Taylor v. Lystila (USA)

BlWhomUCYAI6l43Lambda Legal filed a lawsuit on behalf of Naya Taylor, a transgender woman denied medical care after she requested hormone replacement therapy. The lawsuit alleges a violation of the Affordable Care Act’s non-discrimination provisions prohibiting discrimination on the basis of sex, (which includes gender identity), and requires that clinics receiving federal funds treat transgender patients in the same manner as they would any patient under their care.

Dr. Aja Lystila had been Taylor’s primary care physician, but when Taylor requested to start hormone replacement therapy (HRT) as part of medically necessary, transition-related healthcare to treat gender dysphoria, Dr. Lystila refused. Dr. Lystila first claimed she was not experienced in providing hormones to transgender people even though hormone therapy is regularly provided to non-transgender patients in a variety of settings every day. Later the clinic told Taylor that it “does not have to treat people like you.”  HRT is one of the vital life-saving treatments used to treat gender dysphoria, a recognized, serious medical condition.

The Affordable Care Act is the first federal civil rights law to prohibit health care providers that receive federal funds, such as Dr. Lystila’s medical practice, from discriminating against any individual on the basis of sex for purpose of providing health services. That prohibition extends to discrimination based on gender identity or failure to conform to stereotypical notions of masculinity or femininity, regardless of the actual or perceived gender identity of the individuals involved.

Lambda Legal Sues Doctor and Clinic for Denying Medical Care to Transgender Woman _ Lambda Legal.

Taylor v. Lystila.

Taylor v. Lystila Complaint.

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5 thoughts on “Taylor v. Lystila (USA)

  1. A few thoughts.

    It always looks bad when a document of legal action claims discrimination because someone has allegedly said “people like you.” However, such a statement would be inconsistent with the way most clinics and physicians approach their work in this country. I am skeptical that anyone actually said this. The statement about the doctors being “Middle Eastern” also sounds fake. The name of the specific doctor being sued doesn’t sound like it’s of Arabic derivation (which is no doubt what “Middle Eastern” was meant to imply).

    This guy was a patient at the clinic for “more than a decade,” and Dr. Lystila was his primary care physician. It occurs to me that as an old guy (he looks to be at least 55 or so), “Naya” may have pre-existing health conditions, such as heart disease, that would make estrogen “therapy” even more risky. Dr. Lystila may have thought it unwise to prescribe him estrogen.

    Or: Perhaps Dr. Lystila objected to the level or duration of the man’s psychological evaluation. A mere “licensed social worker” (in Illinois, requires only BA degree) thought the guy was “ready” for hormones. An objection to this may be why “Naya” got the hormones off the internet instead of from his doctor.

    Another possibility is that Dr. Lystila had strong personal reservations about promoting the transgender agenda by easily prescribing him hormones. I can tell you that after snapping out of the transgender delusion myself, and speaking at length with my doctor, she raised her consciousness about the whole situation. I think she took on board my concerns that estrogen is being handed out and surgery provided much, much too easily. She had also never heard of autogynephilia. I think my doctor will be more hesitant to hand out transgender party favors, going forward; though she’ll probably still hand them out.

    This lawsuit could be one of transgender narcissistic rage more than anything else.

    Anyway, sorry for this long-winded man-splaining. 😉 Thanks for everything you do.

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  2. “The lawsuit alleges a violation of the ACA’s non-discrimination
    provisions prohibiting discrimination on the basis of sex, (which includes gender identity), and requires that clinics receiving federal funds treat transgender patients in the same manner as they would any patient under their care.”

    First of all, biological sex is not the same as “gender identity”. Second, they want more than basic health care which everyone should be entitled to. They want special health care. I’m assuming that Taylor is male. If he were intersex, I’m sure his physician probably would have figured it out by now. There is nothing in the lawsuit that says he has an actual disorder of sexual development.

    Question: How old is this individual? Taylor looks like he is at least forty years old. He could be fifty or older. So, primary care physicians who have no special expertise or knowlege in prescribing female hormones to biological males are supposed to give female hormones to a man who is well past forty.

    “Naya Taylor is a transgender woman living in Mattoon, Illinois. Dr. Aja Lystila had been Ms. Taylor’s primary care physician, but when Ms. Taylor requested to start hormone replacement therapy (HRT) aspart of her medically necessary, transition-related healthcare to treat her gender dysphoria, Dr. Lystila refused.”

    There is no such thing as “necessary, transition-related healthcare” because “transition related” is purely a culturally defined term. It’s based on a psychological diagnosis/culturally defined definition. I suggest the following. If males can get female hormones based on a psychological diagnosis, then why can’t females with small breasts get breast implants? I’m sure having small breasts causes these women psychological suffering. The Affordable Care Act (aka government) should also pay for rhinoplasties and other cosmetic procedures because people with large noses feel emotional suffering too.

    Calling a biological male “Ms.” is never going to change the fact that he is still male. In fact, few people realize that biological males who “identify as women” and are receiving female hormones still need their male reproductive system checked. If they are pre-op (still has male genitalia), they can get testicular cancer. Even after sex reassignment surgery, they need their prostate checked because the prostate isn’t removed during sex reassignment surgery. Female hormones might shrink the prostate, but the prostate is still there. If males receive “transition-related healthcare”, whatever this is supposed to mean, they will still need their male reproductive system, or what is left of their male reproductive system, cared for.

    Finally, many seniors on Medicare can’t get glasses or dentures. This is basic level health care necessary for daily functioning. Parents of low-income children can’t find a dentist or doctor who will treat their child. Homeless people continually suffer because of lack of basic health care. The physical health of many homeless people in the U.S. is about as bad as health care in developing nations. Providing female hormones for forty year old biological males is low on my list of priorities.

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  3. I would like to follow up on this paragraph.

    “There is no such thing as “necessary, transition-related healthcare” because “transition related” is purely a culturally defined term. It’s based on a psychological diagnosis/culturally defined definition. I suggest the following. If males can get female hormones based on a psychological diagnosis, then why can’t females with small breasts get breast implants? I’m sure having small breasts causes these women psychological suffering. The Affordable Care Act (aka government) should also pay for rhinoplasties and other cosmetic procedures because people with large noses feel emotional suffering too.”

    Is the Affordable Care Act (aka government which we pay for) going to pay for fertility treatments for women? Not being able to have children causes depression in a lot of women. Why is one psychological condition, “gender identity”, more important than depression in females who have difficulty conceiving? These women are suffering emotionally. Women who are depressed because of their large thighs need liposuction. They look in the mirror and they have “body dysphoria” which causes them emotional anguish.

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  4. If the primary care physician was impolite or rude to Taylor, this was wrong. Have the primary care physician apologize and leave it at that. No one is saying that this individual shouldn’t have access to a physician. It still doesn’t mean that the Affordable Care Act should pay for female hormones for biological males. When seniors can’t even get dentures or glasses and homeless people can’t find a doctor, giving female hormones to biological males is a low priority. Take care of seniors, the disabled, low-income children, pregnant women, and the homeless first. We can’t even do this, and now they are demanding female hormones so middle aged males can grow breasts.

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  5. “HRT is one of the vital life-saving treatments used to treat gender dysphoria, a recognized, serious medical condition.”

    “Gender dysphoria” is a psychological condition/culturally defined term.

    The Affordable Care Act should cover mental health care. Taylor should have access to counseling. Primary care physicians aren’t therapists.

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