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Howard Thomas Usher, also known on the internet as Jennifer Usher, likes to
pretend that he is a person who underwent a sex change in 2006.  

This post will prove that Howard almost certainly never had sex change 
surgery and give the reasons why.  Howard has been known as "Jennifer 
Usher" since 2000 on the internets.   Prior to that he used dozens of 
aliases , most of them male, and posted  pieces of transvestite fetish 
fiction online

Howard Thomas Usher came to San Francisco in 2004.  He was homeless and 
spent time in a variety of homeless shelters and homeless programs 
sponsored by the City of San Francisco.  Howard was eventually settled 
into the Mission Hotel (on So. Van Ness) , a Single Room Occupancy 
facility run by the Tenderloin Housing Clinic.  Howard remains in this 
facility to this day (2010) .

More information on the facility where Howard lives can be found here:

http://www.sfweekly.com/2007-10-10/news/the-vice-hotel/

http://missionlocal.org/2010/01/women-seek-stability-in-sros/

Howard was given, in 2005,  a clerical workfare job at UCSF with a 
group that monitors sexual transmitted diseases in GLBT populace.  The 
group Howard was assigned to monitored the transgendered populace.

Howard maintains that he became eligible for  UCSF benefits and, 
through Kaiser Permanents , received a sex change in 2006.

There are a few things wrong with this story:

1. A google search reveals that NO one else has ever claimed to have 
received a sex change from Kaiser Permanente - a notoriously cost 
conscious HMO.  If Kaiser had started  handing out gender changes one 
would see a great many posts on the various transgender boards letting 
others know of this .  To date only Howard claims to have received a 
sex change from them.

2. Howard is morbidly obese.  Here is his picture:

http://picasaweb.google.com/jenniferrusherr/AllAboutMe#5250861530829948002

Howard is roughly six feet tall so to get a paunch like that one would 
have to be close to 300 pounds - if not more.    The problem is that 
surgeons in the U.S. do not do gender change on morbidly obese people 
for safety reasons.  One only has to google google this to see the 
truth of it.

3. Howard has been making less than 25,000 a year since 2005.  Prior to 
that he made no money at all and lived with a variety of male lovers 
until 2000.  Prior to that he was unemployed while his wife worked as a 
nurse.  No insurance covers all the other associated costs of SRS such 
as electrolysis and psychological counseling - usually biweekly for a 
year (at a minimum).  Could a man living in a homeless shelter making a 
take home of about $1100 a month (after his subsidized rent costs are 
deducted) , living in one of the costliest cities in the U.S. and who 
has to eat out all the time because his room does not have a 
kitchen....  could such a person likely afford the 300- 500 a month 
ancillary costs preceding surgery?

4. Howard claims that Kaiser gave him his sex change after only one 
year .  How likely is it that a U.S. HMPO would authorize sex change 
surgery for a person living in a homeless shelter, who is over 50, who 
has a spotty/sporadic record of employment AND is morbidly obese - how 
likely is it that such an HMO would approve SRS after only one year for 
such a person where most others wait 18 months to 2 years or more?

5. Who took care of Howard Thomas while he was recovering from his 

fictional surgery?  Howard lives in a SINGLE ROOM assisted facility 

with NO kitchen and NO individual bathroom.  How did he get his meals? 
  
How did he make it down the hall for 2 weeks to the communal 
 bathroom 
stalls?  Howard had no friends or contacts in SF at the time 
to take 
care of him.  How did he possibly eat or get to the bathroom 
during his 
first week out of the hospital?
All the baove leads to the obvious conclusion, that Howard Thomas usher 
is lying about his sex change surgery just as he lied about being in 
nursing school and just as he lied about NOT being in a homeless 
shelter (ask him).
His protestations against transgendered people are merely the product 

of a very troubled mind rallying against the truth of his own horrid 

situation.  
Howard Thomas Usher never had sex change surgery and is still a 

mentally troubled man living in a SRO assisted housing facility.