Kim (Kibby) Hunter
3rd Year Human Resources Analytics Management Major
Pronouns: She/her/hers​ 

How Did I Get Involved in Impact?

• When I transferred to UGA, I wanted to do something different with my spring break other than Netflixing and relaxing at home. My first trip occurred during my sophomore year to Indianapolis, IN. My trip focused on community health and wellbeing. I had never been to Indianapolis, IN before, and I figured I would enjoy learning, exploring, and meeting new people over my spring break. At first I was apprehensive, but after meeting my site leaders and my fellow Impact participants, I fell in love with Impact and everything it stands for!
  

Why am I Interested In Gender Appreciation?

• When I took the course, sociology of gender, I became interested in gender and how it impacts society. After taking this class, I’ve seen the impact gender has on my life and my decisions, while also becoming aware of the issues and discrimination other genders face. Gender affects the type of healthcare, jobs, products, entertainment, and respect we receive from others. Gender is not only limited to the binaries society imposes, but also sexual orientation and race. I want to learn more about the impact gender has amongst the LGBTQIA community and minorities in the non-binary and binary community. 
  

Fun Fact!

• I am a huge foodie, so I will eat any and everything as long as it looks appetizing. ​
  

Bren Augustine Latorre-Murrin
3rd Year Entomology & Public Health (Epidemiology) Major
⚨⚧ Pronouns: They/Them ⚨⚧

How did I get involved with IMPACT?

• I first got involved with IMPACT last year, when I was a participant on the HIV/AIDS awareness and advocacy trip to Memphis, TN. I was with a fantastic group of people, and really was able to learn so much from and bond with our community partners in Memphis. From my experiences over that one short week, I was able to see what an intentional organization IMPACT is, and what meaningful, community-based service folks are able to do on their IMPACT trips! I had a few friends that led trips and I spoke with them about being a site leader, and they encouraged me to apply when applications opened.
  

​ ​​​Why am I Interested In Gender Appreciation?

• Someone’s gender expression and identity affects all parts of their life, and is intrinsically linked with socialization and culture. Every single person has a different interpretation of gender, and as a transgender/nonbinary Puerto Rican, I’ve grown to find joy in my unique perception of gender, but have also experienced prejudice and discrimination in many settings due to my gender expression. Differences in presentation and interpretation of gender across communities should be celebrated, and I am so excited to learn more about how to be a source of strength and protection to folks in other communities, and  grow alongside my co-leader and participants!  

Fun fact 

• I’ve been stung by a velvet ant, which (according to the Schmidt Insect Sting Pain Index) is the 3rd most painful insect sting in the world! 

​

Healthcare

Transgender Healthcare:  

Key Terms: 

• Medicaid
  • A federal and state program that helps with medical costs for some people with limited income and resources. 
  • Protect the rights of hospital patients to choose their own visitors and medical decision-makers regardless of their legal relationship to the patient. This means that hospitals cannot discriminate against LGBT people or their families in visitation and in recognizing a patient’s designated decision-maker.
• ​“Gender Specific” Services
  • Health services specifically related to gender transition if that results in discrimination or any services that are “ordinarily or exclusively available to individuals of one sex,” because an individual’s sex assigned at birth or gender identity differs from the one to which such health services are ordinarily or exclusively available.
• Uneducated Healthcare Professionals
  • Health professionals not educated on how to care for transgender patients or non-gender affirming patients, both of these issues heavily impact transgender and non-gender affirming people’s access to quality medical care.​
• Transgender Healthcare
  • Treatment can include, but is not limited to, hormones, chest surgeries, various gender-affirming cosmetic surgeries, genital surgery, and the monitoring of any health effects these procedures may have.
  •  One of the main aspects of transgender medicine is treatment relating to gender transition.
• Medical transphobia 
  • Medical transmisogyny (oftentimes crossed w/ medical racism and sentiments against black and brown femme people)

https://www.glaad.org/healthcare

Transgender Healthcare Information

1. The core issues transgender individuals face are rooted in both disparity and discrimination in healthcare: 
   1. This rise in transgender insurance coverage is largely due to section 1557 of the Affordable Care Act, which bars insurance plans offered on the ACA exchange from discriminating on the basis of gender. Prior to the Affordable Healthcare Act, health insurance companies could deny coverage to transgender individuals on the basis that their identity was considered a pre-existing medical condition.
   2. Most transgender individuals rely on public health insurance, and despite gains made in reducing the uninsurance rate since the implementation of the Affordable Care Act (ACA), disparities persist in terms of coverage for trans-identified Americans in general, and especially for trans people of color who experienced much higher rates of uninsurance in 2015.
   3. Transgender individuals have high rates of suicide and deal with mental health problems such as depression, anxiety, and addiction. Getting proper care for these conditions can be life-saving.
   4. Treatment can include, but is not limited to, hormones, chest surgeries, various gender-affirming cosmetic surgeries, genital surgery, and the monitoring of any health effects these procedures may have. 
   5. Additionally, the majority of states on the east and west coasts have Medicaid policies that explicitly include transgender healthcare, and more states are expected to follow.
2. Transgender Healthcare Statistics: 
   1. Nearly 1 in 5 (19 percent) [of participants] reported being refused care outright because they were transgender or gender non-conforming.
   2. Significant lack of provider knowledge: 50 percent of the sample reported having to teach their medical providers about transgender care.
   3. Harassment: 28 percent of respondents were subjected to harassment in medical settings.
   4. Survey participants reported very high levels of postponing medical care when sick or injured due to discrimination and disrespect (28 percent).​​

Non-Binary Healthcare 

Key Terms: 

Gender Identity

1. Gender identity is the personal sense of one's own gender. Gender identity can correlate with assigned sex at birth or can differ from it. 
2. All societies have a set of gender categories that can serve as the basis of the formation of a person's social identity in relation to other members of society.

​

http://www.transstudent.org/gender/

Non-Binary Healthcare Information: 

1. Medical Barriers: 
   
   1. ​One considerable barrier is medical mistrust, often caused by a fear of being misgendered, or simply of being misunderstood.
      
   2. Another is a barrier to accessing gender-affirming medical or surgical care, which may happen if providers do not consider their non-binary patients to be transgender. 
2. Many non-binary patients report feeling uncomfortable disclosing their gender identity because they assume that their provider will not know how to respond. 
   
3. [One] report, conducted by researchers at San Francisco State University and Columbia University, found nearly all nonbinary participants surveyed reported encountering health care providers who did not provide gender-affirming or inclusive care.
4. Some non-binary people face discrimination from within the transgender community, as well as outside of it, when they are not deemed to be “truly” transgender. They may also face this discrimination in health care settings, if they are denied access to gender-affirming care because they do not fit into the typical binary model of transgender care. 

Women's Healthcare

Key Terms: 

Women's Health Information: 

1. Affordable Healthcare Act
   
   1. Prohibits sex discrimination, including anti-transgender discrimination, by most health providers and insurance companies, as well as discrimination based on race, national origin, age, and disability.  
      
2. ​​Long-acting reversible contraception (LARCs)
   
   1. long-acting reversible contraception 
      
   2. Devices introduced in the early 1970s and originally tested on mostly Black and poor women. Caused life-threatening infections in women and embedded in the uterus. Another LARC from the 1990s eventually pulled from the market was Norplant, a six-rod device implanted in the patient’s upper arm to prevent pregnancy. Again, this was tested and heavily promoted in mostly Black, poor, and teenage populations.
3. Disparity
   
   1. ​To have a great difference in
4. Vulnerable Populations
   
   1. Patients who are racial or ethnic minorities, children, elderly, socioeconomically disadvantaged, underinsured or those with certain medical conditions.
5. Bias
   
   1. ​Prejudice in favor of or against one thing, person, or group compared with another, usually in a way considered to be unfair.
6. Tuskegee Study 
   
   1. Study in which hundreds of Black men from 1932 until 1972 were told they were receiving treatment for syphilis, a sexually transmitted infection that can lead to devastating outcomes such as hearing loss, vision loss, and nerve damage if left untreated. These men received no treatment and were monitored because the government desired to know the natural progression of syphilis.