Gender Affirming Care

June 30th, 2025

Tomorrow, July 1st 2025, THOUSANDS of Iowan's will lose their Medicaid coverage for gender-affirming care that they so desperately need. This means no more hormone replacement therapy. No more gender-affirming surgeries. The only help they will be able to receive under Medicaid is mental health care for their "body dysmorphia diagnosis".

There is a lot there to process, but let's try to let that sink in...

First up, transgender people in Iowa are having their gender identities reduced to a mental health diagnosis! That is a symptom... NOT a cause! People are not transgender because they have body dysmorphia... they have body dysmorphia because they are transgender. Now, according to the state of Iowa... they are simply mentally ill. Can you fathom the precedence this is going to set for transgender people and gender-affirming care moving forward?!

What happens when transgender people start committing suicide because they can't receive the care they need? Are they once more going to be reduced to being mentally ill? Transgender people are being invalidated in every way they possibly can be! The people making and passing these laws aren't going to view these eventual suicides as tragic losses though. They will use it as further fuel to fan the flame. Fuel for mental illness and convincing others that transgender people are delusional. How many people have to die for doctors to start diagnosing transgender people with body dysmorphia and instead start diagnosing them as schizophrenic (for example)? Some people reading this may seem like that is a stretch, but it would be all too easy for "transgenderism" to be described as a break from reality and psychosis. It was before... it can be again.

Then, you have the very real issue of transgender people, like MiXTape Massacre Monroe, who had gender-affirming surgeries scheduled and now have to scramble to find a way to pay out-of-pocket. I don't know about you, but I don't have $10,000 lying around... and someone on Medicaid definitely doesn't either! It's inconceivable... how awful people like MiXTape must feel... how devastating it is to be so close to a sense of gender euphoria and have it snatched away.

There is a small source of light though... our community fights for our own. When there is someone in need... WE SHOW UP!! On Sunday, there was a small crowd that came out for MiXTape's benefit show, but that crowd was mighty! $250 was the goal to reach... by the end of the night almost double that amount was raised. It's a small percentage in relation to the full amount, but every dollar that is raised helps ease the burden and lessens the anxiety that I'm sure he is feeling.

If you are interested in donating money to MiXTape's cause you can send money to the apps below.

Venmo- @thenyaner6000 (Adrian Deal)

Paypal- @thenyaner6000 (Adrian Deal)