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Exclusion of Medically Necessary Gender-Affirming Surgery for America's Armed Services Veterans

Overview of attention for article published in AMA Journal of Ethics, April 2018
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2 news outlets
blogs
1 blog
twitter
27 tweeters

Citations

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8 Dimensions

Readers on

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24 Mendeley
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Title
Exclusion of Medically Necessary Gender-Affirming Surgery for America's Armed Services Veterans
Published in
AMA Journal of Ethics, April 2018
DOI 10.1001/journalofethics.2018.20.4.sect1-1804
Pubmed ID
Abstract

Gender dysphoria, the term used in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders(DSM) to describe distress at the incongruence between one's gender and anatomy, affects approximately 0.6 percent of the population. It is estimated that there are 134,000 Armed Forces veterans in the United States with gender dysphoria. Although gender-affirming surgery is widely accepted as a medically necessary intervention for appropriately selected patients with gender dysphoria, the Veterans Health Administration (VHA) Health Benefits package and VHA Directive 2013-033 specifically prohibit gender-affirming surgery within Veterans Affairs (VA) facilities or using VA funding. This policy, which has been legally challenged after being reaffirmed in January 2017, denies medically necessary care to veterans, causing harm to individual patients and reinforcing discrimination and prejudicial treatment of a minority population. We argue that the policy is indefensible as it violates the basic ethical principles of beneficence, nonmaleficence, and justice.

Twitter Demographics

The data shown below were collected from the profiles of 27 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 24 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 24 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 4 17%
Student > Doctoral Student 4 17%
Student > Master 2 8%
Librarian 2 8%
Student > Bachelor 1 4%
Other 5 21%
Unknown 6 25%
Readers by discipline Count As %
Medicine and Dentistry 8 33%
Psychology 4 17%
Nursing and Health Professions 3 13%
Social Sciences 2 8%
Biochemistry, Genetics and Molecular Biology 1 4%
Other 0 0%
Unknown 6 25%