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I think that sentiments like this are really dependent on the context that the diagnosis is made within. E.g. in countries with free healthcare, gatekeeping on some level is a necessary evil, not just in trans healthcare, but in general, to allocate funding. For example, I can’t get braces for free despite my crooked teeth, because they’re not fucked up enough to warrant it, so I’d have to pay out of pocket. I don’t think it’s that crazy that someone’s HRT wouldn’t be covered by the state if they’re likely to want to change to the opposite hormone profile just 3 months later.

Or am I just completely misunderstanding what this meme is talking about? Obviously, in a private healthcare setting, the only requirement is informed consent.

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Well this is about the clinical definition of gender dysphoria, which isn’t a term used in treatment contexts outside the US (i.e., places with free healthcare). Most other countries, in clinical contexts at least, use the ICD11, which uses the term gender incongruence and is actually less strict

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