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This kinda thing can’t be reduced to a single number, how do you compare the US, where trans people often can’t afford HRT in the best states, and are literally unable to get it in Florida, to Iran, where it’s free, but surgery is mandatory and being gay is punishable by death?
A place where hatecrimes aren’t uncommon, but there is some level of legal protection, to a place with far fewer hatecrimes/discrimination, but no special legal protections?
… Iran, where it’s free, but surgery is mandatory and being gay is punishable by death?
It’s free because it’s the “sentence” for being gay. Get an operation or be executed.