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What Happens When You Refuse to Cover an Employee’s ‘Top Surgery’? This Company Just Found Out.

What Happens When You Refuse to Cover an Employee’s ‘Top Surgery’? This Company Just Found Out.
AP Photo/Armando Franca

This week, Townhall reported how a 20-year-old woman who went through so-called “gender-affirming” care is suing her doctors and the American Academy of Pediatrics (AAP) for knowingly lying about the impact of the treatments

“I still struggle a lot, mentally and physically,” the woman, Isabella Ayala said. 

“I don’t even like to think about my fertility,” she added. “It is my greatest fear to go to the gynecologist and have them tell me that I can’t have children over some decisions that were made when I was 14.”

A transgender man who was denied “critical” so-called “gender-affirming” care by “his” former employer and union filed a federal lawsuit against them, according to Chicago-based outlet WGN9.

The “transgender man,” Morgan Mesi, was not permitted to undergo “top surgery” under his employer’s health plan. Mesi worked at Tenzing Wine & Spirits, LLC and Breakthru Beverage Illinois, LLC (via WGN9):

The medical treatment Mesi sought, including surgery, is standard treatment for gender dysphoria and widely recognized as medically necessary by the medical community. 

Mesi, a Chicagoan and transgender man, said the health plan’s refusal to cover his surgery allegedly caused him extreme distress.

Mesi viewed the surgery as a matter of life and death, and said he was experiencing regular suicidal thoughts. His health care providers submitted extensive documentation confirming that the surgery was medically necessary to treat Mesi’s acute and chronic distress. 

“This lawsuit is about my control over my own body,” said Mesi. “A board of trustees who have never even met me should not be the ones deciding if my gender-affirming health care is a medical necessity. That decision should be between me and my doctors.” 

The lawsuit alleges the health plan’s denial violated the federal and state laws that provide strong protections against discrimination for transgender and other LGBTQ individuals.

Reportedly, the lawsuit claims that Mesi’s employer did not have the basis to label irreversible, experimental “gender-affirming” care as “cosmetic” and refuse to cover it. 

Earlier this year, Townhall reported how the University of San Diego (USD), a Catholic school, would include 100 percent of the costs of students’ abortions and transgender care. When news outlets inquired about the decision, USD representative Lissette Martinez said that the university “does not qualify as a religious employer under the state statute. As a religiously affiliated university, USD is not exempt from certain state and federal laws.”

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