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Transgender EuroStudy – Legal Survey and Focus ... - ILGA Europe

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21 April 2008<br />

working as prostitutes on the streets of Paris, <strong>and</strong> the alternative – a slightly mad pathetic individual who<br />

must not succeed because they are different from other people. It is only now, in 2008, that trans people<br />

can say they have managed to open a few doors <strong>and</strong> started to negotiate for change in <strong>Europe</strong>.<br />

Finally, for change to be real, a sort of social experiment must take place, as it did in the mid<br />

1970s when the EU passed the Directive on Gender. In the late 1970s the EU made sure that<br />

throughout <strong>Europe</strong> women knew <strong>and</strong> claimed their rights; similar action is needed for trans people to<br />

be aware of their rights <strong>and</strong> remedies to discrimination. Trans people’s social networks are efficient <strong>and</strong><br />

reach far into the corners of <strong>Europe</strong>. Trans people firstly deserve their rights because they are human<br />

persons, <strong>and</strong> secondly because they do no harm to anyone by their desire to be a member of their<br />

preferred sex. The costs to society are minimal; the claim that trans health care is costly, <strong>and</strong> at the expense<br />

of other ‘real’ cases of need, is bogus if one takes on board the full costs. The UK trans campaigning group,<br />

Press for Change, has done extensive research on the cost to the State of gender reassignment treatments.<br />

In order for a trans woman to undergo these treatments including vaginoplasty would be around €10,000,<br />

<strong>and</strong> the cost of treatment including mastectomy <strong>and</strong> hysterectomy for a trans man would be around<br />

£8,000 31 . Compared with the costs of lifelong psychiatric care which, assuming monthly sessions <strong>and</strong> a<br />

short in-patient stay every two years, would cost around £4000 per annum, gender reassignment surgeries<br />

are a bargain. It should also be noted that psychiatric care would need to be continued for a very long<br />

time, as there has never been a published report, in the psychiatric or psychotherapeutic literature, of<br />

transsexualism or transgenderism being cured.<br />

Recommendations<br />

The <strong>Europe</strong>an Commission as guardian of the treaties should ensure that EU directives on<br />

equal treatment of women <strong>and</strong> men <strong>and</strong> gender equality are implemented to include<br />

protection of trans people against discrimination.<br />

<strong>Legal</strong> actions based on EU directives need to be revisited to ensure they are accessible by<br />

ordinary people in a manner which is quick <strong>and</strong> at minimum cost particularly when Member<br />

States have not implemented EU directives. 32<br />

Funding is needed to ensure that trans people throughout <strong>Europe</strong> are made aware of their<br />

rights contained in the EU directives <strong>and</strong> the <strong>Europe</strong>an Convention on Human Rights.<br />

States need to provide gender reassignment treatment without excessive restrictions.<br />

31<br />

See Press For Change:<br />

Healthcare at<br />

http://www.pfc.org.uk<br />

/node/613.<br />

32<br />

Francovich v Republic<br />

of Italy ECJ (1995) ICR<br />

722, ECJ Cases C-6 <strong>and</strong><br />

9/90 (also reported at<br />

[1992] IRLR 84 <strong>and</strong><br />

[1993] 2 CMLR 66).

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