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States throughout this nation insist the lowest economic bracket in this country, no not undocumented immigrants, but people born here also denied rights due to arbitrary boundaries defining entitlement to documents. Not surprisingly the economic bracket of under $12,000 a year is inhabited by both forced to be undocumented. This economic bracket serves a chain keeping Transgendered individuals, not only those seeking surgery, but those living in states that require expensive surgical procedures in order to obtain identification trapped in official limbo. Unable to have the documentation required to obtain housing, employment, education, to vote, and in our current police state just walking down the street.

The American Medical Association has stepped in and stated this practice is not in the best interest of the patient.

According to the AMA, in only a handful of states is the requirement for a birth certificate amendment listed as “clinically appropriate treatment”, which allows for recognition of trans people who have not yet had, are not able to have, or do not want to have surgery.

AMA President Ardis Dee Hoven said: “Surgery shouldn’t be a requirement to align a person’s gender identity with their birth certificate.

“State laws must acknowledge that the correct course of treatment for any given individual is a decision that rests with the patient and their physician.

By telling states they are in fact not only practicing medicine without a license but harming their own communities by creating a permanent underclass. This underclass is forced into the underground economy where they are subject to arrest in most cases if placed under police scrutiny.

And to presume every gender variant person wants surgery to live their life on their own terms is just wrong. Period.

Originally posted to TransAction on Wed Jun 18, 2014 at 06:48 AM PDT.

Also republished by LGBT Rights are Human Rights.

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