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From: Andrzej Matuch
Subject: OT: Peru Declaring Transgenderism a Mental Illness
Newsgroups: comp.os.linux.advocacy
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Date: 16 May 2024 14:31:11 GMT
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On Thu, 16 May 2024 09:54:07 -0400, John Smyth wrote:
> Why did this take so long?
>
>
> 'LGBTQIAP2S+ Outrage over Peru Declaring Transgenderism a Mental
> Illness'
>
>
>
> 'The government of Peru signed a Supreme Decree this weekend defining
> transexuality as a mental disorder as part of an update to the nations
> Essential Health Insurance Plan (PEAS), prompting outrage from the
> LGBTQIAP2S+ community.
>
> While the definition, according to the Peruvian government, seeks to
> give access to those identifying as transgender or other gender
> identities to health insurance coverage, the decree has been met with
> fierce backlash by local LGBTQIAP2S+ activists and politicians.
>
> The PEAS is a minimum healthcare benefit plan that Peruvian citizens
> receive when enrolling in the nations public, private, or mixed health
> insurance providers. PEAS provides for the basic medical procedures a
> citizen needs and contains a detailed list of outpatient medical care,
> tests, specialized consultations, and other treatments that patients may
> be entitled to according to their particular health condition.
>
> The controversial decree stated that, following a review of the
> diagnoses included in the World Health Organizations (W.H.O.) 10th
> International Classification of Diseases (ICD-10) that are included in
> the countrys PEAS health program, the omission of seven (07) ICD-10
> diagnoses related to mental health problems were found, which,
> according to the decree, should be incorporated into the nations
> healthcare plans taking into account Perus mental health laws.
>
> As such, the decree defines transexualism, dual role transvestism,
> child gender identity disorder, other gender identity disorders, and
> gender identity disorder, unspecified as mental health problems in
> accordance with the definitions established by the W.H.O.s ICD-10
> manual.
>
> The decree stated that the inclusion of said diagnoses allows them to be
> covered according to the list of health benefits of Perus PEAS
> healthcare program.
>
> While the decree utilizes W.H.O.s ICD-10 as its basis, the World Health
> Organization has since replaced it with a newer 11th edition that no
> longer defines transexualism as a mental illness. The ICD-11 was
> presented to the World Health Assembly in 2019 and went into effect in
> January 2022.
>
> Shortly after the decree was published, the Peruvian Health Ministry
> issued a statement on Saturday in which it ratified its position that
> gender and sexual diversity are not diseases while also expressing
> respect for gender identities, as well as our rejection of the
> stigmatization of sexual diversity in the country.
>
> The sexual orientation and gender identity of a person does not
> constitute in itself a physical or mental health disorder and,
> therefore, should not be subjected to treatment or medical care or
> so-called reconversion therapies, the statement read.
>
> The Ministry explained that, to ensure complete mental health care
> coverage, the PEAS plan was updated in view of the need to ensure the
> benefit of comprehensive mental health interventions, as conditions for
> the full exercise of the right to health and well-being of the
> individual, the family and the community.
>
> ICD-10 remains in effect in our country, as long as the progressive
> implementation of ICD-11 is initiated, as it happens in other countries
> of the region, the statement read.
>
> Local activist Shely Cabrera told the Argentine outlet Infobae on
> Tuesday that, while the decree does modify the PEAS plan to establish
> which diseases are, in some way, covered by insurance, the decree
> posed a threat to members of the LGBTQIA+ community throughout Peru.
>
> She said:
>
> There is a previous decree, which is from 2021, that makes this update
> of the Health Insurance Plan and this one, which is 009-2024, modifies
> it to add these new categories, based on the ICD-10, which is a document
> that dates back to 1992. The ICD is the international classification of
> diseases, it is a global diagnostic system that is approved by the World
> Health Assembly (WHA); however, the ICD-11 is currently in force, from
> 2019 and came into force in 2022. This does not pathologize, it does not
> consider disorders or diseases of any kind to sexual and gender
> diversities.
>
> Cabrera claimed that the decree will further promote the dissemination
> of speech that violates the dignity of these people, since
> discriminatory groups will be able to rely on the law by saying that it
> is a disease.
>
> In the case of trans persons, they will not be respected and will be
> exposed to be called by their social name, their pronouns will not be
> considered and one of the most basic rights, which is identity, will not
> be recognized, Cabrera asserted.
>
> Similarly, local LGBT activists have denounced the decree as
> discriminatory, claiming that the categorization of transgender
> identity as a mental illness contributes to stigma and aggravates the
> consequences for a minority already subject to discrimination.
>
> Herberth Cuba, advisor to the Peruvian Health Ministry, told CNN en
> Español on Tuesday that although the ministry does not consider sexual
> orientation and gender identity mental health disorders, it is necessary
> to take the World Health Organizations ICD-10 and its definition of
> transexualism as a mental illness as basis for the PEAS plan update as
> ICD-10 is the current medical classification in effect in Peru.
>
> Cuba asserted that, although the update may seem contradictory, it is
> the only way to ensure the benefit of comprehensive mental health care
> to the entire population, including Perus LGBT population.
>
> Peruvian lawmaker Flor Pablo Medina denounced the decree on Tuesday as
> shameful and issued a formal request to Peruvian President Dina
> Boluarte and the Peruvian Health Ministry to repeal the decree.
>
>
> We cannot allow it to go backwards, denigrate and violate the rights to
> equality and non-discrimination, as well as the right to health and
> other rights of LGBTI people in Peru, Medinas message read.'
The "community" has already provided all the evidence necessary to prove
that it is a mental illness. Discussing it further is a complete waste of
time.