Department of Veterans Affairs puts limits on transgender care

Transgender veterans will no longer be provided hormone therapy through the Department of Veterans Affairs unless they were already receiving such care through the department or the military, the VA announced.
Transgender veterans will no longer be provided hormone therapy through the Department of Veterans Affairs, unless they were already receiving such care through the department or the military, the VA announced Monday.
The reversal of the decade-old policy comes just days after the VA rescinded a 2018 directive that required the department to treat trans veterans “with respect and dignity.” The directive required coverage of mental health care, hormone therapy, pre-surgery evaluation and care after surgery as medically necessary. The VA has never covered gender-affirming surgery for veterans.
The rescinded directive also required health care providers to address veterans by their gender identity, which included using their requested pronouns and preferred name.
According to Monday’s announcement, trans veterans who weren’t already receiving treatment for gender dysphoria, which is the medical term for the severe emotional distress caused by the misalignment between one’s gender identity and birth sex, will not be able to access it through the VA.
“I mean no disrespect to anyone, but VA should not be focused on helping Veterans attempt to change their sex,” VA Secretary Doug Collins said in a statement Monday, adding that the “vast majority” of veterans and Americans agree, though he did not point to any data that supports that claim.
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