Intersex People And Military Service In The United States
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The regulations regarding the service of intersex people in the United States Armed Forces are vague and inconsistent due to the broad nature of humans with
intersex conditions Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
. The
United States Armed Forces The United States Armed Forces are the military forces of the United States. The armed forces consists of six service branches: the Army, Marine Corps, Navy, Air Force, Space Force, and Coast Guard. The president of the United States is the ...
as a whole does not officially ban intersex people from service but does exclude many based on the form of their status. Policies regarding all intersex people are not addressed formally although depending on the type of sex variation some intersex people are allowed to serve. The United States military and their requirements for service makes it so they are frequently in a unique predicament when it comes to intersex bodies. With their position of needing to discern between male and female bodies, they are exposed to a broad variety of people, such as those who are intersex whose bodies may not match either classification and are more difficult to make decisions on. This ambiguity leads to confusion regarding military medical, behavioral, and legal laws.


History

When the skeleton of
Casimir Pulaski Kazimierz Michał Władysław Wiktor Pułaski of the Ślepowron coat of arms (; ''Casimir Pulaski'' ; March 4 or March 6, 1745 Makarewicz, 1998 October 11, 1779) was a Polish nobleman, soldier, and military commander who has been called, tog ...
, a famed
American Revolutionary War The American Revolutionary War (April 19, 1775 – September 3, 1783), also known as the Revolutionary War or American War of Independence, was a major war of the American Revolution. Widely considered as the war that secured the independence of t ...
general, was exhumed and studied, several female features were found which led to speculation that Pulaski was likely
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bina ...
. Physically, Pulaski had facial hair and — despite his female sexual organs and the question of whether or not Pulaski was biologically a female or intersex — it is undeniable that his gender identity was presented as male. In a 2020 response piece by David Albert Jones, the author uses the case of Pulaski to argue that someone's initial anatomy does not impact their expression and experience of the cultural aspects of identifying as a different gender. Jones argues that this has historically impacted and continues to impact the social implications of transitioning, as well as where and in what situations, such as the United States military, that intersex people fit into. In November 1861, during the
Civil War A civil war or intrastate war is a war between organized groups within the same state (or country). The aim of one side may be to take control of the country or a region, to achieve independence for a region, or to change government policies ...
, a person named Ellen Burnham, was arrested by
Union Army During the American Civil War, the Union Army, also known as the Federal Army and the Northern Army, referring to the United States Army, was the land force that fought to preserve the Union (American Civil War), Union of the collective U.S. st ...
detectives, was subjected to a medical procedure, but announced as a man to the surprised of Burnham's interrogators. Burham later changed the first name to Edgar, and has been described as "the first person" in U.S. history "to be lawfully married as both an adult male and female". A 2007 report commissioned by the Michael D. Palm Center stated that the U.S. military saw intersex and transgender individuals as "medically and psychologically deviant", with medical reasons being a disqualifying factor, with the report arguing that
transphobia Transphobia is a collection of ideas and phenomena that encompass a range of negative attitudes, feelings, or actions towards transgender people or transness in general. Transphobia can include fear, aversion, hatred, violence or anger tow ...
and
discrimination against intersex people Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies". "Because their ...
existed within the U.S. military. In November 2008, the official policy of the U.S. Army and U.S. Marines was that intersex individuals, along with those who were transgender, or had other reported "disorders", had medical or psychological problems, meaning that they were ineligible to serve. In the U.S. Navy and Air Force, individuals were disqualified because of assumed "medical treatments". In May 2017, scholar Kelly L. Fisher stated that U.S. military policies prevented intersex, and transgender, people from serving openly. In April 2019, U.S. military policy stated that intersex is a rare exception to a "person’s biological status". Previously, in March 2017, a pamphlet from the Navy and Marine Corps Public Health Center mentioned intersex individuals. In a September 2020 study of
transgender A transgender (often abbreviated as trans) person is someone whose gender identity or gender expression does not correspond with their sex assigned at birth. Many transgender people experience dysphoria, which they seek to alleviate through tr ...
soldiers in the U.S. military, 0.5% identified as intersex.


Policies and treatment

People born with non-standard genital anatomy or
ambiguous genitalia Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bina ...
are largely excluded from military service. This practice is believed to have been first introduced in 1961, alongside a ban on
transvestite Transvestism is the practice of dressing in a manner traditionally associated with the opposite sex. In some cultures, transvestism is practiced for religious, traditional, or ceremonial reasons. The term is considered outdated in Western c ...
s. According to a 2007 report from the Michael D. Palm Center, there is a long list of disqualifying genital differences that are used to bar individuals from service. For example, having one undescended testicle can make a man ineligible for service. Enclosure 4 of "''Induction in the Military Services''; dated April 10, 2010" instruction, entitled "Medical Standards For Appointment, Enlistment, Or Induction", is the one that identifies the preclusion of some intersex people from serving in the military. According to ''
The Crimson ''The Harvard Crimson'' is the student newspaper of Harvard University and was founded in 1873. Run entirely by Harvard College undergraduates, it served for many years as the only daily newspaper in Cambridge, Massachusetts. Beginning in the f ...
,'' the military's policy on genital differences is explicitly discriminatory. Despite the steady increase of other previously excluded members into the military since the
repeal A repeal (O.F. ''rapel'', modern ''rappel'', from ''rapeler'', ''rappeler'', revoke, ''re'' and ''appeler'', appeal) is the removal or reversal of a law. There are two basic types of repeal; a repeal with a re-enactment is used to replace the law ...
of "
Don't ask, don't tell "Don't ask, don't tell" (DADT) was the official United States policy on military service of non-heterosexual people, instituted during the Clinton administration. The policy was issued under Department of Defense Directive 1304.26 on December ...
", there has not been much change with respect to the status of intersex people. Military medical policies still prevent intersex people from serving
uncloseted ''Closeted'' and ''in the closet'' are metaphors for lesbian, gay, bisexual and transgender and other (LGBTQ+) people who have not disclosed their sexual orientation or gender identity and aspects thereof, including sexual identity and sexu ...
. However, the military does provide some surgeries for intersex people which they deem 'medically necessary' as opposed to 'cosmetic'.''Life Course Perspectives on Military Service''; 117 The
Veterans Health Administration The Veterans Health Administration (VHA) is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health that implements the healthcare program of the VA through a national ...
(VHA) does distinguish between surgeries for transgender individuals and intersex persons. In 2015, this allowed intersex persons to receive medically necessary treatment that was still prohibited for transgender people. This was because of the belief that intersex surgery caused "fewer practical concerns". However, a history of genital surgery prior to service is considered an acceptable reason to discharge a
service member Military personnel are members of the state's armed forces. Their roles, pay, and obligations differ according to their military branch (army, navy, marines, air force, space force, and coast guard), rank (officer, non-commissioned officer, or e ...
. The acceptance of transgender individuals in 2016 by the Armed Forces did not touch on intersex people and they are still subject to specific reviews before enlistment, as noted before. An intersex National Guardsman who had
sex reassignment surgery Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and alle ...
expressed that he was afraid and uncertain of what would become of him after the passing of the bill. The subsequent attempt at banning transgender troops by President Donald Trump in 2017 also did not touch on the state of intersex personnel, and it was unclear if the ban would have any intentional or unintentional effects on them. A case against the attempted ban noted that the VHA had begun health care for transgender and intersex veterans following a June 2011 order. Intersex activist and Navy veteran
Dana Zzyym Dana Alix Zzyym (born 1958) is an intersex activist and veteran of the U.S. Navy. After the culmination of a six-year legal battle, they became the first U.S. citizen to receive an official U.S. passport with an “X” sex/gender marker. Early ...
has expressed that their family's military background made it out of the question for them to be associated with the
queer community The LGBT community (also known as the LGBTQ+ community, GLBT community, gay community, or queer community) is a loosely defined grouping of lesbian, gay, bisexual, transgender, and other queer individuals united by a common culture and soci ...
as a youth due to the prevalence of homophobia in the armed forces. Their parents hid Zzyym's status as intersex from them and Zzyym discovered their identity and the surgeries their parents had approved for them by themselves after their Navy service. Zzyym is the first veteran to be issued a gender-neutral passport. Zzyym case is on pages 84-89 In March 2017, a study in Transgender Health examined the
Department of Veterans Affairs The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers an ...
system which affects transgender and intersex veterans, noting "their experiences with healthcare services provided by the VHA", pointing out VHA directives promulgated over the years, including a directive in February 2013, and discrimination that intersex veterans face. The study concluded that more needed to be done to ensure the VA provides transgender and intersex veterans with "adequate healthcare". In June 2019, a
Congressional Research Service The Congressional Research Service (CRS) is a public policy research institute of the United States Congress. Operating within the Library of Congress, it works primarily and directly for members of Congress and their committees and staff on a c ...
report stated that the
United States Department of Veterans Affairs The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers a ...
provides "medically necessary care" to intersex and transgender veterans. In February 2021, Lavelle Wollam described experience of being denied from the U.S. military because Wollam was intersex. In March 2021, the
U.S. Department of Defense The United States Department of Defense (DoD, USDOD or DOD) is an executive branch department of the federal government charged with coordinating and supervising all agencies and functions of the government directly related to national secur ...
stating that U.S. military would be "promoting and protecting the human rights" of intersex and other LGBTQ people. In a 2022 book about gender, identity, and behavior in the U.S. military, scholars concluded that the status of transgender and intersex people in the U.S. military is unresolved due to "legal, political, and regulatory battles".


Opinions

In 2007, the
Palm Center The Palm Center is a think tank founded in 1998 at the University of California, Santa Barbara, that produces scholarship designed to improve the quality of public dialogue about critical and controversial public policy issues. It commissions and d ...
released a report concluding that most of the military's beliefs about intersex people were myths and that neither intersex nor transgender peoples' medical problems posed any barrier to effective service. The study also argued that the rigidity of sexual difference, gender roles, and sexuality are "becoming increasingly less absolute," which could raise questions regarding the admission, retention, training, housing, and other services of intersex individuals in the armed forces. In 2010, Republican representative
Duncan D. Hunter Duncan Duane Hunter (born December 7, 1976) is an American former politician and United States Marine who served as a U.S. representative for from 2013 to 2020. He is a member of the Republican Party, who was first elected to the House in 2008 ...
implied that intersex people were always banned from service. However, this claim was contradicted by a veteran who stated that she was allowed to serve openly and be deployed during
Desert Storm The Gulf War was a 1990–1991 armed campaign waged by a 35-country military coalition in response to the Iraqi invasion of Kuwait. Spearheaded by the United States, the coalition's efforts against Iraq were carried out in two key phases: ...
as an intersex woman. Activist
Autumn Sandeen Autumn Sandeen is a Transgender activism, transgender activist and United States Navy, US Navy veteran. In 2013, she became the first United States Armed Forces, US service member to succeed in petitioning the United States Department of Defense, ...
also refuted Hunter's claims in a statement on her blog. In contrast, another response to Hunter was from Choire Sicha of
The Awl ''The Awl'' was a website about "news, ideas and obscure Internet minutiae of the day" based in New York City. Its motto was "Be Less Stupid." History Founded in April 2009 by David Cho and former ''Gawker'' editors Choire Sicha and Alex Balk ...
who stated that "intersex people aren't welcome to serve, but no one's quite sure how and why", but did not elaborate on if they believed this referred to all conditions or just visible ones. Along with trans and non-heterosexual people, Hunter includes intersex people on his list of
queer ''Queer'' is an umbrella term for people who are not heterosexual or cisgender. Originally meaning or , ''queer'' came to be used pejoratively against those with same-sex desires or relationships in the late 19th century. Beginning in the lat ...
groups which he believes to be unfit for service because he holds the belief that they would disrupt
unit cohesion Unit cohesion is a military concept, defined by one former United States Chief of staff in the early 1980s as "the bonding together of soldiers in such a way as to sustain their will and commitment to each other, the unit, and mission accomplishmen ...
. At the time when speaking about the subject he referred to intersex people by the term "
hermaphrodite In reproductive biology, a hermaphrodite () is an organism that has both kinds of reproductive organs and can produce both gametes associated with male and female sexes. Many Taxonomy (biology), taxonomic groups of animals (mostly invertebrate ...
s", which drew criticism from several intersex advocates and allies since it is a medically inaccurate term for a
human being Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedality, bipedalism and exceptional cognitive skills due to a large and complex Human brain, brain. This has enabled the development of ad ...
and is seen as a slur in the 20th century. His comments were also mocked on the
NPR National Public Radio (NPR, stylized in all lowercase) is an American privately and state funded nonprofit media organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It differs from other ...
comedy news show '' Wait Wait... Don't Tell Me!'' which joked about his opinion on the subject, claiming that including intersex people would be advantageous to the military, since they could "pursue enemies into both men's and women's restrooms". This joke was poorly received by some, including writers of '' ShadowProof'', who stated that it was both insulting to intersex people and a play on the negative stereotype of trans people as potential bathroom sexual predators, and ''
Queerty ''Queerty'' is an online magazine and newspaper covering gay-oriented lifestyle and news, founded in 2005 by David Hauslaib. As of June 2015, the site had more than five million monthly unique visitors. History ''Queerty'' was founded by David ...
''. In May 2018, River Champion in
E-International Relations ''E-International Relations'' (''E-IR'') is an open-access website covering international relations and international politics. It provides an academic perspective on global events. Its editor-in-chief iStephen McGlinchey The website has published ...
noted the "struggles for autonomy" for intersex individuals within existing "military frameworks"


Veterans

Intersex veterans are entitled to "medically necessary" surgeries. When transgender people were banned from receiving
sex reassignment surgery Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and alle ...
, intersex people were also banned from these surgeries. This meant that someone who was in the military presenting as male in their records could not transition to a female identity with help from the
United States Department of Veterans Affairs The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers a ...
, even if they were always predominantly female in all but writing. Even if those in the Military human resources department are accepting and want to help these individuals, the established limitations would not allow them to give them assistance, whether or not these surgeries are happening as a veteran or even to "a decorated war hero". This was mended in 2011 by the Department of Veteran Affairs with the creation of the "Directive for Providing Health Care for Transgender and Intersex Veterans". Before this, transgender veterans described their care as at the Veterans Association as "inconsistent, insensitive, and, at times, prejudiced". This included situations such as transgender males being denied mammograms and transgender females being denied prostate exams, a bias that presumably extended to intersex individuals whose genders could not be easily discerned.


By service


United States Air Force

Many
U.S. Air Force The United States Air Force (USAF) is the air service branch of the United States Armed Forces, and is one of the eight uniformed services of the United States. Originally created on 1 August 1907, as a part of the United States Army Sign ...
recruiters think that intersex people should be disqualified from service due to "the expected increased demand for medical treatments" but intersex persons are still allowed to serve in the
Civil Air Patrol Civil Air Patrol (CAP) is a congressionally chartered, federally supported non-profit corporation that serves as the official civilian auxiliary of the United States Air Force (USAF). CAP is a volunteer organization with an aviation-minded mem ...
.2014; ''Operative Pediatric Surgery'' - Page 901


United States Army

In the
U.S. Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, cl ...
, the official policy is that individuals who identify as intersex or have other sex-related disorders are medically problematic and/or psychologically disturbed; hence, they are not eligible to serve.


United States Coast Guard

Intersex people are allowed to serve in the
Coast Guard Auxiliary The United States Coast Guard Auxiliary (USCGA, USCGAUX, CGAux, or USCG Aux) is the civilian uniformed volunteer component of the United States Coast Guard. Congress established the unit on 23 June 1939, as the United States Coast Guard Reserve ...
. However, they must choose to be represented as either "male" or "female" on their records.


United States Marine Corps

The
USMC The United States Marine Corps (USMC), also referred to as the United States Marines, is the maritime land force service branch of the United States Armed Forces responsible for conducting expeditionary and amphibious operations through co ...
takes the same stance as the Army, disqualifying both intersex people and transgender people from service.


United States Navy

In 2008, many
U.S. Navy The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage o ...
recruiters believed that intersex people should be disqualified from service, mainly due to the expectation that they would cause increased demand for medical treatment.


ROTC

The
Reserve Officers' Training Corps The Reserve Officers' Training Corps (ROTC ( or )) is a group of college- and university-based officer-training programs for training commissioned officers of the United States Armed Forces. Overview While ROTC graduate officers serve in all ...
is obliged to follow the guidelines set by the military and has rejected intersex youth because of this. This, along with their exclusion of transgender people, has led to criticism from and of schools such as Harvard which did not allow the ROTC until "
Don't ask, don't tell "Don't ask, don't tell" (DADT) was the official United States policy on military service of non-heterosexual people, instituted during the Clinton administration. The policy was issued under Department of Defense Directive 1304.26 on December ...
" was repealed in 2010, but welcomed them afterwards. The critics argue that the return of the ROTC to campus violates the school's non-discrimination clause.


See also

*
Intersex rights in the United States Intersex people in the United States have some of the same rights as other people, but with significant gaps, particularly in protection from non-consensual cosmetic medical interventions and violence, and protection from discrimination. Actions ...
*
Transgender people and military service Not all armed forces have policies explicitly permitting LGBT personnel. Generally speaking, Western European militaries show a greater tendency toward inclusion of LGBT individuals. As of January 2021, 21 countries allow transgender military pe ...
* '' Pulaski: The Forgotten Hero of Two Worlds'', historical novel about Casimir Pulaski which covers his intersex status * ''
The General Was Female? "The General Was Female?" is the sixth episode in the documentary series ''America's Hidden Stories'' that argues that Revolutionary War General Casimir Pulaski was intersex. It first aired on Smithsonian Channel on April 8, 2019. See also * Int ...
'', documentary about Pulaskis intersex status


References


External links


LGBTQ Veterans' Issues

Veterans Day: No one gets left behind or forgotten
{{LGBT rights in the United States *