Fair and Equal Medical Treatment

Today is International Women’s Day. I was reminded of this from a semi-unrelated post by a fellow #SQLFamily member, but this post is an intersection of a variety of Facebook posts and discussions I’ve had over the past week that touched upon women’s health. In the interests of privacy and protection I am going to anonymize a bit what happened. I’ve mentioned in past posts how we as DBAs have to take into consideration topics such as gender and more. We’re here to describe the world, not to prescribe it. But, if my hoped for career change to become a Physician’s Assistant passes, topics of women’s health will become even more important for me to take into account.

Let me start with the first discussion I had: menopause and Nuvaring. A friend mentioned she’s going through menopause and her physician had suggested the Nuvarin as a form of hormone replacement to help reduce the effects such as hot-flashes. She looked into what her insurance covered and found out that it would cost I believe $360 for 3 months of coverage. But, Viagra was free. That’s health insurance in America. Want to get an erection, if you have good health insurance, it’s free. Want to avoid feeling like you need to rip off your clothes in public because you’ve gone from cold to sweating hot in seconds, sorry that’ll cost you $120/month! Perhaps it’s time to rethink how we allocate some of our funds.

The other discussion that came up was someone that I know more vaguely, but who is a trans-woman. She mentioned how doctors have turned her away. Pharmacies have refused to fulfill prescriptions for her that they routinely fill for cis-women. In general, because in their minds her physical presentation doesn’t match their expectations, they treat her as an outcast. Let me be simple and blunt: I’m offended and angry. She deserves access to the same treatment as any of the cis-women around her (and as the above discussion suggests, women in general deserve better treatment).

Writing this, I realized, I lied a bit, unintentionally. The above paragraph was prompted by a particular post, but I know several women to whom it could apply. So no need to try to guess who she is among my friends. She could be and is in fact a compilation of several.

Before I close, I want to recommend a Youtube channel I spend some time on: Dr. Momma Jones. While I don’t think my specialty will involve Ob/Gyn (I’m more interested in emergency medicine), I love watching her posts because I learn a lot, both medically and about gender bias and topics that I’m generally less familiar with.

That said, in closing, if I become a PA, I will work at treating all my patients equally and equitably and to the best of my abilities, regardless of their identity. Even if I don’t become a PA, I will continue to work to fight for the rights of all and to treat all equally and equitably .

So on International Women’s Day, let’s celebrate and remember all women.

P.S. and in the meantime, let’s fight against the rules put in place in Texas regarding medical treatment and discussion around trans-children and against the “Don’t Say Gay” law being voted on in Florida. I will say right now: children will die because of these rules. They will commit suicide.

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