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	<title>Comments on: Sex-Change Operations are Tax Deductible, Tax Court Says</title>
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	<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/</link>
	<description>Pappas on Taxation</description>
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		<title>By: GrimFandango</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-12841</link>
		<dc:creator>GrimFandango</dc:creator>
		<pubDate>Sun, 20 Nov 2011 07:56:32 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-12841</guid>
		<description>Could of fooled me. lol</description>
		<content:encoded><![CDATA[<p>Could of fooled me. lol</p>
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		<title>By: Peter</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-12579</link>
		<dc:creator>Peter</dc:creator>
		<pubDate>Fri, 11 Nov 2011 12:20:17 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-12579</guid>
		<description>youidoit,

I want them to get help. I think they need counseling, not gender reassignment.</description>
		<content:encoded><![CDATA[<p>youidoit,</p>
<p>I want them to get help. I think they need counseling, not gender reassignment.</p>
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		<title>By: youidoit</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-12577</link>
		<dc:creator>youidoit</dc:creator>
		<pubDate>Fri, 11 Nov 2011 03:01:08 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-12577</guid>
		<description>People who want sex changes feel they are the other gender and many of them feel like killing themselfs because it&#039;s so miserable and awful just laying down and say &quot;okay i guess i&#039;ll have to be what i was born with&quot;

Their is more to gender then just whats in your pants,the brain can be male or female.

i think getting surgery for huge breats or nose surgery is different.

People who want to get a sex change have suffered all or most of there life.

Maybe you dont understand because you have nobody close to you who is TRANSGENDERED.

Everyone is the same, get over yourself</description>
		<content:encoded><![CDATA[<p>People who want sex changes feel they are the other gender and many of them feel like killing themselfs because it&#8217;s so miserable and awful just laying down and say &#8220;okay i guess i&#8217;ll have to be what i was born with&#8221;</p>
<p>Their is more to gender then just whats in your pants,the brain can be male or female.</p>
<p>i think getting surgery for huge breats or nose surgery is different.</p>
<p>People who want to get a sex change have suffered all or most of there life.</p>
<p>Maybe you dont understand because you have nobody close to you who is TRANSGENDERED.</p>
<p>Everyone is the same, get over yourself</p>
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		<title>By: Peter</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-11459</link>
		<dc:creator>Peter</dc:creator>
		<pubDate>Tue, 27 Sep 2011 21:41:18 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-11459</guid>
		<description>AM,

If its medically necessary and not done for cosmetic reasons, it&#039;s deductible.</description>
		<content:encoded><![CDATA[<p>AM,</p>
<p>If its medically necessary and not done for cosmetic reasons, it&#8217;s deductible.</p>
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		<title>By: AM</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-11453</link>
		<dc:creator>AM</dc:creator>
		<pubDate>Tue, 27 Sep 2011 16:24:24 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-11453</guid>
		<description>I feel the urge to note, that AS a woman with large breasts, I think it should be covered to have them reduced. Back pain, neck pain, shoulder pain and other medical problems caused by the excess weight of the breasts. You seriously should try wearing a bra, filled with 10-15 lbs of weight in it for an entire day. See how you feel, then you can see what some women go through.</description>
		<content:encoded><![CDATA[<p>I feel the urge to note, that AS a woman with large breasts, I think it should be covered to have them reduced. Back pain, neck pain, shoulder pain and other medical problems caused by the excess weight of the breasts. You seriously should try wearing a bra, filled with 10-15 lbs of weight in it for an entire day. See how you feel, then you can see what some women go through.</p>
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		<title>By: Peter</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-10318</link>
		<dc:creator>Peter</dc:creator>
		<pubDate>Thu, 21 Jul 2011 01:27:16 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-10318</guid>
		<description>LP,

Where did I say anything about Foucault?</description>
		<content:encoded><![CDATA[<p>LP,</p>
<p>Where did I say anything about Foucault?</p>
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		<title>By: L.P.</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-10307</link>
		<dc:creator>L.P.</dc:creator>
		<pubDate>Wed, 20 Jul 2011 07:57:48 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-10307</guid>
		<description>Wow. You really need to brush up on your Foucault. There is also an exceedingly good chance that this will be removed or very seriously reworded in the forthcoming DSM-V. Let&#039;s hope so.</description>
		<content:encoded><![CDATA[<p>Wow. You really need to brush up on your Foucault. There is also an exceedingly good chance that this will be removed or very seriously reworded in the forthcoming DSM-V. Let&#8217;s hope so.</p>
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		<title>By: IRS Says Breast Pumps are Tax Deductible</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-8977</link>
		<dc:creator>IRS Says Breast Pumps are Tax Deductible</dc:creator>
		<pubDate>Fri, 11 Feb 2011 05:07:23 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-8977</guid>
		<description>[...] Especially if one is depressed about his shortcomings. Bookmark &amp; [...]</description>
		<content:encoded><![CDATA[<p>[...] Especially if one is depressed about his shortcomings. Bookmark &amp; [...]</p>
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		<title>By: Prostitution and Therapeutic Sex Not Deductible, Tax Court Says</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-7424</link>
		<dc:creator>Prostitution and Therapeutic Sex Not Deductible, Tax Court Says</dc:creator>
		<pubDate>Thu, 07 Oct 2010 17:33:42 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-7424</guid>
		<description>[...] Sex Change Operations are Tax Deductible, Tax Court Says [...]</description>
		<content:encoded><![CDATA[<p>[...] Sex Change Operations are Tax Deductible, Tax Court Says [...]</p>
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		<title>By: Peter</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-4209</link>
		<dc:creator>Peter</dc:creator>
		<pubDate>Thu, 04 Feb 2010 23:03:12 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-4209</guid>
		<description>DB,

Nice try.

May I suggest counseling combined with medication. Quickly, before you hurt someone, including your &lt;em&gt;selves&lt;/em&gt;.

I don&#039;t usually converse with the irrational, but I&#039;m feeling merciful today.

The &lt;em&gt;entire case&lt;/em&gt; is about relieving stress. Stress associated with a mental disorder. GID is a medical disorder that causes the sufferer severe stress. Having a sex-change operation relieves that stress, ergo, it is tax deductible.

Even GLAD recognized this:

&lt;blockquote&gt;
“I think what the court is saying is that surgery and hormone therapy for transgender people to alleviate the stress associated with gender identity disorder is legitimate medical care,’’ said Jennifer Levi, a GLAD attorney&lt;/blockquote&gt;

By the way, when you called me incompetent and a dunce I came very close to conceding the entire argument.

ROFL.

</description>
		<content:encoded><![CDATA[<p>DB,</p>
<p>Nice try.</p>
<p>May I suggest counseling combined with medication. Quickly, before you hurt someone, including your <em>selves</em>.</p>
<p>I don&#8217;t usually converse with the irrational, but I&#8217;m feeling merciful today.</p>
<p>The <em>entire case</em> is about relieving stress. Stress associated with a mental disorder. GID is a medical disorder that causes the sufferer severe stress. Having a sex-change operation relieves that stress, ergo, it is tax deductible.</p>
<p>Even GLAD recognized this:</p>
<blockquote><p>
“I think what the court is saying is that surgery and hormone therapy for transgender people to alleviate the stress associated with gender identity disorder is legitimate medical care,’’ said Jennifer Levi, a GLAD attorney</p></blockquote>
<p>By the way, when you called me incompetent and a dunce I came very close to conceding the entire argument.</p>
<p>ROFL.</p>
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		<title>By: Peter</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-4208</link>
		<dc:creator>Peter</dc:creator>
		<pubDate>Thu, 04 Feb 2010 22:36:50 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-4208</guid>
		<description>Bev,

I read every page of the 139 page decision and understand it perfectly. 

I am afraid &lt;em&gt;you&lt;/em&gt; did not read &lt;em&gt;my&lt;/em&gt; post. If you had you would have noticed my conclusion (emphasis added):

&lt;blockquote&gt;Thus, the O’Donnalbhain standard might be narrowly stated as follows:

The costs of  legitimate medical procedures that are designed to relieve the mental suffering that is &lt;strong&gt;associated with a generally accepted mental disorder&lt;/strong&gt; ³ are tax deductible&lt;/blockquote&gt;

I clearly did not say that stress relief alone was the standard. Who&#039;s not reading things?

&lt;strong&gt;Re Denial of Breast augmentation deduction:&lt;/strong&gt;

So a man who wants to be a woman only wants &lt;em&gt;one&lt;/em&gt; part of womanhood? Come on! It&#039;s obvious the Court didn&#039;t want to open up Pandora&#039;s (no pun intended) box and allow all boob jobs to be deductible.

&lt;strong&gt;Re your statement re my statement &quot;about not doubting the petitioner suffers from &#039;some sort of disorder&#039; is offensive and demeaning&quot;&lt;/strong&gt;

Bev, the &quot;D&quot; in GID &lt;em&gt;stands&lt;/em&gt; for disorder, therefore, I must assume you were equally offended by Judge Gale&#039;s use of the word? Of course, that would be silly since the &lt;em&gt;entire justification&lt;/em&gt; for allowing a deduction for the costs of a sex-change rests on GID &lt;em&gt;being&lt;/em&gt; a disorder.

Anyway, you shouldn&#039;t be so sensitive. Remember the words of Eleanor Roosevelt, &quot;no one can hurt your feelings without your consent.&quot;

And &quot;transphobia?&quot; Good Lord! I don&#039;t &lt;em&gt;fear&lt;/em&gt; people who don&#039;t like the genitals with which they were born, I think they need help. And so, apparently, does the Tax Court.

</description>
		<content:encoded><![CDATA[<p>Bev,</p>
<p>I read every page of the 139 page decision and understand it perfectly. </p>
<p>I am afraid <em>you</em> did not read <em>my</em> post. If you had you would have noticed my conclusion (emphasis added):</p>
<blockquote><p>Thus, the O’Donnalbhain standard might be narrowly stated as follows:</p>
<p>The costs of  legitimate medical procedures that are designed to relieve the mental suffering that is <strong>associated with a generally accepted mental disorder</strong> ³ are tax deductible</p></blockquote>
<p>I clearly did not say that stress relief alone was the standard. Who&#8217;s not reading things?</p>
<p><strong>Re Denial of Breast augmentation deduction:</strong></p>
<p>So a man who wants to be a woman only wants <em>one</em> part of womanhood? Come on! It&#8217;s obvious the Court didn&#8217;t want to open up Pandora&#8217;s (no pun intended) box and allow all boob jobs to be deductible.</p>
<p><strong>Re your statement re my statement &#8220;about not doubting the petitioner suffers from &#8216;some sort of disorder&#8217; is offensive and demeaning&#8221;</strong></p>
<p>Bev, the &#8220;D&#8221; in GID <em>stands</em> for disorder, therefore, I must assume you were equally offended by Judge Gale&#8217;s use of the word? Of course, that would be silly since the <em>entire justification</em> for allowing a deduction for the costs of a sex-change rests on GID <em>being</em> a disorder.</p>
<p>Anyway, you shouldn&#8217;t be so sensitive. Remember the words of Eleanor Roosevelt, &#8220;no one can hurt your feelings without your consent.&#8221;</p>
<p>And &#8220;transphobia?&#8221; Good Lord! I don&#8217;t <em>fear</em> people who don&#8217;t like the genitals with which they were born, I think they need help. And so, apparently, does the Tax Court.</p>
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		<title>By: XY to XX &#171; Accountants Directory</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-4206</link>
		<dc:creator>XY to XX &#171; Accountants Directory</dc:creator>
		<pubDate>Thu, 04 Feb 2010 20:02:53 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-4206</guid>
		<description>[...] on the Tax Court&#8217;s sex-change decision, from Peter Pappas. My coverage [...]</description>
		<content:encoded><![CDATA[<p>[...] on the Tax Court&#8217;s sex-change decision, from Peter Pappas. My coverage [...]</p>
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		<title>By: Bev</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-4205</link>
		<dc:creator>Bev</dc:creator>
		<pubDate>Thu, 04 Feb 2010 18:51:24 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-4205</guid>
		<description>Peter, you need to actually read the case.  The tax court didn&#039;t rule on a &quot;stress relief&quot; standard.  The court determined that gender identity disorder (GID) is a &quot;disease,&quot; and as such the treatment for the disease (hormone therapy and genital surgery) is a deductible medical expense under Section 213.  The court specifically held that the costs of breast augmentation were not deductible because the purpose was to improve appearance for the petitioner.

Additionally, your comment about not doubting the petitioner suffers from “some sort of disorder” is offensive and demeaning.  GID is a real disease, and the agreed upon treatment is hormone therapy and surgery.  This is different than the treatment of a person who suffers from depression.  A proper analogy under this case would be allowance of a tax deduction for the costs of antidepressants to the patient who is depressed from body image and low self esteem.  Most doctors would not prescribe a nose job for this to every patient who claims it causes them stress.  As the opinion details, most doctors would prescribe hormone therapy and genital surgery to those that suffer from GID.

I think the court came to the right decision by limiting the deductible costs to treatment of GID and limits the extension of the deduction to the elective cosmetic surgery portion which only improves appearance. This ruling prevents the slippery slope which you improperly say will now happen from the ruling in this case.  I think that as a tax attorney with a forum like this blog, you should at least read the case and give it a fair shake before sensationalizing an impossible slippery slope with this pro-transgender ruling.  There is no ‘bignoseaphobia’ in the DSM that is a diagnosable disease which warrants rhinoplasty as the primary treatment.  Depression, however, is in the DSM and the treatment is counseling and possibly medication.  Your interpretation of the ruling seems to be unjustly fueling the fire of transphobia.</description>
		<content:encoded><![CDATA[<p>Peter, you need to actually read the case.  The tax court didn&#8217;t rule on a &#8220;stress relief&#8221; standard.  The court determined that gender identity disorder (GID) is a &#8220;disease,&#8221; and as such the treatment for the disease (hormone therapy and genital surgery) is a deductible medical expense under Section 213.  The court specifically held that the costs of breast augmentation were not deductible because the purpose was to improve appearance for the petitioner.</p>
<p>Additionally, your comment about not doubting the petitioner suffers from “some sort of disorder” is offensive and demeaning.  GID is a real disease, and the agreed upon treatment is hormone therapy and surgery.  This is different than the treatment of a person who suffers from depression.  A proper analogy under this case would be allowance of a tax deduction for the costs of antidepressants to the patient who is depressed from body image and low self esteem.  Most doctors would not prescribe a nose job for this to every patient who claims it causes them stress.  As the opinion details, most doctors would prescribe hormone therapy and genital surgery to those that suffer from GID.</p>
<p>I think the court came to the right decision by limiting the deductible costs to treatment of GID and limits the extension of the deduction to the elective cosmetic surgery portion which only improves appearance. This ruling prevents the slippery slope which you improperly say will now happen from the ruling in this case.  I think that as a tax attorney with a forum like this blog, you should at least read the case and give it a fair shake before sensationalizing an impossible slippery slope with this pro-transgender ruling.  There is no ‘bignoseaphobia’ in the DSM that is a diagnosable disease which warrants rhinoplasty as the primary treatment.  Depression, however, is in the DSM and the treatment is counseling and possibly medication.  Your interpretation of the ruling seems to be unjustly fueling the fire of transphobia.</p>
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		<title>By: DB</title>
		<link>http://www.pappasontaxes.com/index.php/2010/02/03/sex-change-operations-are-tax-deductible-tax-court-says/comment-page-1/#comment-4203</link>
		<dc:creator>DB</dc:creator>
		<pubDate>Thu, 04 Feb 2010 16:14:23 +0000</pubDate>
		<guid isPermaLink="false">http://blog.pappastax.com/?p=14191#comment-4203</guid>
		<description>Obviously you are an incompetent lawyer. Even a dunce realizes that this is a disease under the DSM and not an &quot;anxiety&quot;. 

&quot;$25,000 he paid to become a woman,&quot;

&quot;He&quot; paid ? It has nothing to do with stress Einstein.  The air is invisible to you yet it is there. Fire is not &quot;magic &quot; ! You public idiots spewing your stupidity under the guise of information are a hoot.

Any time you want to open air debate I&#039;m up for it. You and your Jesus cult need to be dressed down in public. I can&#039;t wait for the &quot; So if I think I&#039;m a dog I can be a dog &quot; argument so many of you submorons spew. Hilarious.</description>
		<content:encoded><![CDATA[<p>Obviously you are an incompetent lawyer. Even a dunce realizes that this is a disease under the DSM and not an &#8220;anxiety&#8221;. </p>
<p>&#8220;$25,000 he paid to become a woman,&#8221;</p>
<p>&#8220;He&#8221; paid ? It has nothing to do with stress Einstein.  The air is invisible to you yet it is there. Fire is not &#8220;magic &#8221; ! You public idiots spewing your stupidity under the guise of information are a hoot.</p>
<p>Any time you want to open air debate I&#8217;m up for it. You and your Jesus cult need to be dressed down in public. I can&#8217;t wait for the &#8221; So if I think I&#8217;m a dog I can be a dog &#8221; argument so many of you submorons spew. Hilarious.</p>
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