writes, “look in the mirror and think it’s a window.” So when anything, even a gay T-shirt, disrupts their view, they become scared.

[reasonsforhope]

"Georgia Republicans bundled over a dozen measures that targeted the state’s transgender residents into omnibus packages in a desperate attempt to get them passed. In a stunning defeat for the GOP, every single one of them failed.

Legislators gutted bills that had passed through committee and instead stuffed them full of their anti-LGBTQ+ wishlist items.

Bills that would ban transgender students from playing on teams aligned with their gender identity, ban transgender students from bathrooms aligned with their gender identity, opt parents into notification for every book a student checks out of the library, bar sex education before sixth grade, make all sex-ed classes opt-in and expand obscenity laws to make it easier to ban books with LGBTQ+ content all failed.

“MAGA politicians in Georgia tried it all in service to their anti-LGBTQ+ agenda,” said Human Rights Campaign Georgia State Director Bentley Hudgins, “including silencing debate and gutting unrelated, popular bills that had bipartisan support to ram through policies that would have put young LGBTQ+ Georgians in harm’s way. They failed.”

“It’s undeniable that the tides are shifting, both here in Georgia and across the nation,” Georgia Equality executive director Jeff Graham added. “Anti-LGBTQ actors are losing their political power, and more and more Georgians who know and love LGBTQ people are standing up against their baseless fear-mongering.”

In Florida recently, nearly two dozen anti-LGBTQ+ bills were defeated in the wake of Gov. Ron DeSantis‘s (R) presidential campaign implosion, dozens of measures in Virginia were tabled [Note: In the US, "tabled" means "shelved" or "taken out of consideration - the opposite of its meaning in the UK and other places], and Ohio’s governor backed off his attempt to restrict gender-affirming care access for transgender adults and minors. 

Meanwhile, in D.C., Democrats successfully excised 50 anti-LGBTQ+ provisions in the two budget bills passed and signed by President Joe Biden to fund the federal government.

Even Fox News has been forced to acknowledge transgender issues are among the lowest-priority concerns among voters."

-via LGBTQ Nation, April 1, 2024

[transmascrage]

Video by ErinInTheMorning on TikTok

[Transcript (there's captions on screen but in case you can't turn on audio):

Erin: "File this one away for the transgender history books, whenever they write about our history; today Lindsey Spero, a trans man, stood in front of the Florida Board of Medicine, which was about to vote to medically ban all gender affirming care for trans youth.

He stood there to deliver his testimony, he delivered a little bit of it, but then he took the remainder of his testimony time to stand there and inject his hormone therapy in front of all of them in stunned silence, and then he turned around and raised his fist. Watch this."

Lindsey: "My name is Lindsey Spero, I'm 25 years old, I'm a resident of St. Petersburg, Florida. I'm also transgender.

I am someone who was subjected to treatments that have been questionable, that were mentioned by people like that woman who came up and spoke, I can tell you for a fact that her child is going to grow up hating her.

I'm sure you've heard many stories that sound like mine already, over the last few months my trans siblings and family members have stood before you, put their hearts on full display and vulnerable pleaded with you to listen to our stories and perspectives.

The American Academy of Pediatrics has condemned your actions and our federal government has spoken out against the actions you seek to take regarding the necessary health care for trans youth.

I could stand here and tell you about the times I attempted to end my life because I didn't have access to gender affirming care but I know, I know you don't care. I see you sneering at us while we come here and talk to you.

Instead I'm going to take the rest of my time to demonstrate the sacred and weekly ritual of my shot in front of you, in this body.

My medication is life saving, I will use HRT for the rest of my life, your denial of my need for this medication, doesn't make my existence as a trans person any less real.

I will be giving myself my subcutaneous shot in my stomach. If you have a needle phobia, please look away."

Lindsey injects his T-shot in silence, helped by another person who passes him a needle and the testosterone in its vial.

After finishing, he raises his fist and turns around to the audience.

Lindsey: "Tomorrow and forever."

The crowd cheers and a few people get up to clap.

Erin: "That, that is what I'm talking about! Good job Lindsey! This is the kind of resistance that matters!"

End transcript.]

(As a sidenote, it seems that Lindsey identifies as nonbinary, not necessarily (or exclusively, anyways) as a trans man. Some articles identify him as transmasc but all of his socials state nonbinary.)

[mothusband]

for the love of god we need to get my state's governor out of office

[drdemonprince]

I don't think I have it in me to be an abolitionist because I read that horrible story about the trans teen murdered in South Carolina and my knee jerk reaction is, those people should rot in jail, ideally forever, or worse. No matter how I look at it I can't make myself okay with the idea that you should be allowed to steal someone's life in such a horrible way and then just go back to enjoying your life. Some stuff is just too over the top evil.

You can have whatever emotions you want about that person's murderous actions, but the reality is that the carceral justice system is one of the largest sources of physical, emotional, and sexual torment for transgender people on this planet.

Transgender people are ten times more likely to be assaulted by a fellow inmate and five times more likely to be assaulted by a corrections officer, according to a National Center for Transgender Equality Report.

Within the prison system, transgender people are frequently denied gender-affirming medical care, and housed in populations that do not match their identity, which increases their odds of being beaten and sexually assaulted.

The alternative to being incorrectly housed with the wrong gendered population is that transgender people are also frequently held in solitary confinement instead, often for far longer periods on average than their non-transgender peers, contributing to them experiencing suicide ideation, self harm, acute physiological distress, a shrunk hippocampus, muscculoskeletal pain, chronic condition flare-ups, heart disease, reduced muscle tone, and numerous other proven effects of solitary confinement.

The prison system is also one of the largest sites of completely unmitigated COVID spread, among other illnesses, with over 640,000 cases being directly linked to prison exposure, according to the COVID prison project.

We know that number is rampantly under-estimated because prisoners, especially trans ones, are frequently denied medical care. And even basic, essential physical care. Just last year a 27-year-old Black man named Lason Butler was found dead in his cell, having perished of dehydration. He had been kept in a cell without running water for two weeks, where he rapidly lost 40 pounds before perishing. His body was covered in rat bites.

This kind of treatment is unacceptable for anyone, no matter who they are and what they have done, and I shouldn't have to explicitly connect the dots for you, but I will. One in six transgender people has been to prison, according to Lambda Legal. One in every TWO Black transgender people has been to prison. One in five Black men go to prison in America.

THIS is the fate you are consigning all these people to when you say that prisons must exist because there are really really bad people out in the world. We should all know by not that this is not how the carceral justice system works. Hate crime laws are under-utilized, according to Pro Publica, and result in few convictions. The people who commit transphobic acts of violence tend to be given softer sentences than the prisoners who resemble their victims.

We must always remember that the violent tools of the prison system will be used not against the people that we personally consider to be the most "deserving" of punishment, but rather against whomever the state considers to be its enemy or to be a disposable person.

You are not in control of the prison system and you cannot ensure it will be benevolent. You are not the police, the judge, the jury, or the corrections officers. By and large, the people who are in these roles are racist, transphobic, ableist, and victim-blaming, and they will use the power and violence of the system to terrorize people in poverty, Black people, trans people, "mad" people, intellectually disabled people, women, and everyone else that you might wish to protect from harm with a system of "punishment." Nevermind that incaraceration doesn't prevent future harm anyway.

You can't argue for incarceration as the tool of your revenge fantasies, you have to argue for it as the tool that it actually is. The purpose of a system is what it does. And the prison system's purpose has never been to protect or avenge vulnerable trans people. It has always been to beat them, sexually assault them, forcibly detransition them, render them unemployable, disconnect them from all community, neglect them, and unperson them.

[nonbinannytranny]

if you’re considering gender affirming care go through planned parenthood. i shit you not they do not make you go through all the bullshit (hopefully not but may be depending where you are) the only things i had to wait for with them were a wait list (a week) and for the pharmacy to fill (took so long my doc at PP just gave me what they had in stock because they care).

again take care and have extra precaution in areas that are more conservative, but if you travel to your nearest city you should be safer.

i did not need a note from my psychiatrist, instead they sat me with a social worker to ask some questions. it ended up not at all being about if i’m “trans enough” but just how i’m feeling, my experience, allergies and medical history. then they sent me to the doctor who reviewed and assessed health risks and gave me informed consent.

i was then trained by a member of staff to administer my own injections, and was given a choice between every method of testosterone (if i went with the gel, there would be a six hour period after applying each week i can’t touch my cats and they are absolute WHORES who love snuggles and i didn’t want them to transition too, so if that’s important to you, take it into consideration)

it was so much easier than going through a GP, who tended to shrug off everything i said, and wanted to take as much time as possible while i’m suffering with dysphoria. i fully reccommend going through planned parenthood because it is discreet, has options for payment with and without insurance, and will absolutely refer to you with the correct pronouns and name every. time.

and this is not an ad. i’m just sitting here before my third dose feeling thankful.

[cocklessboy]

I see a lot of people saying that gender-affirming health care like top surgery for trans people like myself should be freely available (which is correct), but one of the reasons they often give is that top surgery is very safe and has a very low rate of complications compared to other surgeries. And I often see transphobes clutching their pearls over the few people who do have complications. What about them?! What if you're one of the unlucky ones?! Should we really let those transes risk it??!!!

Setting aside the fact that no one raises such concerns over other types of surgery, I'd like to use myself as an example for anyone who needs one.

In May of 2022 I had top surgery (double mastectomy). The surgery was done by a gynecological surgeon, not a plastic surgeon, because that way my insurance would cover it.

The surgeon did his job and removed the breast tissue, but he did not make it look pretty. I have dog-ears at both ends of both scars (extra bits of skin that hang off in a very unappealing fashion), my chest still looks unnaturally flat with no muscle or fat despite a lot of working out, and one of the stitches didn't heal properly and was left as an open wound through "secondary healing" for several months before it finally healed over into a very large scab (and eventually a very large scar). My nipples are uneven and irregular and look... well, just awful, really. Due to bad genetic luck, I wound up with keloid scars which, instead of getting smaller and lighter over time, have instead expanded, becoming thicker and darker. Worst of all, I now have chronic nerve pain in my chest. My GP thinks the surgeon must have hit a nerve during the procedure, and now I have random sharp pains all over my chest even now, nearly ten months later. The pain might improve with time, or it might not.

I basically had almost every possible complication one can have from this surgery short of infection or death. Some of the aesthetics might be fixable with more surgery (though plastic surgery will be expensive). Some are probably permanent. I might never feel comfortable taking my shirt off in public again. I might have to tattoo over the scars.

And pay attention to this next bit, because it's the most important part of this whole post: I do not regret the surgery. Even with all the complications and the ugly state of my chest and the pain. If someone said they could push a button and make it so that the surgery never happened and I'd have a perfect, unmarred chest with C-cup breasts again, I would tell them to take their button and fuck right off. Because even with basically the worst of all possible outcomes, that surgery was the best thing that ever happened to me.

I don't feel good about taking my shirt off in front of people now. I do think my chest is ugly. But it's a male chest now. When I put on a t-shirt, it rests flat against my chest. No one will ever mistake me for a woman again. I'll never have to wear a bra or binder ever again.

The dysphoria I felt from having breasts was so severe that a hideously scarred chest and chronic pain are vastly preferable. The euphoria I feel when I look in the mirror with a shirt on is something I never knew I was capable of feeling.

And it's my fucking body, and it's up to me what I do with it. If I wanted to tattoo myself from head to toe, or file my teeth into fangs, or have a doctor break my legs and surgically implant extensions to make me taller, that's my right because it's my body. The fact that all those things are regarded as basically acceptable (if a little weird), but I had to have a dehumanizing interview with an old cis psychiatrist who hates trans people and wants us all sterilized just to get a piece of paper giving me permission to have my tits removed, is fucking absurd.

Top surgery (of any kind) is generally very safe, and complications are rare. But even with the worst outcome, a trans person will basically never regret it.

And frankly, if a cis woman wants her tits cut off, or a cis man wants a pair of boobs to play with on his own chest, more power to them because literally who gives a fuck what people do to their own bodies? I saw a dude on TV when I was a kid who'd tattooed his whole body to look like a cat, filed his teeth into fangs, and had loads of plastic surgery to surgically implant whiskers and make his face look more feline. It was weird! But literally no one said that should be banned because he might regret it. It's his body to do whatever weird shit he wants with.

The next time someone clutches their pearls and kicks and screams about how you can't let someone permanently alter their body in a way they might regret, feel free to point to me and my complete and utter lack of regret.

(Or have a little fun with it, go hard in the other direction, and say you absolutely agree, which is why we should ban ALL non-emergency surgeries until the patient has been FULLY evaluated by three psychiatrists - along with tattoos and piercings. Oh, and ballet lessons for anyone under the age of 25, since ballet changes the structure of a child's body FOREVER.)

[findchaos]

Ohio's governor has proposed extreme new rules for ADULT trans healthcare that would cut off gender-affirming care for ALL trans patients for *2 years* until many more medical loopholes are met.

But! The Ohio Department of Health is taking comments: https://odh.ohio.gov/about-us/offices-bureaus-and-departments/ogc/resources/feedback-survey

K and I have both written to them, and I hope you'll consider writing your own if you can. This is what I wrote, for example! Be sure to mention "Rules 3701-3-17, 3701-59-07, 3701-83-61" on the form.

It would just be great to not become THE worst state for our healthcare. 🥲

(Upon a third read-through, I see my phone wrote "negative PICTURES for trans patients" instead of "negative OUTCOMES for..." -- And well, I hope they get the picture, anyway. 💀👍)

[doberbutts]

I was typing a big long thing about the changes I've experienced in a year on testosterone and how it's affected me and all that and then tumblr ate it and I really don't feel like retyping that whole thing but I am kinda salty about it so tldr:

Starting testosterone has been the best thing for my health that I've done. Ever. Better than getting a service dog. Better than restructuring my life to cater to my disabilities. Better than any procedure or medication or otherwise that I've tried. Simply rubbing a pack of gel on my arm once a day has done more for me than anything else.

When I went to my endo to start T, I went with a suspicion that I am intersex. She confirmed it via blood test and told me that with my variation I could try two different things: estrogen to control my high levels of natural androgens, or testosterone to lower my estrogen further and make it stop arguing with my androgens about whether I'm supposed to be a boy or a girl, as it's that argument that was causing a significant portion of my health problems. Estrogen has been tried in the past and only made things worse. She told me it was my choice, and only I could choose my path forward, as I knew my body the best.

When TERFs have a fit about gender affirming care, they usually leave out people like me, or they brush my story aside by saying that I'm just an anomaly, or they claim for me and my demographic that we don't want to be part of this discussion. But I don't fit their definition of a woman- I have a testicle, and my natural testosterone was within normal range on the low end for a cisgender, perisex man, and enough male sexual partners have commented on what's in my pants to tell me that it's far from the picturesque womanly pussy, especially considering I can- and have- use it to penetrate with the help of devices designed for cis men who are a little lacking in length.

When TERFs have a fit about gender affirming care, they scaremonger about side effects and changes. But, I was already hairy. I was already growing facial hair. I already had atrophied- and by 30 to the point that it's not really possible to fix without significant medical intervention. I was already infertile. I already had an adam's apple and a deep voice. I already had belly fat and blood pressure problems. My menstrual cycle was already hellish and had interfered with my school and work schedules. A popped ovarian cyst sent me to the ER.

I'd tried no treatment. I'd tried estrogen-based solutions. These not only did not work but actively made things worse. I was fainting at school. I was calling out of work. I couldn't drive without my service dog. I couldn't go out and have fun with my friends. I spent days at a time laying in bed in too much pain to move.

TERFs say, gender affirming care turns you into a forever patient.

I already was one of those. I almost died when I was a baby strictly because of lack of access to care that accepts children who are born who are both and also neither from the womb, before anyone has a chance to develop a personality or understand the difference between a boy and a girl.

Testosterone has turned me into a "once every 3 months" patient instead of a "twice a month minimum" patient. I pay less than $15/month for my prescription and it's mailed to my house in three-month increments. Stopping my wildly irregular and incredibly painful menstrual cycle has increased my quality of life so much. My body doesn't ache for no reason anymore. I don't faint anymore. I can go out and do things and not be punished for it for days on end by fevers and chills and vertigo.

Don't let a handful of transphobic assholes scare you. If this is your way forward, then live your life to its fullest.

My only regret is that I didn't have the chance to do this sooner.

[so-i-did-this-thing]

FLORIDA TRANS PALS, IT IS TIME TO PLAN

Especially if you are on HRT!

HB1421 is a bill that severely affects access to gender affirming care, including for adults. It outlines goals to:

1) Prohibit changing gender markers on birth certificates

2) Require that gender affirming care only come from physicians (not nurse practioners) who take on liability insurance for 30 YEARS after they provide care to a patient

3) Require informed consent forms at every single appointment, including distributing literature to dissuade patients

4) Ban transition care completely for minors

5) Make it so providers who accept state funds cannot provide gender affirming services (this is the big one that stands to affect anyone who takes medicare/aid, is a university, etc.).

6) Make it so providers who accept state funds cannot reimburse for gender affirming services.

We are facing a return to the Harry Benjamin days, or worse, an effective ban unless you are fortunate/wealthy enough to find a willing provider.

If it passes, this bill would take effect July 1, 2023. That is not a lot of time.

I would not count on any Rx or refill request to be honored after this date if the prescribing and dispensing sources no longer are allowed to grant care or decide to drop care because of the penalties.

July 1, 2023. Unless we hear otherwise, that is your clock.

This sucks, but there is comfort in seeing a clear date to plan around and the worst case is no longer completely unknown. It begins July 1.

--------------------------------------------

YOUR HOMEWORK, DUE ASAP:

--------------------------------------------

1) Get any and all your HRT appointments in now, including picking up your meds and doing bloodwork promptly.

2) If you think you will be living in FL come July, start looking now for providers where physicians - not NPs - provide the care. Get an appointment on the books for July. Be prepared to go in person for everything after July 1, because I believe telemed will also be shit-canned. Here is a map of informed consent providers.

3) If you are an old like me, also dig up your HRT permission slip from your therapist. Fuck, make a packet of all your transition documents, including Rx history.

4) If you are on private insurance, start budgeting now to prepare to pay out of pocket.

5) Create a simple spreadsheet of all your HRT dates (pls forgive, my experience is with shots on a 2 week cycle, so this is pretty easy for me to do) and plan out how long your current supply will last. Then, forecast how long all your upcoming refills before July 1 will last. Update it every time you pick up and take your meds. Refer to it for decisions like moving or finding backup providers.

6) Subscribe to the bill to get notified of changes asap

7) Follow this site to keep tabs on other very scary bills happening in Florida, including a bathroom ban and a child custody bill that is effectively kidnapping

8) If you need to change your birth certificate, do it now, pay the rush fees and write RUSH on the envelope. The Department of Health has the most up-to-date forms. Processing time for rush I last saw was around 18 business days.

9) Now that your own oxygen mask is on, so they say, boost mutual aid and recruit allies to assist in any way possible.

-----

Do try to continue seeing your current provider as long as possible, as they likely will need your support. Talk to them frankly about their plans if the bill passes.

Now. I am just a little guy and not a legal expert, but the aggressive enactment date on this bill makes me feel like everyone should plan now instead of waiting to see if it passes.

Be safe, plan, and then get a little rest. Do not lose hope - this bill could still fail.