The ideology is very simple Nobody gets to decide what's "right" for me but me
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Trans people spent decades living underground, writing their own magazines and pamphlets (later websites), swapping tips on how to acquire black market hormones for cash and how to talk your way past medical gatekeepers to get your hands on what legit medical procedures existed
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Magnus Hirschfeld's investigation into "true transvestism" that led to the coinage of the term "transsexual" and the issuance of the "transvestite passes" was based on the premise "Look no treatment seems to stop this behavior so for the sake of argument why not humor them"
End of conversation
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