Trans people are up against bigoted legislation, bureaucratic red tape, and the U.S.’s cruel lack of health care access.
, and more, trans people have faced everything from unnecessary inconveniences to bigotry and outright violence.Before any procedure could take place, D. still needed to attend psychotherapy, per WPATH’s Standards of Care, and obtain. Seeking out and booking appointments with professionals, from therapeutic to surgical, is another tedious process. Niche practitioners and trans specialists who are competent and covered by insurance might be unavailable, geographically distant or nonexistent.
The demands of complicated paperwork, geographical distance, and other factors can preclude people who lack certain assets or abilities from transitioning: English-language skills or a facility with technology, for instance, as well as privileges like a vehicle and/or driver’s license, computer ownership or internet access.
D., for instance, has not been able receive gender-affirming care beyond top and bottom surgeries and hormones. “With my current insurance, electrolysis [for hair removal] is one of the things listed under the large, ‘potentially cosmetic’ section,” she noted. “That [also] includes facial feminization surgery, that involves body sculpting, fat transfer things, stuff like that.”
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