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Iowa Medicaid must cover gender confirmation
surgery, judge rules

Original Article

Posted By: Ribicon, 11/23/2021 6:54:44 PM

Iowa’s Medicaid system must cover gender confirmation surgery, a judge ruled Friday. Polk County District Court Judge William P. Kelly ruled that a state law that blocked Medicaid from covering gender confirmation procedures violated the Iowa Civil Rights Act and the Iowa Constitution—allowing trans Iowans to receive coverage for medically necessary surgery to treat gender dysphoria. Gender dysphoria is defined as a “marked incongruence between their experienced or expressed gender and the one they were assigned at birth.” It is a serious medical condition that often begins in childhood, even though some people may not experience it until after puberty or even later, according to the American Psychiatric Association.


Gender dysphoria is a seriously profitable condition that must be treated at taxpayer expense, advocates say.

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Reply 1 - Posted by: bobn.t 11/23/2021 6:59:58 PM (No. 986921)
You can call it "gender dysphoria." I call it "mental illness."
32 people like this.

Reply 2 - Posted by: Birddog 11/23/2021 7:03:51 PM (No. 986924)
"Gender Confirmation" doesn't require ANY surgery, unless scissors need to be used to remove someones shorts. One Quick peek results in 100% Confirmation. Subsidizing self selected Butchery is NOT anywhere in the Constitution, nor in any prior Compilation of Law that has EVER existed in the entire History of Mankind.
28 people like this.

Reply 3 - Posted by: Birddog 11/23/2021 7:06:16 PM (No. 986926)
IF the disorder in perception is in the Brain? Then THAT is the only part of the anatomy that should be treated. Pith them with Public Fund...or leave them be.
10 people like this.

Reply 4 - Posted by: Ida Lou Pino 11/23/2021 7:08:04 PM (No. 986927)
"Gender" is a term of grammar. And English - -oddly - - is one of the few languages which DOESN'T use gender. What these deluded people are talking about is sex - - an immutable characteristic which occurs at conception. "Gender dysphoria" is just another way for mentally-disturbed people to play make-believe. Fine - - go ahead and play make-believe - - but don't expect me to play along with you.
21 people like this.

Reply 5 - Posted by: kono 11/23/2021 7:17:21 PM (No. 986935)
Their "expressed gender" means their biological sex. But gender is entirely in the head of the afflicted, until it reaches into taxpayers' pockets. If I identify as a wealthy man, but my physical expression is of a lower-middle-income man, can I make the state cover the difference between the two? Good grief, Iowa used to be a bastion of sanity surrounded by "Progressive" idiocy. A real salt-of-the-earth, a place of simple well-groundedness and common sense. "used to be", being the operative phrase there...
13 people like this.

Reply 6 - Posted by: Northcross 11/23/2021 7:18:29 PM (No. 986936)
"the one that they were assigned at birth". Perfect leftist convolution of the language, and the idiot judge is on board.
15 people like this.

Reply 7 - Posted by: marbles 11/23/2021 7:19:19 PM (No. 986938)
The dems live in fantasy land. They truly believe that because they say something, it makes it true. When the rest of us consistently refuse to play their games they will go away.
12 people like this.

Reply 8 - Posted by: BarryNo 11/23/2021 7:22:30 PM (No. 986944)
Find a judge to put a stay on the Polk County Judge's order and appeal.
11 people like this.

Reply 9 - Posted by: offrope 11/23/2021 7:26:26 PM (No. 986949)
No one is, or ever had been, "assigned" a sex at birth. Rather, everyone is "observed to be" a sex at birth.
19 people like this.

Reply 10 - Posted by: Newtsche 11/23/2021 7:34:05 PM (No. 986958)
Iowa - a "state of minds"
6 people like this.

Reply 11 - Posted by: Vesicant 11/23/2021 8:08:09 PM (No. 986982)
Iowa, where the corn is as high as a tranny's eye.
10 people like this.

Reply 12 - Posted by: NorCaliInfidel 11/23/2021 8:09:57 PM (No. 986985)
Gender is not "assigned at birth". Gender is determined the moment the egg gamete is fertilized by the sperm gamete.
16 people like this.

Reply 13 - Posted by: WhamDBambam 11/23/2021 8:17:53 PM (No. 986990)
How nice, our judiciary plainly is mentally ill.
11 people like this.

Reply 14 - Posted by: Socio 11/23/2021 8:27:07 PM (No. 986998)
First, mental illness is not a civil right it is a medical condition where rights are curtailed for the good of the patient and those around them not expanded for the right of the illness! Second, you don't treat patients that have gender dysphoria with surgery you refer them to mental health practitioners! Third, this judge needs to be removed from the bench and referred to mental health practitioner!
16 people like this.

Reply 15 - Posted by: J. Arthur Brown 11/23/2021 8:31:31 PM (No. 987002)
"Confirmation?" George Orwell, call your office . Does anyone actually pay to read what's left of the New York Daily News? .
7 people like this.

Reply 16 - Posted by: DVC 11/23/2021 8:49:57 PM (No. 987019)
So many doctors have become soulless, money grubbing butchers.
7 people like this.

Reply 17 - Posted by: TJ54 11/23/2021 8:55:46 PM (No. 987025)
Sounds like the state law judge needs to be crushed like the bug he is
6 people like this.

Reply 18 - Posted by: MrDeplorable 11/23/2021 9:11:02 PM (No. 987033)
But good luck in finding a QUALIFIED SURGEON who will accept the niggling reimbursement offered by MedicAid for such complex, challenging and time-consuming surgery on litigation-prone patients. Ay, there's the rub.
8 people like this.

Reply 19 - Posted by: JHHolliday 11/23/2021 10:01:04 PM (No. 987058)
#18 nails it. Maybe the patients can find some dumba$$ donors to pay for the surgeries.
5 people like this.

Reply 20 - Posted by: Zarin 11/23/2021 11:27:19 PM (No. 987097)
This type of surgery entails removing healthy breasts from teens. Surgeons are even removing the nipples - for those who imagine they are non-binary. This is a travesty & a crime. The more complicated surgery - adding or removing what God gave you below the belt requires very skilled surgeons who have trained in several specialties. Any self-respecting & ethical surgeon would not do any of this type of surgery. It is said that the profession of surgery tends to attract people who have personality disorders themselves. I am sure there is a percentage of doctors who believe they can re-arrange the body any way they wish. I hope the legislature can step in and stop the worst of this mutilation of of kids & young adults.
5 people like this.

Reply 21 - Posted by: skacmar 11/24/2021 1:57:50 AM (No. 987130)
So elective cosmetic surgery is now covered! There are lots of "disphorias " that can get people that cosmetic surgery they've been waiting for.
4 people like this.

Reply 22 - Posted by: Trigger2 11/24/2021 3:40:16 AM (No. 987144)
Medicaid is being used as a garbage bag for corrupt money.
2 people like this.

Reply 23 - Posted by: Rinktum 11/24/2021 4:38:20 AM (No. 987162)
Our law schools are pumping out raging leftists who work their way onto the bench and now we have rulings like this one. We cannot have activist judges on the bench. Many are either true believers or simply cowards who fear to stand for what is right. Who would have believed that the high school desire for acceptance would still be knocking around in the heads of so called learned individuals tasked to make serious decisions. Clearly, while most Americans were busy raising a family and making a living, leftists were worming their way into every organization that affects our society as a whole in order to destroy the principles on which this country was founded. Shockingly, physicians and scientists have joined them in their insanity.
4 people like this.

Reply 24 - Posted by: DCGIRL 11/24/2021 5:34:06 AM (No. 987197)
Since when does a judge make law. Iowa's medicaid laws are generated by the legislators. If there are no provisions for gender surgery, then this judge is out of line and should be removed from the bench.
4 people like this.

Reply 25 - Posted by: ARKfamily 11/24/2021 6:08:50 AM (No. 987209)
Then they should cover the costs of ALL cosmetic surgeries. . .
5 people like this.

Reply 26 - Posted by: F15 Gork 11/24/2021 6:35:48 AM (No. 987217)
I still can’t believe there are doctors out there who are willing to perform this butchery on another human being. Gender Dysphoria is a liberal mental illness and should be treated as such.
5 people like this.

Reply 27 - Posted by: Venturer 11/24/2021 6:58:00 AM (No. 987227)
Cutting off these people's sexual organs is not goin to help them mentally, and payinjg for it with insurance dollars only makes the butchers who do the deed rich.
3 people like this.

Reply 28 - Posted by: red1066 11/24/2021 8:52:57 AM (No. 987362)
Gender confirmation surgery? Why would one need surgery to determine one's gender? This information is known at birth.
3 people like this.

Reply 29 - Posted by: lakerman1 11/24/2021 10:56:04 AM (No. 987533)
The winner on Jeopardy for the past 6 nights is Amy the tranny. It took me all 6 episodes to figure out what was wrong with 'her,' The tranny Amy -I will call Amy 'it' - has not tried very hard for the feminine look. It is just an awkward acting sad looking person. But it is not as ugly as Dr. Rachel Levine.
0 people like this.

Reply 30 - Posted by: skacmar 11/24/2021 1:33:08 PM (No. 987737)
Why is it considered cruel butchery to remove voluntarily my cats claws (banned in many states) but not butchery to voluntarily remove a penis or breasts (other than for breast cancer) just because you "feel like it"?
1 person likes this.

Reply 31 - Posted by: Strike3 11/24/2021 1:34:03 PM (No. 987738)
Gender confirmation? Why is a surgeon necessary to help the imbecile unzip his trousers and look down between his legs? For girls it's even easier, 1. Lift up skirt 2. Take a peek 3. Note results of peek. Playing along with the confused person is one thing, playing along with the doctor who has had eight years of "higher education" is quite another.
1 person likes this.

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