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

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<strong>Transgender</strong> <strong>EuroStudy</strong>:<br />

<strong>Legal</strong> <strong>Survey</strong> <strong>and</strong> <strong>Focus</strong> on the<br />

<strong>Transgender</strong> Experience of Health Care<br />

Comparison by occupation<br />

100<br />

82<br />

80<br />

60<br />

40<br />

20<br />

0<br />

85<br />

unskilled<br />

skilled<br />

We can see from Chart 12 that the vast majority of respondents were refused State funding for<br />

hormones, with more respondents who transitioned less than 5 years ago being refused than those<br />

who transitioned more than 10 years ago. This is a worrying finding as the assumption would be that<br />

access to funding for treatment would be improving.<br />

A slightly higher percentage of those in skilled occupations reported a refusal than those in<br />

unskilled occupations <strong>and</strong> there was only a minor improvement of 5% for those who were on an<br />

income of €50,000 or more. These findings demonstrate that access to funding for hormones affects<br />

trans people across the income <strong>and</strong> occupational spectrum.<br />

State Funding for Surgery<br />

The second question was concerned with State funding for AB surgeries. These were the<br />

minimum acceptable surgeries that the research team agreed were required for trans people to live in<br />

their acquired gender. 62 For FTMs this was Mastectomy <strong>and</strong> MTFs this was Vaginoplasty.<br />

Chart 12: Percentage of Respondents Who Were Refused State<br />

Funding for AB Surgery<br />

62<br />

These Acceptable<br />

Baselines were not easy<br />

to determine. Not all<br />

trans people want<br />

surgery <strong>and</strong> some trans<br />

people feel that they<br />

need to have all the<br />

surgery possible in<br />

order to live their lives<br />

to the full in their<br />

acquired gender. The<br />

decisions for ABs were<br />

based on knowledge of<br />

the primary surgeries<br />

that MTFs <strong>and</strong> FTMs<br />

need in order to begin<br />

living more comfortably<br />

in their acquired<br />

gender.<br />

Comparison by when transitioned<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

83<br />

89<br />

Comparison by earnings<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

86 87<br />

> 10 years<br />

> 5 years<br />

> € 20.000<br />

> € 50.000

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