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(Chronicle Herald)   News: Man fights with medical insurance over the bill for his hysterectomy. Fark: A Canadian man...wait, what?   (thechronicleherald.ca) divider line 115
    More: Interesting, hysterectomy, Msi, health insurance, Bridgewater, MacDonald, Kathryn Dumke  
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7214 clicks; posted to Main » on 25 Apr 2012 at 12:10 PM   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-04-25 12:54:56 PM
walkerhound: My officemate and thousands of other Coloradoans have been in so much pain they needed a medical marijuana card.

If I lived in Colorado, I'd want to toke up, too.

Incredibly beautiful countryside though.
 
2012-04-25 01:01:14 PM
Does Canada pay for elective liposuction or breast reduction surgery??

Ow, all this fat is hurting me, get it out, doc! Doc, my boobs, they just pain me so!! How convenient for this weirdo.

You may think it's great all this crap is covered by your ever protective government. I'm personally abhorred you're all such worthless pieces of scrap you couldn't take care of yourselves.
 
2012-04-25 01:03:02 PM
walkerhound: Ow, my fallopian tubes are all blocked up, get it out, doc! Doc, my endometrial polyps and ovarian cysts, they just pain me so!! How convenient for this weirdo.

FTFY.
 
2012-04-25 01:03:47 PM
"Medical Services Insurance Program"?, I didn't know there was even an organization to question what is paid for. Getting rid of it the MSI should pay for a few $3k surgeries though.
 
2012-04-25 01:06:56 PM
Theaetetus: barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.

That's interesting... You're saying it would have no effect, being on testosterone for a year, then suddenly stopping and switching to elevated estrogen levels?

Can I ask where you got your GED in Medicine?


I said no such thing. A GED is not required for one to be educated, nor to make sensible decisions. It is not a valid part of this discussion. Any titration and change would be made under a doctor's supervision. My argument was about authority-laden terms that conveniently sidestep personal choice, not about my level of education.
 
2012-04-25 01:07:30 PM
walkerhound: Does Canada pay for elective liposuction or breast reduction surgery??

Ow, all this fat is hurting me, get it out, doc! Doc, my boobs, they just pain me so!! How convenient for this weirdo.

You may think it's great all this crap is covered by your ever protective government. I'm personally abhorred you're all such worthless pieces of scrap you couldn't take care of yourselves.


If your doctor agrees with it, then yes, you can get the surgery. See, in Canada, the decisions are based between your doctor and you. There is no insurance agent or 'death panel' that decides what you can have, it's all between you and your doctor.

And it's HEALTH CARE, not INSURANCE. We take care of our health, we don't wait until it becomes an emergency and then treat it.

But i want to know:

img195.imageshack.us
 
2012-04-25 01:10:03 PM
walkerhound: You may think it's great all this crap is covered by your ever protective government. I'm personally abhorred you're all such worthless pieces of scrap you couldn't take care of yourselves.

I'm so sorry that your first and only girlfriend came with an unexpected surprise.
 
2012-04-25 01:12:50 PM
Fluorescent Testicle: I'm so sorry that your first and only girlfriend came with an unexpected surprise.

You're mom.
 
2012-04-25 01:13:57 PM
Fluorescent Testicle: walkerhound: You may think it's great all this crap is covered by your ever protective government. I'm personally abhorred you're all such worthless pieces of scrap you couldn't take care of yourselves.

I'm so sorry that your first and only girlfriend came with an unexpected surprise.


And it didn't even occur to him to try thinking outside the box.
 
2012-04-25 01:14:16 PM
walkerhound: Does Canada pay for elective liposuction or breast reduction surgery??

Ow, all this fat is hurting me, get it out, doc! Doc, my boobs, they just pain me so!! How convenient for this weirdo.

You may think it's great all this crap is covered by your ever protective government. I'm personally abhorred you're all such worthless pieces of scrap you couldn't take care of yourselves.


I realize that you've already established yourself as transphobic and racist in previous threads, so we've come to expect a certain degree of hate-fueled bigotry from you. But there's still no need to add gobsmacking medical ignorance to the pile. Wouldn't you rather come across as the intelligent, refined variety of chauvinist?

One ought to have standards, after all.
 
2012-04-25 01:16:36 PM
bobbette: barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.

"Reassignment" sounds like some outside authority made the decision. It is a poor, if not false, choice of term.

Wrong on both counts

Sex reassignment therapy


Nowhere in the article does it say that testosterone was medically required. It is left out that it was voluntarily taken to effect the hormonal changes required to create a male appearance - an entirley voluntary regimen.

All that wiki article tells me is that the term has popular acceptance. This woman was not "assigned" anything. She adopted an abstraction known as "male" and underwent voluntary procedures to make her appearance match the abstraction.
 
2012-04-25 01:17:01 PM
bobbette: walkerhound: JMacPA: He got the surgery because it was medically necessary just like it is for millions of women.

[citation needed]

Millions of women in their early 20s who have been on testosterone therapy? I'd be livid if I was a Canadian having to pay for this biatch's elective surgery.

I'm really glad you're not Canadian. Please don't even visit. I prefer my country bigotry-free.

As for this man, I hope his complaint is successful. He had the only plausible medical treatment and it ought to be covered by the provincial health plan - and I hope it leads to a comprehensive review of how Nova Scotia's insurance deals handles trans health issues.

/SRS should really be covered as well considering it is a mode of treatment for a medical condition. But that's a separate issue.


Fellow Canadian here and I wholeheartedly agree. So some other Canadian gets a procedure I personally will never need. So what? I'm sure that applies to hundreds of other conditions / situations. I'm just glad that s/he is getting good treatment for a very serious condition. Luckily, I've only needed a few trips to the hopsital or ER so far in my life, but it is nice to know that it WILL be there should I (or anyone I care about) need it.

/also thinks this should have been covered.
 
2012-04-25 01:22:19 PM
Normally don't care about the situation, but I am curious: During the "big procedure", shouldn't they be ripping out all the girly plumbing as part of the package? Or is it normal to keep all that inside and just deal with the outer parts?

Asking because the only trannys I know are out in Uncle Clovis's back yard next to the refridgerator.
 
2012-04-25 01:26:06 PM
All the women I have known with conditions like that are forced to keep their equipment until they're long past anemia and have scans that show precancerous cells. This is because US doctors either are afraid to get sued by someone who decides maybe she wanted kids after all, even if she could not have them or because those doctors view it as some kind of pre-abortion-make-me-a-sammich situation.
 
2012-04-25 01:27:38 PM
ciberido: transphobic and racist

I'm neither. What I'm opposed to is some jack-off who's on testosterone - more than likely causing any perceived or real pain s/he's experiencing - refusing to do what's medically appropriate and coming of the T and going with the conservative E/P therapy or seeing what happens when s/he's off T altogether. Instead, oh look, I want to have a hysterectomy because I'm transgendered and conveniently if I say I'm in pain and don't want to stop my T therapy, my doctor will do the surgery and y'all will have to pay for it.

But whatever, this is why a national health care policy won't work in the US. Because healthy people like myself refuse to pay for elective (a hysterectomy without consideration of alternative treatments) or poor-lifestyle choice (smokers, alcoholics, clown car vaginas) procedures.

On the contrary, I have way more medical knowledge than you'd hope to have, and I earned it. A free pass never helped anyone.
 
2012-04-25 01:27:50 PM
Hawnkee: Normally don't care about the situation, but I am curious: During the "big procedure", shouldn't they be ripping out all the girly plumbing as part of the package? Or is it normal to keep all that inside and just deal with the outer parts?

Asking because the only trannys I know are out in Uncle Clovis's back yard next to the refridgerator.


"Tranny" is short for transvestite, or "cross-dresser", so wtf are you on about?
 
2012-04-25 01:29:01 PM
barefoot in the head: My argument was about authority-laden terms that conveniently sidestep personal choice, not about my level of education.

You mean like this authority-laden term?
barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.
 
2012-04-25 01:31:56 PM
Maybe she's a man on paper, and they can't cover the procedure for a man?

I mean......it makes sense. If you want to be a man, be a man and don't get ovarian cysts because men don't have ovaries.
 
2012-04-25 01:32:25 PM
barefoot in the head: Hawnkee: Normally don't care about the situation, but I am curious: During the "big procedure", shouldn't they be ripping out all the girly plumbing as part of the package? Or is it normal to keep all that inside and just deal with the outer parts?

Asking because the only trannys I know are out in Uncle Clovis's back yard next to the refridgerator.

"Tranny" is short for transvestite, or "cross-dresser", so wtf are you on about?


It's also short for transmission. as in the one's in vehicles
 
2012-04-25 01:32:50 PM
walkerhound:
On the contrary, I have way more medical knowledge than you'd hope to have, and I earned it. A free pass never helped anyone.


img542.imageshack.us
 
2012-04-25 01:33:37 PM
walkerhound: What I'm opposed to is some jack-off who's on testosterone - more than likely causing any perceived or real pain s/he's experiencing - refusing to do what's medically appropriate and coming of the T and going with the conservative E/P therapy or seeing what happens when s/he's off T altogether....

I have way more medical knowledge than you'd hope to have, and I earned it.


Great, then you'd have a source for a journal article discussing the enhanced pain response due to consuming testosterone in patients with fallopian tube congestion, endometrial polyps, and ovarian cysts, right?

Or is this one of those "I was in the Medical Core" thing?
 
2012-04-25 01:33:48 PM
JMacPA: He got the surgery because it was medically necessary just like it is for millions of women. The difference is that someone at the hospital or the province made the decision that he was doing as part of his transition.

Sounds like he's got a pretty good case.


All he has to do is point at Ontario's funding of GRS, or a single case of an elective vasectomy or hysterectomy being covered in NS, discrimination proved, game over, pay his bill.

As a cisgender taxpayer, I like that my contributions to the public purse help cover procedures that improve the lives of people with all manner of conditions, including transpeople. We should do things like that.
 
2012-04-25 01:36:52 PM
Theaetetus: barefoot in the head: My argument was about authority-laden terms that conveniently sidestep personal choice, not about my level of education.

You mean like this authority-laden term?
barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.


Really? Your problem with that was the word "should"? It's a useful word, and experts use it. It's particularly useful for discussing a situation where you think there is a better course of action than the one taken.

I'd assume the unwillingness to admit that someone who isn't exactly like him is a real person is the bigger problem.
 
2012-04-25 01:37:28 PM
Theaetetus: barefoot in the head: My argument was about authority-laden terms that conveniently sidestep personal choice, not about my level of education.

You mean like this authority-laden term?
barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.


There is no authority in "should". It's an opinion, based on the premise that a few dollars worth of first-step remedy is more responsible than a few thousand worth of last resort surgery.
 
2012-04-25 01:40:41 PM
barefoot in the head: Theaetetus: barefoot in the head: My argument was about authority-laden terms that conveniently sidestep personal choice, not about my level of education.

You mean like this authority-laden term?
barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.

There is no authority in "should". It's an opinion, based on the premise that a few dollars worth of first-step remedy is more responsible than a few thousand worth of last resort surgery.


"Should" has an implication that your opinion is based in some sort of objective fact or authority. But of course, I should have assumed you'd have neither. Mea culpa.
 
2012-04-25 01:43:18 PM
Theaetetus: barefoot in the head: Theaetetus: barefoot in the head: My argument was about authority-laden terms that conveniently sidestep personal choice, not about my level of education.

You mean like this authority-laden term?
barefoot in the head: Testosterone was not medically required and should have been stopped in favour of the pill.

There is no authority in "should". It's an opinion, based on the premise that a few dollars worth of first-step remedy is more responsible than a few thousand worth of last resort surgery.

"Should" has an implication that your opinion is based in some sort of objective fact or authority. But of course, I should have assumed you'd have neither. Mea culpa.


Hm. You throw a lot of smug darts.
 
2012-04-25 01:53:10 PM
amishkarl: barefoot in the head: Hawnkee: Normally don't care about the situation, but I am curious: During the "big procedure", shouldn't they be ripping out all the girly plumbing as part of the package? Or is it normal to keep all that inside and just deal with the outer parts?

Asking because the only trannys I know are out in Uncle Clovis's back yard next to the refridgerator.

"Tranny" is short for transvestite, or "cross-dresser", so wtf are you on about?

It's also short for transmission. as in the one's in vehicles


Of course. My apologies to Hawnkee for missing his joke. The woman in the article still isn't a tranny.
 
2012-04-25 02:00:00 PM
walkerhound: On the contrary, I have way more medical knowledge than you'd hope to have, and I earned it. A free pass never helped anyone.

"Dr." Walkerhound and his constantly-high "office-mate:"

i155.photobucket.com
 
2012-04-25 02:08:02 PM
barefoot in the head: amishkarl: barefoot in the head: Hawnkee: Normally don't care about the situation, but I am curious: During the "big procedure", shouldn't they be ripping out all the girly plumbing as part of the package? Or is it normal to keep all that inside and just deal with the outer parts?

Asking because the only trannys I know are out in Uncle Clovis's back yard next to the refridgerator.

"Tranny" is short for transvestite, or "cross-dresser", so wtf are you on about?

It's also short for transmission. as in the one's in vehicles

Of course. My apologies to Hawnkee for missing his joke. The woman in the article still isn't a tranny.


Heh, all good. I thought the exact exact same thing when I want to an automobile repair UseNet group and saw a lot of people talking about trannys. I had to make sure I didn't get in any of the alt.sex.*'s by accident.
 
2012-04-25 02:11:31 PM
ModernLuddite: Maybe she's a man on paper, and they can't cover the procedure for a man?

I mean......it makes sense. If you want to be a man, be a man and don't get ovarian cysts because men don't have ovaries.


I don't think this is the case, based on limited information in TFA. However, it is a possibility - the only card I carry that lists "M" is my insurance, for exactly this reason. I also circle or mark M on medical paperwork, though usually with a doodled arrow from M to F and/or explanation.

Hawnkee: Normally don't care about the situation, but I am curious: During the "big procedure", shouldn't they be ripping out all the girly plumbing as part of the package? Or is it normal to keep all that inside and just deal with the outer parts?

Generally speaking, some of it. However, many (most?) transmen choose to not have the "big procedure", because it has a much lower chance of success (that is, they have a significant chance to fail to have sensation) and it doesn't look particularly appealing (according to others; I've never checked, since penises look rather unappealing to me in general).

/I have a friend that is trying to get a mastectomy for his epic breasts.
//It's to reduce back pain, not reduce surgery costs - the full chest surgery requires removal of other parts in addition to the breast tissue.
 
2012-04-25 02:12:40 PM
barefoot in the head: a few dollars worth of first-step remedy

*jaw drops* You... Really don't know a lot about hormones and their relation to the body's systems, do you?
 
2012-04-25 02:19:28 PM
macadamnut: [rlv.zcache.com image 400x400]

goddamn awesome!
 
2012-04-25 02:21:30 PM
lendog: $3,400 wow.

My wife's was $39,000 and she was in the hospital 32 hours.


Yeah TFA doesn't translate into American well. Some sort of idiom there.

Over here, even WITH insurance "coverage", you could pay far more for an operation. The deductible could be more than some people could readily afford.
 
2012-04-25 02:29:54 PM
Oznog: lendog: $3,400 wow.

My wife's was $39,000 and she was in the hospital 32 hours.

Yeah TFA doesn't translate into American well. Some sort of idiom there.

Over here, even WITH insurance "coverage", you could pay far more for an operation. The deductible could be more than some people could readily afford.


Canada has its problems (yes it does!), but they do try to provide some kind of service for the relatively high taxes. Health care and university subsidies are the ones that Americans usually go wide-eyed over (and with good reason).
 
2012-04-25 02:41:20 PM
Aidan: barefoot in the head: a few dollars worth of first-step remedy

*jaw drops* You... Really don't know a lot about hormones and their relation to the body's systems, do you?


The Pill, for pity's sake. How is my description of the Pill incorrect? It is exactly what I described - a few dollars worth of first-step remedy, administered according to standard medical practices - ffs, it was a doctor who suggested that is what she should do! This opposed to a $3400 "I'm not giving up my testosterone" operation.
 
2012-04-25 02:53:36 PM
Exception Collection: walkerhound: JMacPA: He got the surgery because it was medically necessary just like it is for millions of women.

[citation needed]

Millions of women in their early 20s who have been on testosterone therapy? I'd be livid if I was a Canadian having to pay for this biatch's elective surgery.

No, but it sounds as though he has PCOS or a similar condition, which millions of women (including, for some reason, the majority of my friends) have. The only reason my wife hasn't had a hysterectomy is that the local Catholic hospital refuses to do one on someone so young.


There are massive complications for women who have hysterectomies young. My friend had hers removed at 26 due to cancer and the stat at the time was 1 in 4 commit suicide due to the massive drop in hormone levels. She still has problems because of it, 15 years later. It should be avoided at all costs, if possible.

That being said, have a huge problem with this story. If he had stayed a woman, the hysterectomy would likely have been covered. He isn't doing this as part of his transition, it is a medical problem he would have had, transgendered or not.
 
2012-04-25 02:57:39 PM
This happened to my best man so he couldn't attend my wedding (and you think I'm joking don't you?).
 
2012-04-25 03:06:33 PM
Yah the care is cheap up here. But if something goes majorly wrong.. I would rather be in the USA with good private insurance than up here. My mom recently had a stroke while traveling in AZ. Was in the hospital for 2 days and had the equivalent of 4 months of medical tests done in a few hours. The bill was about 75,000 for the two days of tests and treatment, but was much faster treatment than she would have got back home in Canada.
 
2012-04-25 03:14:26 PM
bobbette: ciberido: animal900: Difficulty: Trannie

For the benefit of anyone who might not already know, yet might care if they did, "trannie" is one of those terms civilized people try to avoid when speaking about minority groups.

Co-sign.

Being respectful is not difficult.


farm5.static.flickr.com
 
2012-04-25 03:51:23 PM
I typed up a huge thing about this, because I know Jess. Have since before and after the testosterone, went to high school with (at the time) her.

Then, I abandoned it because this is Fark, and it doesn't mean a damn thing how logical it is, someone's gonna twist this into Obama's fault.

So instead I want to profoundly thank you, those of you that support Jess in this really, really garbage situation. People like you do not exist in this town, for the most part, and actually hearing a great deal of positivity from strangers on the internet (where politeness goes to get raped and die) is encouraging. I have no doubt in my mind that it'll all come down to a doctor that made a personal decision instead of a professional one, that Jess will not have to pay this -- but again, it means the world and then some to hear that a good number of you are crying out that this is not just.
 
2012-04-25 03:51:41 PM
barefoot in the head: Aidan: barefoot in the head: a few dollars worth of first-step remedy

*jaw drops* You... Really don't know a lot about hormones and their relation to the body's systems, do you?

The Pill, for pity's sake. How is my description of the Pill incorrect? It is exactly what I described - a few dollars worth of first-step remedy, administered according to standard medical practices - ffs, it was a doctor who suggested that is what she should do! This opposed to a $3400 "I'm not giving up my testosterone" operation.


The Pill works for a lot of women, but it's never worked for all, and it never will. Someone who's already undergone severe hormone therapy might react in unforeseen and potentially dangerous ways. Even his OB-GYN dismissed the idea (although potentially it might have worked, but I certainly would be wary of that kind of high-intensity hormonal change).

The Pill's effect on my life was so enervating that I chose to have a tubal ligation instead because it had a more simple and mechanical relationship with (and effect on) my various systems, and I theoretically have been subject to all the normal female hormones (well... maybe).
 
2012-04-25 04:35:10 PM
cletusnbrandine: $3400 for an elective major operation? My emergency colostomy cost me $45K and without it i would have been dead in hours. I'm moving to Canada. fark this place!

Sounds like a Canadian learning what it means to be American.
 
2012-04-25 06:41:54 PM
And that means the province's Medical Services Insurance Program should pay for the $3,400 procedure, he said, because it was medically necessary.

Was it? Was it really? Just because you want it, doesn't make it necessary. Medically necessary would mean your life was in danger, and they had to take it out. You CHOSE to do this, so you fail.
 
2012-04-25 07:43:35 PM
Bit'O'Gristle: Was it? Was it really? Just because you want it, doesn't make it necessary. Medically necessary would mean your life was in danger, and they had to take it out. You CHOSE to do this, so you fail.

Hate to break it to you, but medically necessary includes a lot more than "life-saving".
 
2012-04-25 07:53:19 PM
GBB:

She looks hideous.

There is no such thing as a "transgender man." What you have is a mentally ill female with a hormone induced beard who wants an unnecessary mastectomy next.

I don't dispute the need for the hysterectomy: my aunt had one for that reason. Hell, I knew a 19 year old who had one. But lots of women have hysterectomies without having a "sex change." And they often worry that they won't be feminine enough any longer, so some of them take female hormones.

There is nothing wrong with being a dyke or a butch straight woman. The ultimate cure for a "gender identity problem" is to make Society give you room to be "non-traditional." Make them get used to it, instead of taking it out on yourself.
 
2012-04-25 07:58:05 PM
Aidan: walkerhound: JMacPA: He got the surgery because it was medically necessary just like it is for millions of women.

[citation needed]

Millions of women in their early 20s who have been on testosterone therapy? I'd be livid if I was a Canadian having to pay for this biatch's elective surgery.

I'm glad you aren't. He was in pain. There was only one way to fix it. It was fixed.


She was in pain. And the hysterectomy might well have been necessary. As it is for many women.

I support her in her fight over her hysterectomy.
 
2012-04-25 08:00:51 PM
bobbette:

/SRS should really be covered as well considering it is a mode of treatment for a medical condition. But that's a separate issue.

Surgery for a mental condition. Right.
 
2012-04-25 08:12:36 PM
ciberido:

animal900: Difficulty: Trannie

For the benefit of anyone who might not already know, yet might care if they did, "trannie" is one of those terms civilized people try to avoid when speaking about minority groups.


Right, people with "non-standard" gender identities who'd rather take it out on themselves than make society give them room to be "different."

A minority group. Uh-huh. That would make every mental illness a different minority. "This country can't have true equality until we have a bipolar Secretary of State and a paranoid schizophrenic President." I can dig it.

Dan Rather had it right: "Courage."
 
2012-04-25 08:19:06 PM
Exception Collection:

/I have a friend that is trying to get a mastectomy for his epic breasts.

Removing the silicone wouldn't work?
 
2012-04-25 08:22:51 PM
The One True TheDavid: bobbette:

/SRS should really be covered as well considering it is a mode of treatment for a medical condition. But that's a separate issue.

Surgery for a mental condition. Right.


From what I've heard and read, it's a physical condition. A person having a different gender identity than their physical sex doesn't mean there's something wrong with them mentally. If they want to change their physical body to match the gender identity they already have, good for them. It's no problem for me.

In any case, I don't see why it's your problem. If you think SRS is unnecessary, don't get a sex change and mind your own farking business.
 
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