Dr. Mary Brinkmeyer, a dedicated psychologist with a long-standing career serving veterans, has resigned from her position at the Department of Veterans Affairs. Her decision came after an executive order directed federal agencies to remove any gender-affirming practices, which she felt directly contradicted her ability to provide necessary care to LGBTQ+ veterans.
Dr. Brinkmeyer's career began after she earned her doctorate in clinical psychology from the University of Florida in 2006. She made significant contributions to veteran care, including establishing the first support group for transgender military members. Her efforts were recognized when she was named Navy Psychology Civilian Psychologist of the Year in 2016. In June 2022, she took on the role of LGBTQ+ veteran care coordinator at the Hampton VA Medical Center.
The recent executive order instructed federal institutions to eliminate practices seen as promoting "gender ideology." This directive posed a significant challenge to Dr. Brinkmeyer's work with transgender and nonbinary veterans, who rely on the VA for specialized healthcare services. Despite the VA's public assurance that changes would not affect ongoing patient care, internal actions suggested otherwise.
"Transgender patients are terrified of losing their medical care," Dr. Brinkmeyer said. "Many rely entirely on the VA and don’t have alternative options." This fear was compounded by the removal of LGBTQ+-affirming materials from both public and private spaces within the VA facilities.
Dr. Brinkmeyer faced considerable pressure to conform to these new regulations. "Without consulting me, the director ordered that every single gender-affirming sign, poster, flyer, and brochure be taken down," she explained. Her refusal to enforce these changes in her department demonstrated her commitment to her patients and colleagues. "I would not tell anyone to take things out of their offices — I refused to remove anything from mine," she stated. Her stance was clear when she challenged her supervisor: "If someone wants me to take something down, they need to put it in writing so I can refuse in writing."
Despite her efforts, her concerns were dismissed by the administration, who rationalized that they were merely following orders. This apathy towards the potential harm of the policy changes was the last straw for Dr. Brinkmeyer. "By Friday, veterans had already heard about what was happening, and one of my patients asked me directly why the VA was doing this," she recalled.
Ultimately, Dr. Brinkmeyer decided to resign, moving her departure date up from May to February 12th. "I didn’t want to be complicit in something that I knew was wrong," she said. Her resignation was a profound loss for the VA, particularly for the interns she was mentoring as part of the LGBTQ+ rotation program she had developed.
Dr. Brinkmeyer plans to continue her practice at an affirming private clinic. She remains committed to advocating for veterans and advises providers to remain steadfast in their care. "Don’t ask permission — just keep doing what you know is right until you’re told otherwise, and if you are told otherwise, get it in writing," she advised.
Dr. Brinkmeyer’s situation highlights the ongoing challenges faced by LGBTQ+ individuals within federal systems. Her story serves as a reminder of the importance of advocacy and the necessity of safe, affirming spaces for all patients. She encourages veterans to seek alternative care options through organizations like Planned Parenthood and community-based clinics.
Her departure resonates with many who believe that healthcare should remain inclusive and compassionate. As the community grapples with these changes, Dr. Brinkmeyer’s courage and dedication will undoubtedly inspire others to continue the fight for equitable healthcare.
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