If sense of gender doesn't correspond to biological sex, that's a problem. That's all a diagnosis says -- there's a problem.
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& the issue is not just reimbursement, it's ethics: w a few exceptions, surgery/drugs are only supposed to be used re a problem
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We don't give drugs/surgery to ppl to make them happier, smarter, stronger, faster -- we do it to treat illness & disease.
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Cosmetic surgeries are a limited exception to this, but if anything def trans operations as "cosmetic" would be more insulting.
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