Taiwan may be the most gay-friendly country in Asia, but according to Abbygail Wu, founder of Intersex, Transgender and Transsexual People Care Association (ISTSCare), the country still receives a “failing mark” when it comes to LGBTQ equality. Transgender people, in particular, usually bear the brunt of sex-based discrimination.
ISTSCare has a one-woman 24/7 hotline service. Abby has dealt with calls concerning struggles related to suicide attempts, job insecurity or homelessness, and even domestic violence. To provide support and assistance to hotline callers, ISTSCare also partners with NGOs and other LGBTQ-related organizations.
Aside from the hotline service, the organization does its advocacy work through protests, by maintaining an online presence, as well as directly communicating with political figures and trans-friendly journalists to rouse awareness and discussion on transgender and intersex issues.
In 2014, four years after the first official notice regarding gender reassignment procedures in Taiwan was issued, the Ministry of Interior (MOI), with the support of the Ministry of Health and Welfare (MOHW), announced the easement of legal requirements on changing gender identity. MOI promised that it would immediately work on letting transgender citizens change their gender marker without having to go through rigorous psychiatric assessments, sex reassignment surgery (SRS) and parental approval. However, MOI backtracked since then.
“MOI, which is handling the national ID cards, they said there are still a lot of research to do about the gender issue and they try to get some professional opinions, but MOHW already said this is not a medical issue, it’s an internal affair issue. So MOI, they’re just under the pressure and paused a lot of meetings… and now the issue is still under research for four years,” Abby lamented. “We’re the first Asian country to pass the bill but it’s not implemented.”
Despite MOHW already stating that medical professionals should not have a say when it comes to determining one’s gender identification, transgender citizens are still presently forced to consider SRS. Besides that, they are also required to seek the expensive involvement of psychiatrists and, outrageously, the consent of their parents. Otherwise, their gender identity cannot be legally recognized.
Abby clarified that not all transgender people want the help of doctors to validate their gender identity. Hence, SRS is especially discriminatory towards transgender citizens who do not wish to undergo surgery. “What is gender? Is it just based on our anatomy? Or is it in our behavior? In our mind? Or in the way we dress?… There are a lot of factors that influence what gender one identify as, but society focus on the least publicly visible aspect – our sex organ.”
Abby continued, “There are risks to surgery and that is one of the reasons why not all transgenders want to go through it. And also, they may question themselves, ‘Do I really want to have surgery or is it just for the sake of getting this ID?’”
“One day before the presidential election, I went to the DPP (Democratic Progressive Party) headquarters to talk with the Department of Woman. I told them, ‘tomorrow is already the day for voting, are you going on stage and advocate for transgender rights? This has been neglected for the past 3-4 years. Then they just told me, ‘this requires social consensus’… I went out of that meeting deeply upset,” Abby shared.
With lack of funding, community support and societal understanding of trans issues, how could transgender rights obtain social consensus when this feat requires acceptance and approval from the status quo in order for the relevant social change to take effect? Why should the rights and well-being of a minority group fall in the hands of the majority? Currently, both the public and the government possess inadequate knowledge in dealing with transgender issues, which exacerbates the struggles transgender citizens face.
Prejudice against transgender folks can also be felt within LGBTQ communities. On one hand, some non-transgender members of the LGBTQ community question the gender identity of trans people. On the other hand, there is also internalized transphobia.
“A lot of transgender are more binary [in the way they see gender]. They think a man should act and look a certain way and that a woman should act and look a certain way… ISTSCare does not condone this kind of thinking,” Abby said.
When asked why ISTSCare is run by only three people (including Abby and her partner), she shared that many transgender citizens in Taiwan find it difficult to prioritize doing advocacy work because their life situation is oftentimes mentally and emotionally taxing. On top of having to deal with an unsupportive family, they often face discrimination in the job market. Hence, there’s a high level of difficulty for them to get a good job, gain professional working experience and make a decent living, let alone have the financial resources to go through SRS. As of now, they’re in this loop of societal discrimination and economic vulnerability with no recourse.
Another reason for the lack of transgender-focused activists in Taiwan is attributed to the problem of privilege. Abby adds that well-off transgender citizens tend to be exclusive in their social group. Post-surgery and after assimilating in heteronormative society, they also tend to ignore the struggles faced by less fortunate transgender citizens. They would rather not get associated for fear of being found out and face discrimination. Albeit joining Pride Parades, they are at other times nowhere to be found when it comes to advocating for transgender rights.
Abby said that ISTSCare’s main goal right now is to push for a non-discriminatory, comprehensive gender identity law in Taiwan.
“We hope to be like Argentina. Just file [required] papers to the courthouse and they will assign the legal gender change. No need to go through any kind of medical process.”
Having a well thought out gender identity law may not help solve all transgender issues and alleviate them from all of their struggles. However, getting the said law done and implemented right would be one significant progress for the recognition of the human rights and dignity of, not only transgender citizens, but also intersex and non-binary people.