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.
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.
