People in Prison and Doctors Who Battle Over Transgender Medical Care
Date:  07-13-2021

WIRED introduces us to the psychiatrist who most times nixes gender confirmation surgery for incarcerated people who seek it
From WIRED:

Reiyn Keohane’s handwriting is tidy, with small, looping letters, and lots of exclamation points, and the occasional smiley face. Months after I received my first letter from her, Keohane, who is 27, called me. At the time, she had been in the Wakulla Correctional Institution, just south of Tallahassee, Florida, for five months. In a lilting voice and a faint drawl she talked about growing up in Fort Myers. She told me how, as a kid who’d been assigned male at birth, she watched Ellen DeGeneres with her mom and thought, “I want to be like that when I grow up.” At 14 she came out as transgender. Her mom took her shopping in the women’s department at Macy’s. She grew her curly, walnut-colored hair out to her shoulders.

From that day forward, Keohane identified as a woman. In the coming years, she sought treatment for intense feelings of dysphoria, obtained a gender dysphoria diagnosis, and changed her legal name. Then, in 2013, she was arrested for stabbing a roommate. The evidence presented in the available court documents suggests that Keohane attacked the other woman, then fled the scene, and she pleaded guilty. (Since at least 2017, however, Keohane has insisted she was acting in self-defense, and she recently hired an appellate attorney in an attempt to overturn her plea.) After receiving a sentence of 15 years, Keohane arrived at the South Florida Reception Center in leg irons. She handed over everything she’d brought with her—legal papers, stamps and envelopes, bras, and underwear—to a prison employee and was handed a set of boxer shorts, a T-shirt, and a blue shirt and pants. Then she sat in a tattered chair and, as a line of men waited their turn and watched, a barber sheared off her hair.

More than 20 percent of trans women (and nearly 50 percent of Black trans people) have been incarcerated at some point in their lives, driven into the criminal justice system by over-policing and poverty as well as structural and individual discrimination. Once they end up behind bars, almost all are incarcerated according to the sex they were assigned at birth. That means being locked up in men’s facilities, where many experience long stints in solitary confinement and near-routine physical and sexual violence at the hands of both prisoners and guards. Continue reading >>>