A Massachusetts judge has ruled that the state must pay for the sex change operation of inmate Michelle Kosilek (below) who suffers from a gender identity disorder as a woman trapped in a man’s body. In part the ruling states that the surgery is a medical necessity for her condition and that to deny the surgery would be cruel and unusual punishment. Kosilek, formerly Robert is in prison for life without parole for killing her wife. See CNN.
This ruling pushes the envelop regarding the view of gender identity disorders and sex change operations. It places such disorders in the category of other disorders or diseases. If an inmate had heart disease and transplant was necessary, no matter how costly the transplant, the state would have to provide it.
On the other hand, most insurance policies do not cover sex change operations as a means of treatment for gender identity disorders. So, in this case the individual is receiving an operation paid for by the state that had she not been in jail she would have had to pay for out of pocket.
Since the news stories I have read says that she suffers greatly and is at a risk of self harm, for example having attempted to castrate herself, I am glad that this ruling has gone in her favor. Still my innate frugality and latent conservatism coming from having grown up in a Republican household are at war with my liberal diversity advocacy. I think I have to wrestle with this issue for a while.





