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Obama Judge Rules Medicaid Must Pay For Transgender Sex Reassignment Surgery
Judicial Watch ^ | August 22, 2019 | Staff

Posted on 08/22/2019 10:22:09 AM PDT by jazusamo

An Obama-appointed federal judge is forcing Wisconsin taxpayers to provide costly sex reassignment surgery and hormonal procedures for low-income transgender residents who get free medical care from the government. In a recently issued ruling U.S. District Judge William M. Conley writes that Medicaid, the publicly funded insurance that covers 65.7 million poor people, cannot deny the medical treatment needs of those suffering from “gender dysphoria.” Officials estimate it will cost up to $1.2 million annually to provide transgender Medicaid recipients in the Badger State with treatments such as “gender confirmation” surgery, including elective mastectomies, hysterectomies, genital reconstruction and breast augmentation. The intricate operations are typically done by plastic surgeons.

The ruling culminates a lawsuit filed more than a year ago by two transgender Wisconsinites, who accuse the federal and state-funded insurance program of providing them with disparate and inferior health care on the basis of sex. Cody Flack of Green Bay and Sara Makenzie of Baraboo say they suffer from severe gender dysphoria that requires costly surgery. Flack, a woman, claims to be ashamed of her breasts and wants to have them surgically removed as she transitions into a man’s body. To make a case for the government to pay for her surgery, she claims that she engages in “binding,” which flattens her breasts and causes sores, skin irritation and respiratory distress. Flack also has difficulty binding her breasts due to a disability, according to court documents . Makenzie, a man who legally changed his name to Sara and wears women’s clothing, says his “male-appearing genitalia” causes him “great distress” and negatively affects his sexuality and social life. Showering and seeing his body in a mirror is “painful,” court records state, and Makenzie fears someone will be able to see his “male genitals” through his clothing.

Last summer Judge Conley issued a preliminary injunction ordering Wisconsin to cover sex reassignment surgery for Flack and Makenzie while state health officials appealed. The permanent ruling directing the state-federal insurance for the poor to pay for all gender confirmation operations in the state was issued last week. To lay the foundation, Conley writes in the injunction that gender dysphoria is a serious medical condition, which if left untreated can cause adverse symptoms. “As a group, transgender individuals have been subjected to harassment and discrimination in virtually every aspect of their lives, including in housing, employment, education, and health care,” according to the document. “Their own families, acquaintances and larger communities can be sources of harassment. For some transgender individuals, though certainly not all, the dissonance between their gender identity and their naturally assigned sex can manifest itself in the form of gender dysphoria, a serious medical condition recognized by both sides’ experts and the larger medical community as a whole.”

Though Medicaid initially denied Flack’s chest reconstructive surgery, it was eventually completed at taxpayer expense after the judge’s injunction. A plastic surgeon performed a double mastectomy and male chest construction last fall. “Following the surgery, Cody’s gender dysphoria was greatly diminished,” according to Conley’s final ruling, because his “outward appearance matched his male gender” and he “would no longer be misgendered because of his breasts.” Makenzie got a bilateral orchiectomy and vaginoplasty to create “female appearing external genitalia” after the judge determined that the surgeries are medically necessary. Because Medicaid refused to cover chest reconstruction surgery prior to the lawsuit, Makenzie obtained a personal loan to pay a plastic surgeon at the University of Wisconsin Hospital for the operation in 2016. Court documents say Makenzie contends that the surgery helped alleviate his gender dysphoria.

In his decision, Judge Conley cites guidelines issued by the World Professional Association of Transgender Health to treat transsexual, transgender and gender nonconforming people. Treatments include psychotherapy, hormone therapy and “a number of surgical procedures” to eliminate the development of unwanted secondary sex characteristics of the assigned sex, develop secondary sex characteristics of the sex associated with the patient’s gender identity and enhance the patient’s ability to “pass” as the sex associated with the patient’s gender identity to decrease harassment, mistreatment and other forms of discrimination.


TOPICS: Crime/Corruption; Culture/Society; Extended News; Government; News/Current Events; US: Wisconsin
KEYWORDS: genderdysphoria; homosexualagenda; judgeconley; judicialwatch; lawsuit; lgbt; medicaid; obamajudge; reassignmentsurgery; ruling; taxpayerdollars; trannies; transgenders; williammconley; wisconsin
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Wacko judge supporting the wackos with taxpayer dollars.
1 posted on 08/22/2019 10:22:09 AM PDT by jazusamo
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To: jazusamo

Crazy. I want to be a girl but I ain’t payin for it?!


2 posted on 08/22/2019 10:24:44 AM PDT by albie
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To: jazusamo

Surely this insane ruling can be appealed?


3 posted on 08/22/2019 10:25:00 AM PDT by Menehune56 ("Let them hate so long as they fear" (Oderint Dum Metuant), Lucius Accius (170 BC - 86 BC))
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To: jazusamo

Proper medical care for the gender crazy would involve secure housing and thorazine.


4 posted on 08/22/2019 10:26:03 AM PDT by BenLurkin (The above is not a statement of fact. It is either opinion or satire. Or both.)
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To: jazusamo

I’d like a longer and wider unit, so there may be hope for me yet.


5 posted on 08/22/2019 10:26:05 AM PDT by SERKIT ("Blazing Saddles" explains it all.......)
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To: jazusamo

It’s time for a MAJOR tax revolt in this country.

Or maybe just an ALL OUT revolt is in order.


6 posted on 08/22/2019 10:26:25 AM PDT by unixfox (Abolish Slavery, Repeal the 16th Amendment)
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To: Menehune56
If I walk into my doctor’s office today and say, “Hi, I’m Margaret Thatcher,” my physician will say I am delusional and give me an anti-psychotic. Yet, if instead, I walked in and said, “I’m a man,” he would say, “Congratulations, you’re transgender.”

If I were to say, “Doc, I am suicidal because I’m an amputee trapped in a normal body, please cut off my leg,” I will be diagnosed with body identity integrity disorder. But if I walk into that doctor’s office and say, “I am a man, sign me up for a double mastectomy,” my physician will. See, if you want to cut off a leg or an arm you’re mentally ill, but if you want to cut off healthy breasts or a penis, you’re transgender.

No one is born transgender. If gender identity were hardwired in the brain before birth, identical twins would have the same gender identity 100 percent of the time. But they don’t.
- The Dangers of a Transgender Ideology


7 posted on 08/22/2019 10:27:31 AM PDT by Heartlander (Prediction: Increasingly, logic will be seen as a covert form of theism. - Denyse O'Leary)
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To: Menehune56
What is the problem?

"Judge Conley cites guidelines issued by the World Professional Association of Transgender Health".

We have to listen to the experts, right?

Think of it as Medicaid in action. :-(
8 posted on 08/22/2019 10:29:24 AM PDT by cgbg (Democracy dies in darkness when Bezos bans books.)
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To: jazusamo

Democrats are amoral degenerates.
Any doctor who does this stuff, especially to kids is a monster.


9 posted on 08/22/2019 10:29:48 AM PDT by glasseye ("24 hours in a day, 24 beers in a case. Coincidence? I think not." ~ H. L. Mencken)
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To: unixfox

It’s only a question of time. Trump’s election may have delayed it, but not for long.


10 posted on 08/22/2019 10:30:26 AM PDT by madprof98
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To: albie

Well Judge I have taxpaying dysphoria...……..


11 posted on 08/22/2019 10:31:19 AM PDT by Lockbox
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To: jazusamo

12 posted on 08/22/2019 10:32:18 AM PDT by DungeonMaster (Prov 24: Do not fret because of evildoers. Do not associate with those given to change.)
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To: Lockbox

You may have an idea there. Tax dysphoria.

I can even spell it.


13 posted on 08/22/2019 10:32:41 AM PDT by combat_boots (God bless Israel and all who protect and defend her! Merry Christmas! In God We Trust!)
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MAGA!

Let’s keep this Freepathon moving and git 'er done, Folks!

Please bump the Freepathon or click above to donate or become a monthly donor!

14 posted on 08/22/2019 10:33:21 AM PDT by jazusamo (Have You Donated to Keep Free Republic Up and Running?)
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To: SERKIT
You bring up a very good point

If the government is on the hook for either chopping a unit off , or putting a new one on , shouldn't it also be be responsible for doing a bit of adding on to an existing unit .

Makes sense to me, or at least as much sense. as can be made out of an otherwise senseless topic.

15 posted on 08/22/2019 10:33:33 AM PDT by rdcbn ( Referentia)
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To: jazusamo

Intense psychological treatment should come first coupled with a DNA test.


16 posted on 08/22/2019 10:33:58 AM PDT by fella ("As it was before Noah so shall it be again,")
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To: jazusamo
While people who need help for actual illnesses go without.

17 posted on 08/22/2019 10:35:20 AM PDT by BitWielder1 (I'd rather have Unequal Wealth than Equal Poverty.)
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To: jazusamo

Just because something can be done is not a reason to do it.


18 posted on 08/22/2019 10:35:25 AM PDT by fella ("As it was before Noah so shall it be again,")
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To: jazusamo

And here we have, my FR friends, today’s classic example of lib insanity.
Meanwhile, many of our vets and elderly struggle for medical care and this insane POS is ruling for this crap to be paid for with our hard-earned, tax dollars. Co-existing with the insane is becoming more impossible to do....everyday.


19 posted on 08/22/2019 10:35:48 AM PDT by lgjhn23 (It's easy to be liberal when you're dumber than a box of rocks.)
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To: jazusamo

20 posted on 08/22/2019 10:36:33 AM PDT by Dick Bachert
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