A national commission chaired by a former US Surgeon General and a former health and safety director for the Coast Guard released a major report this week, finding that US military policies on transgender service members are not based on sound medical science and should be revised. The commission found that the ban on service by transgender people is “an expensive, damaging, and unfair barrier to health care access for the approximately 15,450 transgender personnel” who currently service in uniform.
The commission also criticized the current policy of discharging personnel found to be transgender irrespective of their fitness for duty, stating this is “inconsistent with how the military regulates all other medical and psychological conditions.” Former US Surgeon General Jocelyn Elders and retired Rear Admiral Alan Steinman, who are in leading medical positions in the Coast Guard and Public Health Service, chaired the commission, and a group of 16 current and former military university professors endorsed the quality of their research and the reasonableness of their conclusions.
The report, published by the Palm Center at San Francisco State University, found that current military regulations regarding transgender people are inconsistent with military policies that permit other service members to be deployed while on hormone medications; permit other service members to continue serving following reconstructive surgeries; and do not discharge service members based on medical diagnoses without an assessment of individual fitness for duty. The report also found that current rules fail to account for recent changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), and compromise continuity of care between the Pentagon and the Veterans Administration, which has made great strides in supporting trans veterans.