Dear Veterans’ Health Administration,

You know me as one of your patients. I won’t provide my real name, but I will say that I am a Transgender patient, and I have a bone to pick with you.

The VHA's boast

The VHA’s boast.

The picture above is something I’ve seen posted at my local VA Hospital’s outpatient mental health building. They move the sign about; sometimes it’s in the entryway, other times it’s positioned somewhere inside, where we can see it as we enter. I didn’t take a picture of the entire poster, because the only part that concerns me is the portion which I included. Allow me to write it here, just to be clear. Clarity is important here, at least for me.

“Excellent care has no boundaries. VHA is committed to serving Lesbian, Gay, Bisexual, and Transgender Veterans.”

Now, I know this sign was approved somewhere in the hierarchy of the Veterans’ Administration, so that’s not at issue. What is a problem is the fact that, as of the date of this post, Transgender Veterans, whom you claim to serve without boundaries, do, in fact, have a major boundary in their health care through the VA system.

This boundary?

We have no access to surgical options for our health care. Specifically, Male-to-Female Transgender Veterans cannot have sex reassignment surgery to correct their condition, and Female-to-Male Veterans cannot receive mastectomies and whatever other surgery is available for correcting our condition.

As I said, a big boundary.

Now, I know, I know, this was posted in the outpatient mental health building. That, to me, means nothing, for two reasons. First, because of the claim of “no boundaries.” What about denying surgical options to Transgender Veterans translates to “no boundaries”? That’s like saying, “We care about you, but don’t really accept these specific needs you have.” Why can’t Transgender Veterans have sex reassignment surgery and mastectomies? You gave that option to Active Transgender members of the military a few months ago. When will we Transgender Veterans have this option? Why couldn’t you approve this option for us at the same time you gave the actively-serving members of the military this option?

This is hypocritical of you.

Second, the claim, in the statement, comes from the “VHA.” The Veterans’ Health Administration, not “Veteran’s Mental Health Administration”. That means it comes from the overall service, not just whatever branch there may be which oversees our mental health care, if things are so divided. So that means the VHA is actively denying what can be life-saving health care to Transgender Veterans. I’m pretty easy-going, but not all Transgender individuals can make themselves be as “comfortable” in their birth-bodies as I can make myself be. Add gender dysphoria on top of some other mental dysfunctions, and that’s a recipe for suicide for a Transgender Veteran.

This is hardly “Excellent” care. Truly excellent care would offer us the surgical option many of us require.

In short, I find your commitment to serving we Transgender Veterans to be deeply lacking. I also find it extremely hypocritical for the VHA to brag about the “Excellent care” and its “commitment to serving” us when we do not in fact receive that excellent care or have that commitment.


An Unhappy Transgender Veteran