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Why inmates need gender-affirming surgery

An insider’s perspective forged by years in prison

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Gender Conference East
genital reassignment surgery, transgender, Gender Conference East, trans, transgender flag, gay news, Washington Blade

(Washington Blade file photo by Michael Key)

When it comes to genital reassignment surgery, a lot of the population questions its validity as a necessary medical procedure – especially for the incarcerated. But doctors worldwide now recognize gender dysphoria, a conflict between your physical gender and actual gender, as an actual medical condition. Treatment options vary from hormone therapy to surgery, but just like any other medical condition, doctors are the ones prescribing drugs and procedures.

What does this have to do with inmates? It wasn’t until I won my case against the state of California in April 2015 that incarcerated individuals were even eligible for this type of surgery. The decades-long struggle I faced with my identity, coming to terms with my gender dysphoria and then fighting for my rights – despite being behind bars – paved the way for other transgender men and women like me. It’s important to note that when you live behind bars in the United States, you’re still a human being with rights. You don’t give up those rights to being human because you’re serving time. If an inmate needed a medical procedure to be physically or emotionally healthier, once a doctor deemed it necessary it would be carried out. Because gender dysphoria is a medical condition, this type of procedure is no different. Yet it’s faced with incredible opposition.

My story is just one example of how challenging it is for a transgender individual to receive genital reassignment surgery, especially while incarcerated. I came out as transgender in 1994 after talking to a priest, various doctors and years of self-questioning. I began trying to express my true identity as I could with limited resources; I wore tighter clothes, grew my hair out and used makeshift makeup I was able to create. As I’m sure you can imagine, these changes didn’t make life with other inmates safe, either. While living as a trans woman behind bars I was a target for ongoing verbal and physical abuse, and was brutally gang-raped, left suffering from Hepatitis C, PTSD and Stage 4 Liver Fibrosis.

Once I was officially diagnosed with gender dysphoria in 2000, I began asking about surgery, requesting it over and over again. I wasn’t able to make any progress until a Department of Corrections doctor deemed it medically necessary. He submitted 13 pages about it, but was suddenly transferred to another prison. I filed an appeal as they were denying me a surgery their own doctor deemed necessary, citing Michelle Kosilek’s similar case in Massachusetts. The powers that be continued to deny appeals, refusing to take me seriously and sending people that didn’t have the authority to make the necessary decisions to the prison, so I sued the state of California. I won the case in April 2015 and the surgery was scheduled, but before it could take place I was suddenly paroled.

When I was released from prison, I approached the Transgender Law Center to help me navigate the path to receiving my surgery, but they refused to help me as their representation ended as soon as the case ended. I was left feeling completely alone in a world vastly different from the one I left 30 years prior, and needed to figure it out and advocate for myself yet again.

I started by calling the doctors scheduled to provide the surgery while I was in prison and they did a consult with me, explaining what type of insurance I needed. I made countless phone calls, went to the offices in person and ultimately navigated my way through so I could receive the insurance I needed for my surgery. I am looking forward to it finally taking place this February.

Along the way, I was very disappointed by the lack of support from advocacy groups that are supposed to be on my side; instead of giving me the help I needed, they just wanted to use me to advance their agenda. I’ve used this to fuel my mission, though. My dream is to open a home called Joan’s House, a safe place for other transgender men and women to become their true selves. I want to use my experience navigating through the confusing system to help others as they seek the medical care they need for their own gender dysphoria.

I’m truly grateful for a few organizations that are helping – specifically Bend Law Group, Three Girls Media and Healthright 360 – which have kept me off the streets, helped give me a voice and shown me the path to form a 501c3 non-profit.

Ultimately, the core of our identity is what’s truly at stake. My story is similar to so many other transgender men and women, and they’re why I continue to advocate.

Michelle-Lael Norsworthy is a trans rights advocate based in California.

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Washington Blade responds to concerns over White House pool duties

Inaccurate media reports create confusion but we stand with our colleagues

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A photo from inside the White House on Monday. (Washington Blade photo by Joe Reberkenny)

Last week, President Trump announced his unconstitutional ban of CNN, MSNow, and Politico from the White House. Coincidentally, on Monday, it was the Washington Blade’s turn to serve as the print pool reporter on duty covering the president’s actions that day. This important responsibility is shared and rotated among the print members with each serving roughly once per month. The Blade is the only LGBTQ outlet with a seat in the briefing room, a slot in the pool rotation, and membership in the White House Correspondents’ Association, something we fought for decades to secure after enduring years of discrimination, ridicule, and resistance to openly queer journalists working inside the White House. We take our responsibilities there seriously. 

There are two pools that cover the president: broadcast and print. The other four members of the broadcast pool — ABC, CBS, NBC, and Fox News — agreed to boycott their pool duties. There has been no boycott among the print pool, which is a separate entity. I called the president of the White House Correspondents’ Association on Monday to confirm that no outlets in the print pool were boycotting. 

A boycott by the Blade would set us back and lead to our expulsion from the pool and briefing room and our replacement by a right-wing outlet sympathetic to President Trump’s approach to attacking the media. The LGBTQ community is far better served with the Blade in the room than a far-right blogger taking our seat.

Let’s be clear: the Blade stands for diversity, equity, and inclusion and we stand for the First Amendment and freedom of the press. In solidarity with the broadcast pool, we made two important decisions on Monday — the first day anyone had to think about any of this. First, we refused to take or share any videos or still photos of the president, which would have undermined the broadcast boycott. Second, when Politico’s turn comes up for pool duty in mid-October, the Blade will not fill in and cover for them while they are banned. Politico must be readmitted and allowed to do their job. 

After a rough day navigating and reporting on all of this, the Advocate published a reckless and inaccurate story suggesting that the Blade had crossed a picket line. Not true, as there is no print pool boycott. They claimed that I wouldn’t talk to their reporter. Also not true. I called their reporter within 90 minutes of receiving his message and he didn’t take the call or call me back. Their story named me and our White House reporter, immediately exposing us to public criticism and worse. The environment in D.C. is so toxic and even violent these days that subjecting our staff to unfair and false accusations like this invites harassment, doxxing, and worse. To do that without even talking to us is next level irresponsible and the antithesis of journalism.

On Tuesday, I talked to two reporters and an editor at the Advocate but they refused to retract anything in their inaccurate story. If the reporter had returned my call, I could have explained all of this but they are more concerned with clickbait and sensational headlines, a dangerous practice in these troubled times. 

Back to the pool. The Blade was in the briefing room in the Reagan era, when Press Secretary Larry Speakes made jokes about AIDS and the reporters in the room laughed out loud. We endured all of that abuse and worse for decades, always standing in the back of the room and never being called on. The Blade’s journalists persevered. When President George W. Bush was re-elected in 2004, the Blade’s White House credentials were revoked amid an earlier press crackdown. Notably, no one boycotted or stood up for us. When Barack Obama won election in 2008, I received an email from his communications director informing me that effective midnight on Jan. 20, 2009, the Blade’s credentials would be restored. 

So we have had quite a ride navigating administrations and their changing requirements for gaining access but always playing the long game. As Barney Frank used to say, “If you’re not at the table, then you’re probably on the menu.” The Blade is at the table and we do our best to ensure the LGBTQ community’s issues are addressed by both parties. 

Thanks for reading and supporting the Blade’s work. If you have questions about our approach, you can reach me at [email protected].  


Kevin Naff is editor of the Washington Blade. Reach him at [email protected].

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Young people should know history of the fight for human rights

Trump is working to erase contributions of marginalized people

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From left, Rep. Bella Abzug (D-N.Y), Frank Kameny and Rep. Shirley Chisholm (D-N.Y.). (Photos of Abzug and Chisholm public domain; Washington Blade archive photo of Kameny)

When talking with otherwise really smart young people, I am amazed how little knowledge many of them have about the fight for human rights in the United States. Our country was founded by white men, who didn’t think about giving full rights to Black Americans, women, the LGBTQ community (what they knew of it, or called it). They wrote in the Declaration of Independence, “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.” But that referred to all white men, and intentionally didn’t mention women. For 250 years, the country has been trying to make up for that, and making progress in fits and starts. We have yet to fully succeed. Today the felon, and his fascist aides, in the White House, are working daily to take us backwards. 

For that reason alone, it is important for younger generations to understand the fight for human rights, know who was fighting for those rights, and understand it is an ongoing fight. Often, when listening to some millennials speak, one would think the world began with them. They either forgot, or never learned, about all those who fought for the rights they now have. I realize this was true for previous generations as well. In 2016 I co-hosted a fundraiser for Pete Buttigieg during his run for president. He is an undeniably brilliant guy. Yet when he spoke of marriage equality, he just thanked Justice Kennedy for it. I reminded him after he spoke, while it’s nice to thank Kennedy for his vote, it shouldn’t be done without acknowledging the many activists who worked for decades, to get to the point that allowed Kennedy to cast that vote. In the same way it was clear to me during the Hillary Clinton campaign for president, many young women didn’t understand the work many of their own mothers had done, to fight for their right to control their own healthcare, and women’s rights in general. They took for granted the rights they had. Now, after losing some of them, many will realize the fight for their rights is never-ending. 

When I speak to younger members of the LGBTQ community, I am amazed how many don’t know the history of the AIDS epidemic, many thinking it was always a disease you could deal with by taking medication. They don’t understand the work so many activists did to bring attention to this devastating disease, and get the healthcare so many needed. Those like Cleve Jones, Larry Kramer, Dr. Anthony Fauci, and so many others. Recently, I realized how many young women don’t know the names of Gloria Steinem, Betty Friedan, Shirley Chisholm, Bella Abzug — women who fought for their rights. And this is just recent history, no less knowing about the Suffragettes, the strong women who fought for their right to vote. I’ve met young women who don’t know what the ERA is, and others who think it passed. Many don’t know the nation couldn’t get 38 states to approve an amendment to include them in the Constitution. The same for young members of the LGBTQ community who don’t know what the Equality Act is. Others think it passed, and are shocked when told it didn’t and in 27 states, they can be married on Sunday, and kicked out of their home, and fired from their job, on Monday. They don’t know names like Frank Kameny, Harvey Milk, Barney Frank, or the history of the Mattachine Society, or the Stonewall Riots.

Our current president is trying to wipe out all this history, and reverse any progress that has been made. Knowing this, it makes it even more important for school systems across the nation to fight to educate our children. We should ensure no child can graduate high school, without taking a course called “The 250-year fight for human rights in the United States.” They need to understand the history, and learn about the people who fought for their rights. They need to know how far we have come in 250 years, and understand, as we begin the next 250, how far we still have to go, to ensure real, full equality, for all.


Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

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How emerging drone tech can support LGBTQ workplace inclusion

Employers should establish clear policies governing data access

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(Photo by kadmy/Bigstock)

Workplace inclusion is increasingly becoming part of a broader conversation about employee safety, dignity, and equal access to secure working environments. For LGBTQ employees, an inclusive workplace is not simply one that communicates supportive values it is one where policies, infrastructure, and technology work together to help people feel protected and respected.

As organizations explore emerging technologies to strengthen workplace operations, drones are becoming a valuable tool for improving physical safety, situational awareness, and emergency preparedness. When deployed responsibly and with appropriate privacy safeguards, drone technology can contribute to safer workplaces without singling out employees based on identity.

Key Benefits of Drone Technology for Safety 

  • Reduced Employee Exposure to Hazards: Drones can inspect difficult or potentially dangerous areas without unnecessarily placing employees at risk.
  • Faster Emergency Awareness: Aerial visibility can help safety teams assess incidents and make informed decisions more quickly.
  • More Consistent Safety Coverage: Drones can support inspections across large workplaces, campuses, warehouses, and remote facilities.
  • Safer, More Inclusive Environments: Technology can help organizations improve physical safety measures that protect employees equally, including LGBTQ team members.
  • Privacy-Conscious Safety Practices: With responsible policies, drones can support workplace security without profiling individuals based on gender identity, sexual orientation, or other personal characteristics.

Improving Physical Workplace Safety

A clear application of drone technology lies in the inspection of facilities and infrastructure. Inspection of rooftops, industrial machines, construction zones, warehouses, remote locations, and other risky areas can be achieved using drones fitted with cameras and other sensors.

Such use of drone technology may help in reducing the risk of forcing employees to access such risky areas unnecessarily. Moreover, any technological advances in terms of improving workplace safety are equally beneficial to all workers irrespective of their sexual orientation, gender identity, and gender expression.

Supporting Emergency Preparedness and Response

An emergency can reveal flaws in your workplace safety program. In big settings like industrial campuses, warehouses, or outdoor workplaces, it might take security personnel longer to respond. Drones might supply better aerial visibility in several types of incidents. They make it possible to see circumstances rapidly, locate blocked paths, examine out- of-the-way or damaged areas and direct needed aid. 

Enhanced situational awareness provides better answers while limiting exposure to risks. In a perfect safety world, all employees are served with dignity and attention while emergency actions are created with diversity in mind.

Creating Safer Shared Environments

Workplace safety also involves creating physical environments where employees can move through facilities confidently. Drone-based inspections can help organizations identify infrastructure concerns such as damaged lighting, inaccessible areas, perimeter issues, or other physical conditions that could create safety risks.

The technology does not need to identify who an employee is to provide value. Instead, organizations can use drones to evaluate spaces and infrastructure while maintaining clear boundaries around personal privacy.

This distinction is particularly important when discussing LGBTQ workplace inclusion. Technology designed for safety should protect employees rather than create an environment in which individuals feel watched, profiled, or treated differently.

Privacy Must Remain a Priority

The potential benefits of drones also come with important responsibilities. Cameras, sensors, and data collection capabilities can raise legitimate privacy concerns if organizations deploy them without transparent rules.

Employers considering workplace drone programs should establish clear policies governing where drones may operate, what information may be collected, who can access that information, and how long data is retained. Employees should also understand the purpose and boundaries of workplace drone operations.

Drone technology should never be used to infer, monitor, or profile an employee’s sexual orientation, gender identity, personal relationships, or other sensitive characteristics. Inclusion depends on trust, and responsible technology policies are essential to preserving that trust.

Technology Is Only Part of an Inclusive Workplace

No drone platform can create an inclusive workplace on its own. Meaningful LGBTQ inclusion still depends on organizational culture, anti-discrimination policies, fair employment practices, accessible reporting channels, employee education, and leadership accountability.

Technology can support these efforts by improving the physical conditions in which employees work. For example, drones may help reduce exposure to hazardous tasks or improve visibility during emergencies, while organizational policies ensure that these benefits are available fairly and respectfully.

Building Safety and Inclusion Together

As drone technologies continue to develop, there is a chance for businesses to expand their minds on what innovation should seek to achieve. Efficiency and increased operational intelligence are vital, but technology can equally play a part in creating safe and inclusive environments that show dignity to employees.

When it comes to LGBTQ employees, along with the workforce in general, the most effective approach to technology is one that enhances safety without threatening privacy and equality. Consequently, the future of workplace innovation should take into account not only what technology is capable of but also how wisely it is applied. By combining cutting-edge technologies like drones with responsible business practices, businesses can make strides in both areas at once.


Andrew Mabry is a technology researcher and analyst specializing in UAV and drone technology, AI, and emerging digital technologies.

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