Strong majority against insurance plans covering transgender healthcare services - 136 participants

Oct 15, 2016

Recently, aldermanic committee members in Manchester voted to recommend that transgender healthcare services, such as sex change surgery, be covered by city health insurance. Human Resources Director Jane Gile estimates an additional cost of between 80 cents to $1.10 per member per month if transgender services are added to the city health plan. The request has since been voted on and approved. Read more on this issue. On October 15, Citizens Count, NH’s Live Free or Die Alliance decided to put the issue to its Facebook members, posting the question, “Should NH town and city health insurance plans cover transgender healthcare services?”

“Should NH town and city health insurance plans cover transgender healthcare services?”

Results: Yes or No Respondents

Transgender Healthcare Coverage New Hampshire Citizen Voices Chart


A total of 95% of those participating gave a 'yes or no' response to the question. The remaining 5% of participants engaged in the discussion but did not give a yes or no response. In total, this question received 331 responses from 136 individuals. (Click here for details on our methodology.)

What Participants Said:

No: A strong majority of ‘yes or no’ respondents, at 79%, were against health care plans covering transgender health care services.

  • “This is no more than elective surgery, if the insurance companies want to cover it that's their business. It should not be funded by the taxpayer whether it be state, federal or military.”
  • “Insurance should not cover or support mutilating your body like that.”
  • “They want change, then pay for it themselves. Transgenders can do what they want, but ultimately I shouldn't have to pay for it with my tax dollars.”

Yes: A minority, at 21% of ‘yes or no’ respondents, were in favor of health care plans covering transgender health care services.

  • “Given that these government jobs exist and come with health insurance, that health insurance should cover the cost of the recognized treatment for transgender people.”
  • “If they are public employees, they should have the full health coverage for all health issues.”
  • “We should be covering all of our citizen's health care services. The longer they have to wait to get the services they need, the longer they will be less functional in society.”

Other: As noted above, 5% of those participating did not give a yes or no response, instead addressing their comments to related questions and issues. These included:

  • Long-term implications of transgendered services: “Transgendered [people] also commit suicide at higher rates after they have the elective treatments to ‘change’ genders.”
  • The cost: “What’s the cost to tax payers? Since it is going to be an increase in premiums, the tax payers should know how much it is going to raise the property taxes.”
  • Defining ‘transgendered’: “It is a mental illness.”

*Editor selection of actual participant quotes. 

Click here to read the full Facebook discussion of this question. 

Know someone who would be interested in these results? Forward them the summary version of this report. 

Should NH town and city health insurance plans cover transgender health care services? Leave a comment and have your say! 


Michelle Rourke
- Derry

Tue, 11/15/2016 - 9:53am

Well I am getting older I could use a tummy tuck, face lift while I am at it can I do it at the best hospitals in Boston? Oh and can we throw in breast enhancement? I understand that they are mentally incapacitated by their gender but isn't an obese peson that has been teased and depressed for years? Most insurance carriers do not cover the cost of IVF (been there paid 10k) and that was for something abnormal. Maybe a transgender should set up a GO FUND ME PAGE and see how many well meaning taxpayers donate to the cause.

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