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Legal Setback for Iowa Trans Folk In Battle for Medicaid Coverage


Carolyn Marie

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Covington and Vasquez had not yet been denied coverage under that law, so "any dispute is speculative until a denial occurs."

 

So in other words...until they receive an insurance denial in Iowa that is found to be based on transgender discrimination, no party has actually been discriminated against (or hurt) thus no injured party exists which equals no valid lawsuit so the law is not affirmed. For crying out loud, save the trans residents the time, money, and hassle and affirm the law already!

 

We pay these people too..it’s amazing.
Susan R?

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From my Law School days, this was actually predictable and for me not  surprising, although it is aggravating.  It is a centuries long principal of U.S. and most English Common Law (Britain, Canada, Australia etc.) systems that courts will not touch this stuff until an actual injury has occurred, and this court and the lower one simply restated that principal, its an open issue that can be litigated when they are denied the medical treatment.  As a Trans person I have the experience to know service is often denied and a preemptive crushing of the law would be nice, but >deep breath< we don't know for sure it will happen. 

There are a lot of insurance companies twigging on to the fact that Trans health care is good for their bottom line because treating us that way, keeps us off the much more expensive payouts for suicide attempts, other physical injury and mental health issues, and insurance is about money.  In California, this has solid figures behind the benefit to the insurers, and is why the industry did not seriously fight the State who said they must cover it here.  My own HMO here actually began performing GCS at its facilities because it was cost effective in the long run.  

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Courts will resolve an "actual case or controversy," but will not issue "advisory opinions." It's "black letter law." Translated away from the jargon, the value of this principle is easier to see. Courts don't exist to "create the law." They "apply" the law. Without a case or controversy to which to apply it, they would merely be stating what they think the law should be henceforth. In deciding a particular case, courts write rulings or opinions, explaining their reasoning as to how the preexisting law applies. They look to earlier opinions for guidance. Precedents. It's a convoluted and complicated system, but it's the best yet devised.

Whether or not the current occupant of the White House and his cronies accept it, we are "a country of laws, not men." Ie, the U.S. is a "Rule of Law" country.

And that's good. I don't want Brett Kavanaugh having the power to create the law of the U.S. in his own image by his mere fiat. We'd all be in danger of getting a visit from the Blue Meanies. 

Which law school, Vicky? Mine was UC Hastings, '74.

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8 hours ago, Leah said:

Which law school, Vicky? Mine was UC Hastings, '74.

 

Southwestern University School Of Law, (Los Angeles)  also 1974. 

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    • VickySGV
      We have had some real dillies come out as the initiative sort of thing, but as @Carolyn Marie said, very few make it out of the petition signing seasons.  I am not surprised at the origin site of this thing, it is probably one of only 3 regressive leaning counties we have in the state. We actually had one of these initiatives started to make it mandatory for police to shoot dead on site any Gay behaving individuals wherever they found them.  For the most part the matters are poorly written in ways to be unenforceable even if enacted.  Thus most never become law or get to the voters.
    • Carolyn Marie
      You make some good points, AYS.  But there are usually already too many ballot propositions each election, so the proponents know it's best to wrap it all up into a nice package.  Plus, it's easier for the signature gatherers.  Otherwise they have to have a separate clipboard for each proposition.  Too much paperwork, dontcha know?   This kind of proposition is a loser in CA, so the only possible way the proponents can succeed is to give it the scariest title imaginable and try to put one over on the voters before they get wise.  Bottom line; an ice cube on a hot summer sidewalk has a better chance of success.   Carolyn Marie
    • awkward-yet-sweet
      Reading that article, it seems like the attorney general gets to call it whatever unless its an outright lie.  Given the nature of politics in CA, it seems like one side has the bully pulpit for sure.  Labeling it "Restricts Rights" vs "Protects Kids" is very much a matter of perspective.  Unfortunately, that matters since many voters don't bother to read.  Perhaps a better (unbiased) way to handle it would be to simply give the ballot measure a number with no title, forcing folks to read it.    I think it would have been better to handle the various issues covered by the ballot measure separately, rather than all at once.  For example, issues relating to disclosure of medical and social information to parents.  That could be its own ballot measure, rather than lumped in with everything else.  Besides, shorter and more succinct measures are more likely to be read completely. 
    • Carolyn Marie
      https://calmatters.org/education/k-12-education/2024/04/trans-youth/     Yup, the existing title sound perfectly appropriate and accurate to me, too.   Carolyn Marie
    • Adrianna Danielle
      Seen my hrt specialist this morning and nothing but good news,estrogen levels looked good.Boyfriend was with me and I admit he has been learning well about my transition showing his support.Our relationship is going great and we both see each other much happier now.
    • Abigail Genevieve
      This reminded me of an individual who, due to child sexual abuse, lived as a woman for 15 years, detransitioned and noisily insists that all trans people have his story.  His name comes up fairly often because it fits the narrative.   I don't know that anyone actually has been railroaded.  People may say it, they may look back at what happened and decide that happened.  It's a he said / she said, but it feeds a narrative that is useful for those who are already convinced that trans people are abuse victims first and foremost.  That the detransition rate is so low tells me that railroading is not actually a problem, and I regret giving the impression that I thought it was.  That so few detransition is a success story.   What is pertitent at heart is that people hear and believe all the stories out there, and the story we have to tell is not heard, because TG folk are, after all, untrustworthy in their view and unworthy of an audience.  Somehow it needs to get out there as to what the real situation is. 
    • Ashley0616
    • Ashley0616
      I'm not saying that Christianity is wrong but at the same time there were more than 30,000 changes to it. The Bible doesn't state anything against transgender. The only point that can be proven by them is that people are giving into their desire. 1 John 2:15-17 ESV "Do not love the world or the things in the world. If anyone loves the world, the love of the Father is not in him. For all that is in the world—the desires of the flesh and the desires of the eyes and pride of life—is not from the Father but is from the world. And the world is passing away along with its desires, but whoever does the will of God abides forever." I would love to challenge them by asking who watches a movie, reads books, and listens to music that isn't Christian based because then they would be guilty as well. 1 Corinthians 10:31 ESV "So, whether you eat or drink, or whatever you do, do all to the glory of God. Probably not a single hand would still stand that they don't participate in everything they do gives glory to God. "
    • VickySGV
      My neighboring state got lucky a couple years ago. 
    • VickySGV
      https://www.wpath.org/soc8   I had been looking for this to respond to a member and could not find it .  Pinning it for now.
    • VickySGV
      @Abigail GenevieveSomewhere in the Forums here, we have a link to the World Professional Association for Transgender Health's Standards Of Care, now at revision 8 but it is available in plenty of places.   https://www.wpath.org/soc8.    These are the canons for the allied medical fields that deal with Trans people and are the guidance for those professionals.  I personally know members of the Association and have toyed with the idea of becoming an associate member since I am not a medical professional but because I like to keep on top of what is going on medically.  There are a number of Trans people who think they are overly oppressive as far as the gatekeeping goes, but the medical / psychological profession members who follow these guidelines for there patients WILL NOT be forcing their patients into unneeded or harmful surgery or medications.  I read my first pitiful and heart-rending  "detransitioning" story 60 years ago when I snuck a tabloid newspaper behind a comic book down at the neighborhood convenience store when I was 16 years old and reading it off the rack which should have been adult only.  I am afraid that it was the first thing I ever read that told me about Trans and Transsexual people, it would be another 30 years before I actually figured out my own story.  The story I later found out, was NOT written by a Trans person, but a well known Porn scribbler who wrote many fantastic and gory stories about what he thought Trans people were.  We are not anything like his imagination, but he was a "press agent" for Trans people of the time.  We do have some well known and noisy, negative view Detransitioners who have been found to have gone to multiple psychologists and lied their way Transitioning, one of the most infamous actually hid Dissociative Identity Disorder, right therapist wrong Identity that was being counseled.  It is a messy story.  The public, like my first encounter, was NOT getting their information from the scientific journals of the time, they were getting it from Adult Entertainment and Tabloids   We need to be careful of where we get some of our ideas from. Evidence is good that the person at the heart of this thread gets most of his information from us from the slanted and non-scientific sources most people get theirs.   OOPs, I( may have sent this off track here, but but but.    
    • Ivy
    • Ashley0616
      Yet another failed attempt. Glad to know that we are more important than education or health care to them.
    • Mmindy
      I agree with you.   Mindy🌈🐛🏳️‍⚧️🦋
    • Mmindy
      Well said, and I agree @VickySGV   Mindy🌈🐛🏳️‍⚧️🦋
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