Passing as Experts in Transgender Medicine

Chapter 6 of The Unfinished Queer Agenda After Marriage Equality is a special one. In this chapter, sociologist stef shuster uses their observations from a trans medicine conference to analyze the ways health care providers try to “pass as experts” in transgender medicine.

Trans medicine still lacks many clinical trials, and many providers don’t have much experience working with trans people. This creates a lot of uncertainty that shuster argues they try to hide by performing the role of “Expert.” They also try to offload this to trans clients by demanding “certainty” from trans people about their gender expression in ways that don’t fit everyone, especially non-binary people.

stef describes how the conference had a medical side for the health providers and a non-medical side for trans activists and allies. The two sides were like two different worlds, with different sights, sounds, even smells. stef quotes some of the talks they heard from health providers, which contrasted non-binary clients with people who are “really” transitioning. stef’s research paints a striking picture of health providers’ detached and even arrogant stance toward their trans patients.
It’s a brilliant and insightful argument, and shuster’s autoethnography from the conference is vivid and engrossing. This is the kind of reading students would still remember at the end of the semester.

Tactics for Fighting the Oppression of Immigrants

In their chapter on the criminalization of trans immigrants in The Unfinished Queer Agenda After Marriage Equality, Pooja Gehi and Gabriel Arkles don’t just discuss the problem. They also consider different tactics for fighting it: litigation, bystander intervention, and creating sanctuaries.

Each of these strategies has limitations. Litigation can rely on the same “undeserving”/“deserving” stereotypes that need to be dismantled. Bystander intervention can rely on the prejudices of the bystander, with dangerous consequences. Sanctuaries can exclude those who are criminalized, and require significant political will to maintain.

But done thoughtfully with an intersectional analysis, each of these can make an important difference for particular problems under particular circumstances. Pooja and Gabriel cite law professor Mari Matsuda to remind us that “flexibility in tactics is crucial”:

There are times to stand outside the courtroom door and say, ‘this procedure is a farce, the legal system is corrupt, justice will never prevail in this land as long as privilege rules in this courtroom.’ There are times to stand inside the courtroom and say ‘this is a nation of laws, laws recognizing fundamental values of rights, equality and personhood.’ Sometimes, as Angela Davis did, there is a need to make both speeches in one day.

The targeting of trans immigrants as “criminal aliens”


In chapter 5 of The Unfinished Queer Agenda After Marriage Equality, Pooja Gehi of the National Lawyers Guild and Gabriel Arkles of the ACLU’s LGBT and HIV Project write about the targeting of trans immigrants as “criminal aliens.” They show how the Trump regime’s escalation of attacks on immigrants relies on a legal infrastructure constructed over many years by prior presidents. They focus on what they call the “criminal alien” paradigm, which constructs a hierarchy of “desirable” and “undesirable” immigrants and pushes trans immigrants into the latter category.

Pooja and Gabriel situate their analysis in a long history of the construction of the “criminal alien” ideology. As far back as 1729, Quakers in Pennsylvania targeted Scotch-Irish immigrants as a “‘crime-prone lot.'” In the 19th century, “a perceived link between Asian immigrants and crime” helped drive the Chinese Exclusion Act.

detail from Pooja Gehi and Gabriel Arkles's chapter

In more recent history, the Illegal Immigration Reform and Immigrant Responsibility Act, signed by President Bill Clinton, created a lot of the crimmigration infrastructure now used by Trump. It “expanded the range of what constitutes a deportable crime and increased the likelihood of deportation.” ICE was “mandated [to] establish a presence at federal, state, and local prisons and jails,” while the Secure Communities program “linked ICE to an FBI database with fingerprints entered by local law enforcement.”

detail from Pooja Gehi and Gabriel Arkles's chapter

All of this has “gravely impacted trans people and others already targeted by criminal legal systems.”
In this way, Pooja and Gabriel provide a useful summary of the overall history of intertwining of criminal and immigration enforcement, placing trans immigrants at the center. This makes this an excellent chapter to bring a trans and queer presence to general courses on immigration, criminal justice, race, and more.

Sex Worker Activism and the Unfinished Queer Agenda

In chapter 4 of The Unfinished Queer Agenda After Marriage Equality, long-time sex worker rights advocate Kate D’Adamo looks at intersections between sex worker and LGBTQ movements. As she says at the beginning of her essay, the focus on marriage asked “How do we relate?” and answered “Just like everyone else.” But now it’s time for a new question: “How do we survive?

image of selection from Kate D'Adamo's chapter on queer sex work

Kate lays out three different frameworks for looking at queer sex work: economics, criminalization, and sex and identity. This makes for a clear but layered discussion that activists, students, and scholars should all find helpful.