Gwamnatin Biden ta Ba da Doka ta Kare Mutane Masu Canjawa daga Wariyar Kula da Lafiya

Wadatacce

• Bita don

Zuwa ga likita na iya zama mai tsananin rauni da damuwa ga kowa. Yanzu, yi tunanin kun shiga alƙawari kawai don likita ya ƙi ku kulawar da ta dace ko yin maganganun da suka bar ku ba ku so ko kuma kamar ba za ku iya amincewa da su da lafiyar ku ba.

Wannan shine gaskiyar ga yawancin transgender da mutanen LGBTQ+ (da mutane masu launi, don wannan lamarin) - kuma musamman a lokacin gwamnatin shugaban ƙasa ta ƙarshe. Abin godiya, sabuwar manufa daga Ma'aikatar Kiwon Lafiya ta Amurka & Sabis na Jama'a ta ɗauki babban mataki don canza hakan.

A ranar Litinin, gwamnatin Biden ta ba da sanarwar cewa transgender da sauran mutanen LGBTQ+ yanzu an kare su daga nuna wariyar kiwon lafiya, suna aiki nan take. Wannan agajin yana zuwa shekara guda bayan dokar zamanin Trump ta ayyana "jima'i" a matsayin ilimin halittu da jinsi da aka sanya a lokacin haihuwa, ma'ana asibitoci, likitoci, da kamfanonin inshora na iya ƙin kulawar da ta dace ga mutanen da ke jinsi. (Domin tunatarwa: Mutanen trans sau da yawa suna bambanta da jinsi ban da ainihin jima'i yayin haihuwa.)

A cikin sabuwar manufar, HHS ta fayyace cewa Dokar Kulawa Mai araha Sashe na 1557 ta hana hani ko nuna bambanci bisa "tsere, launi, asalin ƙasa, jinsi (gami da yanayin jima'i da asalin jinsi), shekaru, ko nakasa a cikin shirye -shiryen kiwon lafiya ko ayyuka. " Gwamnatin Obama ce ta fara shigar da wannan a cikin 2016, amma sauye-sauyen da aka yi a karkashin Trump a cikin 2020 sun iyakance iyakokin kariya ta hanyar ayyana "jima'i" a matsayin iyakance ga jima'i na halitta da jinsi da aka sanya a lokacin haihuwa.

Wannan sabon canji daga HHS yana goyan bayan wani babban hukunci na Kotun Koli na 6-3, Bostock vs. Clayton County, wanda aka yi a watan Yuni na 2020, wanda ya yanke hukuncin cewa mutanen LGBTQ+ suna da kariya ta tarayya daga nuna wariyar aiki bisa asalin jinsi da yanayin jima'i. HHS ta ce wannan shawarar kuma ta shafi kula da lafiya, wanda ya haifar da sake fasalin Sashe na 1557.

Sakatare na HHS Xavier Becerra a cikin wata sanarwa da ya fitar ta ce "Kotun koli ta bayyana karara cewa mutane na da 'yancin kada a nuna musu wariya ta hanyar jima'i da kuma samun daidaito a karkashin doka, ba tare da la'akari da jinsinsu ko yanayin jima'i ba," in ji sakataren HHS Xavier Becerra a cikin wata sanarwa daga ofishin jakadancin. HHS. "Tsoron wariya na iya haifar da mutane su manta da kulawa, wanda hakan na iya haifar da mummunan sakamako na rashin lafiya."

Misali, a cikin binciken 2014 da Lambda Legal (kungiyar LGBTQ+ ta doka da bayar da shawarwari) ta gudanar, kashi 70 cikin 100 na masu ba da amsa da rashin yarda da jinsi sun ba da rahoton lokuta na masu ba da ƙin kulawa, ta amfani da harshe mai tsauri, ko zargin yanayin jima'i ko asalin jinsi a matsayin sanadin rashin lafiya, kuma kashi 56 cikin 100 na masu yin madigo, 'yan luwaɗi, da madigo biyu sun ruwaito iri ɗaya. (Mai alaƙa: Ni Baƙar fata ne, Queer, da Polyamorous - Me yasa Hakan Yayi Mahimmanci ga Likitoci na?)

Anne Marie O'Melia, MD, babban jami'in kula da lafiyar Pathlight Mood da Cibiyar Damuwa a Towson ta ce "Manufofi da dokokin da ke iyakance kulawar tabbatar da jinsi na iya haifar da barazana ga zaman lafiya har ma da lafiyar mutanen da ke jinsi." , Maryland. "Halin kimiyya, kamar yadda aka tabbatar ta hanyar ra'ayoyin masana na ijma'i da bincike mai tasowa, ya ce ya kamata mu kasance. fadada jinsi na tabbatar da tiyata, ba iyakance su ba. Ba duk masu canza jinsi suke bukata ko suna son tiyata ba, amma mun san cewa aikin tabbatar da jinsi yana da alaƙa da rage wahala ga waɗanda suke so kuma suna iya zaɓar ta. Musamman, wani bincike na baya-bayan nan a JAMA tiyata gano cewa aikin tabbatar da jinsi yana da alaƙa da raguwa mai yawa a cikin wahalar ilimin halin ɗabi'a da ƙarancin tunanin kashe kai. "

Bayan sanarwar, Shugaba Biden ya wallafa a shafinsa na twitter cewa: "Babu wanda ya isa a hana shi samun kiwon lafiya saboda yanayin jima'i ko kuma jinsinsa. Shi ya sa a yau, mun sanar da sabbin kariya daga nuna wariya na kiwon lafiya. Ga kowane LGBTQ+ Ba'amurke a wurin, Ina so. ku sani: Shugaban kasa yana da bayanka."

Tallafawa mutanen LGBTQ+ ɗaya ne daga cikin alkawuran gwamnatin Biden, kuma an zayyana shi a cikin Dokar Daidaita su, lissafin da ke da niyyar samar da madaidaiciya da bayyananniyar kariya ga mutanen LGBTQ+ a duk mahimman fannoni ciki har da aikin yi, gidaje, bashi, ilimi, wuraren jama'a da ayyuka, shirye -shiryen tallafi na tarayya, da sabis na juri, a cewar Gangamin Haƙƙin Dan -Adam. Idan an zartar, Dokar Daidaitawa za ta gyara Dokar 'Yancin Bil'adama ta 1964 don haɗawa da hana nuna wariya dangane da yanayin jima'i da asalin jinsi.

A halin yanzu, wasu jihohin kwanan nan sun tsara ko zartar da nasu dokokin da ke tasiri ga matasa. A cikin Maris 2021, Mississippi ta zartar da Dokar Adalci ta Mississippi, dokar da ta ce dole ne ƴan wasa su shiga cikin wasannin makaranta gwargwadon jima'i da aka ba su lokacin haihuwa, ba asalin jinsin su ba. Kuma a watan Afrilu, Arkansas ta zama jiha ta farko da ta haramta jinya da hanyoyin jinya ga mutanen da ba su kai shekaru 18. Wannan doka, Dokar Ajiye Matasa Daga Gwaji (SAFE), ta gargadi masu ba da kula da lafiya cewa ayyuka kamar masu toshewar balaga, ƙetare- hormones na jima'i, ko aikin tiyata na tabbatar da jinsi na iya haifar da rasa lasisin likita. Wannan yana da mahimmanci saboda rashin samun damar kula da lafiyar da ke tabbatar da jinsi na iya haifar da illa ga lafiyar matasa, lafiyar jiki, da tunani. (Ƙari a nan: Masu fafutukar Trans suna Kira ga Kowa da kowa don Kare Samun damar Kula da Lafiya ta Jinsi)

Ta yaya sabon ma'anar Sashe na 1557 zai shafi waɗannan dokokin jihar? Har yanzu TBD ne. Jami'an Biden sun bayyana hakan Jaridar New York cewa suna aiki akan ƙarin ƙa'idodi waɗanda ke bayyana takamaiman asibitoci, likitoci, da masu inshorar lafiya da abin ya shafa da kuma ta yaya. (A halin yanzu, idan kun kasance juzu'i ko ɓangaren ƙungiyar LGBTQ+ kuma kuna neman taimako, Cibiyar Ƙasa ta daidaiton jinsi tana da bayanai masu taimako da albarkatun da suka haɗa da jagororin taimakon kai, jagorar ɗaukar hoto na lafiya, da cibiyar daftarin ID. Dokta O'Melia.)

"Manufar Sashenmu ita ce haɓaka lafiya da jin daɗin duk Amurkawa, komai asalin jinsi ko yanayin jima'i. Duk mutane suna buƙatar samun sabis na kiwon lafiya don gyara kashin da ya karye, kare lafiyar zuciyarsu, da kuma gwajin cutar kansa. hadari, ”in ji mataimakiyar sakataren lafiya, Rachel Levine, MD, mutum na farko da ya fito fili wanda Majalisar Dattawa ta tabbatar, a cikin sanarwar HHS. "Babu wanda ya kamata a nuna wariya yayin neman aikin likita saboda ko wanene shi."

Kuma, alhamdu lillahi, sabbin ayyukan da HHS ta ɗauka za su taimaka wajen tabbatar da cewa lamarin ke ci gaba.

Bita don