many in the trans* community without support, and vulnerable totransphobic violence.
Receiving sub-par health care is so widespread it begs the question: “Why have insurance at all?” The answer is complicated. Without adequate training, more trans* community members will remain underserved. The ACA has made great strides in making healthcare more accessible and affordable to the uninsured and underinsured, but still upholds barriers for a great number of trans* people. In working towards a more inclusive healthcare system, let’s work together to change the Affordable Care Act—to the Accessible and Competent Care Act.
Note: Trans* is an umbrella term meant to encompass identities within the transgender and gender nonconforming spectrum, including, but not limited to transgender, genderqueer, transmen, transwomen, Two-Spirit, masculine of center, androgynous, gender fluid, and bigender.
**ETA: While the Affordable Care Act does not specifically address discrimination based on gender identity or expression, it does prohibit discrimination based on sex in all health care settings receiving federal funds. Patients who experience discrimination can file a complaint with the Department of Health and Human Services and the claims will be investigated to ensure that everyone receives respectful medical care.
Kelly Eusaint Lewis is a trans* social justice and political organizer based in Oakland, California. He has worked on statewide legislation supporting trans* and gender nonconforming youth of color and has served as a mentor for masculine of center and transmen through the Brown Boi Project.
Renee Bracey Sherman is a freelance writer, reproductive justice activist She is a member of Echoing Ida, a collective of Black women writers organized by Strong Families, and a graduate student at Cornell University. Follow her on Twitter at @rbraceysherman