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  • Presentation

PRESERVING THE PHYSICIAN-PATIENT RELATIONSHIP: LESSONS LEARNED FROM GENDER-AFFIRMING CARE & iPLEDGE REFORM

Description

The session focuses on preserving the physician-patient relationship amidst systemic disruptions, particularly in relation to gender-affirming care and the I Pledge reform. It highlights the critical importance of addressing the needs of the growing LGBTQ population, which now comprises nearly 10% of the U.S. population. Current executive orders and state-level bans significantly hinder access to gender-affirming care, creating barriers for patients seeking necessary medical support. The speaker emphasizes the detrimental effects of these policies, including potential re-establishment of harmful practices such as conversion therapy. Additionally, the I Pledge program, aimed at regulating isotretinoin prescriptions, is critiqued for limiting access and disproportionately affecting marginalized communities. The rising challenges to gender diversity and the restructuring of health policy pose risks to the secure and trusting environment essential for effective healthcare. There is a call for ongoing advocacy and reform to ensure equitable healthcare access and patient rights. The speaker urges healthcare professionals to remain vigilant and proactive in protecting the integrity of the physician-patient relationship while confronting legislative changes that threaten the health and rights of vulnerable populations.

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Conclusions

  • The increase in LGBTQ+ identification indicates a growing need for inclusive healthcare policies.
  • Executive orders restricting gender-affirming care represent significant interference in the patient-physician relationship.
  • There is a concerning trend of legislation targeting transgender healthcare that undermines existing civil rights.
  • Programs like iPLEDGE have shown that overly stringent regulations can reduce access to necessary medical care.
  • Diverse healthcare approaches are required to accommodate the unique needs of gender diverse individuals.
  • The removal of federal support for transgender data collection hinders research and understanding of transgender health issues.
  • Healthcare for transgender individuals should prioritize their dignity and the medical necessity of gender-affirming treatments.
  • Advocacy from medical organizations is crucial to counteracting legislative efforts that deny care to transgender youth.
  • Awareness and resources for transgender individuals are essential to navigate the current healthcare landscape.
  • Collaborative efforts are needed to ensure continuous advocacy for the rights of transgender patients.
  • Klint Peebles, MD FAAD
  • JAAD Editorial Board and DEI Work Group Co-Chair
  • Kaiser Permanente, Mid-Atlantic Permanente Medical Group
  • Flores, et al. The Williams Institute. 2022.
  • Johns, et al. MMWR. 2019
  • Grossman, et al. J GLBT Fam. 2006.
  • Shin, et al. JAMA Derm. 2023.
  • Pinheiro, et al. Pharmaco Drug Safety. 2013.
  • Shah, et al. JAAD. 2022.