Evolution of Transgender Policies in the United States

2020 ◽  
Author(s):  
Emilia Lombardi
Keyword(s):  
United States ◽  
Surgical Techniques ◽  
The United States ◽  
Medical Professionals ◽  
Policy Changes ◽  
Medical Resources ◽  
Transgender People ◽  
Long Period ◽  
Medical Technologies ◽  
Physical Changes

In the United States, increasing numbers of transgender people are coming forward and working to change legislation to better protect their lives and identities. These changes have come over a long period of time with the work of transgender people and allies. Societal acceptance and support for transgender people has evolved, first in the provision of medical resources allowing for physical changes, and later in legislation supporting and protecting people’s ability to publicly and legally express their gender. However, these changes have not been always been to benefit transgender people as others sought to control and limit people’s ability to express nonnormative genders. Policy changes occur in reaction to transgender people, but at the same time, transgender people have been working to allow themselves the freedom to express their genders freely. Major changes first began when scientists and medical professionals became interested in medical technologies such as hormones and its affects on people’s bodies. It was these discoveries that also interested people who felt dysphoric about their gender expression and saw these procedures as being able to reduce their pain and improve their lives. The movement to utilize surgical techniques soon followed. As more people sought these services, medical professionals developed guidelines to identify those who would benefit from the procedures and how to utilize these technologies safely to help people transition from one gender to another. As more people were able to transition, policies arose to prevent or limit people’s ability to express their identity, but transgender people and allies also organized to counter this movement and propose policies that are more supportive and protective for them.

Medical Technology in The United States: The Last Decade

1988 ◽  
Vol 4 (2) ◽  
pp. 269-286 ◽  
Author(s):  
Louise B. Russell ◽  
Jane E. Sisk
Keyword(s):  
United States ◽  
Cost Containment ◽  
Medical Technology ◽  
The United States ◽  
Third Party ◽  
Policy Changes ◽  
Medical Technologies ◽  
Third Party Reimbursement ◽  
Recent Policy ◽  
Organizational Innovations

AbstractThis paper reviews the evolution of U.S. policy toward medical technology in areas such as cost containment, regulation of devices and drugs, and third party reimbursement. In addition the authors chronicle the diffusion of major medical technologies, procedures, and organizational innovations in the United States. Finally, the article provides tentative observations on the effect of recent policy changes and concludes with some recommendations for the future.

Regulating Medical Devices in the United States

2020 ◽  
Author(s):  
Patricia J. Zettler ◽  
Erika Lietzan
Keyword(s):  
United States ◽  
Medical Device ◽  
Medical Devices ◽  
Complete Information ◽  
The United States ◽  
Risk Level ◽  
Management Tools ◽  
Medical Technologies ◽  
The Us ◽  
Medical Device Regulation

This chapter assesses the regulation of medical devices in the United States. The goal of the US regulatory framework governing medical devices is the same as the goal of the framework governing medicines. US law aims to ensure that medical devices are safe and effective for their intended uses; that they become available for patients promptly; and that manufacturers provide truthful, non-misleading, and complete information about the products. US medical device law is different from US medicines law in many ways, however, perhaps most notably because most marketed devices do not require pre-market approval. The chapter explores how the US Food and Drug Administration (FDA) seeks to accomplish its mission with respect to medical devicecough its implementation of its medical device authorities. It starts by explaining what constitutes a medical device and how the FDA classifies medical devices by risk level. The chapter then discusses how medical devices reach the market, the FDA's risk management tools, and the rules and incentives for innovation and competition. It concludes by exploring case studies of innovative medical technologies that challenge the traditional US regulatory scheme to consider the future of medical device regulation.

Rights Discourse and Assisted Suicide

2001 ◽  
Vol 27 (1) ◽  
pp. 45-99
Author(s):  
Penney Lewis
Keyword(s):  
United States ◽  
Assisted Suicide ◽  
Public Awareness ◽  
The United States ◽  
Medical Professionals ◽  
Physician Assisted Suicide ◽  
Criminal Trials ◽  
Supreme Courts ◽  
Rights Discourse ◽  
Law Professors

The debate surrounding the legalization of assisted suicide has been galvanized in recent years by reports of specific cases of assisted suicide, primarily involving physicians such as Kevorkian and Quill, and by impassioned pleas for legalization and assistance in suicide from individuals suffering in the throes of terminal or agonizing diseases, such as Sue Rodriguez. Media attention on criminal trials of individuals accused of assisting in a suicide has heightened public awareness of the issue. The constitutionality of criminal prohibitions on assisted suicide has been tested in various jurisdictions, and has recently been considered by the Supreme Courts of both the United States and Canada. Following two narrowly unsuccessful attempts to enact dignified death provisions by referenda in Washington and California, Oregon voters passed the first of such proposed laws in November 1994, providing for physician-assisted suicide under certain specified conditions. Attempts to introduce legislation to legalize assisted suicide in other jurisdictions have been galvanized by the success in Oregon. A model statute has been drafted by a group of law professors, philosophers and medical professionals.

“In the Bible Belt:” The role of religion in HIV care and prevention for transgender people in the United States South

2021 ◽  
Vol 70 ◽  
pp. 102613
Author(s):  
Darius Scott ◽  
Nastacia M. Pereira ◽  
Sayward E. Harrison ◽  
Meagan Zarwell ◽  
Kamla Sanasi-Bhola ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Hiv Care ◽  
Bible Belt ◽  
Transgender People ◽  
United States South ◽  
The Bible ◽  
Role Of Religion

“Why can’t I Have the Office Jobs?”: Immigrant Latinx Transgender Peoples’ Experiences with Seeking Employment

2021 ◽  
pp. 089484532110629
Author(s):  
Roberto L. Abreu ◽  
Kirsten A. Gonzalez ◽  
Louis Lindley ◽  
Cristalís Capielo Rosario ◽  
Gabriel M. Lockett ◽  
...  
Keyword(s):  
United States ◽  
Thematic Analysis ◽  
Community Sample ◽  
The United States ◽  
Disability Benefits ◽  
Structured Interviews ◽  
Future Directions ◽  
Transgender People ◽  
Job Opportunities ◽  
Positive Experiences

Research has documented the experiences of transgender people in seeking employment. To date, no scholarship has explored the experiences of immigrant Latinx transgender people seeking employment in the United States. Using an intersectionality framework, the present study aimed to uncover the experiences of immigrant Latinx transgender people as they sought employment in the United States. A community sample of 18 immigrant Latinx transgender people from a large metropolitan city in Florida engaged in semi-structured interviews. Thematic analysis revealed five themes related to participants’ experiences seeking employment, including: (1) discrimination, (2) limited options, (3) positive experiences, (4) momentary de-transition, and (5) disability benefits as financial relief. Future directions such as exploring ways in which immigrant Latinx transgender people resist discrimination while seeking job opportunities are discussed. Implications for practice and advocacy such as advocating for equitable employment policies that acknowledge the intersectional experiences of this community are presented.

Adjustment to Stagflation and Neoliberal Reforms in Japan, the United Kingdom, and the United States

1998 ◽  
Vol 31 (5) ◽  
pp. 602-632 ◽  
Author(s):  
NOBUHIRO HIWATARI
Keyword(s):  
United States ◽  
United Kingdom ◽  
The United States ◽  
Party Competition ◽  
Policy Changes ◽  
State Institutions ◽  
Japanese Politics ◽  
Neoliberal Reforms ◽  
The United Kingdom ◽  
Ruling Party

This article explains why the stagflation and neoliberal reforms that reinforced party polarization in the United Kingdom and the United States instead led to party convergence in Japan. In Japan, industry-centered adjustment and bureaucratic coordination distributed the costs of policy changes across societal groups and facilitated party convergence, whereas the lack of such societal and state institutions in the United Kingdom and the United States led to policy changes with polarizing consequences. Focusing on industry-centered adjustment brings the unions back into Japanese politics and provides an alternative to the pluralism-neocorporatism dichotomy of organizing societal interests. Bureaucratic coordination not only includes the opposition in the framework but also provides a more nuanced view than is assumed in the debate over whether the ruling party of the bureaucracy dominates the Japanese state. When combined, these conceptualizations of market and state go a long way toward explaining the dynamics of party competition.

Schools & the Diversity Transition

Daedalus ◽  
2013 ◽  
Vol 142 (3) ◽  
pp. 155-169 ◽  
Author(s):  
Richard Alba
Keyword(s):  
United States ◽  
Educational Policy ◽  
North American ◽  
The United States ◽  
Educational Systems ◽  
Policy Changes ◽  
Quarter Century ◽  
Abundant Evidence ◽  
Working Age ◽  
History Of

In the next quarter century, North American and Western European societies will face a profound transformation of their working-age populations as a result of immigration, combined with the aging of native majorities. These changes will intensify the challenges of integrating the children of lowstatus immigrants. Abundant evidence reveals that most educational systems, including that in the United States, are failing to meet these challenges; and sociological theories underscore these systems' role in reproducing inequality. However, the history of assimilation in the United States shows that native-/immigrant-origin inequalities need not be enduring. An examination of variations across time and space suggests educational policy changes and innovations that can ameliorate inequalities.

Evaluation and Surgical Treatment of Congenital Craniofacial Deformities

Neurosurgery ◽  
1978 ◽  
Vol 2 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Jack E. Maniscalco ◽  
Mutaz B. Habal
Keyword(s):  
United States ◽  
Congenital Malformations ◽  
Surgical Techniques ◽  
Neurological Impairment ◽  
The United States ◽  
Mortality Rates ◽  
Craniofacial Surgery ◽  
Brain Malformation ◽  
Working Together ◽  
Method Of Evaluation

Abstract The field of craniofacial surgery has rapidly developed over the last decade in the United States and abroad. Congenital malformations heretofore considered hopeless are now being corrected by a team of specialists working together in the cranial-facial junction. The evaluation of patients for craniofacial surgery must include consideration of associated neurological impairment, and in certain syndromes the incidence of brain malformation and mental retardation are extremely high. The method of evaluation and the various surgical techniques are presented. Mortality rates from this surgery have ranged from 0 to 5%, according to the severity of the deformities.

Sp phases from the transition zone between the upper and lower mantle

1980 ◽  
Vol 70 (2) ◽  
pp. 487-508
Author(s):  
Sonja Faber ◽  
Gerhard MÜller
Keyword(s):  
United States ◽  
Transition Zone ◽  
Lower Mantle ◽  
The United States ◽  
P Wave ◽  
Western United States ◽  
Nodal Plane ◽  
Transition Zones ◽  
Velocity Models ◽  
Long Period

abstract Precursors to S and SKS were observed in long-period SRO and WWSSN seismograms of the Romanian earthquake of March 4, 1977, recorded in the United States at distances from 68° to 93°. According to the fault-plane solution, the stations were close to a nodal plane and SV radiation was optimum in their direction. Particle-motion diagrams, constructed from the digital data of the SRO station ANMO (distance 89.1°), show the P-wave character of the precursors. Several interpretations are discussed; the most plausible is that the precursors are Sp phases generated by conversion from S to P below the station. The travel-time differences between S or SKS and Sp are about 60 sec and indicate conversion in the transition zone between the upper and lower mantle. Sp conversions were also observed at long-period WWSSN stations in the western United States for 2 Tonga-Fiji deep-focus earthquakes (distances from 82° to 96°). Special emphasis is given in this paper to the calculation of theoretical seismograms, both for Sp precursors and the P-wave coda, including high-order multiples such as sP4 which may arrive simultaneously with Sp. The Sp calculations show: (1) the conversions produced by S, ScS, and SKS at interfaces or transition zones between the upper and lower mantle form a complicated interference pattern, and (2) conversion at transition zones is less effective than at first-order discontinuities only if their thickness is greater than about half a wavelength of S waves. As a consequence, details of the velocity structure between the upper and lower mantle can only be determined within these limits from long-period Sp observations. Our observations are compatible with velocity models having pronounced transition zones at depths of 400 and 670 km as have been proposed for the western United States, and they exclude much smoother structures. Our study suggests that long-period Sp precursors from pure thrust or normal-fault earthquakes, observed at distances from 70° to 95° close to a nodal plane and at azimuths roughly perpendicular to its strike, offer a simple means for qualitative mapping of the sharpness of the transition zones between the upper and lower mantle.

The future of maternity wear: Generation Z's expectations of dressing for pregnancy

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elizabeth Anne Weigle ◽  
Laura McAndrews
Keyword(s):  
United States ◽  
Online Survey ◽  
The United States ◽  
The Body ◽  
Content Type ◽  
Longitudinal Approach ◽  
Shopping Experience ◽  
Physical Changes ◽  
Practical Implications

PurposeThe purpose of this paper is to investigate Generation Z's physical expectations of being pregnant and their outlook for maternity wear shopping.Design/methodology/approachFemales in this cohort (n = 207) participated in an online survey that included questions about perceptions of pregnancy, physical self-concept and forecasted shopping behaviors.FindingsResults indicated that this group is concerned with physical changes of pregnancy and expect to treat each area of the body in a different way. Women's expected physical concerns of pregnancy predict how much they anticipate accentuating their pregnant body. Gen Z anticipates wearing loose maternity garments and they envision a thoughtful, in-store shopping experience for styles that are equally fashionable and comfortable, such as dresses.Research limitations/implicationsThis study should be extended to future generational cohorts like Generation Alpha, along with Gen Z outside of the United States and women in the United States who are non-white. Further studies should take a longitudinal approach to gauge changes in this cohort's expectations as they progress through pregnancy.Practical implicationsThis paper provides maternity wear retail brands and designers a foundation for product development and marketing geared toward this large cohort.Originality/valueThe study is the first to inquire about Gen Z's outlook on pregnancy, specifically their envisioned changes to each body area and the role of maternity garments to fulfill needs and concerns.

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