While bathroom laws have diverted media attention, transgender patients continue to turn to health care for respect and understanding about their gender identities. Discrimination, including in clinical settings, continues to exacerbate disparities in health status, access to health care, and quality of care for members of transgender communities. This month the AMA Journal of Ethics considers the nature and scope of medicine’s obligations to respond to these ethically and clinically troubling trends: practice of gender-affirming care by all clinical and office staff is key for improving critical health outcomes.
Tia Powell, MD, Sophia Shapiro, MD, and Ed Stein, JD, PhD
“Born that way” arguments have been used to establish transgender rights, but lack scientific evidence. Stronger support for promoting transgender rights comes instead from human rights-based language.
AMA J Ethics. 2016;18(11):1126-1131. doi:
Feminism plays critical roles in innovating health care policies and practices. Feminist insights into clinicians as gatekeepers to gender-transition interventions can help resist tendencies to pathologize transgender.
AMA J Ethics. 2016;18(11):1132-1138. doi: