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Had she received a minimum of training, she would have known to ask Brittany how she self-identified her gender. I'd like to see them at least begin to refer people out of network to surgeons who are proficient in those surgeries and cover then partially or fully depending on status of the vet. The purpose of a verbal versus a signed consent form was to ensure confidentiality and to increase recruitment because of the unwillingness of many transgender individuals to speak out about their military experiences. Findings Our data focus on the participant's experiences with the Department of Veteran Affairs. I've got a lot of jumps under my belt and I was over in Iraq for 15 months.

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Like the current study, the researchers found that transgender veterans continued to face challenges when seeking healthcare.

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Rational action becomes the rule rather than the exception. Like the larger clinics and medical centers in the VHA system, these clinics do not provide SRS and other surgical treatments related to transition. I don't use the VA healthcare system. Documented barriers included the cost of health services and the veterans' perceived reaction by medical providers to their gender identity. Some of our respondents elected not to utilize the VA for their healthcare needs and others have been less than satisfied with the care they have received in that system. Veterans in the study also reported suffering from post-traumatic stress disorder PTSD along with the need for gender identity counseling.

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