Content notice: anti-fat discrimination.
Trans people being rejected healthcare options for specious reasons is just the background radiation we live in. Kiva Bay, however, has a more detailed report on how fat trans folks are seen as “less real” because of their weight, and how this links to their healthcare service denials.
Fat transgender people face significant barriers to medical transition, including HRT and GRS, often in the form of surgeons who refuse to work on them, or doctors who feel they won’t make “proper” men and women. For this reason, transgender people have the highest rates of eating disorders, even higher than cishet women, yet another life-threatening danger.
In their essay No Apology: Shared Struggles in Fat and Transgender Law, Dylan Vade and Sondra Solovay explain how fat and transgender people are coerced by the legal system to assimilate to cisnormative standards: “When attempting to overcome these barriers by using the legal system, not only are fat and transgender people expected to share a goal of assimilation, but they are coerced into reinforcing fat-phobic and transgender-phobic norms in to secure basic legal rights enjoyed by their non-fat and non-transgender peers. This is a cruel cycle: oppression necessitates the legal intervention, yet the person must participate in that very oppression to receive legal protection.” They go on to explain, “Winning cases generally adopt a legal posture that reinforces societal prejudices. Cases that challenge societal prejudices generally lose.” They illustrate this with two cases of fat discrimination in California, John R. of Berkeley and Toni C. of Santa Cruz.
Both were seeking damages for weight related discrimination in the workplace. John R., who talked about his fatness like it was a problem he could not cure, won his case. Toni C., who was unapologetic about her fatness, did not. Toni rejected a medicalized view of her fatness, and her argument was entirely unapologetic. Refusing to locate the problem on her own body, locating it instead in a fat hating society, Toni lost her case.
Read more here.