I do think there should be research done into seeing if there is a cure or therapies for gender dysphoria, and use sex changes as a last resort.
but right now, sex changes appear to be one of the most effective options if someone is truly experiencing dysphoria. But again, they should have everything else ruled out first
The most effective (and reversible) treatment should be a last resort, because you think that people aren’t truly experiencing dysphoria, and even if they are everything else needs to be ruled out first.
the video you cite is someone who is impoverished and unwell dealing with a system that is intentionally disfunctional and has clearly been overreacting making threats that aren’t even really actionable considering how poor they are. Having a mental health condition exacerbated by poverty and a disfunctional healthcare system doesn’t mean your other conditions aren’t real.
Broadly speaking being gender nonconforming is more likely to cause you to end up in poverty simply because your bigoted family might just cut all support from you and leave you to fend for yourself with a hostile system. having to live in poverty and not even able to get medical care then exacerbates pretty much every underlying mental health issue regardless of gender.
Sex change operations carry permanent effects. They aren’t reversible like puberty blockers. A simple google search will teach you that. This is where emotion and agenda contradicts medical fact. If somebody isn’t actually experiencing dysphoria, then they shouldn’t get a sex change. It needs to be confirmed that they actually are experiencing dysphoria and not self conscious like some people I know have been, including myself, and thus thinking a different gender identity is the solution when it isn’t. At one point in my life I wanted my nose removed.
A family kicking someone out for having gender identity issues is disgusting and not okay.
Can you clarify what ‘sex change operations’ is intended to refer to, are you calling every step of gender affirming care ‘sex change operations’ or is something like hormones distinct in your mind?
The effects of going on hormones is largely reversible, surgery obviously less so.
The reality is vast majority of the people who do de-transition do so because of familial or social pressures, often social coercion. That’s not to discount that there are ones who have some misdiagnosis leading them to pursue care that they didn’t want. I just don’t see how arbitrarily limiting care for everyone else solves this perceived issue other than via effective austerity- not allowing anyone to have care.
Not even saying we should be more stringent. We might already be stringent enough.
If you have 6 year wait times it sounds like the issue is with the healthcare system failing to meet demand. In the video you linked they were struggling to get even hormones prescribed, citing a bias against self report and diy HRT. I can relate as while I’ve been able to get it prescribed I’ve had to pay out of pocket myself (with coupons) for injections because my insurance prioritizes oral and patches first because that’s what the formulary says. It doesn’t make medical sense because I can’t really get to a therapeutic dose on patches, it doesn’t make financial sense because patches are way more expensive than shots, but it is an arbitrary decision that makes getting care more difficult.
I think the system is already overly strict, also not the same everywhere, especially for even being able to start the transition process. For transfems facial hair is something that’s going to need ‘cosmetic’ procedures (laser/electrolysis) to remove. The insurance pathway for that in my experience essentially requires you to be on HRT for a considerable length of time before they will even cover the procedure. That kind of wait can really compound mental stresses. I have a good connection for electrolysis and had enough income to get it done in parallel with starting HRT without insurance, but that’s the exception.
A “bias” against self report and DIY HRT is understandable as the person has likely just been hanging out in forums and Discord servers but not assessed by a professional. The NHS wait times are a problem for every health condition and the whole system needs to be improved for everybody, not just for trans care.
I think it’s important for it to be assessed first to make sure that necessary care is being funded by the taxpayer and not just cosmetic surgery
If your health system is taking 6 years to provide people with a hormone prescription it’s clearly complete dog shit. Frankly sounds more like a warcrime than a health service. I don’t think that making the care it provides worse for miniorities is going to fix how fucked up it is for everyone else. Maybe try fixing the system itself instead of punishing people for failing to conform to bullshit standards designed to deny care.
Classifying things which are neccessary care as “cosmetic” is how things are gatekept in our for-profit healthcare, as opposed to hand-wringing about misdiagnosis in service of cruel austerity.
I think you misunderstood what I was saying. I did say we should focus on fixing the system overall. Our healthcare system is NOT for-profit. You’re wrong about that.
I know it’s not for profit, I explained how classifications are used under our for profit system to do the same things you do under your alleged healthcare system.
The most effective (and reversible) treatment should be a last resort, because you think that people aren’t truly experiencing dysphoria, and even if they are everything else needs to be ruled out first.
the video you cite is someone who is impoverished and unwell dealing with a system that is intentionally disfunctional and has clearly been overreacting making threats that aren’t even really actionable considering how poor they are. Having a mental health condition exacerbated by poverty and a disfunctional healthcare system doesn’t mean your other conditions aren’t real.
Broadly speaking being gender nonconforming is more likely to cause you to end up in poverty simply because your bigoted family might just cut all support from you and leave you to fend for yourself with a hostile system. having to live in poverty and not even able to get medical care then exacerbates pretty much every underlying mental health issue regardless of gender.
Sex change operations carry permanent effects. They aren’t reversible like puberty blockers. A simple google search will teach you that. This is where emotion and agenda contradicts medical fact. If somebody isn’t actually experiencing dysphoria, then they shouldn’t get a sex change. It needs to be confirmed that they actually are experiencing dysphoria and not self conscious like some people I know have been, including myself, and thus thinking a different gender identity is the solution when it isn’t. At one point in my life I wanted my nose removed.
A family kicking someone out for having gender identity issues is disgusting and not okay.
Can you clarify what ‘sex change operations’ is intended to refer to, are you calling every step of gender affirming care ‘sex change operations’ or is something like hormones distinct in your mind?
The effects of going on hormones is largely reversible, surgery obviously less so.
The reality is vast majority of the people who do de-transition do so because of familial or social pressures, often social coercion. That’s not to discount that there are ones who have some misdiagnosis leading them to pursue care that they didn’t want. I just don’t see how arbitrarily limiting care for everyone else solves this perceived issue other than via effective austerity- not allowing anyone to have care.
Top and bottom surgery.
I don’t mean limiting care except for where it’s actually unnecessary. Just have enough stringency.
Not even saying we should be more stringent. We might already be stringent enough.
If you have 6 year wait times it sounds like the issue is with the healthcare system failing to meet demand. In the video you linked they were struggling to get even hormones prescribed, citing a bias against self report and diy HRT. I can relate as while I’ve been able to get it prescribed I’ve had to pay out of pocket myself (with coupons) for injections because my insurance prioritizes oral and patches first because that’s what the formulary says. It doesn’t make medical sense because I can’t really get to a therapeutic dose on patches, it doesn’t make financial sense because patches are way more expensive than shots, but it is an arbitrary decision that makes getting care more difficult.
I think the system is already overly strict, also not the same everywhere, especially for even being able to start the transition process. For transfems facial hair is something that’s going to need ‘cosmetic’ procedures (laser/electrolysis) to remove. The insurance pathway for that in my experience essentially requires you to be on HRT for a considerable length of time before they will even cover the procedure. That kind of wait can really compound mental stresses. I have a good connection for electrolysis and had enough income to get it done in parallel with starting HRT without insurance, but that’s the exception.
A “bias” against self report and DIY HRT is understandable as the person has likely just been hanging out in forums and Discord servers but not assessed by a professional. The NHS wait times are a problem for every health condition and the whole system needs to be improved for everybody, not just for trans care.
I think it’s important for it to be assessed first to make sure that necessary care is being funded by the taxpayer and not just cosmetic surgery
If your health system is taking 6 years to provide people with a hormone prescription it’s clearly complete dog shit. Frankly sounds more like a warcrime than a health service. I don’t think that making the care it provides worse for miniorities is going to fix how fucked up it is for everyone else. Maybe try fixing the system itself instead of punishing people for failing to conform to bullshit standards designed to deny care.
Classifying things which are neccessary care as “cosmetic” is how things are gatekept in our for-profit healthcare, as opposed to hand-wringing about misdiagnosis in service of cruel austerity.
I think you misunderstood what I was saying. I did say we should focus on fixing the system overall. Our healthcare system is NOT for-profit. You’re wrong about that.
I know it’s not for profit, I explained how classifications are used under our for profit system to do the same things you do under your alleged healthcare system.
Classic american thinking that every single country has their dogshit pay-to-win healthcare system.
at 6 years to provide service you might as well not have a healthcare system