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New Zine Release – Surviving the Witch-Hunt: Battle Notes from Portland’s 82nd Avenue, 2007-2010

Date: July 25, 2010

Just in time for the Desiree Alliance conference this week, “Working Sex: Power, Practice, and Politics,” which I am already starting to feel depressed about already by the way, I have published a new zine, “Surviving the Witch-Hunt: Battle Notes from Portland’s 82nd Avenue, 2007-2010.”

Surviving the Witch-Hunt chronicles the resistance against the massive anti-prostitution panic in east Portland neighbourhoods between 2007 and 2010 in which women trying to survive working on 82nd Avenue were targeted by baseball bat-wielding, camera phone-snapping, vigilante “community foot patrol” and other angry neighbours worried about their property value.

The zine is available for download (PDF) for free, or it can be purchased online in hard copy. I will have some copies at the conference this week as well.

Zine Cover

City and County commissioners continue to broadcast smooth lies that comfort citizens

Date: July 23, 2010

This past Wednesday, I attended the afternoon session of Portland City Council to hear its report on human trafficking—or rather, domestic minor trafficking (only one speaker, someone from Catholic Charities, spoke about a different form of human trafficking, that is the exploitation of migrant workers in labour trafficking).

I knew what I was getting myself into, but it was still painful to sit through such entourage of willful ignorance disguised as genuine concern for children being forced to engage in prostitution.

As I had expected, Portland City Commissioner Dan Saltzman, Multnomah County Commissioners Diane McKeel, and others invoked the nonsensical and debunked claim that “the average age of entry into prostitution is 13,” as if they are utterly ignorant about what “average” means.

Commissioner Saltzman stressed several times throughout the session that these very young girls eventually become adult women, implying that prostitution in our society is all about child abuse and its prolonged consequences, because most adults engaging in prostitution started out at very young age when they should have been in elementary and middle schools.

Somehow, they seem to think it is much easier to believe in this nonsense rather than facing the reality that, for the most part, it is a product of poverty, homelessness, welfare reform, unjust immigration law, sexism, homophobia, transphobia, and other economic and social injustices. Once they define all prostitutes as child abuse victims who must be “rescued”—from prostitution, but not necessarily from poverty and other injustices—by arresting and jailing them.

By intentionally conflating prostitution and child abuse, they frame the issue of prostitution as a simple law enforcement problem. While it is unsettling to think that so many young children are being trafficked (nevermind the fact most child sexual abuse happens in homes, churches, and schools), it is somehow easier to digest than a more nuanced and politicised view that calls for across-the-board social and economic justice agenda.

This willful ignorance of reality closely mirrors many Americans’ support for the War on Terror in the immediate aftermath of the 9/11 attacks. Instead of untangling resentment and frustration the West has built up all over the world through centuries of violence and exploitation, many people rushed to accept the clearly nonsensical explanation that “they hate us because they hate freedom” because it was much more palatable.

It is not entirely accurate to say that Bush administration lied to the people about the weapons of mass destruction, links between Iraq and Al-Qaeda, domestic wiretapping, torture in Guantanamo and Abu Ghraib. If anyone actually cared to exercise common sense and reason, the truth was always apparent. But too many Americans were invested in believing the obvious lies. In other words, people were not fooled or deceived by the Bush administration; rather, people actively sought out smooth lies that comfort them, and the Bush administration bottle-fed them to us. I feel that Commissioners’ and their supporters’ response to trafficking/prostitution is similar to that.

Commissioner McKeel also stated that “basic economic theory” holds that reducing demand (for sexual services, some of which may involve trafficking) lead to lower supply. But she is neglecting the fact that a sudden reduction of demand diminishes bargaining power of the seller, forcing many women to work under even worse conditions for less money.

County is planning to start “john school,” which “educates” johns arrested in prostitution sweeps about the harms of prostitution on women and girls in order to get their cooperation to reduce the demand. But this, too, will put women and girls at more danger than they currently are.

Let’s imagine that there are two types of johns. The first group consists of men who are generally respectful of women but don’t realise that prostitution is so harmful. “John school” will likely make them stop going to prostitutes. The second group consists of men who are selfish and thrill-seeking, and do not care about how their actions affect women. “John school” probably has no effect on them.

In other words, “john school,” if it is effective at all, will drastically change the composition of johns who frequent prostitutes, on top of reducing the amount of money women can make. How is this going to make women and girls safer?

Not that I am concerned about “john school,” though—studies have shown beyond reasonable doubt that it has no impact whatsoever. I just wish they don’t spend any money on it and put the money toward housing assistance for the women or something like that.

Recommendations on Medicaid funding of surgeries for intersex individuals

Date: July 23, 2010

Recommendations for Colorado Department of Health Care Policy and Financing
Re: Medicaid Funding for Remedial Surgeries for DSD

Emi Koyama
Director, Intersex Initiative

My name is Emi Koyama and I am the director of Intersex Initiative, a national advocacy organization for people born with intersex conditions, or disorders of sex development (DSD) as they are referred to within the medical community.

I have studied the draft Colorado Medicaid Policy titled “Disorders of Sexual Development (DSD or intersex) Surgical Remediation,” and wish to offer following recommendations.

1. First thing first: the correct medical term is Disorder of Sex (not “Sexual”) Development. (And when not referring by this established medical terminology, I prefer to use “anomalies” over “disorders.”)

2. Philosophical statement must make a clear distinction between “gender assignment” which is a social and legal determination of one’s sex of rearing, and surgical reinforcement of the assigned gender. The controversy is not whether or not children should be assigned gender: it is whether social and legal assignment of gender should be accompanied by cosmetic surgical alterations of the child’s genitalia before the child is old enough to be involved in the decision-making. I believe not.

3. The philosophical statement also seems to presume that the main risk of early cosmetic genital surgeries is the accidental assignment of the “wrong” gender. While this is a major concern, it is not the only one. Any surgeries on such sensitive areas risk damaging the child physically, psychologically, and sexually–which is why advocates argue that they should not be performed without the child’s participation, unless of course there is an urgent medical necessity. Perhaps Medicaid is not able to take either side of this controversy at this point, but critics’ concerns should be accurately reflected in the document.

4. I applaud the draft for acknowledging the need for multidisciplinary approach to treating children with DSD. That said, if Medicaid were to recommend multidisciplinary team to care for these children, it must also provide payment for counselors, psychologists and social workers who will assist patients and parents as part of the multidisciplinary team. Counseling for parents or other caregivers is a critical part of providing competent care for children with DSD.

5. Some surgeries performed on children with DSD result in sterilization. The policy statement should specifically require any parent or physician seeking these surgeries to be extremely cautious and abide by all existing State laws and Medicaid regulations on sterilization on minors or legally incompetent people in order to protect the rights of children with DSD.

6. Medicaid is mandated to cover out-of-state medical expenses as well as travel expenses for the patient and the accompanying parent if providers with adequate experiences or specialization in the specific procedure being prescribed cannot be found in the State Medicaid system. The policy statement should include this information instead of simply stating that “The provider must be enrolled with Colorado Medicaid.” Further, funding for in-state medical travel should be included as well if a qualified provider cannot be found in the immediate area where patient and his or her family live.

7. “Gender transformation surgery” does not encompass a wide range of surgical procedures performed for children with DSD with or without the assent of the patient (e.g. vaginoplasty for a female with DSD does not transform her gender in any way, but simply reinforces it). The statement should state that all medically recommended surgeries are covered, preferably with the assent of the patient himself or herself, in addition to the “gender transformation surgery.”

8. I support Colorado’s leadership in acknowledging that “gender transformation surgery” should not be rushed at the time of birth. However, the timing of the surgery should not be limited to just two options (at birth or at puberty). At minimum, Medicaid should cover such surgeries that take place anytime in the patient’s adolescence and even young adulthood, allowing full time for the individual to explore and develop a sense of who he or she is.

9. The sentence denying coverage for “trans-sexual surgery” is unnecessary and potentially harmful. The next revision of Diagnostic and Statistical Manual of Mental Disorders (DSM) is expected to change the definition for Gender Identity Disorder (which is associated with transsexuality), allowing children and adults with DSD to be diagnosed with Gender Incongruence (a new name for GID). In other words, a child may be diagnosed with both DSD and GI, which puts two sentences in this policy statement (coverage for “gender transformation surgery” for children with DSD and denial of coverage for “trans-sexual surgery”) in conflict with each other.

Besides, whether or not Medicaid covers sex reassignment surgeries for transsexual people should be specified in a separate policy statement, and is irrelevant to the issues addressed in this statement. I believe that it is quite sufficient to state that “Gender transformation is not covered under this policy when the diagnostic criteria for DSD are not met.”

(Also, I fully support Medicaid funding for sex reassignment surgeries for adult transsexual people who seek them. I understand that this discussion is not the time or place to advocate for such policy change, but we cannot in good conscience be completely silent about the struggle of our transsexual friends and allies, many of whom have advocated for intersex rights.)

Thank you very much for giving me an opportunity to make these recommendations. I am also sending you a copy of the draft statement with suggested edits. Please feel free to contact me if you have further questions, as I would be delighted to provide more information.

Anne Tamar-Mattis, a California attorney and the executive director of Advocates for Informed Choice, said that she is also available to answer any questions. Her phone number is XXX-XXX-XXXX and email address is XXX@XXX.XXX. In addition, Nancy Ehrenreich is a Professor of Law at University of Denver’s Sturm College of Law, and is knowledgeable about legal issues surrounding surgical treatment of children with DSD. Her phone number is XXX-XXX-XXXX and email address is XXX@XXX.XXX. They may be able to offer further insights that I am missing.

I am going to attend Desiree Alliance conference after all.

Date: July 14, 2010

This is an update to an earlier post about being awarded “merit based” “diversity” scholarship to attend Desiree Alliance conference, which actually wasn’t a scholarship at all.

Recently while I was talking to some people in the sex worker advocacy field about my recommendations about sex trafficking on Craigslist, I was asked if I was planning to attend Desiree Alliance conference. I told them that I wasn’t going to attend because I was disgusted with how the conference organizers treated me over the scholarship application I had submitted. Soon later, the word got back to the scholarship committee at the conference, and this is the email I received from them:

Dear Emi,

We had previously sent a letter offering a merit scholarship, which is a fee reduction for registration. We have offered these in previous years, but the circumstances are different this year, and we see that we made a mistake by offering people a “reduced” fee of $150, when that fee is actually the same as the ‘early bird’ registration fee.

Our approach to getting funds for scholarships is very grassroots (we’ve held fundraisers, we’ve approached the most radical foundations for some funds, we’ve donated money/resources ourselves to make up shortfalls). Yet despite these efforts not too many people have been able to give money to support sex worker rights and we had limited funds. Sometimes under all this pressure to share scarce resources we have made mistakes and the content of that merit scholarship letter was one of them.

We are sorry for the mistake and hope you excuse this misunderstanding. We really do want you to attend the conference. We want to serve as a resource for you, so please do let us know if you still plan to attend, if you have registered for the conference, and what resources you are looking for to attend the conference.

We hope you understand that we greatly value your contributions and look forward to you participation at the conference and we will make further efforts to assist you.

We then started emailing back and forth, and voila! they found some new money to help me attend the conference. So anyway, I will go :-) If anyone reading this is attending, please say hi.

Oh by the way–I just found out that former U.S. Surgeon General Joycelyn Elders is among the keynote speakers at this conference. Those of you who’s been reading this blog for a long time know that she is a pediatric endocrinologist who has advocated for intersex (cosmetic) genital surgeries (read about my encounter with Dr. Elders at Let’s Talk About Sex! conference)…

I totally think that her position on intersex contradicts everything she is famous for, which says a lot about the peer pressure and conformity within a medical field. I wonder what she thinks about the Cornell post-clitoral surgery sensitivity study or prenatal dexamethasone treatment for the purpose of preventing (gender)queerness.

The average age of entry into prostitution is NOT 13

Date: July 13, 2010

Over the last several years, I have been trying to correct the inaccurate notion that the “average age of entry into prostitution is 13” wherever I see it, but it is becoming increasingly overwhelming. This figure is in newspapers, official reports from City of Portland, and many websites and pamphlets claiming to confront sex trafficking (but often conflate prostitution with trafficking, and take anti-prostitution stances that are actually harmful to women). When I contact them to correct the errors, they either don’t understand what I am explaining or just plain don’t care. I’ve also been accused of being a pimp, pervert, pedophile, and other unpopular beings, simply because I challenge the falsehoods.

Here is the latest example, found on The Oregonian on July 3, 2010. Columnist Eliabeth Hovde writes:

Boys and girls are being lured or forced into what they call “the life” at younger and younger ages. […] The U.S. Justice Department believes that the average age of entry into prostitution is 13 and that 100,000 children are used for commercial sex each year in this land of the free.

Department of Justice does state this figure in its website:

Although comprehensive research to document the number of children engaged in prostitution in the United States is lacking, it is estimated that about 293,000 American youth are currently at risk of becoming victims of commercial sexual exploitation. Richard J. Estes and Neil Alan Weiner, Commercial Sexual Exploitation of Children in the U.S, Canada and Mexico, University of Pennsylvania, Executive Summary at 11-12 (2001)

This led me to find the University of Pennsylvania study titled “The Commercial Sexual Exploitation of Children In the U. S., Canada and Mexico,” which in fact states:

The age range of entry into prostitution for the boys, including gay and transgender boys, was somewhat younger than that of the girls, i.e., 11-13 years vs. 12-14 years, respectively.

But as the title suggests, this study only surveys minors (“children”), which means it does not include anyone who entered into prostitution at age 18 or over, or those who entered as a minor but has since aged out. Imagine conducting a research on those who died as minors: the average age of death would be somewhere near 10-12, but it would be ridiculous to claim that the average life expectancy for the general population is 10-12. Similarly, the “average age of entry” among youth who were studied does not tell us anything about the actual average age of entry for everyone who is in or has been in prostitution.

That’s not all. For the sake of discussion, let’s pretend that in a small town, six minors enter into prostitution each year, one individual each for ages 12-17. That means that there is one 12 year old, one 13 year old, one 14 year old, and so on. The average age of entry in this hypothetical town is the average of these six individuals, which is (12+13+14+15+16+17)/6 = 14.5.

But when researchers arrive in this town, they don’t just survey these six minors: they will also survey others who have started prostitution in the years past. So for any given year when the research is conducted, there are one 12 year old (who entered at 12), two 13 year olds (entered at 12 and 13), three 14 year olds (entered at 12, 13, and 14), and so on. The average among all of these youth will be: (12+(12+13)+(12+13+14)+(12+13+14+15)+(12+13+14+15+16)+(12+13+14+15+16+17))/21 = 13.7–which is almost one year younger than the actual average age of entry.

This discrepancy is caused by limiting the research subject to minors. Those who entered into prostitution at age 12 has six years in which he or she might be surveyed (at ages 12, 13, 14, 15, 16, or 17), while those who entered at 17 has only one year, which artificially inflates the proportion of research participants who entered early. In short, we cannot know the actual “average age of entry” by simply averaging the age of entry reported by research participants.

Case in point. Below is a chart and table found in “The National Report on Domestic Minor Sex Trafficking,” produced by Shared Hope International, an anti-trafficking group.

SHI Chart

This chart is based on Shared Hope International’s 10-city study on minor sex trafficking. In the same page where this chart appears, Shared Hope founder Linda Smith states “The average age that a pimp recruits a girl into prostitution is 12 to 14 years old.” But interestingly, the chart does not support this statement: the average of all responses represented in the chart/table is 14.97, which is much higher than Smith’s “12 to 14” figure. Plus, simply averaging all the responses is not enough, for the reason I pointed out above. So when we adjust the numbers to compensate for the over-representation of those who entered early, the re-calculated “average of entry” turns out to be almost 16 (15.91).

This calculation is rudimentary and at best an approximation, since we don’t have access to the complete data or truly representative sample. But I suspect that it is much closer to reality than 13, which is what journalists, politicians, and many anti-trafficking activists claim.

There is also an element of common sense here. Assuming normal distribution (bell curve), the average of 13 implies that for every 20 year olds entering prostitution, there are equal number of 6 year olds doing the same. That, common sense should say, cannot possibly be true. The alternative is that the distribution isn’t normally distributed, but heavily clustered around 10-12 year olds to balance everyone who enters into prostitution 16 or older. This again is implausible, as we simply do not find that many 10-12 year olds in prostitution, at least in the United States. The only logical conclusion is that the average age is not anywhere near 13, but is much closer to 18.

That doesn’t diminish the fact that some very young children are victimized, and we should do something about it. But it is not trivial if the average age of entry is 13 or 16 or even 18, because it drastically changes what social policies we must enact to combat forced prostitution and trafficking. I feel that many journalists, politicians, and anti-trafficking activists use the lower figure merely for the shock value, to arouse strong emotional reaction toward the issue, but they are acting irresponsibly when they distort reality. We need to understand reality as they are and craft rational and sensible responses to the problem, rather than indulging ourselves in panicked frenzy.

(note: changed the title to make it straightforward)

Addressing Craigslist’s “trafficking problem”

Date: June 26, 2010

This past week, someone from a national organization working to end violence against women contacted me and asked for my view about addressing the problem of sex trafficking on Craigslist. The inquiry is related to the Coalition Against Trafficking in Women’s planned protest at the headquarters of Craigslist, which is calling for Craigslist to prohibit classified ads for adult services. Below is an excerpt from my response.

*****

I think I already wrote my basic thoughts about this topic in the previous email, but here are some details:

1. Craigslist is not the problem. It appears to be doing whatever it can do to fight trafficking on its site, such as

– requiring confirmation by phone before an ad is posted–this ensures that whoever posted the ad can be tracked down if needed
– requiring payment by credit card, which provides further mechanism to track down
– manually reviewing every single ad that is posted for signs of trafficking or child sexual exploitation
– providing a directory of agencies to report suspected trafficking to
– cooperating with the law enforcement, providing them with tools and information needed for conducting investigations

2. There are many alternatives to Craigslist where sex workers and their pimps/managers/traffickers can advertise. Because Craigslist is a company that does business with the general public, it is in their best interest to work with non-profit organizations and law enforcement to combat trafficking in order to protect its public image. Operators of websites that specifically cater to the sex industry do not have the same incentive.

3. Adult service ads are a big part of Craigslist’s bottom line, as they are to alternative weeklies and other traditional media. But they do not necessarily depend on human trafficking. There is no evidence that human trafficking is a substantial problem at Craigslist, or any more of a problem than in any other media outlets (and Craigslist does more to address the problem of trafficking than any other classified services).

4. Many women use Craigslist to advertise their services because it is a relatively safe and cheap way to do so without a pimp, management, or large start-up cost (e.g. advertising in alternative newspapers). Cracking down on Craigslist harms many of these women by taking away opportunities for economic self-sufficiency and autonomy.

5. I did a LexisNexis research for reports about trafficking on Craigslist, and I found that vast majority of examples involved minors being recruited into prostitution. I’m trying to figure out how these pimps got caught, because that might give us an idea about how to identify sexual exploitation of minors, but there isn’t enough information in most newspaper articles.

That said, some incidences were uncovered because the ads hinted at trafficking (e.g. an ad offering “sex slave” for sale–which should never have passed Craigslist’s manual review and should have been reported immediately); while some others appear to have been intervened because the girl pictured in the ad looked too young.

I think that we should work with Craigslist to improve mechanisms to identify ads that share characteristics similar to other ads that have been identified as involving child sexual exploitation or trafficking. Craigslist is a technology company, and I’m sure that they can do better in this regard, utilising data mining technologies to distinguish between a woman posting an ad for herself or someone posting an ad on her behalf with her consent, versus someone forcing her to work. (Other industries such as banking and airlines use similar technologies to identify potentially fraudulent financial transactions or suspected terrorist activities.)

6. I also would like Craigslist to cooperate with projects such as Portland Bad Date Line, with which I am tangentially involved. Portland Bad Date Line collects reports about “bad dates,” that are johns who act violently or abusively, or announcing being HIV+ after insisting on and having unprotected sex, or pimps who chase the women in an effort to get the women to work for them, etc. and distribute this information to women (and others) working in the sex industry so that they can take further precautions.

Craigslist could post this sort of information for each region prominently in adult services section, which would provide information women can use to be safer while working, while at the same time warning potential “bad dates” that their information would be shared if they act out. Craigslist should also post information for women seeking help more prominently, although it is questionable whether or not women who are trafficked would actually see the site.

Let’s get Craigslist involved. I have other ideas that I want to bring up with Craigslist if we can get their ears.

7. I feel that what I’ve written above makes sense, and it is the rational and sensible approach to addressing the problem of trafficking. But I do not feel that many U.S.-based “anti-trafficking” groups are serious: they are simply using it as a cover to attack prostitution and the sex industry, and have little regard for how their actions might impact the people they are claiming to protect.

Case in point: the campaign to “end the demand” is absurd. Economics 101 suggests that if the demand for sexual services were to decrease, it would push the price of such services down. But supply is downwardly inelastic, since many women work in the sex industry because they do not have other viable economic opportunities, and the price has to go down quite a bit before another option–such as working as janitors and maids–become more viable compared to prostitution. That is, supply will not go down as much as demand does, and the end result is that more workers would be competing for fewer johns. It would not only mean less income for the women and their families, but it would also force women to make more risky choices–such as having unprotected sex.

Further, not all johns are equally predatory or unsafe to the women. Campaign to “end the demand” would mostly drive away johns who are risk-averse (i.e. those who do not like to take risks), while it would not affect thrill-seeking, risk-insensitive johns. But these thrill-seeking, risk-insensitive types are the ones that present more health and physical risks to those working in the sex industry. In other words, such campaign directly and indirectly harm the women working in the sex industry.

Here, the intentional conflation of trafficking and prostitution by the U.S. “anti-trafficking” movement constitutes a real problem: trafficking involves force, deception, or threats, which should be immediately intervened and victims rescued; advocating for the women working in the sex industry requires a much more nuanced and multi-faceted approach (such as creating viable economic opportunities and promoting economic and social justice). The campaigns to “end the demand” or to shut down Craigslist’s adult services section are most likely ineffective at actually addressing the issue of trafficking, and extremely harmful to the women who are working in the sex industry. And yet, by conflating the two, the U.S. “anti-trafficking” movement hijacks the discourse surrounding the sex industry, making it difficult for those of us working to advocate for women who are working in it.

Another example of irrationality: reports after reports claim that the average age of entry into prostitution is around age 13, usually citing Department of Justice or FBI as the source. If average is 13, that would suggest that there are equal number of 6-year olds and 20-year olds entering prostitution (assuming normal distribution), and that is obviously untrue. It is shocking to encounter someone who had become involved in prostitution at age 13 or younger, but this is definitely an exception, not the norm.

The “statistics” actually comes from a survey of minors who had an encounter with social services, and as such does not include any adults. If you only study minors who are in prostitution, of course the average age of entry is below 18–but it has nothing to do with the average age of entry in general. Consider this: if you only studied people who died as a minor, the average age of death would be something like 13–but that doesn’t mean that the average life expectancy is 13.

So is 13 the typical age of entry for those who became involved in prostitution as a minor? The answer is no. Because the research cuts off at age 18, someone who started at 13 has five times more chance to be included in the study compared to someone who barely started at 17, making the early starters five times more represented in the study. I don’t have access to the original data sets to figure out the actual average, but I suspect that it is closer to 17–and this is only the average for those who were involved as a minor.

The truth is that none of us know the actual average age of entry, but I feel that the U.S. “anti-trafficking” movement is cynically publicising the demonstrably false claim (“the average age of entry is 13”) in order to equate prostitution with trafficking of minors, distorting the public perception of the issue and harming many women who are impacted by the anti-prostitution measures they promote.

I would also add a historical observation: in the past, the U.S. “anti-trafficking” movement have come and gone along with the anti-immigration sentiment in the nation, as exemplified by the “white slavery” panic that coincided with the historical period between Chinese Exclusion Act and Alien and Sedition Acts. The “white slavery” panic did not improve lives of women (including many immigrant women) who were working in the sex industry, but instead functioned as a springboard for repressive policies that target marginalized communities. I fear that the current “anti-trafficking” fervour, coinciding perfectly with the heightened anti-immigration sentiment, is moving along the similar trajectory, and I hope that we can redirect the movement so that it can actually offer safety and freedom for victims without causing harms on others.

How I am excited to receive merit-based scholarship to attend a diverse conference. Not.

Date: May 27, 2010

Several months ago, I sent in an application for “diversity scholarship” to attend this year’s Desiree Alliance conference for activists, scholars, and social workers involved in advocating for sex workers. The conference will take place in Las Vegas late July.

Since I have recently become unemployed, and my grass-roots organizing in the sex worker’s rights movement does not bring me any income, I cannot afford to attend the conference without the scholarship. I estimated that I’d need about $400 for lodging and transportation, plus there is this $150-250 registration fee that the conference expects participants to pay.

I was prepared to spend perhaps $200 of my own money, and use frequent flier miles to get me there, but needed the scholarship to pay for the rest–or at least have the registration fee waived. I told them: “If I do not receive any scholarship, I will not attend the conference. If the registration is waived, there is a small chance I might be able to attend, depending on what deals I find on travel and lodging, and also on whether or not I can use my friend’s frequent flier miles.”

The scholarship application was in depth: it asked about my race/sexuality/disability/etc., communities that I come from, my relationship to sex work and sex worker community, and references. Some of what I wrote in the application was deeply personal, because I felt that they’d had to know me to understand why I would benefit the conference with my participation.

I wasn’t upset that Desiree Alliance did not award me the scholarship to help me with the travel and lodging expenses. But I was offended by the cheerful tone of the email that informed me that I did not make the cut.

The Desiree Alliance Diversity Scholarship Selection Committee has reviewed your application. We are awarding you a Merit Scholarship, which is a partial scholarship for registration to attend the Desiree Alliance Conference, “Working Sex: Power, Practice, and Politics.” In Las Vegas from July 25-30 2010. We appreciate your interest in this conference!

We will be providing you with a partial registration scholarship of $100 of the $250 registration fee. We hope that you will be able to secure the remaining resources to attend!

In other words: not only did they not offer me any scholarship, they didn’t even waive the registration. They are basically just giving me the early registration discount which I would have received if I had just registered several months ago instead of responding to invasive questions in hope that they would at least waive my registration.

I do realize that they probably have very limited funds, and I don’t claim to be more worthy of scholarship than those who received it (if any, that is). But why did they have to be all cheerful about “awarding” partial scholarship, which in reality is no different from early registration fee? I just wish they had simply told me that, unfortunately, they were unable to fund my expenses, and then offered the reduced registration–not as a “scholarship,” but in order to compensate for the fact that I missed the opportunity to register early because of the scholarship application process.

Rejected workshop proposal for Oregon Disability Megaconference

Date: April 29, 2010

It’s a shame that they didn’t think this was important enough to include in this huge annual conference.

Title: Organizing Support and Social Group for LGBTQ People with Developmental Disabilities within and beyond the Staley/Brokerage System

Description:

In January 2010, Bridges to Independence hosted a historic drag show featuring performers with and without developmental disabilities to kick off its LGBTQ Group, a new program consisting of support groups, relationship and safer sex education, community outings, and public events, for LGBTQ individuals with developmental disabilities.

The goal of the program is to support LGBTQ people with developmental disabilities become integrated into the community, especially within the local LGBTQ communities, while providing support and education needed to build and maintain health, safety, and self-esteem.

We also hope to challenge the local LGBTQ communities to become more inclusive of all members of sexual and gender minorities. In this presentation, we hope to discuss our experiences of organizing the group, difficulties we have faced, and how we addressed them.

A special attention is given to how we are funding the program: Bridges to Independence generally works within the Medicaid/Brokerage system of funding social inclusion supports, which we found to be inadequate to support ambitious projects such as this, partly because of the Medicaid’s increasingly narrow definition of what constitutes “disability-related support” (i.e. something related to someone’s disability and not to his or her poverty or sexual and gender identities, even though these things might be intimately linked to their disabilities), but also because many LGBTQ individuals are not enrolled in the brokerage system, and it would be difficult for someone who is not “out” to his or her family members or workers to sign up to receive services through the brokerage system. This realization forced us to seek non-traditional funding sources, such as LGBTQ foundations and LGBTQ community specific fundraisers.

We will also show a short video recording from our drag show, which demonstrates both the need for and the value of this program.

Best. Fortune. Cookie. Ever.

Date: March 20, 2010

I’m so relying on this in my criminal trial.

Fortune: For a good cause, wrongdoing may be virtuous.

ALSO: my second-best ever.

Fortune: Now is a great time to broaden your scope of influence.

Dismissive use of “postmodern” label harms social change movements

Date: March 19, 2010

Alice Dreger, Ellen Feder and Hilde Lindemann have published an update to their article, “Fetal Cosmetology,” in Bioethics Forum that comment on the “responses” to that article, including to my own contribution to the conversation. I am generally in agreement with Dreger et al., but I want to comment on how they respond to my concerns. In the article, “Prenatal Dex: Update and Omnibus Reply,” they state:

In the first published response to our Bioethics Forum essay, Emi Koyama castigated bioethicists in general for not acting to defend the rights of vulnerable persons, leaving us to wonder why our sustained and substantial action was seized as an opportunity to complain about non-action. While we share Ms. Koyama’s concerns about the medical-industrial complex’s take-over of women’s bodies, we rather doubt her postmodern feminist language would have moved the feds the way we have moved the feds. Pardon our pragmatism.

First of all, my essay was not a response to their piece in Bioethics Forum; it was a response to the “letter of concern from bioethicists” posted on Dreger’s site. In fact, I was not even aware of their Bioethics Forum piece until after I submitted the first draft of the essay, and reference to their article was added by the editor of Bioethics Forum to give readers further context.

I am castigating not just bioethicists’ inaction on behalf of vulnerable populations, but also the limitations bioethics as a field has imposed on itself on the scope of their philosophical and ethical inquiry, obsessing over policies and procedures rather than sociopolitical implication of the increasing role and authority of medicine. I did express my appreciation for the “action” of the bioethicists and other scholars responsible for the “letter of concern,” and at the same time I explained why it had the danger of backfiring, like it did on the controversy surrounding growth attenuation, because they continue to operate within the confines of the field of bioethics as it is today.

Further, I resent their dismissive characterisation of my essay as written in “postmodern feminist language” and the patronising statement, “Pardon our pragmatism.” I would concede that voices of concern from among disability rights and women’s health movements are often ineffective at changing the problematic medical practices by themselves, and we often need certain spokespersons and “experts” that transform these voices into pragmatic strategies, these spokespersons and “experts” must be held accountable to the movements which they represent. Thus, the need for pragmatic strategies is in no way an excuse for dismissing activists’ and impacted communities’ concerns as mere “postmodern” intellectual exercise.

Dreger herself has been labeled “postmodernist” by the critics of her work, and she resists this. On her website, she wrote: “Although I sometimes get labeled a ‘postmodernist’ because I write and speak about the social complexities of science and medicine, in fact I would have to label myself a raving modernist. I really believe in the power of science to improve our knowledge and our lives.” I also write and speak about the social complexities of science and medicine, including the field of bioethics, and somehow she finds it convenient to label me “postmodernist” in a dismissive way.

Finally, I find the suggestion that my “postmodern feminist language” is what prevents me from being able to “move the feds the way [Dreger et al.] have moved, as if we live in a society in which everyone’s opinions are equally respected and judged solely by their content, offensive. There is no question that their success (so far) has been made possible by the number of Ph.Ds and MDs on the “letter of concern” as well as by Dreger’s and others’ officially sanctioned academic and medical authority and connections that arose from these positions, which have been heavily influenced by their class backgrounds, educational and professional opportunities, and other social conditions. These factors inform our political sensibilities and sometimes open or close certain venues of social change.

I am a pragmatic person, and a pragmatic activist. As a pragmatist, I really don’t see any benefit from Dreger et al. and I continuing to communicate this way publicly. But I reject the idea that pragmatism is a justification for dismissing the sometimes inflexible and unpragmatic but principled work of the disability rights and women’s health movements; in fact, pragmatism and idealism are both essential elements of a successful social change movements, and even that of a successful activist.