The Duma puts the sexual question point-blank
An interfactional bill banning sex change without surgery is likely to be submitted to the State Duma on May 29. At the same time, the deputies plan to impose restrictions on such operations themselves: according to Kommersant, the preliminary version of the document contains a ban on surgical intervention in case of a patient's mental disorders. On Thursday, Duma speaker Vyacheslav Volodin criticized the Ministry of Health for its vague position on this issue. The ministry told Kommersant that they are in favor of strict regulation in this area and that the decision on a transgender transition in each case is made by competent experts.
On April 28, Speaker Vyacheslav Volodin instructed his deputy Vladislav Davankov ("New people"), which oversees the work of the Duma Committee on Health Protection, to make proposals on the legislative regulation of gender reassignment issues. The reason for urgent action was the decision of the World Health Organization (WHO) to exclude transgender people from the list of mental disorders, after which the Ministry of Health of the Russian Federation made changes to the regulations to simplify gender reassignment in documents, and psychologists were excluded from the commissions that make decisions on gender reassignment.
MPs are also concerned called more frequent cases of official gender reassignment in order to evade conscription for military service on mobilization.
On May 25, during the closed part of the plenary session of the Duma, Vladislav Davankov reported on the preparation of the bill. According to him, a lot of work has been done with the Ministry of Health and leading medical institutions. The number of cases of gender reassignment in the passport is growing, but at the same time, children with congenital anomalies who need such an operation should not be overlooked, the vice speaker emphasized: “We proceed from the fact that gender reassignment is a mental disorder. And that's just because of them, we propose not to allow changing sex. According to Kommersant, the preliminary text of the bill contains a ban on medical workers from performing gender reassignment surgery for patients with mental disorders.
Vyacheslav Volodin, in turn, said that the Ministry of Justice supports the deputies' initiative, but the Ministry of Health has not yet decided. In this regard, the speaker suggested inviting representatives of the Ministry of Health to a meeting when the draft will be considered in the first reading in order to hear their position and find out why the ministry made “a gross mistake that contradicts our Constitution” when signing the agreement with WHO.
Nikolay Kolomeytsev (CPRF) did not like that, according to the text of the bill, which has not yet been introduced, the government should determine the list of cases when the operation is allowed. Mr. Volodin agreed that the law should be directly applicable and clearly define the medical indications in connection with which a person can obtain permission for a sex change operation and only after that - for the replacement of documents. “Everything will be clear and understandable there: we oppose gender reassignment. And everything else, if it is a disease, should be clearly stated. And now there are whole technologies, 30-60 thousand worth of help. And someone else does not want to serve in the army,” the speaker recalled.
Deputy faction leader LDPR Yaroslav Nilov told Kommersant that on Thursday the document was “carried around the offices” and the deputies actively signed it. He noted that his faction decided to sign the bill, "and then it will be honed by the State Duma Committee on Health."
The Ministry of Health's position was explained to Kommersant by its press service: “The Ministry advocates strict regulation in this area, abuses are unacceptable. However, there are a number of objective medical situations that must be taken into account, such as those associated with congenital genetic abnormalities. And the issue in each such case should be resolved on the basis of a limited circle of medical organizations of a high expert level.”
The rector of the St. Petersburg Pediatric Medical University, Dimitri Ivanov, previously told Kommersant that medical indications for a sex change are associated with genetic abnormalities - this applies to less than 0.1% of the population.
And Elena Uvarova, head of the gynecological department of children and youth at the Kulakov National Research Center for Obstetrics, Gynecology and Perinatology, said that in her center for ten years there were three patients who, being genetic boys, received a birth certificate as girls due to the inappropriate structure of the external genitalia. authorities: “For such exceptional cases, an appropriate mechanism for documenting may be provided. The question could be decided by a council of doctors with a very convincing justification.”