Intersectionality is a term used to describe how different social identities can interact and overlap to create unique experiences and challenges for individuals. When it comes to accessing health care services, this intersectional approach is especially important for members of marginalized communities who may face discrimination based on their identity. One such group that faces significant barriers when accessing health care are transgender people.
There is limited research on how these barriers intersect with another aspect of their identity: disability. This essay will explore how the intersection of disability and gender impacts access to healthcare for transgender people.
Disability
Transgender people experience higher rates of mental health issues than the general population, including anxiety, depression, and suicidal ideation. These issues may be exacerbated by the stigma and discrimination they face due to their gender identity. The National Center for Transgender Equality found that nearly half of all transgender people have considered or attempted suicide at some point in their lives.
Transgender people are also more likely to experience physical violence than cisgender people, which can lead to injuries and other medical needs.
Healthcare Access
Healthcare providers may be uncomfortable treating transgender patients because they lack knowledge about transgender medicine. They may not understand the specific needs of transgender patients or know how to treat them appropriately. This can result in delays in treatment or denial of care altogether.
Transgender women may need screening for cervical cancer but may find it difficult to obtain this care if they do not identify as female on their records. In addition, insurance companies may deny coverage for necessary procedures, such as hormone therapy, leaving transgender people without access to essential medical care.
Intersectionality
The intersections between disability and transgender status add additional challenges to accessing healthcare services. People with disabilities may require specialized equipment or accommodations when visiting a doctor's office or hospital.
Many hospitals are not equipped to provide these resources, leading to further barriers to care. Similarly, transgender individuals may face difficulty finding doctors who understand their unique healthcare needs, particularly those related to transitioning.
Solution
To address the intersectional barriers faced by transgender people with disabilities, there must be an increase in training for healthcare providers regarding LGBTQ+ issues. This includes teaching providers about the unique healthcare needs of transgender patients and how to create a welcoming environment for all patients.
Hospitals should invest in resources that make their facilities more accessible, including wheelchair ramps, sign language interpreters, and Braille materials.
Insurance companies should cover medically necessary procedures for transgender patients, regardless of their gender identity or expression.
The intersection between disability and transgender identities creates significant obstacles to accessing quality healthcare services. To improve access, healthcare providers must receive comprehensive training on LGBTQ+ issues, while hospitals must invest in resources to make their facilities more accessible. Insurance companies must also cover necessary treatments for transgender patients. With these changes, transgender people can finally receive the medical care they need without fear of discrimination or exclusion.
How does intersection with disability impact healthcare access for trans people?
Transgender individuals are more likely to experience discrimination and lack of healthcare services due to their identity. Healthcare providers may not be trained on how to care for patients who identify as transgender or may hold prejudices against them. This can lead to unequal treatment, denial of care, and increased anxiety and stress for these individuals. Furthermore, many transgender people face financial barriers that prevent them from accessing adequate healthcare.