by Christian K. Caruzo, Breitbart:

The government of Peru signed a Supreme Decree this weekend defining transexuality as a mental disorder as part of an update to the nation’s Essential Health Insurance Plan (PEAS), prompting outrage from the LGBTQIAP2S+ community.

While the definition, according to the Peruvian government, seeks to give access to those identifying as transgender or other gender identities to health insurance coverage, the decree has been met with fierce backlash by local LGBTQIAP2S+ activists and politicians.

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The PEAS is a minimum healthcare benefit plan that Peruvian citizens receive when enrolling in the nation’s public, private, or mixed health insurance providers. PEAS provides for the basic medical procedures a citizen needs and contains a detailed list of outpatient medical care, tests, specialized consultations, and other treatments that patients may be entitled to according to their particular health condition.

The controversial decree stated that, following a review of the diagnoses included in the World Health Organization’s (W.H.O.) 10th International Classification of Diseases (ICD-10) that are included in the country’s PEAS health program, the omission of “seven (07) ICD-10 diagnoses” related to mental health problems were found, which, according to the decree, “should be incorporated” into the nation’s healthcare plans taking into account Peru’s mental health laws.

As such, the decree defines transexualism, “dual role transvestism,” child gender identity disorder, “other gender identity disorders,” and “gender identity disorder, unspecified” as mental health problems in accordance with the definitions established by the W.H.O.’s ICD-10 manual.

The decree stated that the inclusion of said diagnoses allows them to be covered according to the list of health benefits of Peru’s PEAS healthcare program.

While the decree utilizes W.H.O.’s ICD-10 as its basis, the World Health Organization has since replaced it with a newer 11th edition that no longer defines transexualism as a mental illness. The ICD-11 was presented to the World Health Assembly in 2019 and went into effect in January 2022.

Shortly after the decree was published, the Peruvian Health Ministry issued a statement on Saturday in which it ratified its position that ”gender and sexual diversity are not diseases” while also expressing “respect for gender identities, as well as our rejection of the stigmatization of sexual diversity in the country.”

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