Preface
Figures and Tables
Summary
Acknowledgments
Abbreviations
Chapter 1. Introduction : Study Approach
Organization of This Report
Chapter 2. What Are the Health Care Needs of the Transgender Population?: Definitions of Key Terms and Concepts
Health Care Needs of the Transgender Population
Military Health System Capacity and Gender Transition
Related Treatment
Potential Consequences of Not Providing Necessary Gender Transition
Related Care
Chapter 3. : What Is the Estimated Transgender Population in the U.S. Military? : General Population Estimates of Transgender Prevalence
Prevalence-Based Approach to Estimating the Number of Transgender Service Members in the U.S. Military
Chapter 4. How Many Transgender Service Members Are Likely to Seek Gender Transition-Related Medical Treatment?
Prevalence-Based Approach to Estimating the Number of Gender Transition-Related Treatments in the U.S. Military
Utilization-Based Approach to Estimating the Number of Gender Transition-Related Treatments in the U.S. Military
Summarizing the Estimates
Chapter 5. What Are the Costs Associated with Extending Health Care Coverage for Gender Transition-Related Treatments?: Private Health Insurance Cost Estimates
Sensitivity Analyses
Summarizing the Estimates
Chapter 6: What Are the Potential Readiness Implications of Allowing Transgender Service Members to Serve Openly?: Impact on Ability to Deploy
Impact on Unit Cohesion
Costs of Separation Requirements Related to Transgender Service Members
Chapter 7. What Lessons Can Be Learned from Foreign Militaries That Permit Transgender Personnel to Serve Openly?: Policies on Transgender Personnel in Foreign Militaries
Effects on Cohesion and Readiness
Best Practices from Foreign Militaries
Lessons Learned and Issues to Consider for U.S. Military Policy
Chapter 8. : Which DoD Policies Would Need to Be Changed if Transgender Service Members Are Allowed to Serve Openly?: Accession Policy
Retention Policy
Separation Policy
Deployment Policy
Chapter 9. Conclusion
APPENDIXES
References.