Kirk Emily J, Huish Robert
Research fellow in the Department of International Development Studies at Dalhousie University, Halifax, Nova Scotia, Canada.
Associate professor in the Department of International Development Studies, Dalhousie University, Halifax, Nova Scotia, Canada.
Health Hum Rights. 2018 Dec;20(2):215-222.
In 2008, Cuba's minister of public health signed Resolution 126, an act that assured complete coverage for Cubans seeking sexual reassignment surgeries (also known as gender confirmation surgeries), the first of any country in Latin America to do so. Ten years later, Cuba is celebrated as having one of the most open and inclusive LGBTQ public health and education programs in the Americas. As illustrated throughout this article, the Cuban state approaches sexuality and sexual identity not as rights-based issues but rather as health-based challenges. Through the case study of Cuba's understanding of transsexuals' right to health, we argue that Cuba has provided an example of how the right to health for all moves toward breaking down the barriers of stigma by improving health outcomes for those with transsexual health needs.
2008年，古巴公共卫生部长签署了第126号决议，该法案确保为寻求变性手术（也称为性别确认手术）的古巴人提供全面保障，古巴是拉丁美洲首个这样做的国家。十年后，古巴被誉为美洲最开放和包容的 LGBTQ 公共卫生与教育项目之一。正如本文通篇所阐述的，古巴政府看待性取向和性身份并非基于权利问题，而是基于健康的挑战。通过对古巴对变性者健康权理解的案例研究，我们认为古巴提供了一个范例，即全民健康权如何通过改善有变性者健康需求者的健康状况来打破耻辱的障碍。
