Fraternities are not typically considered to be champions of the L.G.B.T. community, but members of Phi Alpha Tau at Emerson College in Boston appear to have shaken the stereotype with a successful online fund-raising appeal to help one of their brothers cover the cost of top surgery, a procedure that is part of a female-to-male transgender transition.>
Donnie Collins, a sophomore at Emerson who was born female, was told this month that his university-backed health insurance plan would not cover the cost of the procedure, a double mastectomy and chest reconstruction that is common among female-to-male transgender people who opt for surgery. In a video posted to YouTube, he said the insurance companyâs decision left him distraught. âI cried in front of an H&M in the middle of the street,â he said in the video. âIt was awkward.â
Mr. Collins began rushing his collegeâs chapter of Phi Alpha Tau on Feb. 3 and received news that his insurance would not pay for the procedure only three days later. Nevertheless, his new fraternity brothers responded to the situation by raising money for the operation on Indiegogo, a popular crowd-sourced fund-raising Web site.
The initial goal was to raise $2,000 to contribute toward the cost of the roughly $8,000 operation, a target they met in the first week and a half, according to a video statement posted to YouTube by Mr. Collins on Monday. By Wednesday afternoon, the campaign raised over $17,000, a figure that climbed higher and higher as the hours ticked past.
Chuck Bergren-Aragon, a member of Phi Alpha Tau who appeared in the video, described Mr. Collins in atelephone interview as âa great guy who always puts other people above himself,â and said that his situation provided the fraternity, which he said is focused in part on âphilanthropy, giving back and community serviceâ with a chance âto really show the Emerson community and people everywhere what we stand for, which is brotherhood.â
How does he feel about the amount of money they have raised so far âThe word we are using right now is overwhelmed,â he said.
In the video posted Monday, Mr. Collins appeared at a loss for words in the face of his friendsâ efforts. âI donât even know what to say because the word, thank you, doesnât even do it anymore,â he said. âWhat to get out of this is if you are coming out and you are needing support right now, like, find the people who are willing to give it and just accept it.â
Emerson College has a reputation as a liberal bastion. Mr. Bergren-Aragon said there are two openly transgender people in his fraternity, and the group thought Mr. Collinsâs predicament provided an opportunity to not only âraise awareness of transgender issues,â but also ârally around someone in need who could not help himself.â
âEmerson is a very accepting community,â he said.
Mr. Collins turned to social media for money toward a medical procedure once before, creating an account on the crowd-financing Web site Chip In that he used to raise $1,458. He also blogged about his transition from female to male, including changing the name on his driverâs license and takng male hormones, which he has been doing for 14 months.
He also wrote about his efforts to get his insurance company, Aetna, to contribute to the cost of top surgery. According to a post on Dec. 28, the company would agree to pay 80 percent of the cost of the operation if he met a list of criteria establishing himself as a âtrue transsexual,â including letters from a doctor and a therapist. In early February, he was told that insurance would not cover the cost of the procedure.
Mr. Collins is not the first transgender person whose insurance company has turned down his claim, said Vincent Villano, a spokesman for the National Center for Transgender Equality, an advocacy group. He said many companies consider procedures like top surgery to be âcosmetic.â
âIt is a huge challenge to convince health insurance companies that transition related care and procedures are medically necessary,â Mr. Villano said. âThey are operatin! g under a! n outdated and misguided understanding of what trans-health care means.â
Mr. Villano said there was a âgrowing trendâ among colleges and universities to change their health care plans to be more trans-inclusive, and pointed to the example of Brown University, which announced this month that it would extend its student health plan to cover gender reassignment operations.
Many transgender people turn to crowd-financing Web sites to raise money for gender reassignment operations, Mr. Villano said, either because they are uninsured or their insurance company does not cover transition-related medical care. On Wednesday afternoon, there were at least 21 different active fund-raisingcampaigns for transgender health care on Indiegogo, many for the same operation that Mr. Collins is seeking.
âThis is the first time I have ever heard of a fraternity raising money to pay for surgery for a fellow member,â Mr. Villano said. âThatâs a really positive sign of the times. People are becoming more aware of trans issues and building community. A lot of trans folks rely on their communities to pay for procedures, and I think this is just great.â