As of this writing, my Trans Health as it Should Be post on tumblr has 279 notes. Most of them have been positive, but one point from it has been, shall I say, rather controversial.
This point has been that women’s primary care clinics, when welcoming trans people, should welcome trans women before welcoming trans men. That when only able to add one group of trans people’s hormone replacements to the services the clinic offers, that estrogen-based HRT be prioritized above testosterone-based.
I am angered. I am irate. I am filled with righteous fury.
Because, not only are trans men (these criticisms generally come from trans men, with one cis man pulling the standard cis bullshit. They’re also pretty much always from people as white as I am. This is white men’s bullshit) continuing to demand that women’s space be open to them, in a way that all too often lets it claim to be trans-inclusive (or worse, “Women and Trans”) while actively excluding trans women and other non-cis DMAB people who need those services, they are also, again, demanding that trans women be last in line for any practical resource. Even places set to provide medical care to women are being asked to provide medical care no woman needs before they provide medical care to trans women.
Of course the idea that it is unjust to put trans women and others with our same needs last in line for every single thing in existence becomes controversial when we point out that we’re behind people who don’t even belong in that line.
Of course trans men think they deserve more access to primary care services directed to women than we do. Because those services are awesome.
It’s these clinics that are often leaders in adopting informed consent standards for providing hormone treatments, after all. And the post never even said that trans men, as men, should be excluded. It said that trans women, as women, should have priority access to resources set aside for women over trans men. The kind of respectful care that these clinics provide should be standard for everyone, especially for trans people, with our unique medical needs and relationship to the medical establishment. Right now, though, the access standard is that women’s resources are bending over backwards to include trans men, often to the exclusion of trans women.
The status quo is that, when these great resources exist, they are granted to men before women even when their mission was to serve women at their creation.
When I personally reread that post, I felt I fell into the Appeaser mode too much in it. But even that is not enough. Because no amount of stating that trans men deserve to have access to respectful care for all of their medical needs, both those they share with others of their anatomy and transition-related things, will appease them from saying that anywhere should put women first.
I could wear the letters off the keys on my keyboard (the E has already gone before I started writing this. It can be done!) advocating for trans men’s access to hormones on informed consent. I even derailed this rant to put a paragraph in stating that. But it will not be enough. It will never be enough. Nothing will ever be enough, because I am directly saying that trans women should ever not be last in line for any. single. thing.
Because trans women are always last in line.