Lesbian, Gay, Bisexual, and Transgender (LGBT) Pride Month is a time of celebration–and the members of today’s Armed Forces and their families represent the most diverse military population in history. But even with the Department of Defense (DoD) joining the celebration of this month, we are reminded that under the current DoD regulations, transgender service members are unable to serve openly, a damaging reality that hurts the entire family unit. Thankfully, that’s all about to change soon. The DoD is in the process of updating these outdated regulations. But unfortunately, the DoD also has specific healthcare guidelines that prohibit certain medical care for transgender military dependents.
With so much anti-LGBT legislation out there now, much of which targets transgender people, service members are often stuck in the proverbial closet protecting their transgender children. To make matters worse, when they are home, they are continuously fighting the battle to have their children cared for. Service members have the heavy burden of protecting our country and should not also have to worry about whether or not their family members are getting the care they need.
The Brewer family is one of these military families. Amanda and her husband Josh, a soldier who has served for 14 years, have a transgender teenage daughter who has continuously struggled to receive adequate support and assistance navigating military channels and healthcare.
Their family has experienced substantial struggles navigating TRICARE–even simply receiving adequate healthcare for their daughter, Jenn, has been harder than necessary. And thanks to the DoD’s transgender exclusion policy in the military healthcare system, it doesn’t get any easier.
TRICARE’s exclusion policy restricts transgender dependents to only receiving care at military installations. Any off base referrals for specific mental health professionals or medical appointments are denied.
For the Brewers, this means their daughter has had to forgo critical and needed care because services are not always available. When TRICARE deems transgender as suffering from “gender dysphoria,” any medical care or hospitalizations outside of a military installation has to be paid out of pocket, which places profound financial stress on these military families.
Currently, the DoD only has two bases that provide care to transgender dependents. If policies were to change, dependents would likely be categorized under the Exceptional Family Member Program (EFMP). With the limited locations of medical care for transgender dependents, many service members’ careers would be jeopardized. Without a critical reconsideration of this policy, many transgender children and dependents remain untreated and excluded.
One current military provider, who has been treating transgender military dependent children and adolescents for the last several years told me:
“The main problem that families encounter when seeking treatment for their transgender child is that there is a lack of TRICARE policy supporting medical treatment of transgender dependents. For the families that are able to find military providers who are willing to provide necessary treatment at a military facility, transferring to a new duty station may mean losing access to their care.”
She also said, “Several of the largest military training facilities have tried to establish multidisciplinary treatment teams that would treat transgender children and adolescents. This approach follows World Professional Association for Transgender Health (WPATH) practice guidelines. We also had several military providers in different pediatric sub-specialties who have received training to treat transgender children and adolescents. However, as medical providers, we find ourselves unable to provide standard of care to this population in great need of services, due to a lack of policy supporting the treatment of transgender dependents.”
This LGBT Pride Month, we are reminded of the tremendous progress we’ve made, but also of all that we have yet to accomplish. We look forward to working together to continue that progress and ensure that all service members and their families, regardless of their sexual orientation or gender identity, are getting the care and support they need and deserve.
Posted by Jennifer Dane, Diversity & Inclusion Policy Analyst, The American Military Partner Association, the nation’s largest resource and support network for the partners, spouses, families, and allies of America’s LGBT service members and veterans