AMA to DOD: There Is No Medical Rationale In Transgender Military Ban

by Stephen Peters

WASHINGTON - Today, the American Medical Association (AMA) approved a resolution saying there is “no medically valid reason to exclude transgender individuals from service in the U.S. military.” The Human Rights Campaign (HRC), the nation’s largest lesbian, gay, bisexual, and transgender (LGBT) civil rights organization, hailed the resolution saying it should compel Secretary Carter to take action.

“This important resolution from the nation’s largest association of physicians should be a catalyst for Secretary Carter to take action and update the outdated regulations preventing transgender troops from serving openly and honestly,” said HRC Government Affairs Director David Stacy. “Not only is there no valid medical reason for this ban to continue, but there is no valid reason, period.”

HRC has repeatedly called for the Department of Defense to end the ban on transgender service members. Most recently, HRC highlighted this call to action along with four other items that the Obama Administration should take to advance fairness and equality for LGBT troops. Part of HRC’s 2015 Blueprint for Positive Change – a series of actions the administration can take to change the lives of LGBT Americans for the better – these items include:

Department of Defense

  • Revise Restrictions on Transgender Individuals Serving in the Military

There are approximately 15,500 actively serving transgender members of the U.S. military, making the Department of Defense (DOD) the largest employer of transgender people in America. These courageous service members are forced to serve in silence by DOD medical regulations prohibiting their service and requiring their separation from the military if discovered. These regulations are outdated and out of step with current medical practice. Unlike the statutory ban that interfered with lesbian, gay, and bisexual service members from serving (known as “Don’t Ask, Don’t Tell”) the ban on transgender military service is regulatory and only requires action by the Department of Defense to update. The Secretary of Defense should immediately direct the chief medical personnel in each service branch to update their medical regulations, which would pave the way for transgender military service. In addition, the Secretary of Defense should issue regulations that extend non-discrimination protections to transgender service members.

  • Include Non-Discrimination Protections for Service Members Based on Sexual Orientation

Civilian Department of Defense employees may file a complaint for discrimination based on their sexual orientation. The regulations also prohibit retaliation of any kind for filing a complaint. Unfortunately, this same protection has not been extended to the uniform services, leaving many LGB service members with limited options for addressing incidents of discrimination and harassment for themselves and actions against their families. Service members also deserve these core protections. The Secretary of Defense should issue regulations that extend non-discrimination protections based on sexual orientation in the military equal opportunity program.

Department of Veterans Affairs

  • Ensure Transgender Veterans Have Full Access to Transition Related Care

Currently, the Department of Veterans Affairs does not provide the full range of medically necessary care to transgender veterans. The Department of Veterans Affairs should revise its regulations to ensure transgender veterans have access to all medically necessary services and treatments for transition related care.

  • Provide Increased Cultural Competency Training for Service Providers

Long-term discrimination by the federal government against LGBT service members has left many LGBT veterans hesitant that their needs will be met with care and attention, or has left them with the misunderstanding that they are not entitled to government services. The Department of Veterans Affairs should provide cultural competency training to service providers to ensure LGBT veterans are comfortable coming out to their service providers and to ensure LGBT veterans are receiving respectful, appropriate care.

  • Provide a Blanket Waiver to Same-Sex Couples to Ensure Access to Veterans’ Burial Rights Regardless of State of Residency

Burial rights for the spouse of a veteran are determined by the validity of the marriage in the state of residence. Many same-sex couples continue to live in states that fail to recognize their marriages, and sadly, some veterans passed away before marriage equality arrived in their home state. Currently, the Department of Veterans Affairs is making determinations about whether the same-sex spouse of a veteran in a non-marriage equality state can be buried in a national cemetery on a case-by-case basis. The Department of Veterans Affairs should provide a blanket waiver to same-sex couples to ensure access to veterans’ burial rights regardless of the state of the couples’ residency.

The entire 2015 Blueprint for Positive Change can be found here.

The Human Rights Campaign is America’s largest civil rights organization working to achieve lesbian, gay, bisexual and transgender equality. HRC envisions a world where LGBT people are embraced as full members of society at home, at work and in every community.


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