Tali Woodward

Transjobless

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tali@sfbg.com

In the transgender community, to have full-time work is to be in the minority. In fact, a new survey of 194 trans people conducted by the Transgender Law Center (TLC), with support from the Guardian, found that only one out of every four respondents has a full-time job. Another 16 percent work part-time.

What’s more, 59 percent of respondents reported an annual salary of less than $15,333. Only 4 percent reported making more than $61,200, which is about the median income in the Bay Area.

In other words, more than half of local transgender people live in poverty, and 96 percent earn less than the median income. Perhaps it shouldn’t be surprising that 40 percent of those surveyed don’t even have a bank account.

TLC doesn’t claim the study is strictly scientific — all respondents were identified through trans organizations or outreach workers. But the data give a fairly good picture of how hard it is for transgender people to find and keep decent jobs, even in the city that is supposed to be most accepting of them.

It’s been more than a decade since San Francisco expanded local nondiscrimination laws to cover trans people, but transphobic discrimination remains rampant. Fifty-seven percent of survey respondents said they’ve experienced some form of employment discrimination.

And interviews show that job woes are hardly straightforward.

Navigating the job-application process after a gender transition can be extraordinarily difficult. Trans people run up against fairly entrenched biases about what kind of work they’re suited for. Sometimes those who are lucky enough to find work can’t tolerate insensitive, or even abusive, coworkers.

Marilyn Robinson turned tricks for almost 20 years before she decided to look for legal employment. She got her GED and, eventually, a job at an insurance company. The first six months went OK, but then a supervisor "thought he had the right to call me RuPaul," she told us. "And I look nothing like RuPaul." Suddenly the women in the office refused to use the bathroom if Robinson was around. She left within a month.

Once again, Robinson was on the job hunt. She interviewed for a receptionist position, and thought it went well. But on her way out, she saw the interviewer toss her application into the trash with a giggle.

"The reality is, even a hoagie shop in the Castro — they might not hire you," she said.

Still, many activists say the increased attention being paid to trans employment issues is promising.

Cecelia Chung from the Transgender Law Center told us there’s a "silver lining" in the effort the "community is putting into really changing the playing field. We’re in a really different place than we were five years ago."

Activists say true progress will require broad education efforts and the cooperation of business owners throughout the Bay Area. But the project is well under way, with San Francisco Transgender Empowerment, Advocacy and Mentorship, a trans collaborative, hosting its second annual Transgender Job Fair March 22. More than a dozen employers have signed up for the fair, including UCSF, Goodwill Industries, and Bank of America.

HURDLES

Imagine trying to find a job with no references from previous employers. Now envision how it might feel to have interviewer after interviewer look at you askance — or even ask if you’ve had surgery on a fairly private part of your body.

These are just a couple of the predicaments trans job-seekers face.

Kenneth Stram runs the Economic Development Office at the San Francisco LGBT Community Center. "In San Francisco there are the best intentions," he told us. "But when you scratch the surface, there are all these procedural hurdles that need to be addressed." As examples, he pointed to job-training classes where fellow students may act hostile, or arduous application processes.

Giving a prospective employer a reference may seem like a fairly straightforward task, but what if your old employer knew an employee of a different gender? Do you call the old boss and announce your new identity? Even if he or she is supportive, experience can be hard to erase. Will the manager who worked with Jim be able to speak convincingly about Jeanine? And what about your work history — should you eliminate the jobs where you were known as a different gender?

Most trans people can’t make it through the application process without either outing themselves or lying.

Marcus Arana decided to face this issue head-on and wrote about his transition from living as a woman to living as a man in his cover letter.

"It became a matter of curiosity," Arana told us. "I would have employers ask about my surgical status."

It took him a year and a half to find a job. Fortunately, it’s one he loves. Arana investigates most complaints of gender identity–related discrimination that are made to San Francisco’s city government. (Another investigator handles housing-oriented complaints.)

When he started his job, in 2000, about three quarters of the complaints Arana saw were related to public accommodations — a transwoman had been refused service at a restaurant, say, or a bank employee had given a cross-dressing man grief about the gender listed on his driver’s license.

Today, Arana told us, at least half of the cases he looks into are work-related — something he attributes to both progress in accommodations issues and stagnation on the job front.

TG workers, he said, confront two common problems: resistance to a changed name or pronoun preference and controversy over which bathroom they use.

The name and pronoun problems can often be addressed through sensitivity training, though Arana said that even in the Bay Area, it’s not unheard of for some coworkers to simply refuse to alter how they refer to a trans colleague.

Nine out of ten bathroom issues concern male-to-female trans folk — despite the fact that the police department has never gotten a single report of a transwoman harassing another person in a bathroom. One complaint Arana investigated involved a woman sticking a compact mirror under a bathroom stall in an effort to see her trans coworker’s genitalia.

But a hostile workplace is more often made up of dozens of subtle discomforts rather than a single drama-filled incident.

Robinson told us the constant whispering of "is that a man?" can make an otherwise decent job intolerable: "It’s why most of the girls — and I will speak for myself — are prostitutes. Because it’s easier."

The second and third most common forms of work-related discrimination cited by respondents in the TLC survey were sexual harassment and verbal harassment.

But only 12 percent of those who reported discrimination also filed some kind of formal complaint. That may be because of the widespread feeling that doing so can make it that much harder to keep a job — or find another one. Mara Keisling, director of the National Center for Transgender Equality, in Washington, DC, said that "it’s a common understanding within the transgender community that when you lose your job, you generally lose your career."

ANOTHER KIND OF GLASS CEILING

Most of the trans people we spoke to expressed resentment at being tracked into certain jobs — usually related to health care or government.

Part of that is because public entities have been quicker to adopt nondiscriminatory policies. San Francisco city government created a splash in 2001 when it granted trans employees access to full health benefits, including sex-reassignment surgery. The University of California followed suit last year.

But it’s also because of deeply ingrained prejudices about what kind of work transgender people are suited to.

Claudia Cabrera was born in Guatemala but fled to the Bay Area in 2000 to get away from the constant insults and occasional violence that befell her. Despite her education in electrical engineering and business and 13 years of tech work, it was difficult for her to find a job — even after she was granted political asylum. In 2002 a local nonprofit she had originally turned to for help offered her a position doing outreach within the queer community.

Cabrera doesn’t make much money, and she sends some of it back to her two kids in Guatemala. But that’s not the only reason she would like another job. She wants to have broader responsibilities and to employ her tech savvy.

"There is a stereotype here in San Francisco [that] transgender folk are only good for doing HIV work — or just outreach in general," she said.

Whenever she’s gotten an interview for another kind of job, she’s been told she is overqualified. Does she believe that’s why she hasn’t been hired? "No," she laughed. But she also acknowledged, "Even though there is discrimination going on here, this is the safest city for me to be in."

Cabrera is now on the board of TLC and is working to create more job opportunities for herself and others in the trans community. She often repeats this mantra: "As a transsexual woman, I am not asking for anything that doesn’t belong to me. I am demanding my rights to live as a human being." *

TRANSGENDER JOB FAIR

March 22

1–4 p.m.

SF LGBT Community Center, Ceremonial Room

1800 Market, SF

(415) 865-5555

www.sfcenter.org

www.transgenderlawcenter.org

www.sfteam.org

In Melinda’s memory

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On her very first day at Next Door, a homeless shelter that occupies a nondescript building on Polk Street, Yalaanda Ellsberry met Melinda Lindsey.

"This is my first time in a shelter," Elsberry told us recently. "And I’ve found a lot of people are very closed off." Lindsey, however, was open and friendly, and they became fast friends.

Ellsberry knew that early on Christmas Eve, Lindsey was scheduled to catch a bus to go visit relatives near Monterey. So she was surprised to see Lindsey still in bed when the overhead lights were switched on at 6:30 a.m. She shook her friend’s shoulders, trying to rouse her.

"For some reason, this particular time, I just knew to check for rigor mortis," Ellsberry said. When Lindsey’s hand moved in response, "I thought, good – get that thought out of your head, girl." But when she touched her friend’s forehead, it felt cool.

Word of Lindsey’s questionable condition spread across the fourth floor of the shelter quickly. But, said Ellsberry and other residents we interviewed, staff members were slow to react and basically left the residents to try to revive Lindsey on their own. The residents summoned a woman who was staying there who happened to be a registered nurse, and she began to perform CPR.

The nurse, who asked us not to print her name, said she was dismayed to find that none of the standard medical equipment was available – neither face masks for performing CPR nor the defibrillator paddles that can sometimes shock a person back to life after a heart attack.

Forty-three-year-old Lindsey, who had serious heart problems, was pronounced dead soon after the paramedics arrived. Her body lay on the floor, covered by a blanket, for close to two hours before being picked up by the coroner.

Several Next Door residents told us they were horrified by the shelter’s response to the emergency. The nurse said that neither of the staffers who were there "would attempt CPR. They didn’t even go anywhere near her."

Ken Reggio, executive director of Episcopal Community Services (ECS), which holds the city contract to run Next Door, said that based on everything he’s reviewed, the shelter handled Lindsey’s death just fine: "I think we had a client who was seriously ill and passed away in her sleep." He added that residents stepped in to perform CPR while a staffer phoned the paramedics, but that the shelter’s whole staff is "trained in CPR and capable of administering it."

But no matter what exactly happened on Dec. 24, Lindsey’s death has prompted some residents to band together and demand that Next Door improve its plans for dealing with medical emergencies. They have appealed to outside groups and city government for help, saying they want to be treated more humanely.

"My thing is," Ellsberry said, "I want to see a change."

.  .  .

Next Door – which used to be known by the catchy name Multi-Service Center North – is one of San Francisco’s largest homeless facilities. City officials often hold it up as a model program.

Today the shelter has room for 280 people, divided by gender, and a 30-bed "respite care" program, run in partnership with the Department of Public Health, that’s meant for homeless people with health problems. In the past couple of years, Next Door has been transformed into a longer-term shelter where residents can stay up to six months. That alone makes it more appealing than most city shelters, where beds are typically rotated every one to seven days.

Residents we interviewed said their main concern about Next Door is that it doesn’t seem equipped to handle medical emergencies. But they had significant gripes about aspects of everyday life at the shelter, including cleanliness and food. And their many and varied complaints had an underlying theme: that staffers often treat residents callously, as though they are something less than human – even when they’re dying.

"Workers here talk to us any kind of way because we’re homeless," said LaJuana Tucker, who has been living at Next Door for three months. She added that many of the people staying at Next Door are struggling with health issues but that staffers are not very understanding: "If [residents] aren’t feeling well and want to lie down, they give them a hard time."

The women we spoke with said the disparaging attitude was also apparent in the shelter’s response to Melinda Lindsey’s death.

Three days after her apparent heart attack, they told us, shelter director Linzie Coleman set up a "grief meeting." But the residents who attended say that before their grief was addressed in any way, Coleman emphasized that related complaints were to be handled internally and that residents should not take their concerns to people outside of the shelter hierarchy.

Coleman disputed their account, telling us she stopped by merely "to say that I had gotten their complaints and their complaints would be investigated."

She said first-aid kits and CPR masks are usually available throughout the shelter and just needed to be "replenished" and that staffers treat Next Door’s clientele with "dignity and respect."

"I’ve been here nine years and four months, and we’ve only had seven deaths at the shelter," she said. "And every one but this last one, the staff has done CPR."

.  .  .

Undeterred by what they say were efforts to silence them, in early January Next Door residents approached the Shelter Monitoring Committee, an oversight panel created by the Board of Supervisors, about Lindsey’s death. After taking verbal and written statements from several of them, the committee tried to gather more information from the shelter.

According to a Jan. 9 letter the committee sent to several city agencies, "We immediately contacted the Director to confirm details. Our representative was met with an unprofessional and demeaning attitude and a generally hostile response to his inquiry."

Coleman said she doesn’t understand the characterization of her response, but Diana Valentine, who chairs the Shelter Monitoring Committee, told us point blank, "We were treated very hostilely."

More important, she said that when members of her committee visited Next Door on Jan. 6, they found no first-aid kits or other medical equipment on the floors where most residents stay. When they asked staff people whether they’d been trained in CPR, she added, several said no. And in the short time since Lindsey’s death, the committee has received another complaint about a medical emergency at Next Door that "resulted in injury to the resident."

"There’s been no training, and there’s absolutely no first-aid supplies available – and this is weeks after this woman’s death," Valentine said. "We haven’t seen any changes, consequences, or accountability."

In its letter, the committee asked the Human Services Agency, the DPH, and ECS to launch inquiries into Lindsey’s death, Next Door’s general policies and conditions, and how city-funded shelters are supposed to respond to emergency situations.

Dariush Kayhan, director of Housing and Homeless Programs for the Human Services Agency, told us he’s waiting to see a final report from ECS on the Lindsey incident but that, at this point, the HSA has no reason to think anything improper occurred.

Regardless, Kayhan said, "we’re going to use what happened as a springboard," by asking the DPH to do a thorough review of the medical protocols, training, and equipment at each and every city shelter.

www.ecs-sf.org/shelters.htm

Monkey business

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 STEPHEN LISBERGER IS a scientific star. His decades-long research into how the brain registers and responds to visual stimuli is considered groundbreaking. His colleagues are effusive in their praise. William Newsome, a Stanford University neuroscientist who investigates similar terrain, told the Bay Guardian that "it could take decades, or even centuries" to assemble a complete, working map of the brain’s essential functions. "And Steve is one of the few people in the world who’s making progress on this."

The federal government thinks he’s worth a fair chunk of taxpayer change: The National Institutes for Health gave Lisberger $1.6 million in grants this year, and since 1992, an NIH database shows, he’s received 31 grants worth a total of more than $12 million.

But Lisberger’s work involves fairly invasive experiments on live subjects, and since you can’t exactly stick electronic probes into the brains of human beings, Lisberger uses rhesus monkeys, those red-faced staples of biomedical research. His experiments have made him the bane of many critics of animal experimentation – and over the past decade he’s become the poster boy for opponents of animal experimentation at UCSF.

Lisberger declined to be interviewed for this story, so we gleaned the outlines of his work from federal documents and UCSF records.

It’s not a pretty picture.

According to the scientific protocol for his experiments, filed with UCSF, Lisberger’s monkeys undergo several different surgeries, under anesthesia, to prepare them for the research. First, each monkey has a restraint device attached to its head with a combination of metal plates, bolts, and screws. That will later allow the monkey’s head to be locked in place for experiments. One or two holes are drilled in the skull, and then cylindrical recording chambers are secured over those holes so that microelectrodes that will allow precise neural activity to be measured can be inserted into the brain with ease. (The electrodes themselves don’t cause discomfort because the brain lacks pain receptors.)

Sometimes, small wire coils are sutured to the monkeys’ eyeballs. Other times the monkeys have spectacles attached to their faces that either magnify or miniaturize everything they see.

The monkeys in Lisberger’s lab are put on a fluid-restriction program, so that each day they are scheduled to "work" they will obey commands for "rewards" of water or Tang. Each monkey is taught to move from its cage to a "primate chair," and once in the chair, its head is locked into the restraining device. Then the animal is prompted to move its eyes in certain ways to receive a reward. Monkeys typically work for two to four hours a day on alternating weeks, often for three years or more.

Lisberger’s protocol states that his work could eventually lead to "the cure for many diseases of learning and memory such as Alzheimer’s Disease."

Suzanne Roy, from In Defense of Animals, says she started looking into Lisberger’s experiments in the late 1990s, after IDA got anonymous complaints from people who said they worked for UCSF. "What struck me was the highly invasive nature of them and the duration of them … " she said. "He’s making the monkeys so thirsty they’ll move their eyes in a certain way for a juice reward. How could anyone do this to an intelligent monkey?"

In 2002 Roy asked Lawrence A. Hansen, a neuropathologist at UC San Diego who is unusual in his willingness to question animal research, to evaluate Lisberger’s protocol. "I have never previously encountered experiments that would deliver quite so much suffering to higher primates for so comparatively little scientific gain…." Hansen wrote afterward. "While I do not doubt that these experimental manipulations will generate valid scientific data, such information is purchased at too high a moral and ethical cost. Even the primary investigator seems to feel it necessary to disguise his actual motivations, which are those of a fundamental research scientist, by invoking a link to a cure for Alzheimer’s disease. This is one of the more ludicrous stretches from basic science to human application that I have ever encountered in my 20 years of research into Alzheimer’s disease and other neurodegenerative diseases affecting human beings."

When we spoke to Hansen recently, he criticized Lisberger’s grant applications and said, "He’s picked a part of the brain that’s not even involved in Alzheimer’s."

Lisberger’s studies are "basic science," meaning that they aim to answer larger scientific questions about how something works – in this case, the brain – rather than to invent or test a treatment. Although it might be somewhat easier to stomach an experiment that might cure Alzheimer’s than one that seeks to understand how the brain functions, it is hard to dispute that this is valid science: How can medical researchers cure problems they fundamentally don’t understand?

But even if you agree that the goals of Lisberger’s research justify his use of animals, you might be troubled by Lisberger’s record. Documents show that some animals enrolled in his research have a difficult time coping with the physical stress involved – and that Lisberger has resisted efforts to make his experiments more animal-friendly.

Clinical notes gathered by IDA and other groups show that Lisberger’s monkeys routinely undergo six or eight surgeries just to deal with their various implants and the infections they sometimes cause, or to remove scar tissue that has built up on the monkeys’ dura, the protective layer between skull and brain, because of repeated electrode insertions. Several monkeys in Lisberger’s lab have shown a significant decrease in body weight, and others have displayed a habit of self-mutilation, biting at their limbs and tearing out their hair.

Several years ago, when the internal committee that oversees animal research at UCSF raised concerns about whether monkeys in Lisberger’s experiments would receive sufficient water, particularly if they were "worked" on consecutive weeks, Lisberger responded in writing. "I am not willing to tie my laboratory’s flexibility down by setting guidelines or limits, or by agreeing to a negotiation with the veterinary staff when we do this," he wrote in a June 1998 letter. "I believe that the experimental schedule in my laboratory is an issue of academic freedom and that the Committee on Animal research lacks that [sic] standing to regulate this schedule."

In fact, the Animal Welfare Act was amended in 1985 to give the committee the primary responsibility for watchdogging researchers and ensuring that measures are taken to minimize the suffering of lab animals.

Less than two years after that bitter exchange, UCSF was cited by federal inspectors for AWA violations linked to Lisberger’s experiments. In one report the inspector wrote, "In my professional opinion, the nutritional requirements for these animals were not met for either food or water." He also noted that a monkey identified as #17652 – who, according to other documents, was enrolled in a Lisberger experiment – had remained assigned to the protocol and was even placed on "long-term water restriction," despite the fact that he had chronic diarrhea.

UCSF temporarily suspended Lisberger’s study and paid a $2,000 fine to settle the matter. And, despite his gaffes, UCSF defends Lisberger.

Vice Chancellor Ara Tahmassian described Lisberger’s lab as a "model program" and said Lisberger is one of the only UCSF researchers who has hired veterinary technicians to work exclusively in his lab and "make sure that everything that happens is done in accordance with proper standards of care." He added, "It’s critical for him, because of the nature of his research, that his animals are properly taken care of." Tahmassian also said that, in an academic setting, "there are times that individuals do believe that an oversight committee such as IACUC is getting into areas of science which the faculty members don’t believe is in their jurisdiction…. It doesn’t mean that the IACUC is going to just back off."

IACUC members also told us that, these days, Lisberger is cooperative. "I think the committee has a very good working relationship with Dr. Lisberger," IACUC chair Linda Noble said.

Even if Lisberger has cleaned up his act, it’s hard to see why UCSF would put him in charge of training the scientists of tomorrow how to work with animals. Yet, according to online course information, Lisberger sometimes lectures UCSF students on "Philosophical/ethical issues in animal experimentation," relevant regulations, and "pain minimization."

Animal instincts

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Animal instincts

As the struggle between animal rights activists and scientists rages on, what’s really happening inside UCSF’s animal labs?
By Tali Woodward

ON JULY 14, while doctors and medical students in surgical scrubs scurried about, a motley band of 30 or so people marched back and forth outside a medical building on Parnassus Avenue, waving blown-up photos of lab animals and passing out flyers saying that monkeys in experiments run by the University of California San Francisco were going “insane.”

“How does it feel to kill those that trust you?” they chanted.

As a mother led her young son along the sidewalk, doing her best to dodge the protesters, the boy looked up in horror at a photo of a monkey with Frankensteinian screws protruding from its skull. Someone took the opportunity to offer the woman a pamphlet, and when she hustled her child away, the protester, perplexed, said to her fellow animal activists, “How sad: He’s seeing these upsetting images, and she doesn’t even want to learn more.”

Moments later, a man in a lab coat strode by. Before entering the building, he glanced over his shoulder to shout, “Die of cancer, then!”

It was another day, another demonstration at California’s premier public health-sciences facility. The animal rights groups show up every few months to march and hand out sensational flyers describing secret horror shows deep in hidden labs. And university officials do their best to not even engage them.

The struggle over animal research is polarized and emotional. It’s not uncommon for animal rights activists to characterize researchers as barbarians who cut up innocent animals out of joy or greed