My Speech to Lib Dem Autumn Conference 2015, Trans and Intersex Health Charter

I was called to summate this motion. It passed with no votes against.

Good morning conference,

The state of transgender healthcare in this country is a complete pig’s ear. The state of healthcare for intersex people is far worse.

At the first session of the Women and Equalities Select Committee’s inquiry into transgender issues a couple of weeks ago, one MP asked, if she went to her GP and told them she had been struggling with her gender identity and needed help, how long it would take before she got any kind of treatment.

She didn’t get a clear answer, so I’ll give one now. The answer is years.

Years

And that’s for a prescription of HRT drugs which are basically harmless and cost about as much as ibuprofen.

This happens because of systematic neglect by the NHS. It happens because of pig-headed commissioners who would rather squander their budgets on the worsening mental health of trans people desperate for treatment, while they wait years, and while their lives collapse around them. They’ll spend two, three times as much money as it would cost to cure people to keep them in a state of distress.

It happens because clinicians, working at the front line, have told me that they do not get the support they need from their trusts, that they are overworked and under-resourced. That other clinicians think they’re wasting their time working with a bunch of weirdoes.

A recent study revealed that the most dangerous time for a transgender person is immediately after they have requested treatment, because that’s the point at which the dam has burst, and the thing they’ve been suppressing for years has gushed through. If denied help at this point, the study found that around half of them will attempt suicide.

Medical neglect of transgender people is pushing them into suicide.

But however badly transgender people have it, intersex people have it worse in many ways. We have heard about how they are mutilated as babies, often based on whether the length of their sex organ passes an arbitrary threshold.

The scalpel ham-fistedly assigns them as boys if it’s beyond certain length, and girls if it’s not. This often sterilises them in the process. Their parents are told not to discuss it with them as they grow up.

They are then treated with further surgery and a cocktail of hormones to try and force them into the gender role medics chose for them at birth, and then at 18, when they are often suffering from a litany of health problems and traumatised by what is done to them, funding dries up.

Those who subsequently seek gender reassignment, to try and fix what was done to them, often have a harder time accessing it than trans people do. Trans people who, ironically, have almost no access to medical intervention before they are 18.

We have heard that trans people are treated poorly by equalities law. That it’s legal to fire us, that it’s legal to sack us from certain jobs, that it’s difficult to gain legal recognition, and even that process is subject to spousal veto.

Intersex people have no legal recognition at all. At the LGBT+ Lib Dems fringe yesterday, prior to this debate, we heard that intersex people are as common as redheads. The shocking way society treats them represents collective guilty secret shared by us all. The way the medical community treats both trans and intersex people betrays a medical community that has not learned from the decades it spent trying to “normalise” lesbian, gay and bisexual people.

Conference, it has to stop, and it has to stop now. Please vote for this motion. Thank you.

One thought on “My Speech to Lib Dem Autumn Conference 2015, Trans and Intersex Health Charter

  1. ” They’ll spend two, three times as much money as it would cost to cure people to keep them in a state of distress.”
    Only 2 or 3 times??? … Throw in associated social security/benefits/family support and I’d say the real cost to the state is exponentially higher than that.

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