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.
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How do you not realize your Marxist ideology is false when it says shit like a trans black woman small business owner is oppressing her cis white man employees?
I don't think you're, like, genuinely asking, or are curious, here, but I'll answer anyways, for everyone else who might be confused on issues like this: it's intersectionality.
You could make this argument about essentialy any axis of oppression - 'how do you not realise your LGBT ideology is false when it says shit like a cishet black person is oppressing their white trans gay employees', or, conversely, 'how do you not realise your racial ideology is false when it says shit like a white trans gay person is oppressing their cishet black employees'.
The point here isn't to have a rock-paper-scissors, Pokémon type-effectiveness ranking of which axes of oppression 'outrank' which others, it's to understand that each axis of oppression is an entirely distinct social system that overlaps with the other. A black business owner suffers from the social system of antiblackness, and benefits from the social system of capitalism. The specific overlap of their blackness and their class character also gives them an entirely unique character with regards to their segment of society. If they are USAmerican, for example, in their specific case the state and progress of the national liberation movement in the US means that they make up the rear of the revolutionary movement, despite being themselves petit-bourgeois. These systems of oppression are qualitatively different, and cannot be simply, quantitatively, summed up against each other.
With this in mind, it should be understood that the Marxist understanding of class as the principal contradiction does not mean that class is the most important, overruling factor, and that other axes should be ignored. Class is considered the principal contradiction because it is the contradiction that all other axes of oppression, genuine in their own rights, grew out of. Antiblackness was created by the slave trade (not vice-versa), and the slave trade was created by the growing European bourgeoisie's need to extract surplus-value, in the collapse of the Feudal economy. In the example you gave, the petit-bourgeois business owner exploits the labour of her workers, and is supported in doing so by an entire legal, political, and philosophical system based on the expropriation of the proletariat. She is also herself repressed and exploited on the basis of race, gender, and transness. These do not cancel each other out. However, given the ultimate source of racial, patriarchal, and cissexist oppress is political-economic class, her ability to genuinely fight for her interests in those fields will be hamstrung by her class position - just as her ability to attain and maintain that class position in the first place is itself hamstrung by her oppression in other fields.
Ultimately, there are no simple rules that society can be flattened down by. Each and every instance and scenario must be investigated in its own right. The idea that people are driven to Marxism because it provides an easy or simplified way of looking at the world is (perhaps unfortunately!) wrong, it actually means a lot more work!
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