By Bill Siksay
What are the limits of medicare coverage? Does prejudice against an identifiable minority affect decisions about who gets covered? Does “medically necessity” not apply to minority communities?
These questions are raised when members of the transsexual and transgender community are denied medical coverage for sex reassignment surgery (SRS) and related therapies, including hormone therapy, hair removal, and breast augmentation.
Transsexual and transgender folks have a different experience of gender than many Canadians. Some trans folks experience their gender opposite to their physical sexual characteristics, a feeling of being in the wrong body. To correct this, they look to SRS. Others experience their gender in ways that are different to the accepted binary theory of gender that says you are either male or female. These folks find their gender on a continuum between or beyond male and female. Some trans folks feel no need to change their physical sex, and may live out their lives as neither traditionally male or female.
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