Trans woman says getting gender-affirming ID in Ontario is an 'impossible struggle'

Ever since Diana Bosco transitioned four years ago, she's been attemptingto get identification thataccurately reflects her gender a processshe describes asinvasive and stymied by systemic discriminationagainsttransgenderpeople.

She'scurrently trying to get an Ontario photo card government-issued ID for those without a driver's licence with her "sex designation" listed as "F."

But she saidshe has only met with barriers.

"It's been an impossible struggle," Diana said. "It feels like all the old hate just lingers around in the system and everywhere. I don't know what to do. I just want to live my life, but I'm struggling here."

(Diana asked CBC not to use her last name in subsequent references, because it is her former name.)

Earlier this month, Diana and her social worker, Margie Boese, with LOFT Community Services, went to a Service Ontario location in west Torontoso Diana could apply for the card.She currentlyhas only a health card, which means she can't properly do her taxes or apply for assistance programs such asthe Canadaemergency response benefit, whichwas offered last year to help those affected by COVID-19.

Diana saidshe was asked by Service Ontario staffif she'd had "bottom surgery" and told she'd need to provide a note from her surgeon and thecontact information.

"It is absurd to me," Diana said. "My medical information is between me and my doctor only. It was really humiliating to have to defend myself, my gender, to some random person."

Besides, she said, whether she's had genital reconstruction or breast surgeryis irrelevant to her identifying as female.

"I know who I am. I don't need to prove it to you," she said.

Provincial requirement called a huge obstacle

Dianalater learned that Service Ontario staff weren't entirely correct about requirements for the photo card. According to the Ministry of Transportation, she could actually provide a letter from any medical doctor licensed in Ontarioor a psychologist who hasexamined or treated her andcan say the sex designation change is "appropriate."

But Diana saidthe requirementis a huge obstacle for trans people facing systemic discrimination in the health-care system, as they may not have a doctor they trust to provide a letter.

A doctor's letter isn't necessary if a person has changed their birth certificate to reflect their gender or wants to change the designation to"X" with their sex assigned at birth kept on theirrecord.

Diana saidneither are an option for her. Her birth certificate is from another country that doesn't allow her to change her gender, and she doesn't identify as an "X" and isn't male.

"The whole point is to have an ID to identify myself, and that's not how I identify. Neither of those markers are mine," she said.

Need to educate staff, social worker says

The process for transpeople in Ontario to update their identification with name and gender-marker changes is so complicated and time-consuming that The 519, an LGBTQservice provider in Toronto, has a clinic dedicated to helping them navigate the system.

The clinic is in high demand,assisting 50 people at a time witha wait list, said the agency's access to justice co-ordinator,Al McDonough.They said it takes months to pull an application together and many more months to receive an approval or rejection a major issue when people need identification toapply for school, jobs or housing.

While every individual may viewthe doctor's letter requirement for a photo card differently, McDonough saidthat overall, it's problematic.

"It's a way of medicalizing trans people and pathologizes trans people and saying that we're not able to verify our own gender and our own experience," they said.

The requirement alsocreates barriers, McDonough said.

"In order to receive affirming care, they need to have their IDs aligned with their gender and in order to have their IDs aligned with their gender, they need access to affirming care," McDonough said. "If they can't get to one end of that cycle, it has big impacts."

Meanwhile, Diana's social worker, Boese, who witnessed the events at Service Ontario, said there's a clear need for more education of staff andhiring of trans people to help guide the province toward a more inclusive system.

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