Presenter Biography

Amy "Mick" McVeety (they/she) is a first-year MPH student in Epidemiology at the OHSU-PSU School of Public Health, as well as an employee for a local public health department. They are passionate about health equity and access to care for all, with a particular focus on the LGBTQ+ community.

Program/Major

Epidemiology

Degree

MPH

Presentation Type

Poster

Start Date

4-4-2024 1:00 PM

Keywords

LGBTQ+, Transgender, Non-Binary, Single Payer

Abstract

As the state with the highest percentage of population who identifies as LGBTQ+, Oregon has a duty to provide adequate health protections and services to its transgender and nonbinary (TGNB) residents, particularly given the disparities TGNB individuals face in housing, employment, education, and health. Following recommendations from the Oregon Joint Task Force on Universal Health Care, Oregon should implement a single-payer health care system, with particular attention to:

  1. Protecting patient privacy in EHR and other systems, particularly for youth TGNB patients;
  2. Expanding the covered gender-affirming services and removing barriers such as cost-sharing and prior authorization, and;
  3. Recruiting TGNB providers and incentivizing further training in gender-affirming care.

These changes must account for issues around lack of approved and advanced treatments for gender-affirming care, EHR health information sharing, and the lack of TGNB representation in the healthcare workforce. The cost-effectiveness combined with the improved outcomes from more comprehensive TGNB health will result in significant health cost savings. By partnering with EHR vendors, existing health systems and providers, medical and nursing schools, and the TGNB community, Oregon can become a national leader in TGNB health.

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Apr 4th, 1:00 PM

Transgender and Non-binary Health in Oregon Under a Single-Payer Health System

As the state with the highest percentage of population who identifies as LGBTQ+, Oregon has a duty to provide adequate health protections and services to its transgender and nonbinary (TGNB) residents, particularly given the disparities TGNB individuals face in housing, employment, education, and health. Following recommendations from the Oregon Joint Task Force on Universal Health Care, Oregon should implement a single-payer health care system, with particular attention to:

  1. Protecting patient privacy in EHR and other systems, particularly for youth TGNB patients;
  2. Expanding the covered gender-affirming services and removing barriers such as cost-sharing and prior authorization, and;
  3. Recruiting TGNB providers and incentivizing further training in gender-affirming care.

These changes must account for issues around lack of approved and advanced treatments for gender-affirming care, EHR health information sharing, and the lack of TGNB representation in the healthcare workforce. The cost-effectiveness combined with the improved outcomes from more comprehensive TGNB health will result in significant health cost savings. By partnering with EHR vendors, existing health systems and providers, medical and nursing schools, and the TGNB community, Oregon can become a national leader in TGNB health.