Skip to content
1981
Volume 8, Issue 2
  • ISSN: 2055-5695
  • E-ISSN: 2055-5709

Abstract

Accessing reliable and competent gender-affirming medical care is often difficult for transgender people. FOLX is a telehealth and pharmaceutical delivery start-up which launched in late 2020, primarily offering gender-affirming hormone therapy for a monthly fee. FOLX’s marketing makes extensive use of social media and online influencers, and the company frequently highlights a goal of being created ‘by and for’ transgender people. This article examines FOLX’s deployment of narratives of community, collectivity, unmet need and commercial opportunity, examining the company’s website, social media posts and media coverage and interviews with the founder. Ultimately, it argues that while the core business offering of FOLX meets a need for a marginalized and underserved population, their deployment of narratives about community support should be regarded with some scepticism. These narratives appear in some cases to co-opt community values of collectivity, mutual aid and support for the benefit of venture capital firms.

Loading

Article metrics loading...

/content/journals/10.1386/qsmpc_00096_1
2023-07-31
2025-03-22
Loading full text...

Full text loading...

References

  1. Awkward-Rich, Cameron, and Malatino, Hil. ( 2022;), ‘ Meanwhile, T4t. ’, TSQ: Transgender Studies Quarterly, 9:1, pp. 18, https://doi.org/10.1215/23289252-9475467.
    [Google Scholar]
  2. Barcelos, Chris. ( 2022;), ‘ The affective politics of care in trans crowdfunding. ’, TSQ: Transgender Studies Quarterly, 9:1, pp. 2843, https://doi.org/10.1215/23289252-9475495.
    [Google Scholar]
  3. Beare, Zachary, and Melissa, Stone. ( 2021;), ‘ By queer people, for queer people: FOLX, Plume and the promise of queer UX. ’, in E. Lane, and H. M. Lawrence. (chairs), The 39th ACM International Conference on Design of Communication, virtual event, USA, 12–14 October, ACM;, pp. 2025, https://doi.org/10.1145/3472714.3473618.
    [Google Scholar]
  4. Bockting, Walter O.,, Miner, Michael H.,, Swinburne Romine, Rebecca E.,, Hamilton, Autumn, and Coleman, Eli. ( 2013;), ‘ Stigma, mental health and resilience in an online sample of the US transgender population. ’, American Journal of Public Health, 103:5, pp. 94351, https://doi.org/10.2105/AJPH.2013.301241.
    [Google Scholar]
  5. Bosco Daily #TEAMBOSCO (@boscodaily) ( 2022;), ‘ This valentine’s day, @hereisbosco is teaming up with @folxhealth take the quiz: http://crush4crush.com https://t.co/X1b4NF1fW0. ’, Twitter , 14 February, https://twitter.com/boscodaily/status/1493298708095459328. Accessed 14 February 2022..
  6. Breitenstein, A. G.. ( 2020;), ‘ On FOLX costs. ’, FOLX Health , 4 December, https://www.folxhealth.com/library/on-folx-costs/. Accessed 22 May 2022..
  7. Burke, Mary C.. ( 2011;), ‘ Resisting pathology: GID and the contested terrain of diagnosis in the transgender rights movement. ’, in P. J. McGann, and D. J. Hutson. (eds), Sociology of Diagnosis (Advances in Medical Sociology, vol. 12), Bingley:: Emerald Group Publishing Limited;, pp. 183210, https://doi.org/10.1108/S1057-6290(2011)0000012013.
    [Google Scholar]
  8. Camminga, B., and Lubinsky, Noam. ( 2021;), ‘ “Your boy is a boiii”: Capturing the consumption of trans joy in the form of synthetic testosterone. ’, Consumption Markets & Culture, 25:4, pp. 35668, https://doi.org/10.1080/10253866.2021.1953488.
    [Google Scholar]
  9. Carson, Biz. ( 2020;), ‘ Health care is not “one size fits all”: Folx launches to serve LGBTQ community. ’, protocol.com, 3 December, https://www.protocol.com/folx-lgbtq-health-care. Accessed 10 April 2022..
  10. Cicero, Ethan C.,, Reisner, Sari L.,, Silva, Susan G.,, Merwin, Elizabeth I., and Humphreys, Janice C.. ( 2019;), ‘ Healthcare experiences of transgender adults: An integrated mixed research literature review. ’, Advances in Nursing Science, 42:2, pp. 12338, https://doi.org/10.1097/ANS.0000000000000256.
    [Google Scholar]
  11. Coey, Sharon K.. ( 2022;), ‘ Folx health doubles down on LGBT+ fund, focuses on Black trans community. ’, Fierce Pharma , 8 April, https://www.fiercepharma.com/marketing/grants-help-transgender-community-be-who-they-are. Accessed 9 April 2022..
  12. Edenfield, Avery C.. ( 2021;), ‘ Managing gender care in precarity: Trans communities respond to COVID-19. ’, Journal of Business and Technical Communication, 35:1, pp. 1521, https://doi.org/10.1177/1050651920958504.
    [Google Scholar]
  13. Edenfield, Avery C.,, Holmes, Steve, and Colton, Jared S.. ( 2019;), ‘ Queering tactical technical communication: DIY HRT. ’, Technical Communication Quarterly, 28:3, pp. 17791, https://doi.org/10.1080/10572252.2019.1607906.
    [Google Scholar]
  14. Elitou, Emerald. ( 2021;), ‘ FOLX health is the first-ever healthcare platform specifically for the LGBTQIA+ community. ’, Byrdie , 26 October, https://www.byrdie.com/folx-health-lgbtqia-healthcare-launch-5089556. Accessed 9 April 2022..
  15. Fairclough, Norman. ( 1992;), ‘ Intertextuality in critical discourse analysis. ’, Linguistics and Education, 4:3, pp. 26993, https://doi.org/10.1016/0898-5898(92)90004-G.
    [Google Scholar]
  16. FOLX ( n.d;.), ‘ Homepage. ’, FOLX Health , https://www.folxhealth.com/. Accessed 1 April 2022..
  17. FOLX Health ( 2021a;), ‘ Crush4Crush. ’, Crush4Crush , https://crush4crush.com. Accessed 5 May 2022..
  18. FOLX Health ( 2021b;), ‘ HRT Care Fund. ’, FOLX Health , https://www.folxhealth.com/hrt_care_fund. Accessed 1 March 2021..
  19. FOLX Health ( 2021c;), ‘ HRT Care Fund. ’, FOLX Health , https://www.folxhealth.com/hrt_care_fund. Accessed 18 April 2021..
  20. FOLX Health ( 2021d;), ‘ HRT Care Fund. ’, FOLX Health , https://www.folxhealth.com/hrt_care_fund. Accessed 3 June 2021..
  21. FOLX Health (@folxhealth) ( 2022a;), ‘ Crushing on @jazzmynejay Http://Crush4Crush.Com Https://T.Co/Y5IBwgkaV4. ’, Twitter , 11 February, https://twitter.com/folxhealth/status/14922191997y3375878. Accessed 9 May 2022..
  22. FOLX Health (@folxhealth) ( 2022b;), ‘ Tfw your estrogen is as beautiful as you are. ’, Instagram, 21 May, https://www.instagram.com/p/CdyYVqHrc19/. Accessed 21 May 2022..
    [Google Scholar]
  23. FOLX Health (@folxhealth) ( 2022c;), ‘ Yaaas pills, delivered straight to your door so you can slay Https://T.Co/DzQvsId47a. ’, Twitter , 25 March, https://twitter.com/folxhealth/status/1507062855132143618. Accessed 21 May 2022..
  24. FOLX Health ( 2022d;), ‘ FOLX FAQ. ’, FOLX Health , https://www.folxhealth.com/faq/. Accessed 22 May 2022..
  25. FOLX Health ( 2022e;), ‘ FOLX health - clinicians. ’, FOLX Health , https://www.folxhealth.com/clinicians/. Accessed 5 June 2022..
  26. FOLX Health ( 2022f;), ‘ HRT Care Fund. ’, FOLX Health , https://www.folxhealth.com/hrt_care_fund. Accessed 22 May 2022..
  27. Gava, Giulia,, Seracchioli, Renato, and Meriggiola, M. Cristina. ( 2020;), ‘ Telemedicine for endocrinological care of transgender subjects during COVID-19 pandemic. ’, Evidence-Based Mental Health, 23:4, p. e.1, https://doi.org/10.1136/ebmental-2020-300201.
    [Google Scholar]
  28. Grant, Jaime M.,, Motter, Lisa A.,, Tanis, Justin,, Harrison, Jack,, Herman, Jody L., and Keisling, Mara. ( 2011), Injustice at Every Turn: A Report of the National Transgender Discrimination Survey, Washington DC:: National Center for Transgender Equality and National Gay and Lesbian Task Force;.
    [Google Scholar]
  29. Hall, Kara-Marie. ( 2020;), ‘ FOLX is the first digital healthcare platform for queer and trans community. ’, Verywell Health , 3 December, https://www.verywellhealth.com/folx-digital-healthcare-platform-queer-and-trans-community-5089100. Accessed 10 May 2022..
  30. Harner, Vern. ( 2021;), ‘ Trans intracommunity support & knowledge sharing in the United States & Canada: A scoping literature review. ’, Health & Social Care in the Community, 29:6, pp. 171528, https://doi.org/10.1111/hsc.13276.
    [Google Scholar]
  31. Irving, Dan. ( 2008;), ‘ Normalized transgressions: Legitimizing the transsexual body as productive. ’, Radical History Review, 100, Winter, pp. 3859.
    [Google Scholar]
  32. Johnson, Austin H.. ( 2015;), ‘ Normative accountability: How the medical model influences transgender identities and experiences. ’, Sociology Compass, 9:9, pp. 80313, https://doi.org/10.1111/soc4.12297.
    [Google Scholar]
  33. Johnson, Austin H.. ( 2019;), ‘ Rejecting, reframing, and reintroducing: Trans people’s strategic engagement with the medicalisation of gender dysphoria. ’, Sociology of Health & Illness, 41:3, pp. 51732, https://doi.org/10.1111/1467-9566.12829.
    [Google Scholar]
  34. Karhu, Sanna. ( 2022;), ‘ Gender skepticism, trans livability, and feminist critique. ’, Signs: Journal of Women in Culture and Society, 47:2, pp. 295317, https://doi.org/10.1086/716643.
    [Google Scholar]
  35. Kcomt, Luisa,, Gorey, Kevin M.,, Barrett, Betty J., and McCabe, Sean E.. ( 2020;), ‘ Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments. ’, SSM: Population Health, 11, August, p. 100608, https://doi.org/10.1016/j.ssmph.2020.100608.
    [Google Scholar]
  36. Landi, Heather. ( 2020;), ‘ Queer and trans healthcare provider FOLX banks funding from Polaris partners. ’, Fierce Healthcare , 3 December, https://www.fiercehealthcare.com/tech/queer-and-trans-healthcare-provider-folx-banks-funding-from-polaris-partners. Accessed 9 April 2022..
  37. Landi, Heather. ( 2021;), ‘ Folx health snaps up $25M to expand virtual care for the LGBTQIA+ community. ’, Fierce Healthcare , 2 February, https://www.fiercehealthcare.com/tech/folx-health-snaps-up-25m-to-expand-virtual-care-for-lgbtqia-community. Accessed 9 April 2022..
  38. Levin, Jackson,, Nina, Shanna K. Kattari,, Piellusch, Emily K., and Watson, Erica. ( 2020;), ‘ “We just take care of each other”: Navigating “chosen family” in the context of health, illness, and the mutual provision of care amongst queer and transgender young adults. ’, International Journal of Environmental Research and Public Health, 17:19, p. 7346, https://doi.org/10.3390/ijerph17197346.
    [Google Scholar]
  39. Lodge, Reid. ( 2017;), ‘ Trans sites of self-exploration: From print autobiographies to blogs. ’, Queer Studies in Media & Popular Culture, 2:1, pp. 4971, https://doi.org/10.1386/qsmpc.2.1.49_1.
    [Google Scholar]
  40. Meyer, Ilan H.. ( 2013;), ‘ Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. ’, Psychology of Sexual Orientation and Gender Diversity, 1:S, pp. 326, https://doi.org/10.1037/2329-0382.1.S.3.
    [Google Scholar]
  41. Miss Peppermint BLACK TRANS LIVES MATTER (@Peppermint247) ( 2022;), ‘ Who’s My Valentine This Year? Myself, Henny! #Selflove Should Come before Everything, so I’ve Partnered with @folxhealth a Gender Affirming Healthcare Service, to Spread Love to Our LGBTQIA+ Community Find Your Crush by Taking the #Crush4Crush Quiz Https://Buff.Ly/3HRHgN6! Https://T.Co/LRFfnIzj4f. ’, Twitter , 11 February, https://twitter.com/Peppermint247/status/1492248822038335494. Accessed 9 May 2022..
  42. Pitts-Taylor, Victoria. ( 2020;), “‘ A slow and unrewarding and miserable pause in your life”: Waiting in medicalized gender transition. ’, Health, 24:6, pp. 64664, https://doi.org/10.1177/1363459319831330.
    [Google Scholar]
  43. Proschan, Kai. ( 2021;), ‘ FOLX health is rewriting the script for LGBTQ+ healthcare. ’, Dazed, 24 February, https://www.dazeddigital.com/body/article/52008/1/folx-health-is-rewriting-the-script-for-lgbtq-healthcare. Accessed 9 April 2022..
    [Google Scholar]
  44. Reader, Ruth. ( 2021;), ‘ With telehealth startup FOLX, trans people have a new option outside of mainstream healthcare. ’, Fast Company, 2 February, https://www.fastcompany.com/90599024/folx-health-trans-queer-telemedicine. Accessed 9 April 2022..
    [Google Scholar]
  45. Seelman, Kristie L.,, Colón-Diaz, Matthew J. P.,, LeCroix, Rebecca H.,, Xavier-Brier, Marik, and Kattari, Leonardo. ( 2017;), ‘ Transgender noninclusive healthcare and delaying care because of fear: Connections to general health and mental health among transgender adults. ’, Transgender Health, 2:1, pp. 1728, https://doi.org/10.1089/trgh.2016.0024.
    [Google Scholar]
  46. Selkie, Ellen,, Adkins, Victoria,, Masters, Ellie,, Bajpai, Anita, and Shumer, Daniel. ( 2020;), ‘ Transgender adolescents’ uses of social media for social support. ’, Journal of Adolescent Health, 66:3, pp. 27580, https://doi.org/10.1016/j.jadohealth.2019.08.011.
    [Google Scholar]
  47. Serano, Julia. ( 2016), Whipping Girl: A Transsexual Woman on Sexism and the Scapegoating of Femininity, , 2nd ed.., Berkley, CA:: Seal;.
    [Google Scholar]
  48. Shieber, Johnathan. ( 2021;), ‘ FOLX Health raises $25 million for virtual clinical offerings and care for the LGBTQIA+ community. ’, TechCrunch , 3 February, https://social.techcrunch.com/2021/02/02/folx-health-raises-25-million-for-virtual-clinical-offerings-and-care-for-the-lgbtqia-community/. Accessed 9 April 2022..
  49. Sicardi, Arabelle. ( 2021;), ‘ Queer-affirming healthcare is here, Folx. ’, Harper’s Bazaar, 5 February, https://www.harpersbazaar.com/beauty/health/a35421916/folx-health-queer-and-trans-healthcare/. Accessed 1 April 2022..
    [Google Scholar]
  50. Song, Sandra. ( 2021;), ‘ FOLX is bringing healthcare to the queer and trans community. ’, Paper, 25 February, https://www.papermag.com/folx-healthcare-2650748813.html. Accessed 10 April 2022..
    [Google Scholar]
  51. Speer, Susan A., and Parsons, Ceri. ( 2006;), ‘ Gatekeeping gender: Some features of the use of hypothetical questions in the psychiatric assessment of transsexual patients. ’, Discourse & Society, 17:6, pp. 785812, https://doi.org/10.1177/0957926506068433.
    [Google Scholar]
  52. Sprayregen, Molly. ( 2021;), ‘ With telehealth platform, Folx, A. G. Breitenstein aims to revolutionize queer healthcare. ’, Forbes, 21 January, https://www.forbes.com/sites/mollysprayregen/2021/01/21/with-telehealth-platform-folx-ag-breitenstein-aims-to-revolutionize-queer-healthcare/. Accessed 9 April 2022..
    [Google Scholar]
  53. Stewart, Mary K.,, Allison, Mary K.,, Grant Hunthrop, Myca S.,, Marshall, Sarah A., and Cornell, Carol E.. ( 2021;), ‘ Outcomes research on telemedicine-delivered gender-affirming health care for transgender youth is needed now: A call to action. ’, Transgender Health, online first, https://doi.org/10.1089/trgh.2021.0063.
    [Google Scholar]
  54. Stratis, Niko. ( 2021a;), ‘ Instagrammable startups can’t save trans healthcare. ’, Bitch Media, 23 February, https://www.bitchmedia.org/article/folx-trans-healthcare-startups. Accessed 25 March 2022..
    [Google Scholar]
  55. Stratis, Niko. (@nikostratis) ( 2021b;), ‘ Good news, we fixed the lack of access to healthcare by gentrifying it. Https://T.Co/P1wRwCxv7Y. ’, Twitter , 28 January, https://twitter.com/nikostratis/status/1354423823928614916. Accessed 22 May 2022..
  56. Stryker, Susan. ( 2008), Transgender History, Berkley, CA:: Seal Press;.
    [Google Scholar]
  57. Stryker, Susan, and Bettcher, Talia M.. ( 2016;), ‘ Introduction: Trans/feminisms. ’, TSQ: Transgender Studies Quarterly, 3:1&2, pp. 514, https://doi.org/10.1215/23289252-3334127.
    [Google Scholar]
  58. van Dijk, Teun A.. ( 1993;), ‘ Principles of critical discourse analysis. ’, Discourse & Society, 4:2, pp. 24983, https://doi.org/10.1177/0957926593004002006.
    [Google Scholar]
  59. Wilton, Caren. ( 2018), My Body, My Business: New Zealand Sex Workers in an Era of Change, Dunedin:: Otago University Press;.
    [Google Scholar]
  60. Wodak, Ruth. ( 2014;), ‘ Critical discourse analysis. ’, in C. Leung, and B. V. Street. (eds), The Routledge Companion to English Studies, Abingdon:: Routledge;, pp. 30216.
    [Google Scholar]
  61. Zane, Zachary. ( 2021;), ‘ FOLX is making queer and trans healthcare so much easier finally. ’, Men’s Health , 14 June, https://www.menshealth.com/sex-women/a36387325/folx-transgender-healthcare/. Accessed 1 April 2022..
/content/journals/10.1386/qsmpc_00096_1
Loading
This is a required field
Please enter a valid email address
Approval was a success
Invalid data
An error occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test