[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:01.37,0:00:02.58,Default,,0000,0000,0000,,There are many people who experience
Dialogue: 0,0:00:02.58,0:00:04.20,Default,,0000,0000,0000,,discrimination in healthcare here in Oregon,
Dialogue: 0,0:00:05.08,0:00:08.20,Default,,0000,0000,0000,,but members of our transgender communities face healthcare discrimination
Dialogue: 0,0:00:08.20,0:00:11.89,Default,,0000,0000,0000,,at a systemic and unparalleled level.
Dialogue: 0,0:00:12.26,0:00:13.93,Default,,0000,0000,0000,,As the mayor mentioned, the American Medical Association
Dialogue: 0,0:00:13.93,0:00:18.06,Default,,0000,0000,0000,,has identified transgender health care as being medically necessary.
Dialogue: 0,0:00:18.06,0:00:21.76,Default,,0000,0000,0000,,Yet many transgender Oregonians are routinely denied the ability
Dialogue: 0,0:00:21.76,0:00:23.32,Default,,0000,0000,0000,,to even purchase health insurance,
Dialogue: 0,0:00:23.32,0:00:26.78,Default,,0000,0000,0000,,or are denied the coverage for basic medically necessary care
Dialogue: 0,0:00:26.78,0:00:29.86,Default,,0000,0000,0000,,solely on the basis of their gender identity.
Dialogue: 0,0:00:29.86,0:00:31.49,Default,,0000,0000,0000,,And without that health insurance...[cuts off]
Dialogue: 0,0:00:31.66,0:00:34.13,Default,,0000,0000,0000,,When someone is born with a malformed heart valve
Dialogue: 0,0:00:34.98,0:00:36.22,Default,,0000,0000,0000,,there's no question we cover the treatment
Dialogue: 0,0:00:36.22,0:00:38.75,Default,,0000,0000,0000,,necessary to care for that person.
Dialogue: 0,0:00:38.75,0:00:43.21,Default,,0000,0000,0000,,Similarly, there should be no question that when someone is born transgender
Dialogue: 0,0:00:43.21,0:00:45.77,Default,,0000,0000,0000,,we provide the care they need.
Dialogue: 0,0:00:45.77,0:00:49.63,Default,,0000,0000,0000,,There are clear Standards of Care for treatment of a legitimate diagnosis.
Dialogue: 0,0:00:49.63,0:00:54.79,Default,,0000,0000,0000,,Gender Identity Disorder or Gender Dysphoria are recognized medical terms & diagnoses.
Dialogue: 0,0:00:55.35,0:01:00.44,Default,,0000,0000,0000,,I have read one of these exclusionary insurance statements,
Dialogue: 0,0:01:00.44,0:01:02.56,Default,,0000,0000,0000,,and it is just appalling.
Dialogue: 0,0:01:02.56,0:01:08.11,Default,,0000,0000,0000,,Uh, the idea that, uh, it would be, and it is, it's the equivalent of saying
Dialogue: 0,0:01:08.11,0:01:12.08,Default,,0000,0000,0000,,"we will not give insurance to short people."
Dialogue: 0,0:01:12.61,0:01:14.98,Default,,0000,0000,0000,,You know, it is how you are born.
Dialogue: 0,0:01:15.49,0:01:18.24,Default,,0000,0000,0000,,This is not about cost and benefit.
Dialogue: 0,0:01:19.91,0:01:23.08,Default,,0000,0000,0000,,This is about the sanctity of human life,
Dialogue: 0,0:01:23.08,0:01:25.59,Default,,0000,0000,0000,,and respect for human dignity.
Dialogue: 0,0:01:25.59,0:01:30.91,Default,,0000,0000,0000,,So we cannot sidestep that as we talk about policy.
Dialogue: 0,0:01:30.91,0:01:36.97,Default,,0000,0000,0000,,Otherwise, [we entrenching ?] a very fundamental core of our value
Dialogue: 0,0:01:36.97,0:01:41.65,Default,,0000,0000,0000,,a value of extending liberty and freedom to all of us.
Dialogue: 0,0:01:42.18,0:01:46.73,Default,,0000,0000,0000,,What we're talking about is a treatment that is medically necessary,
Dialogue: 0,0:01:46.73,0:01:49.34,Default,,0000,0000,0000,,as determined by the American Medical Association.
Dialogue: 0,0:01:49.34,0:01:52.64,Default,,0000,0000,0000,,So I'd like to tell you what I believe this issue is really about.
Dialogue: 0,0:01:52.64,0:01:55.78,Default,,0000,0000,0000,,It's about the American value of equality,
Dialogue: 0,0:01:55.78,0:01:59.54,Default,,0000,0000,0000,,and so I say let's live the values of our Constitution:
Dialogue: 0,0:01:59.54,0:02:01.79,Default,,0000,0000,0000,,equal treatment under the law.
Dialogue: 0,0:02:01.79,0:02:04.72,Default,,0000,0000,0000,,And I thank the mayor and the council for your support of this issue.
Dialogue: 0,0:02:05.12,0:02:07.13,Default,,0000,0000,0000,,The American Medical Association
Dialogue: 0,0:02:08.04,0:02:09.34,Default,,0000,0000,0000,,to me, for me, has resolved the question
Dialogue: 0,0:02:09.34,0:02:13.09,Default,,0000,0000,0000,,by deeming this a medically necessary procedure.
Dialogue: 0,0:02:13.09,0:02:15.100,Default,,0000,0000,0000,,Uh, based on the briefings I've received,
Dialogue: 0,0:02:15.100,0:02:18.28,Default,,0000,0000,0000,,I've also concluded that surgery is not optional,
Dialogue: 0,0:02:18.28,0:02:20.56,Default,,0000,0000,0000,,it is actually an appropriate treatment.
Dialogue: 0,0:02:20.68,0:02:22.18,Default,,0000,0000,0000,,This is a small price to pay
Dialogue: 0,0:02:23.68,0:02:27.01,Default,,0000,0000,0000,,for fundamental,uh, helping people to lead happy lives.
Dialogue: 0,0:02:27.01,0:02:30.86,Default,,0000,0000,0000,,We heard several testimony about suicidal considerations.
Dialogue: 0,0:02:30.86,0:02:32.69,Default,,0000,0000,0000,,And I think it's time to end that
Dialogue: 0,0:02:32.69,0:02:39.14,Default,,0000,0000,0000,,and to provide the means necessary for people to become the gender they truly believe they are.
Dialogue: 0,0:02:39.40,0:02:41.16,Default,,0000,0000,0000,,When people present me with facts and figures
Dialogue: 0,0:02:42.33,0:02:45.79,Default,,0000,0000,0000,,it doesn't override what my heart tells me is the right thing to do.
Dialogue: 0,0:02:45.79,0:02:47.03,Default,,0000,0000,0000,,And I could not in good conscience
Dialogue: 0,0:02:47.03,0:02:50.63,Default,,0000,0000,0000,,allow this city's police officer's to go without health coverage,
Dialogue: 0,0:02:50.63,0:02:53.43,Default,,0000,0000,0000,,and I don't feel any different about this issue today.
Dialogue: 0,0:02:53.67,0:02:55.15,Default,,0000,0000,0000,,What was mentioned in testimony
Dialogue: 0,0:02:56.24,0:03:00.16,Default,,0000,0000,0000,,is that the suicide rate for transgender people is 33%.
Dialogue: 0,0:03:00.16,0:03:05.39,Default,,0000,0000,0000,,It seems to me that $32,000 is pretty, um, cost efficient in saving a life.
Dialogue: 0,0:03:05.70,0:03:09.17,Default,,0000,0000,0000,,And more than that, it's the right thing to do.
Dialogue: 0,0:03:12.54,0:03:16.78,Default,,0000,0000,0000,,Well I want to thank, uh, Clay Neale [sp?], uh, Jennifer Yoakum [sp?], and Warren Jimenez [sp?]
Dialogue: 0,0:03:17.16,0:03:22.45,Default,,0000,0000,0000,,Amy Ries [sp?] and Karen Burkes [sp?] on my staff who have all worked on uh this issue
Dialogue: 0,0:03:22.45,0:03:24.50,Default,,0000,0000,0000,,over the past 2 1/2 years.
Dialogue: 0,0:03:24.50,0:03:27.16,Default,,0000,0000,0000,,Again, to our community partner Basic Rights Oregon,
Dialogue: 0,0:03:27.16,0:03:30.88,Default,,0000,0000,0000,,to the trans community of Portland
Dialogue: 0,0:03:30.88,0:03:35.13,Default,,0000,0000,0000,,who uh each and every day make this city a better place,
Dialogue: 0,0:03:35.13,0:03:37.68,Default,,0000,0000,0000,,and it's really my honour and privilege to serve on a City Council
Dialogue: 0,0:03:37.68,0:03:42.89,Default,,0000,0000,0000,,where we can bring an ounce of fairness, uh, in return.
Dialogue: 0,0:03:42.89,0:03:48.79,Default,,0000,0000,0000,,Um, when I put down this gavel, you can clap and cheer.
Dialogue: 0,0:03:48.79,0:03:49.73,Default,,0000,0000,0000,,[crowd laughing]
Dialogue: 0,0:03:49.73,0:03:50.65,Default,,0000,0000,0000,,AYE.
Dialogue: 0,0:03:50.65,0:03:51.65,Default,,0000,0000,0000,,It's approved.
Dialogue: 0,0:03:51.65,0:03:54.87,Default,,0000,0000,0000,,[crowd cheers and claps]