Fuck Nazimerica

https://www.theatlantic.com/health/archive/2016/08/diy-hormone-replacement-therapy/498044/
he sees discrimination as an “enormous” problem within the medical community. He admitted to hearing “snide jokes” and “honest, hostile opinions” of transgender patients from his colleagues. “There are still providers with outright hostility,” he says. “I have a patient who reported coming in for a broken limb to an emergency room and being sent out of the emergency room because the doctors determined they were trans—which is entirely unrelated to the situation.”

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For trans and gender diverse people, medical gender affirmation almost always requires interaction with some kind of health professional or medical body. When a health professional uses a model of informed consent, and takes a patient-led approach to facilitating medical affirmation, there is a balance of medical care and oversight, with patient needs, wishes, and hopes.

Gatekeeping happens when health professionals place unnecessary and unfair hurdles in the path of affirmative care, and require trans and gender diverse patients to prove who we are and that we really want or need access to medically affirming care.

For those who seek it, gender affirming medical interventions can be a critically important part of how we affirm our gender. Interventions are not only medically necessary, but life saving.

All gender affirming care must be inclusive, self-determined and rights-based. Barriers to timely, culturally safe and accessible medical gender affirmation can result in tragic consequences.1