How British Healthcare System Treats Trans People

> How do you know the referral was medically necessary?

What does "medically necessary" mean to you? Does it include changing the gender identifier on your passport?

Quoting the video:

] Once you're in the medical system, you can also change the legal sex that is recorded on your birth certificate and your passport. In England, you cannot change either of those things without first obtaining a doctor's permission.

> Perhaps there is more to running the NHS than saying everyone who is demanding elective procedures should get them in 18 weeks.

Which has diddly-squat to do with the issue.

According to the NHS, gender dysphoria is a medical condition, and treatment is not viewed as an elective procedure. This has been the case since 1999, as the video points out:

] The diagnostic requirement is very baked into the NHS and British law. In 1999, there was a landmark legal case. A trust in Lancaster announced they weren't gonna fund transition anymore on the grounds that it was "merely cosmetic," and they were sued by three trans patients who said, actually, it was necessary to alleviate their gender identity disorder, as it was called at the time. The patients won, which meant that we have a right to free transition,

And according to the NHS Constitution, patients have a right to start care within 18 weeks of referral. https://www.gov.uk/government/publications/right-to-start-co... .

Not 19 years.

> have died or are dying or left to suffer for years in physical pain.

Yes, it's tragic, and shouldn't happen.

But don't let that become the excuse that others must suffer as well.

> practically unheard of 20, which were invented in the modern era thanks to innovation in medicine to allow indulgences unknown to human civilisation before the technology existed - i think resources can be better used

We know you think transgender care is "frankly self indulgent procedures", so of course you would think that.

Your viewpoint is not backed by medical evidence nor British law.

Further, as the video points out, "if a cis woman goes through menopause, she can get oestrogen from her GP. If a trans woman wants it, we have to go to the gender clinic".

Why that disparity? Estrogen for feminizing hormone therapy is about as old as the NHS itself (eg, Christine Jorgensen in the 1950s), so you can hardly claim it was 'practically unheard of 20 [years ago]'.

And hormone therapy is cheap. Assuming https://www.fiscaltiger.com/the-cost-of-gender-transition/ is right, generic estradiol costs about $4/month and the anti-androgen spironolactone costs between $4 and $12 per month. And that's retail prices the US, not wholesale prices the NHS can get.

Not everyone wants gender affirming surgery. They still need to get a referral from the GP for hormone therapy, or to change their passport gender marker, and the waiting list is years long.

> My cousin, in daily pain, was told he'd have to wait 5 years for a kidney op last year.

Was your cousin waiting for an organ transplant? That was one of the explicit exceptions on the list.

https://www.gov.uk/government/publications/right-to-start-co...

] There is often a period of time between the need for a transplant being identified, and a suitable organ for transplantation becoming available. Therefore, where first definitive treatment requires the patient to be added to a transplant list, then the patient’s clock should stop on the date that they are added to the list, and when this is communicated to the patient. Where a donor has already been identified (for example, a family member), then first definitive treatment would usually be the start of treatment itself.

Don't let the suffering of your cousin become the excuse for why others must suffer as well.

> over the past 20k years

At https://en.wikipedia.org/wiki/Third_gender points out, non-binary gender has been around for at least 4 thousand years, and across many cultures, including "Some traditional Diné Native Americans of the Southwestern US acknowledge a spectrum of four genders: feminine woman, masculine woman, feminine man, and masculine man."

Just because you don't know about it doesn't make it not true.

Do you also believe, like President Mahmoud Ahmadinejad, that there are no homosexuals in Iran?

That seems an equally willful ignorance of human nature.

> the other is pretty much a recreational drug not medically indicated for that purpose.

Not according to your own NHS and court decision.

Just because you believe it, doesn't make it true.

And read the transcript, or watch the video, because it responds to just about every point you've made, and in more detail than I care to copy&paste.

Oh, it's this creep. Maybe the long wait will give him time to calm down with his sexual fetishes, so he can stop pretending to be a woman for wank fodder.

How is it obvious? What was the surgery? Was there something about the operation which made it complicated?

LOL! As if earlier sociology and anthropology didn't fit non Western European cultural artifacts into a pseudo-history to reinforce 19th century Western European paradigms of gender. ("Berdache", cough, cough.)

And you somehow think they must have been correct? As if muxe, faʻafafine, māhū, the five genders of the Bugis people, etc. listed in the Wikipedia page are all recent/post-war inventions?

Your evidence that binary-only gender conforming to birth-assigned gender being 20K years old is, what precisely?

Just because President Mahmoud Ahmadinejad says there are no homosexuals in Iran, doesn't mean he's right.

And the evidence I looked into is strongly counter to your expressed personal viewpoints.