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.
This is a UK politics thread on the UK politics sub on the UK based instance. What do you mean by “our”. If you’re one of those trumpian interfering yanks, then admit it.
Yeah, I’m offering you my experience with the US’s horrifyingly dysfunctional healthcare system that was still able to give me a prescription within months rather than 6+ years. Maybe you should stop trying to blame trans people for your system failing so many people for so long.
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.
This is a UK politics thread on the UK politics sub on the UK based instance. What do you mean by “our”. If you’re one of those trumpian interfering yanks, then admit it.
Yeah, I’m offering you my experience with the US’s horrifyingly dysfunctional healthcare system that was still able to give me a prescription within months rather than 6+ years. Maybe you should stop trying to blame trans people for your system failing so many people for so long.
At no point did I ever blame trans people. I don’t know how you even read that out of what I said.