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A2   UP FRONT
               Thursday 28 February 2019
            Military spent about $8M on transgender care since 2016




            By JULIE WATSON and JEN-                                                                                            about 23,000 psychothera-
            NIFER McDERMOTT                                                                                                     py visits and about 160 sur-
            SAN DIEGO (AP) — Lindsey                                                                                            geries.The  administration's
            Muller  served  in  the  Army                                                                                       expected  policy  would  al-
            as  a  man  for  nearly  a  de-                                                                                     low  transgender  people
            cade  before  telling  her                                                                                          to  serve  if  they  remain  in
            commanders  in  2014  that                                                                                          their biological sex. It would
            she identified as a woman                                                                                           grandfather  in  current  ser-
            and would resign because                                                                                            vice members, though the
            military policy barred trans-                                                                                       government  has  also  said
            gender  personnel.  Her  su-                                                                                        it  retains  the  right  to  elimi-
            periors, citing her outstand-                                                                                       nate that protection.
            ing performance, persuad-                                                                                           Transgender   troops   say
            ed  the  decorated  attack                                                                                          the  ban  mirrors  the  "don't
            helicopter pilot to stay.                                                                                           ask,  don't  tell"  policy  that
            After then-President Barack                                                                                         prohibited  gay  men  and
            Obama  changed  the  pol-                                                                                           women from serving open-
            icy,  she  started  dressing  in                                                                                    ly  in  the  armed  forces  be-
            uniform as a woman. Mull-                                                                                           fore Congress repealed it in
            er  went  on  to  be  recom-                                                                                        2010.
            mended  for  a  promotion                                                                                           Army Lieutenant Gen. Tom
            as the surgery to complete                                                                                          Spoehr, who retired in 2016
            her  gender  transition  was                                                                                        when  transgender  troops
            scheduled,  but  the  opera-                                                                                        started serving openly, wit-
            tion was postponed in 2017                                                                                          nessed no problems. But he
            when  President  Donald      In this Tuesday, Feb. 5, 2019 photo released by the her office, Speaker of the House Nancy Pelosi,   agrees  with  Trump's  policy
                                         D-Calif., left, gives challenge coins to U.S. Army Maj. Ian Brown, right, and other military service
            Trump announced on Twit-     members to thank them for their service, in her office at the Capitol following the State of the Union   because  of  suicide  rates
            ter that he was reinstituting   address in Washington.                                                              among  people  with  gen-
            the ban.                                                                                           Associated Press  der dysphoria.
            With the ban now blocked                                                                                            "The military has to work with
            by  lawsuits,  transgender  you  will  find  Purple  Heart  folded into the defense bill,  plete  her  transition  when  the  preponderance  that
            troops  Wednesday  were  recipients, Bronze Star win-     which could be harder for  Trump tweeted in 2017 that  the data and evidence say
            set to testify for the first time  ners, attack aviators, Navy  Trump to veto.         the  Pentagon  "cannot  be  people  with  gender  dys-
            before Congress.             SEALs," said Muller, who will  Among  those  set  to  tes-  burdened with the tremen-  phoria are at much greater
            In  the  nearly  three  years  not  be  testifying  but  is  a  tify will be five transgender  dous  medical  costs  and  risk  of  harming  themselves
            since  the  U.S.  military  wel-  plaintiff in one of four law-  troops  and  Pentagon  of-  disruption that transgender  and not being at their best,"
            comed  transgender  peo-     suits  challenging  the  ban.  ficials  including  Vice  Adm.  in the military would entail."  said Spoehr, director of The
            ple  into  the  armed  forces,  "We've been here, and we  Raquel  Bono,  the  direc-   She  has  since  gotten  the  Heritage Foundation's Cen-
            they  have  largely  served  will continue to be here re-  tor  of  the  Defense  Health  surgery  and  continues  to  ter for National Defense.
            without incident. Some, like  gardless. In what capacity  Agency,  and  James  Stew-   serve.                       U.S.  Army  Maj.  Ian  Brown,
            Muller,  have  earned  pres-  is up to the administration."  art, acting under-secretary  While  the  Supreme  Court  38,  disagrees  that  trans-
            tigious  medals  or  received  Trump  has  cited  "tremen-  of  defense  for  personnel  in  January  lifted  national  gender  troops  have  more
            other forms of recognition.  dous  medical  costs"  as  a  and readiness.              injunctions  by  two  courts,  problems than the general
            They  say  they  stand  as  reason for the ban.           They  are  expected  to  be  two others remain in place.  military population.
            proof   against   President  According  to  new  data  questioned about whether  Military  chiefs  testified  be-   "At the end of the day, as
            Donald  Trump's  argument  from  the  Defense  Depart-    there is evidence that sup-  fore Congress last year that  a trans soldier, I'm going to
            that their presence is a bur-  ment provided to the House  ports  excluding  transgen-  they  found  no  problems  do my job to the best of my
            den.                         Armed Services Committee  der  personnel.  The  Ameri-    with transgender troops on  ability, and that's to fight for
            "Once  you  meet  trans-     ahead  of  the  hearing,  the  can  Medical  Association  morale.                      everyone's  freedoms,"  said
            gender  people  who  have  military has spent about $8  has stated there is none.      An estimated 14,700 troops  the  two-time  Bronze  Star
            served  in  the  different  million on transgender care  Muller, a 19-year Iraq com-   on  active  duty  and  in  the  recipient  who  transitioned
            branches  ...  it's  really  hard  since  2016.  The  military's  bat   veteran,   diligently  Reserves  identify  as  trans-  from female to male while
            to  dismiss  the  fact  that  annual health care budget  followed    the   Pentagon  gender  but  not  all  seek  advising the Army's deputy
                                         tops  $50  billion.    The  Asso-  guidelines to transition. She  treatment.  The  Defense  chief  of  staff  in  operations
                                         ciated  Press  obtained  the  was  grounded  after  go-   Department  treated  1,525  and  planning.  "That's  not
                                         data Wednesday.              ing  on  hormone  replace-   service  members  between  going to change."
                                         The hearing will be held by  ment    therapy,   though  July 1, 2016 and February 1,  During  Master  Sgt.  Erika
                                         a  subcommittee  chaired  non-transgender       people  2019, who were diagnosed  Stoltz's  first  post-transition
                                         by Democratic Rep. Jackie  on  hormone  replacement  with  gender  dysphoria,  a  deployment,  she  received
                                         Speier  who  introduced  bi-  therapy  routinely  receive  condition  of  extreme  dis-  a  humanitarian  award  for
                                         partisan  legislation  in  Feb-  waivers to keep flying.  tress  from  not  identifying  her hurricane relief work in
                                         ruary  that  would  prohibit  Since then, Muller has been  with  one's  biological  gen-  the Caribbean.
                                         the Department of Defense  an  aviation  safety  officer  der.  Currently  about  1,071  "There  have  been  people
                                         from  denying  the  enlist-  in South Korea, overseeing  are  serving,  including  20  who  have  blatantly  run
                                         ment  or  continued  service  1,100  troops  near  the  de-  senior  officers.  The  military  into  the  face  of  certain
                                         of  transgender  people  if  militarized  zone.  Her  com-  spent  about  $8  million  on  death to save another sol-
                                         Trump's ban takes effect.    mander      recommended  transgender  care,  includ-      dier," said the combat vet-
                                         Similar  legislation  was  in-  her for a promotion, calling  ing  about  $5.8  million  on  eran with two Bronze Stars.
                                         troduced in the Senate. It's  her  the  best  battalion  offi-  psychotherapy  and  about  "They're  not  worried  about
                                         unclear  whether  the  legis-  cer in the brigade.        $2 million on surgeries most-  what  gender  they  are,
                                         lation  would  be  voted  on  At  the  time,  Muller  was  ly for breast reductions and  they're  just  trying  to  save
                                         as a stand-alone bill or be  scheduling surgery to com-   hysterectomies. There were  their buddy."q
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