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Is a sex-change a constitutional right?Follow

#177 Aug 28 2013 at 5:06 PM Rating: Decent
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Jophiel wrote:
idiggory, King of Bards wrote:
So a gender dysphoria is a fundamentally cultural issue.

If this is the case, then it has a cultural, non-medical solution and there is no sense in feeling obligated to give Manning anything. Tell him to buck up and stop worrying about what the big ole world says about his *****. You don't solve cultural issues with medication and surgery.
You do when they become medical issues.
#178 Aug 28 2013 at 5:10 PM Rating: Good
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But the medical issue there isn't the gender, it's in how they are dealing with their own self identity. Which frankly sounds about the same as any other self-identity, body dysmorphia related mental disorder. You help them come to terms with who they are via therapy or perhaps medications that affect the affliction itself (in this case, the GID), not attempt to alter their body.
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#179 Aug 28 2013 at 5:10 PM Rating: Good
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For anyone struggling to understand, one of the easiest (if not perfect) ways to think about it is to remember that sex itself is not a simple biological breakdown of X and Y. The variability in Y chromosones alone is massive, and leads to a pretty huge range of body and brain structures that do often overlap with typically female types. And, by the same token, X chromosones aren't all perfect, beautiful little Xs. Some can be a lot more like Ys at time.

If you think about that chromosone being the combined expression of the genes that go into making the biological differences between male and female, you can understand that we've actually chosen a very simplistic approach to defining the sexes that doesn't do justice to the true complexity that constitutes genetic, sexual differences.

As a quick example, studies have shown that certain brain structures of trans persons are more similar to the opposite sexes' average than their own. But something to remember is that the range of those structures for each sex is already wide, and that this is just one of MANY biological differences.

At the end of the day, whether or not you have a ***** or ****** (or both) doesn't actually tell you nearly as much about someone's biology as we are culturally inclined to think it does.

And @Joph, we solve MANY cultural issues with medication, and a fair number of people self-medicate cultural issues with surgery. And as prison is a cultural construct as well, I don't understand the logic there in the first place.
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#180 Aug 28 2013 at 5:11 PM Rating: Good
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idiggory, King of Bards wrote:
And @Joph, we solve MANY cultural issues with medication, and a fair number of people self-medicate cultural issues with surgery.

And if they want liposuction or a boob job on their own time and their own dime, that's up to them. I don't think it's appropriate for a prison to pick up.
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#181 Aug 28 2013 at 5:14 PM Rating: Good
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Jophiel wrote:
But the medical issue there isn't the gender, it's in how they are dealing with their own self identity. Which frankly sounds about the same as any other self-identity, body dysmorphia related mental disorder. You help them come to terms with who they are via therapy or perhaps medications that affect the affliction itself (in this case, the GID), not attempt to alter their body.


Except that you're randomly equating two different disorders and assuming they're equitable. Do you have any reason to do so other than the fact that you think they sound similar?

Do you really think the brain works that simply, and that psychology never once bothered to investigate that? Do you think they just jumped ahead and said "Sure, cut it off"?
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#182 Aug 28 2013 at 5:15 PM Rating: Excellent
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Jophiel wrote:
idiggory, King of Bards wrote:
And @Joph, we solve MANY cultural issues with medication, and a fair number of people self-medicate cultural issues with surgery.

And if they want liposuction or a boob job on their own time and their own dime, that's up to them. I don't think it's appropriate for a prison to pick up.


If they are at high risk for suicide, and liposuction would change that, I do.
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#183 Aug 28 2013 at 5:22 PM Rating: Good
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idiggory, King of Bards wrote:
Jophiel wrote:
idiggory, King of Bards wrote:
And @Joph, we solve MANY cultural issues with medication, and a fair number of people self-medicate cultural issues with surgery.

And if they want liposuction or a boob job on their own time and their own dime, that's up to them. I don't think it's appropriate for a prison to pick up.


If they are at high risk for suicide, and liposuction would change that, I do.


The prison could limit them to 1200 calories a day. They'd lose weight, and cost them less.

So do you want to give everyone free elective cosmetic surgeries because it may make them less suicidal? Or only prisoners?
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#184 Aug 28 2013 at 5:27 PM Rating: Excellent
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TirithRR wrote:
idiggory, King of Bards wrote:
Jophiel wrote:
idiggory, King of Bards wrote:
And @Joph, we solve MANY cultural issues with medication, and a fair number of people self-medicate cultural issues with surgery.

And if they want liposuction or a boob job on their own time and their own dime, that's up to them. I don't think it's appropriate for a prison to pick up.


If they are at high risk for suicide, and liposuction would change that, I do.


The prison could limit them to 1200 calories a day. They'd lose weight, and cost them less.

So do you want to give everyone free elective cosmetic surgeries because it may make them less suicidal? Or only prisoners?


I'd assume we'd make it at least a relatively equitable example and add in extreme obesity and some kind of thyroid problem, to make it at least similar to something that couldn't be fixed except through surgery.

And I think I've already been clear on my position on what should be publicly available relative to mental health. I believe surgeries labeled medically necessary by psychologists should be made available. I believe in socialized health care, so for everyone, including prisoners.

If you're asking specifically whether or not we should foot the bill while holding constant the access to non-prisoners, my answer is still yes. But I don't consider that special treatment, because I would answer with yes to the inverse position as well.

Bluntly, I believe in extending health care to the largest population we can reach. I'm not going to discount a program because it can reach everyone. I'm going to say that reaching everyone should be a societal goal.
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#185 Aug 28 2013 at 5:29 PM Rating: Excellent
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idiggory, King of Bards wrote:
[quoteExcept that you're randomly equating two different disorders and assuming they're equitable. Do you have any reason to do so other than the fact that you think they sound similar?

Hence the phrase "frankly sounds like". I'll happily admit to not being an expert -- anyone here with a PhD on the subject should pipe up so I know who to speak to.
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#186 Aug 28 2013 at 5:50 PM Rating: Good
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I don't have a PhD but I have stayed at plenty of Holiday Inn Expresses.
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#187 Aug 28 2013 at 6:16 PM Rating: Good
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What I know of the issues, I know from gender studies classes, personal conversations with the ***** community at school, and some additional knowledge from work (I work for a center that does research and offers education in the areas of addiction, and there's an extremely high rate of self-medication in the trans community, so they present as cases of co-occurring disorders and require special treatment).

You're obviously free to dismiss anything and everything I say. It's not like I'd be faxing a copy of my degree to you, even if I was a PhD or an MD.

I'm not particularly interested in searching for scholarly articles at the moment. The only ones I can think of from work I'm not at will to distribute, and I have no interest in searching through my class notes for materials. But I wouldn't imagine they'd be hard to find, if you were interested.
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#188 Aug 28 2013 at 6:49 PM Rating: Good
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idiggory, King of Bards wrote:
But I wouldn't imagine they'd be hard to find, if you were interested.

No problem. I'm not, really. I mean, I'll talk about it and all but the whole issue isn't one I feel any burning passion for and I'm not crusading to make things any different for Manning or anyone else so the amount of personal energy I'm willing to put into it is extremely limited.

Edited, Aug 28th 2013 7:49pm by Jophiel
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#189 Aug 28 2013 at 7:45 PM Rating: Decent
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Honestly, it's absurd that we're even asking this question.

NaughtyWord wrote:
Do you believe the cost behind a sex-change is a Constitutional Right?


No. 100x no. You do not ever have a constitutional right to require someone else to pay for something for you. Period. End of story.

Can we decide as a society that we think it would be nice to pay for things for people? Yes. But that's an entirely different question. Drop the "constitutional right" aspect of this and argue on compassion, or need, or "we can afford to do this, so why not?". It's just that even asking the question assumes someone has no freaking clue what a right is.
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#190 Aug 28 2013 at 7:48 PM Rating: Decent
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gbaji wrote:
No. 100x no. You do not ever have a constitutional right to require someone else to pay for something for you. Period. End of story.
You do when the government removes your ability to pay for it yourself.
#191 Aug 28 2013 at 7:50 PM Rating: Good
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Rachel9 wrote:
You do when the government removes your ability to pay for it yourself.
Manning removed it, not the government.
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#192 Aug 28 2013 at 7:53 PM Rating: Good
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lolgaxe wrote:
Rachel9 wrote:
You do when the government removes your ability to pay for it yourself.
Manning removed it, not the government.
But if the Government hadn't made those pesky laws for Manning to break, then he wouldn't be in trouble!
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#193 Aug 28 2013 at 8:12 PM Rating: Excellent
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TirithRR wrote:
lolgaxe wrote:
Rachel9 wrote:
You do when the government removes your ability to pay for it yourself.
Manning removed it, not the government.
But if the Government hadn't made those pesky laws for Manning to break, then he wouldn't be in trouble!
Smiley: lol

Meh, I can't say I'm going to complain long and hard either way myself. As a free person I'd defend a legitimate treatment that he should have access to. As a prisoner I'm a bit less sympathetic. I think it'd be nice if he could have access to it, if the government decides it's not a treatment it's supporting at this time I can understand that as well. These things aren't universally covered by insurance by any means (though it seems they're a lot more-so than a few years back), and any "sex" disorder is a political landmine field even for moderates.

At least he's somewhere where he'll have some access to a therapist.
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#194 Aug 28 2013 at 8:14 PM Rating: Excellent
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gbaji wrote:
No. 100x no. You do not ever have a constitutional right to require someone else to pay for something for you. Period. End of story.

Of course you do. You have the right to imprisonment free of cruel or unusual punishment which would include the right to be adequately fed, watered and sheltered during your incarceration.
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#195 Aug 28 2013 at 8:26 PM Rating: Excellent
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I don't have a PhD but I have stayed at plenty of Holiday Inn Expresses.

I stayed in one the other day. IIRC it had a lovely breakfast.
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#196 Aug 28 2013 at 8:57 PM Rating: Default
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Rachel wrote:
If there was a better, more complete way to change someone's sex, that'd be great, but there's not yet. But we can still get pretty close.


Since your gender has nothing to do with your genitals, if you have a GENDER disorder, there is no reason to pay to alter your genitals or any other physical part of your body.

How would you resolve a problem with an underweight woman who views herself as overly obese? Would you help her lose more weight? Or would you help her see her true size?

Rachel wrote:
sh*t, i wish i could get therapy for $5/mo. Even with my great insurance, it costs me more than that :(

Well, it's free for Manning, along with other military personnel. So, again, there is no reason to pay outside of the basic treatment.

Rachel wrote:
Because whether or not someone is a child is not a matter someone can decide themselves. Some things can be decided by each person, and some things cannot. For example, you can decide to like pizza, or that you're gay, or what your favorite color is, or what your gender is (when i say decide, i don't necessarily mean you actually have a choice that can be changed). You cannot decide your age, height, sex, or species.


So, you're saying that being gay is a choice?

What criteria are you using to determine if something is decidable or not? It appears that you're just making stuff up. Till this day, you fail to comprehend the history and the purpose of the term gender. That is truly ironic coming from you.

#197 Aug 28 2013 at 9:26 PM Rating: Excellent
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Almalieque wrote:
Rachel wrote:
sh*t, i wish i could get therapy for $5/mo. Even with my great insurance, it costs me more than that :(

Well, it's free for Manning, along with other military personnel. So, again, there is no reason to pay outside of the basic treatment.
Since both you and lolgaxe are here I'm going to ask a question I'm already guessing I know the answer to. I'm assuming there's no coverage for most gender-related disorders and what not for the normal military folks, much less those who are bad and go to jail?
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#198 Aug 28 2013 at 9:49 PM Rating: Decent
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Quote:
Well, it's free for Manning, along with other military personnel. So, again, there is no reason to pay outside of the basic treatment.
"Free" as in paid for by someone else. Yeah. Anything they give her is paid for by the tax payers. That's how it works. Therapists don't work for free. Someone is paying them. And they are being paid more than $5/mo per patient

Quote:
So, you're saying that being gay is a choice?
I specifically said that was not what i was saying. The word decide doesn't necessarily mean there is a choice.

Edited, Aug 28th 2013 11:51pm by Rachel9
#199 Aug 28 2013 at 10:29 PM Rating: Good
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someproteinguy wrote:
I'm assuming there's no coverage for most gender-related disorders and what not for the normal military folks, much less those who are bad and go to jail?
There's plenty of mental health specialists of every conceivable branch available. I've personally taken advantage of that against my will. As far as regulations and UCMJ is concerned I know there's a few against actual surgery and about the dress code, but things change so often and there's always exceptions you'd be better off contacting Tricare about it than me.

But that's with the assumption that the person in question wasn't a complete @#%^ up. Well, even the **** ups have access to the head shrinkers.

Edited, Aug 29th 2013 12:31am by lolgaxe
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#200 Aug 29 2013 at 12:35 AM Rating: Decent
Almalieque wrote:
Because gender is not determined by physical characteristics


What the actual ****?

I've never looked at a ****** and said "Yup, this might be a man."


Only in a leftist-utopia hellhole could someone look at a ***** and call it a woman or look at a ****** and call it a man.


Has anyone here, I do mean anyone, looked at a dog with a ****** and exclaimed "You know, it might be male."


-NW
#201 Aug 29 2013 at 2:01 AM Rating: Default
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Rachel wrote:
"Free" as in paid for by someone else. Yeah. Anything they give her is paid for by the tax payers. That's how it works. Therapists don't work for free. Someone is paying them. And they are being paid more than $5/mo per patient

The "therapists" are the chaplains, who are already being paid to do their job. Paying a therapist $5 to do what the Chaplain is already being paid to do is more money.

How would you resolve a problem with an underweight woman who views herself as overly obese? Would you help her lose more weight? Or would you help her see her true size?

Rachel wrote:
I specifically said that was not what i was saying. The word decide doesn't necessarily mean there is a choice.


I know what you said, but as in the last thread we encountered, you can't just make up definitions to words.

http://www.merriam-webster.com/dictionary/decide wrote:
1 a : to make a final choice or judgment about <decide what to do>
....... 3. : to induce to come to a choice
........: to make a choice or judgment


Once again... words have meanings. I know that you think the dictionary is a waste of space, but the rest of the world uses it understanding each other. Because I'm smart enough to realize that the meaning is more important than the word attached to it, what is the conceptual difference between the two words that you mean to say?

NW wrote:
What the actual @#%^?

I've never looked at a ****** and said "Yup, this might be a man."


Only in a leftist-utopia hellhole could someone look at a ***** and call it a woman or look at a ****** and call it a man.


Has anyone here, I do mean anyone, looked at a dog with a ****** and exclaimed "You know, it might be male."


-NW


You should probably read the rest of what I wrote where I explained the difference. the word "gender" was created for women who didn't want to be bound to certain things because of their sex. In other words, a woman doesn't have to be in a dress, with long hair who cook, cleans and work as a secretary. However, throughout time, we have used the words synonymously. In either case, it doesn't support Rachel's argument.
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