Who decides what’s medically necessary?

dallasvoice.com – Tammye Nash – Senior Editor

Say the phrase “transgender health benefits,” and most people immediately think insurance coverage that pays at least some of the costs of sexual reassignment surgery. But there’s a lot more to it than that.

The problem, said National Center for Transgender Education Executive Director Mara Keisling, is that issues of medical treatment are being made by accountants rather than by doctors. And trans-phobia is playing a role in too many of those decisions.