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New World Bank US executive director: LGBTQ rights are human rights

Felice Gorordo assumed role last year

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Acting U.S. World Bank Executive DirectorĀ L. Felice Gorordo (Photo courtesy of Gorordo)

Acting U.S. World Bank Executive DirectorĀ L. Felice Gorordo recently told the Washington Blade that he is committed to the advancement of LGBTQ and intersex rights within the multilateral organization.

“LGBTQI+ rights are human rights and human rights are LGBTQI+ rights. Period. Hard stop,” he said during an exclusive interview at his D.C. office on March 27. “I see it, personally, from a human rights promotion lens.”

Gorordo, a Cuban American who was born in Miami, graduated from Georgetown University in 2005.

He co-founded Roots of Hope, an organization that seeks to empower young Cubans on the island through entrepreneurship and increased access to technology. 

Gorordo served in various roles in both the Obama and George W. Bush administrations, and served as advisor to then-Vice President Joe Biden’s cancer initiative after his mother died from pancreatic cancer.

He has also been the CEO of three-venture backed technology companies, an investor and advisor at two venture capital funds with focuses on global healthcare and infrastructure, and has sat on the boards of several for- and non-profit organizations. Gorordo was most recently the CEO of eMerge Americas and executive director of the Technology Foundation of the Americas before the U.S. Senate confirmed him in May 2023.

He has been the World Bank’s acting U.S. executive director since Adriana Kugler joined the Federal Reserve Board.

Gorordo, 41, throughout the interview referenced the Biden-Harris administration’s 2021 memo that committed the U.S. to promoting LGBTQ and intersex rights abroad as part of U.S. foreign policy.

“It starts off with us at the bank trying to build demand for the issues related to LGBTQI+ rights and people,” he said. “It’s about protecting LGBTQI+ rights in and outside of World Bank operations and projects and supporting LGBTQI+ people and rights inside and outside of our projects through inclusion. It’s using our voice and vote at every chance that we get to advance LGBTQI+ people.”

Gorordo pointed out his office reviews roughly 700 projects a year for the World Bank, and they have an average of $90-$100 billion in financial commitments. He said there is a “pretty extensive review process for due diligence” with criteria that include environmental and social frameworks and bank safeguards (that currently do not explicitly include sexual orientation or gender identity.)

“We take a critical lens at each one that it lives up to the values that we want to promote, and that includes looking at it through the lens of LGBTQI+ rights,” said Gorordo.

One LGBTQ-inclusive project is the World Bank International Finance Corporationā€™s $275 million loan to Banco Davivienda in Colombia, which provides funding for advisory services to LGBTQ and intersex people and for the design of LGBTQ and intersex banking products. The board in 2023 greenlighted $200 million for the Program for Universal Primary Healthcare Coverage and Resilience which, among other things, seeks to improve the quality of healthcare that LGBTQ and intersex people receive in Chile.

The World Bankā€™s EQOSOGI Project has already collected LGBTQ- and intersex-specific data on legal gaps as well as practices that impact LGBTQ and intersex people in 16 countries, and it plans to expand its work to other nations in 2024. The World Bank is also expanding its research on the economic costs of discrimination based on sexual orientation and gender identity. 

The first studies focused on Serbia and North Macedonia, and found both countries’ annual gross domestic product would increase by .6 percent if LGBTQ and intersex people faced less discrimination in the workplace. A study that will focus on Brazil will be released later this year.

“There’s always more we can do,” Gorordo told the Blade. “What we believe we need to do, again, using our convening power and our voice and our vote is to help build because in the end we are still a demand-driven organization.” 

“We need to use our research and the data, in my opinion, our opinion, to help generate the demand for LGBTQI rights to be enshrined in our safeguards, in our strategies and in every single one of our products and the data speaks for itself,” he added.

Gorordo also noted the bank in the coming months will release a new gender strategy that recognizes gender as nonbinary.

“That’s a big step,” he said.

Gorordo described World Bank President Ajay Banga as “a champion of the rights of all, including LGBTQI+ people.” Gorordo, however, acknowledged there has been “some pushback from certain constituencies that have different views and opinions than ours” on the new gender strategy and support for LGBTQ and intersex rights.

“I see it as my responsibility to not just advocate for it in the board room or with management, but also using my office and chair to meet with other chairs bilaterally, to make the case for it, to try and bring folks along with us,” he added.

Uganda’s Anti-Homosexuality Act ‘needs to be struck down and repealed’

The World Bank last August suspended new loans to Uganda in response to the country’s Anti-Homosexuality Act that President Yoweri Museveni signed.

Uganda’s Constitutional Court earlier this month refused to nullify the law. A group of Ugandan LGBTQ activists have appealed the ruling.

“The law needs to be struck down and repealed. Hard stop,” said Gorordo. “We continue to advocate for that.”

Then-World Bank President Jim Yong Kim in 2014 postponed a $90 million loan to the Ugandan government in response to Museveniā€™s decision to sign a nearly identical version of the Anti-Homosexuality Act, known as the “Kill the Gays” law that imposed a life sentence upon anyone found guilty of repeated same-sex sexual acts. 

Uganda’s Constitutional Court later struck down the law on a technicality, but Kimā€™s decision to postpone the loan without first consulting the World Bankā€™s board sparked widespread criticism among board members. Advocacy groups had asked the World Bank not to fund future projects in Uganda, but they did not ask for the cancellation of existing loans.

The World Bank earlier this year organized a seminar with the Human Rights Promotion Forum of Uganda that upwards of 50 people attended virtually and in person.

“One of the things that I think is incredibly critical is hearing directly from those we seek to serve and who are being impacted by these discriminatory laws,” said Gorordo.

Gorordo said the World Bank in lieu of the law’s repeal has “been doing a review of mitigation efforts” that includes “a three-month trial period once there is an agreement of what those mitigation efforts would be, to see if they are fit for purpose.” 

“At the crux of it includes the protection as well as the equal access of benefits for LGBTQ communities in Uganda. If it is not fit for purpose, then we have to go back to the drawing board., So we will continue to push for the strictest mitigation measures that can be put into place, a very critical review through that process … and ensuring that we are able to guarantee equal access and protection for the LGBTQ community.”

Ghanaian President Nana Akufo-Addo has delayed a decision on whether he will sign a bill that would further criminalize LGBTQ people in his country. Lawmakers in Kenya and Tanzania have proposed similar measures.

“One of the reasons why we’ve taken such a critical view of the Uganda case is this is potentially one of many of these types of cases that we’ll have to deal with,” said Gorordo. “What we do in Uganda could have a ripple effect in other countries and we need to ensure that we are setting the right precedents for how we react in these cases.”

Gorordo further noted consensual same-sex sexual relations remain criminalized in upwards of 60 countries around the world.

“The discrimination that’s against LGBTQI+ people is unacceptable across the board,” he said. “We will use all the tools in the U.S. government’s toolbox to be able to make it known our objection and to try and stop discrimination and protect the rights of LGBTQ+ people every chance we get.”

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Pope Francis: Priests can bless gays and lesbians, not same-sex unions

’60 Minutes’ broadcast Norah O’Donnell’s interview with pontiff on Sunday

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CBS Evening News anchor Norah O'Donnell, left, greets Pope Francis. ("60 Minutes" screenshot)

Pope Francis said priests can bless gays and lesbians who are couples, as opposed to their unions, during an interview that “60 Minutes” broadcast on Sunday.

“What I allowed was not to bless the union. That cannot be done because that is not the sacrament. I cannot. The Lord made it that way. But to bless each person, yes. The blessing is for everyone,” he told CBS Evening News anchor Norah O’Donnell.

Francis spoke with O’Donnell at Casa Santa Marta, his official residence at the Vatican.

“To bless a homosexual-type union, however, goes against the given right, against the law of the church. But to bless each person, why not?,” added Francis. “The blessing is for all. Some people were scandalized by this. But why? Everyone! Everyone!”

The Vaticanā€™s Dicastery for the Doctrine of the Faith late last year released a new document that elaborates on a letter Francis sent earlier in 2023 to five cardinals who urged him to reaffirm church teaching on homosexuality. 

Francis in the letter the Dicastery for the Doctrine of the Faith released in October 2023 suggested priests could offer blessings to same-sex couples under some circumstances ā€œif they didnā€™t confuse the blessing with sacramental marriage.ā€

ā€œUltimately, a blessing offers people a means to increase their trust in God,ā€ reads the document. ā€œThe request for a blessing, thus, expresses and nurtures openness to the transcendence, mercy and closeness to God in a thousand concrete circumstances of life, which is no small thing in the world in which we live.ā€

Francis was the archbishop of Buenos Aires when Argentinaā€™s marriage equality law took effect in 2010. He was among those who vehemently opposed the statute before then-President Cristina FernĆ”ndez de Kirchner signed it.

Francis has publicly endorsed civil unions for same-sex couples. He has also spoken out against laws that criminalize consensual same-sex sexual relations.

“It is a human fact,” Francis told O’Donnell.

The Vaticanā€™s tone towards LGBTQ issues has softened since Francis assumed the papacy in 2013, even though church teachings on gender identity and other topics has not changed. Francis during the interview sharply criticized conservative American bishops who “oppose” his “new efforts to revisit teachings and traditions.” 

“You used an adjective, ‘conservative.’ That is, conservative is one who clings to something and does not want to see beyond that. It is a suicidal attitude,” he told O’Donnell. “Because one thing is to take tradition into account, to consider situations from the past, but quite another is to be closed up inside a dogmatic box.” 

CBS will broadcast O’Donnell’s full interview with Francis on Monday at 10 p.m. ET.

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Out in the World: LGBTQ news from Europe and Asia

Liechtenstein lawmakers approved a marriage equality bill on May 15

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(Los Angeles Blade graphic)

ILGA-Europe

A Pride flag and an EU flag fly near ILGA-Europeā€™s Brussels offices (Photo courtesy of ILGA-Europe)

ILGA-Europe released its annualĀ Rainbow Europe MapĀ module ranking countries across the continent on the status of LGBTQ rights, revealing that many countries are falling behind as political pressure from far-right politicians grows.

The report was released May 15, just a day after the EUā€™s Fundamental Rights Agency released its own report detailing aĀ shocking growth in violenceĀ experienced by LGBTQ people across member states over the past year.

ā€œAcross Europe, LGBTI people are being targeted by hate speech and violence and their human rights are being actively undermined, yet we still see too many countries across the region stalling in moving legal protection forward and not renewing their commitments through national strategies and action plans,ā€ says ILGA-Europe Advocacy Director Katrin Hugendubel.

ā€œThis non-action is dangerous, as without proper legislation in place to protect minorities, including LGBTI people, it will be much too easy for newly elected governments to quickly undermine human rights and democracy.ā€

Once again, Malta held the lead in the country rankings, as it has for the past nine years, scoring 88 percent across ILGA-Europeā€™s categories of equality and nondiscrimination law, family recognition, hate crime and hate speech laws, legal gender recognition, intersex bodily integrity, civil society space, and asylum policies.Ā 

Iceland jumped to second place with 83 percent after passing new laws banning conversion therapy and facilitating legal gender recognition. Belgium reached third place with 78 percent after banning conversion therapy.

At the other end of the spectrum, Russia (2 percent), Azerbaijan (2 percent), and Turkey (5 percent) hold the bottom rankings amid ongoing crackdowns on LGBTQ rights and expression in all three countries. Last year, Russia banned ā€œthe LGBT movementā€ as an ā€œextremist organization.ā€

Several countries jumped up the rankings in this yearā€™s report, including Greece and Estonia, which both legalized same-sex marriage. Liechtenstein collected points for extending adoption rights to same-sex couples, although it did not collect points for legalizing same-sex marriage, which happened the day after the report was released.

Germany, Bulgaria, Iceland, and Slovenia all collected points for passing legislation on hate crimes and hate speech, while Belgium, Cyprus, Iceland, Norway, and Portugal all collected points for banning conversion therapy. 

But the changes havenā€™t all been positive. Several countries tumbled down the rankings as progress stalled on LGBTQ rights. Montenegro, Finland, Spain, Sweden, and Slovenia all lost points because their governments failed to renew action plans to promote LGBTQ rights. The report also noted the looming threat of right-wing governments across Europe, including in Italy where the national government has restricted the recognition of same-sex parents, and in several countries which are eying restrictions on legal gender recognition and trans health care, including France, UK, Slovakia, and Croatia.Ā 

The UK once occupied the top spot on ILGA-Europeā€™s rankings, but hasĀ fallen to 15thĀ placeĀ as other countries press ahead on LGBTQ rights while the UKā€™s Conservative government has increasingly come under the sway of an anti-transgender moral panic.

LIECHTENSTEIN

Liechtenstein’s parliament in the capital city of Vaduz. (Photo courtesy of the Principality of Liechtenstein)

The Alpine microstate Liechtenstein saw its parliament give final approval to legalizing same-sex marriage in a near-unanimous vote on May 15.

By a vote of 24-1, parliament approved a series of bills that would amend marriage law to allow same-sex couples to marry in the country of about 30,000 people nestled between Switzerland and Austria. The only ā€œnoā€ vote came from an MP from the right-wing populist Democrats for Liechtenstein party.

The new law will come into effect on Jan 1, 2025, as long as it is not vetoed by the prince or challenged in a citizen-initiated referendum. The prince is not expected to veto the bill, as he has previously expressed support for same-sex marriage.Ā 

Under the new law, no new civil unions will be registered, although same-sex couples already in same-sex unions will be allowed to continue their unions. 

Liechtensteinā€™s parliament had already amended the law to allow same-sex couples to adopt last year, following an order from the Constitutional Court.Ā 

The tiny, conservative-leaning and mostly Catholic country has been slow to adopt LGBTQ rights. It lacks any legal protections from employment discrimination or anti-LGBTQ hate crimes.Ā 

ILGA-Europe ranked Liechtenstein 33rdĀ out of 48 states in Europe, with a score of 28 percent on its latest Rainbow Europe Map. This decision on marriage will likely see it rise somewhat in the rankings next year.

The Catholic Church has previously strongly rejected same-sex marriage. Last year, the countryā€™s archbishop, Wolfgang Haas had called same-sex marriage a ā€œdiabolical attack against the Creatorā€™s will to salvation,ā€ and cancelled a planned service for opening of Parliament in protest of the law. Haas has since retired.

The decision makes Liechtenstein the last German-speaking country to legalize same-sex marriage.

In a state posted to itsĀ Facebook group, the Liechtenstein LGBTQ advocacy group FLay thanked the lawmakers and other supporters who helped get same-sex marriage legalized in the country.Ā 

ā€œWe are looking forward to introducing marriage for all per 1 January 2025 and thank you to all who have fought for it,ā€ the statement said.

Liechtenstein is the 22ndĀ European country to introduce same-sex marriage, bringing the global total to 38 countries. A bill before the Thai Senate is expected to pass before the summer, which would make it the 39th.

GEORGIA

Screenshot from DW Germanyā€™s live-stream YouTube coverage of massive protests in Tbilisi, Georgia, against actions taken by the countryā€™s parliament this past week.

The government of the former Soviet republic of Georgia says it is close to finalizing a new law against so-called LGBTQ propaganda inspired by similar laws passed in Russia and Belarus in recent years, in what critics say is an attempt to maintain power by stoking divisions on a culturally sensitive issue.

The Georgian capital of Tbilisi has been rocked by protests for weeks as the ruling Georgian Dream party reintroduced a controversial ā€œforeign agentsā€ bill inspired by a similar Russian law, which requires any organization that receives funding from out of the country to register with the government as ā€œorganizations serving the interests of a foreign power.ā€Ā 

Critics say the bill is intended to silence and discredit media and civil society that is critical of the government.

May 17 saw intense protests marked by anti-government and pro-European demonstrators marking the International Day Against Homophobia, Biphobia, and Transphobia while anti-LGBTQ protesters, including Prime Minister Irakli Kobakhidze and church leaders took to the streets to mark the governmentā€™s competing ā€œFamily Purity Day,ā€Ā Reuters reported.

The party had first introduced the foreign agents bill last year, but withdrew it after months of protests and condemnation from EU countries. The government reintroduced the bill this spring, with some observers suggesting itā€™s an attempt to tip this Octoberā€™s national elections in their favor. For weeks, protesters have attempted to halt passage of the law, but parliament gave it final approval May 14. It was vetoed by President Salome Zurabishvili on Saturday, but the government has enough votes in parliament to override the veto.

The proposed anti-LGBTQ law would amend article 30 of the Georgian Constitution to include a host of regulations restricting LGBTQ rights. It would ban recognition of same-sex relationships, ban adoption by gay people or same-sex couples, ban medical interventions to facilitate gender change, restrict recognition of gender to that of biological sex, and ban advocacy for recognition of same-sex couples or trans people.

To pass, the bill would require at least a 3/4 vote of parliament (113 votes), or a 2/3 vote (100 votes) in each of two successive parliaments. The government currently controls 84 of the 150 seats in parliament, but likely believes it can pull enough votes from the opposition to pass the constitutional law.

Critics have noted that both laws put Georgiaā€™s application to join the EU in jeopardy as they clearly attack the fundamental rights at the heart of the union. But while the EU has been sharply critical of the foreign agents law, its criticism of the anti-LGBTQ law has been far more muted.Ā 

Local activists say that the EUā€™s silence has been strategic, as any criticism would play into the hands of Georgian Dream, who claim that LGBTQ rights are a ā€œpseudo-liberal ideologyā€ advanced by a decadent West.

The timing of the bill is likely meant to further divide the opposition as protests mount against the foreign agents law. Georgian Dream has been sliding in the polls since it was returned to power in 2020, but still commands a plurality of support compared to the highly fractured opposition according to most polls. 

Georgian Dream politicians have deep ties to Russia, and have increasingly sided with Russia in international and cultural disputes, including by refusing to impose sanction against Russia for the invasion of Ukraine. The support is ironic, considering that Russian forces invaded Georgia in 2008 and continues to support two unrecognized breakaway republics that resulted from that war.

On May 17, U.S. Rep. Joe Wilson (R-S.C.) of the House Foreign Affairs Committee announced that he plans toĀ introduce legislation to sanction Georgian leadersĀ over their assault on democracy and introduce incentives for the government to reverse course.

ILGA-Europe ranked Georgia 36thĀ out of 48 countries, with a score of just 25 percent on its most recent Rainbow Europe Map this week.

UNITED KINGDOM

10 Downing St. is Prime Minister Rishi Sunakā€™s official residence and office (Photo courtesy of the U.K. government)

The Conservative government of the UK has directed schools in England to ban discussion of gender identity in schools and restrict sex education for children under age nine, in an update to statutory guidance issued to schools that is currently under review.

Although the guidance has not yet been released or put into effect, LGBTQ activists and government critics are already comparing the guidance to the notorious Thatcher-era Section 28, which banned discussion of homosexuality in all schools across the UK from 1988 until it was repealed in England and Wales in 2003 and in Scotland in 2000. 

The UK has long been in the grip of an anti-trans moral panic, fostered by segments of the ruling Conservative Party that are hostile to trans people and influential British celebrities likeĀ “Harry Potter”Ā creator JK Rowling who has long campaigned against trans peopleā€™s rights.

Last week, Prime Minister Rishi Sunak appeared on ITVā€™s daytime talk showĀ “Loose Women,” where he complained that ā€œgender ideologyā€ was infiltrating UK schools.Ā 

ā€œChildren were being exposed to lots of different things,ā€ Sunak said. ā€œYou know, weā€™ve got lots of people talking to kids, they were talking about [how] you can have 72 different gender identities.ā€

There is no evidence that children in UK schools are being taught that there are 72 different gender identities or are being taught to engage in inappropriate behavior.

London Mayor Sadiq Khan, who was recently reelected to a third term, blasted the governmentā€™s new policy as being harmful to the children the government claims to want to protect.

ā€œWeā€™ve just got to be a bit aware when we have these conversations that weā€™re conscious about the impact that this has on trans young people,ā€ he said.

ā€œMany of these people ā€” young people ā€” learn about these things through social media. You know, the proliferation of porn, and also the proliferation of misogynists like Andrew Tate. If weā€™re delaying proper, responsible teaching until later on, I worry about whoā€™s going to be rebutting some of the nonsense on social media.ā€

Education Secretary Gillian Keegan tried to mollify critics by claiming that the new policy will not restrict discussion of adults who have undergone gender reassignment. 

ā€œGender reassignmentā€ is listed as protected characteristic under the 2010 Equality Act, but the act does not list ā€œgender identityā€ or ā€œgender expressionā€ as protected characteristics. 

ā€œLet me be clear on gender ideology in schools,ā€ Keegan said on BBC Radio 4ā€™sĀ “Today.” ā€œThe thing that weā€™re trying to stop is not gender reassignment.Ā GenderĀ reassignment is something that is a protected characteristic ā€” that adults are allowed to reassign their gender, thereā€™s a process that they go through for that. That is a protected characteristic, and that can be taught.

Gender identity and ideology is something different, and this is part of probably similar campaign groups that have been building this set of materials and this ideology,ā€ she said.

Jo Morgan, the chief executive of Engendering Change, an organization that provides sex education workshops in schools, disputed the idea that schools are teaching children to be trans.

ā€œThey are concerned that schools are becoming breeding grounds for transgenderism. Thereā€™s no evidence to support that. What we are doing as educators is saying, this is in the news, in social media, itā€™s everywhere ā€” letā€™s unpack it together and look at what sources of information you are being exposed to, letā€™s talk about how this relates to the Equality Act,ā€ Morgan toldĀ the Guardian.

ILGA-Europe ranked the UK 15thĀ out of 48 countries with a score of just 52 percent on its most recent Rainbow Europe report, citing a lack of legal protections for trans people and outdated procedures for legal gender recognition.

TAIWAN

Taiwanese President Tsai Ing-Wen with Taiwanese drag queen Nymphia Wind, winner of season 16 of ā€œRuPaulā€™s Drag Race.ā€ (Screenshot/YouTube Livestream)

Outgoing Taiwanese President Tsai Ing-Wen hostedĀ “RuPaulā€™s Drag Race” winner Nymphia Wind at a ceremony at her presidential office May 15, in a sign of the growing acceptance of LGBTQ people in the Asian island nation.

The Taiwanese-American performer Nymphia Wind was crowned the winner of season 16 ofĀ “RuPaulā€™s Drag Race”Ā in an episode that aired April 19, taking home the crown and scepter and a cash prize of $200,000. She is the first person of East Asian descent to win the long-running reality competition series. American drag artist Raja, who is of Dutch-Indonesian ancestry, was theĀ first “Drag Race” winner of Asian descent after taking the crown in season three.

Tsai had been quick to offer her congratulations to Wind, posting a message on Instagram just days after her victory. Less than a month later, Wind was in her office, where she performed a trio of songs in full drag ā€” Lady Gagaā€™s ā€œMarry the Night,ā€ Taiwanese singer Huang Feiā€™s ā€œChase, Chase, Chase,ā€ and Jolin Tsaiā€™s gender equality hit ā€œWomxnly,ā€ which she performed with a quintet of backup dancers in drag.Ā Ā 

ā€œI want to thank you for demonstrating your fearless beauty, standing up and breaking down barriers,ā€ Tsai said to Wind after her performance, noting that her win ā€œwill bring courage to many young people in Taiwan, so they stay fearless and stay true to their hearts.ā€

Under Tsaiā€™s leadership, Taiwan has become a bastion of liberal values, including progressive attitudes toward LGBTQ people. Among recent landmarks, Taiwan legalized same-sex marriage and adoption, and it banned conversion therapy, and the capital Taipei hosts East Asiaā€™s largest Pride festival.Ā 

ā€œThank you for your contributions to this country, so that I could grow up to be like this today,ā€ Wind told Tsai after her performance. ā€œThank you for your eight years of dedication, becoming our Taiwan mother.ā€

Tsai stepped down May 20. Her successor, Vice President Lai Ching-te, last year became the most senior government official to march in Taipeiā€™s Pride parade.

NEW ZEALAND

WellingtonĀ Regional Hospital (Photo courtesy of Tom Ackroyd/Wellington Regional Hospital)

Activists are calling for greater access to gender-affirming surgeries after theĀ “New Zealand Medical Journal”Ā published a report of a trans teenager who attempted a self-mastectomy at home and had to be treated at hospital.

The teenager, an 18-year-old high school student, had reportedly watched a ā€œhow toā€ video on YouTube and prepared instruments for the surgery himself. He went to the hospital hours into the surgery after he became concerned that he had damaged a nerve while attempting to remove his left breast.Ā 

Surgeons at the hospital then removed both breasts, and he was discharged a day later. The report notes that the boy reported higher confidence and self-esteem at a post-operation interview a month later. The hospitalā€™s mental health team assessed that he did not have a psychiatric disorder and was not suicidal, but that he had attempted the surgery as an act of desperation.

ā€œDue to the long wait times of referral in the public healthcare system, an inability to afford a private consultation and the significant psychological stress of having breasts at an upcoming pool party he planned to complete a bilateral (double) self-mastectomy at home,ā€ wrote the reportā€™s authors, WellingtonĀ Regional Hospital doctors Mairarangi Haimona, Sue Hui Ong, and Scott Diamond.

Gender-affirming surgeries are covered by New Zealandā€™s healthcare system, but wait times for surgeries can be lengthy ā€“ 10 years or longer for ā€œbottom surgeryā€ by the only doctor in the country who performs it.Ā 

Top surgery can be accessed in the parallel private system for around NZ $15,000 (approximately $9,200) and is generally not covered by private health insurance, putting it out of reach for many.Ā 

ā€œTransgender people often need to self-advocate for care in the public health system, but with increasing demand and associated psychological and possible physical harm itā€™s crucial for public services to be more accessible to an under-served population,ā€ the reportā€™s authors concluded.

Self-surgery is an incredibly risky option for trans people ā€” complications can range from scarring to infection to death. And the surgeries may not even work if the patient is taken to the hospital and patched up due to complications.Ā 

Te Ahi Wi-Hongi, executive director of the advocacy group Gender Minorities Aotearoa, urges any trans person considering home surgery to avoid it and ā€œhang in there.ā€

ā€œIt might seem right now itā€™s completely hopeless, but we went from a 40-year waiting list for genital reconstruction surgery to 10 years or less when in 2019 the government made changes [announcing $3 million funding for genital gender-affirming surgery],ā€ Wi-Hongi told theĀ New Zealand Herald.

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South America

Peruvian government classifies transgender people as mentally ill

President Dina Boluarte signed decree on May 10

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Government Palace in Lima, Peru (Photo courtesy of the Peruvian government)

The Peruvian government on May 10 published a decree that classifies transgender people as mentally ill.

Human Rights Watch on Wednesday notedĀ the country’s Essential Health Insurance PlanĀ that President Dina Boluarte, Health Minister CĆ©sar VĆ”squez and Economic and Finance Minister JosĆ© Arista signed references “ego-dystonic sexual orientation.” The decree also notes, among other things, “transsexualism” and “gender identity disorder in childhood.

Human Rights Watch in its press release notes the Health Ministry subsequently said it does not view LGBTQ identities as “illnesses.” Peruvian LGBTQ advocacy groups, however, have sharply criticized the decree.

“This decision is an alarming setback in our fight for the human rights of trans people in Peru, and it represents a serious danger to our health and well-being,” said Miluska LuzquiƱos, a trans activist who works with the Latin American and Caribbean Network of Trans People, which is known by the Spanish acronym REDLACTRANS, on her Facebook page.

A lack of legal recognition and protections has left trans Peruvians vulnerable to discrimination and violence.

Luisa Revilla in 2014 became the first trans person elected in Peru when she won a seat on the local council in La Esperanza, a city in the northwestern part of the country. 

She left office in 2019. Revilla died from COVID-19 in 2021.

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