[PASSED] Affordable Transgender Hormone Therapy

[Austria-Bohemia-Hungary]

It is the stance of the Subversive State that Transgenderism is degenerate and leads to the downfall of western civilizations. I urge any and all who believe this to be true to vote this resolution down. My colleagues here in the Assembly are doing nothing more than virtue signalling to make themselves feel better about their failed leftist states!

Y'know one of those "failed leftist states" you deride is an empire spanning multiple star systems. <.>

[Blueflarst]

Access to Hormonal Therapy
Civil Rights | Mild



The World Assembly, by the advice and consent of the delegates and member nations thereof, and by the authority of the same, hereby:

Submits the following as fact:

1. Transgender and gender non-binary people are real.
2. Their experiences are not the product of "mental illness," "confusion," "disease," or anything of the sort -- rather, their understanding of their relationship to the world in the lens of gender does not correspond with their biological sex.
3. Their first-hand accounts of this understanding are real; each person is in the best position to understand and discern their own gender identity.
4. Any distress arising from this real disconnect between sex and gender is referred to as gender dysphoria -- like any mental condition, it ought to be treated.
5. Further, it ought to be treated in a manner that respects the fundamental facts: that transgender and non-binary individuals' experiences are real, and that their gender identity is not the same as their birth sex.
6. One such way to resolve the distress is through hormone therapy, and the choice to pursue or not to pursue such treatment ought to rest firmly in the hands of the individual, rather than in the hands of the state.

Defines, for the purposes of this resolution, "hormone therapy" as a medical treatment involving the use of naturally occurring hormones for the purpose of altering one's secondary sex characteristics to more accurately reflect their gender identity,

Requires all member-states to legalize hormone therapy for all consenting individuals,

Requires all member-states to have an affordable, easy-to-access way for its transgender population to access hormone therapy,

Forbids any member-state from denying a transgender person access to hormone therapy as a punishment or as part of a punishment for a crime,

Forbids any member-state from forcing an individual to undergo hormone therapy.

Co-Authored by United Massachusetts

IC: "Somewhat surprised this specific subject hasn't been legislated on, thus far."

OOC: I know that I have several other drafts up on the forums currently, but I do want to get this out there while it's still fresh on my mind. This will likely be my last draft for a bit, but I don't want to wait too long on it.

That being said, I did do a bit of research on the subject, but I'm by no means an expert on it. I believe I got most things correct, but there is a rather sizeable chance that this is somewhat inaccurate. If somebody with more experience in this area could give me some insight, that would be greatly appreciated.

Blueflarst hereby condemns Morover for trying to force3 on us recognition to sexual identities. We only recognize men and women and we will not pay in our universal healthcare hormone therapies or nothing like it, this things should be solved with out state intervention as the mental conflicts they are. If you are birth as men or women and feel like the opposite the state must not care. It is your mind and soul whom has to solve it.

[Kenmoria]

So if a nation disagrees with this 'transgender' stuff, we have no say?

What else will these people force us to conform to? "Murder all infants because babies are gross", "All *insert race here* must be enslaved or murdered", or "No military for any nation, because peace". Nationstates has become way to lopsided recently, its kind of sad

(OOC: You have your say, it’s called a vote. When you vote, and possibly tell your delegate to vote, you exercise your democratic say. As it turns out, WA members have used their says, their votes, to decide that transgender rights should be a part of GA law. All of the examples you list would hopefully not be very popular, and all of them contradict other legislation anyway.)

[Separatist Peoples]

IC: "Somewhat surprised this specific subject hasn't been legislated on, thus far."

OOC: I know that I have several other drafts up on the forums currently, but I do want to get this out there while it's still fresh on my mind. This will likely be my last draft for a bit, but I don't want to wait too long on it.

That being said, I did do a bit of research on the subject, but I'm by no means an expert on it. I believe I got most things correct, but there is a rather sizeable chance that this is somewhat inaccurate. If somebody with more experience in this area could give me some insight, that would be greatly appreciated.

Blueflarst hereby condemns Morover for trying to force3 on us recognition to sexual identities. We only recognize men and women and we will not pay in our universal healthcare hormone therapies or nothing like it, this things should be solved with out state intervention as the mental conflicts they are. If you are birth as men or women and feel like the opposite the state must not care. It is your mind and soul whom has to solve it.

"Why does the state have no interest in healthy citizens, then?"

[Ald Hoge Tal]

the whole “Requires all member-states to have an affordable, easy-to-access way for its transgender population to access hormone therapy,” bit isn’t establishing a human right that ought to be respected, but rather a complete destruction of market forces in the field.

[Wallenburg]

the whole “Requires all member-states to have an affordable, easy-to-access way for its transgender population to access hormone therapy,” bit isn’t establishing a human right that ought to be respected, but rather a complete destruction of market forces in the field.

It's clearly both.

[AaronScythe]

Blueflarst hereby condemns Morover for trying to force3 on us recognition to sexual identities. We only recognize men and women and we will not pay in our universal healthcare hormone therapies or nothing like it, this things should be solved with out state intervention as the mental conflicts they are. If you are birth as men or women and feel like the opposite the state must not care. It is your mind and soul whom has to solve it.

"Why does the state have no interest in healthy citizens, then?"

IC: The nation of AaronScythe has plenty of interest in it's citizen's health. As such we cannot support a law that would reduce the amount of citizens capable of breeding, nor support the mutilation of bodies for a reduction in overall function.

OOC: Beg a more loaded question why don't you.
"Forbids any member-state from denying a transgender person access to hormone therapy as a punishment or as part of a punishment for a crime,"
HGH abuse has presented itself as an issue many times, and this plain idiocy would disallow a nation to stop that abuse. It ain't all testosterone and oestrogen.

Further, if someone's going to be too unstable on hormonal treatment wherein they become a threat to those around them, the treatment either stops or it continues until a capital crime is committed.
Post treatment suicide statistics only serve to prove that the majority of people diagnosed with "gender dysphoria" are indeed mentally ill, and once they manage to get better they regret it.
The going buzz is it's roughly 20x the rate - and proponents blatantly ignore suicide letters and the like to argue it's about oppression, directly against the "I mutilated myself, I can't have kids, I can't live like this" which are the 3 most common phrases within these letters.

The transgender focus of today often completely discounts the gender fluid, transvestites, the various ~kin, pansexuals and plenty more sexualities as non-committing and inherently inferior.
It's sickening how much trans is being used as an excuse to further relegate sexuality to people being the "wrong" gender for how they live.
Worst of all, it enforces gender stereotypes as desirable traits.
This is just another example of clueless virtue signalling, and I'm honestly ashamed nationstates could let this go to vote, let alone how the votes are actually going at this point.

Vote against. Use your head.

[New Bremerton]

OOC: Just want to say that this proposal apparently doesn't bode well for small-government, libertarian, anarchist, minarchist and neoliberal free-market nations whose denizens prefer not to pay any tax at all if possible, due to the "affordable" bit. Same goes for countless other WA resolutions. The WA isn't for dictatorships or anarchies alike.

IC: New Bremerton would like to reiterate its full SUPPORT for this proposal.

[Morover]

OOC: Just want to say that this proposal apparently doesn't bode well for small-government, libertarian, anarchist, minarchist and neoliberal free-market nations whose denizens prefer not to pay any tax at all if possible, due to the "affordable" bit. Same goes for countless other WA resolutions. The WA isn't for dictatorships or anarchies alike.

IC: New Bremerton would like to reiterate its full SUPPORT for this proposal.

OOC: The government specifically doesn't need to pay for the treatment, it just needs to ensure that the market price remains affordable.

[New Bremerton]

OOC: Just want to say that this proposal apparently doesn't bode well for small-government, libertarian, anarchist, minarchist and neoliberal free-market nations whose denizens prefer not to pay any tax at all if possible, due to the "affordable" bit. Same goes for countless other WA resolutions. The WA isn't for dictatorships or anarchies alike.

IC: New Bremerton would like to reiterate its full SUPPORT for this proposal.

OOC: The government specifically doesn't need to pay for the treatment, it just needs to ensure that the market price remains affordable.

OOC: Ah, ok. So simply passing a law to the effect of imposing price controls, similar to limiting patents on life-saving drugs and promoting the proliferation of cheap, generic drugs.

[The Cypher Nine]

The Cypher Nine would like to submit its concern that some of the proposals language is confusing. The resolution asserts that it is not a mental illness but also says it deserves treatment like any mental illness.

If Transgenderism or Gender Dysphoria is a medical condition, then it should be handled medically in the best and correct way which is not necessarily Hormone Therapy.

[Blueflarst]

This type of resolution is not good for the world
It imposses gender ideology

[Peoples republic of Porto reeko]

“How about ‘Requires that all member-states legalise hormonal therapy for all individuals, who are able to understand the effects of said hormones.’? Alternatively, something about, as you said, restricting it to those who can understand the process.”

"Yes, something like that would be ideal. I would simply worry about tyrannical nations to claim that a transgender individual doesn't understand the effects of these hormones, despite the fact that they clearly do. I can see some difficulty in proving the guilt of said nation."

There is a lot of misunderstanding regarding hormonal therapy. Perhaps add a clause that hormonal therapy and associated risks must be addressed with a physician at regular intervals. Hormone supplementation can increase and alter the risk and underlying disease processes. Children especially cannot comprehend the concept of life long hormonal supplementation. The risks should be reviewed to confirm they outweigh the benefits especially in older trans patients. Age restriction cannot be ignored as well as the clause about providing "affordable" as that is relative. Affordable healthcare should mandated of all member nations.

[Valkol]

Is it state funded, if yes I will vote against, if no, I will abstain or vote for.

[Kenmoria]

Is it state funded, if yes I will vote against, if no, I will abstain or vote for.

(OOC: Hormone therapy does not have to be state funded; this proposal makes no comment about how this medication is to be provided.)

[Barbariax]

All of these are fine, except the second. If hormone therapy must be required to be provided at "affordable" prices, then the same should be true for all other diseases which have available cures. This is overreach, therefore Barbariax must unfortunately vote Against.

OOC: You already are required to provide affordable healthcare to all citizens. And if you're trying to claim that necessary medications are not part of it, you'll have to redefine English language quite a bit.

Barbariax asks Araraukar, or any other nation, to please identify the referenced resolution.

[Boisonia]

After much thought, and speaking with my advisors, the nation of Paleoconservative Citizens has decided that it no longer wants to be World Assembly member. Paleoconservative Citizens is a conservative nation built upon the principle teachings of Christianity, and the people of USPC will not stand for anything that goes against the founding principles of this nation.

BOISONIAN DEPARTMENT OF FOREIGN AFFAIRS
To: Paleoconservative Citizens
From: Emperor Mahboison V, Boisonia

Don't let the door hit you on the backside on the way out. Actually, please do, and don't come back.

---

2019年07月14日

[Barbariax]

After much thought, and speaking with my advisors, the nation of Paleoconservative Citizens has decided that it no longer wants to be World Assembly member. Paleoconservative Citizens is a conservative nation built upon the principle teachings of Christianity, and the people of USPC will not stand for anything that goes against the founding principles of this nation.

BOISONIAN DEPARTMENT OF FOREIGN AFFAIRS
To: Paleoconservative Citizens
From: Emperor Mahboison V, Boisonia

Don't let the door hit you on the backside on the way out. Actually, please do, and don't come back.

---

2019年07月14日

It is too bad; in order to change the WA, one must have a vote. Even if Barbariax does not agree with all of the WA's resolutions either, we value the improvement in international relations.

Also, this becomes ironic:

Don't let the door hit you on the backside on the way out. Actually, please do, and don't come back.

[The Grand Duchy Of Nova Capile]

In light of the recently submitted proposal and the intellectually bankrupt ideology it imposes upon the morally upright nations of the world, Nova Capile will immediately resign from the World Assembly.

In the past, the Capilean nation had, against its conscious and the wishes of its citizenry, abided by other legislation on the topic of gender, with the desire of maintaining international ties and representing morally correct philosophy within the World Assembly. This proposal, however, pushes us too far, and so we will make a reversal in policy. We will once again uphold the scientific fact that, biologically, there are but two genders- male and female- identified at birth by our very DNA. Any individuals who believe that they were born as the incorrect gender are, by definition, suffering from a delusion. Other delusions, such as body integrity dysphoria, are usually recognized as such, and, in the aforementioned case, those who suffer from it are most often prevented from mutilating their body by amputating a limb they believe to be superfluous, instead receiving treatment to cure them of their delusion.

Why, then, is this particular delusion branded as a legitimate state of mind, and those who suffer from it are encouraged to mutilate their bodies? Nova Capile understands that this is because the vast majority of the World Assembly is left-leaning and desires to force its scientifically ignorant and morally warped ideology on less liberal states. This is but one symptom of a larger disease, that being the total domination of the World Assembly by leftist forces, with each of their passed proposals resulting in a further drain of socially conservative member nations.

As such, Nova Capile will, for lack of a more eloquent phrase, put its foot down now, and urges all like-minded, sensible nations to do the same, before the intolerable becomes the abominable.
-Ambassador Jonathan Kirstin

[Separatist Peoples]

"Why does the state have no interest in healthy citizens, then?"

IC: The nation of AaronScythe has plenty of interest in it's citizen's health. As such we cannot support a law that would reduce the amount of citizens capable of breeding, nor support the mutilation of bodies for a reduction in overall function.

"If you aren't providing medical care to your citizens, you're ignoring a genuine interest in your society's health."

"Forbids any member-state from denying a transgender person access to hormone therapy as a punishment or as part of a punishment for a crime,"
HGH abuse has presented itself as an issue many times, and this plain idiocy would disallow a nation to stop that abuse. It ain't all testosterone and oestrogen.

OOC: I genuinely cannot see how hormone therapy can be abused.

Further, if someone's going to be too unstable on hormonal treatment wherein they become a threat to those around them, the treatment either stops or it continues until a capital crime is committed.

OOC: Or you can deal with them like you do with inherently unstable persons: Secure them when they are unable to control themselves and punish them for bad acts they are liable for.

Post treatment suicide statistics only serve to prove that the majority of people diagnosed with "gender dysphoria" are indeed mentally ill, and once they manage to get better they regret it.

Sounds like their call.

The going buzz is it's roughly 20x the rate - and proponents blatantly ignore suicide letters and the like to argue it's about oppression, directly against the "I mutilated myself, I can't have kids, I can't live like this" which are the 3 most common phrases within these letters.

Sounds like their call.

The transgender focus of today often completely discounts the gender fluid, transvestites, the various ~kin, pansexuals and plenty more sexualities as non-committing and inherently inferior.

Other resolutions can deal with this independant of this one. That the author chose a narrow focus is not a failing when it doesn't foreclose other options.

It's sickening how much trans is being used as an excuse to further relegate sexuality to people being the "wrong" gender for how they live.

It isn't.

Worst of all, it enforces gender stereotypes as desirable traits.

It doesn't.

This is just another example of clueless virtue signalling, and I'm honestly ashamed nationstates could let this go to vote, let alone how the votes are actually going at this point.

Resign, I guess.

Vote against. Use your head.

I'm not sure how to do anything other than use my head. Still voted for.

[Separatist Peoples]

This type of resolution is not good for the world
It imposses gender ideology

"It provides individuals the ability to seek treatment without punishment, ambassador. What on earth is good about punishing or depriving people of treatment?"

[Kenmoria]

OOC: You already are required to provide affordable healthcare to all citizens. And if you're trying to claim that necessary medications are not part of it, you'll have to redefine English language quite a bit.

Barbariax asks Araraukar, or any other nation, to please identify the referenced resolution.

(OOC: GA #124, Essential Medications is the resolution for which you are searching.)

[Jakker]

I'd just as soon accept AIDS burgers for school lunches as I would "reassignment"(Bahometism)

*** 3-day ban for Trolling. *** This ban applies to you, the player, and not just this nation.

THIS IDEA IS PREPOSTEROUS! All people who are resident of a country should have to register as a man or woman, otherwise thay are an animal and should be treated as such.

Having opinions whether in-character or not is one thing. Referring to non-binary people as animals is not acceptable. Unofficial warning for Trolling.


I recognize that this is a topic that draws a lot of strong opinions, but let's make sure to keep things a bit less heated.

[Barbariax]

Barbariax asks Araraukar, or any other nation, to please identify the referenced resolution.

(OOC: GA #124, Essential Medications is the resolution for which you are searching.)

Gratitude to Kenmoria for this assistance, however it is not clear to Barbariax that this resolution requires such affordable, easy-to-access therapies in the same manner as for transgender hormone therapy per the current resolution at vote.

[Kenmoria]

(OOC: GA #124, Essential Medications is the resolution for which you are searching.)

Gratitude to Kenmoria for this assistance, however it is not clear to Barbariax that this resolution requires such affordable, easy-to-access therapies in the same manner as for transgender hormone therapy per the current resolution at vote.

(OOC: You are correct, GA #124 is not as precise. All that Essential Medications requires is that medication is able to be accessed and used; however, this necessarily includes it being affordable to some degree. The reason this proposal has been made is to make protections for hormonal medication more concrete.)