decapitated fetus

Doctors paying off their medical loans with prize money

Chronically ill people getting free testing (MRIs, CAT scans, X-Rays, bloodwork, etc) and possibly a diagnosis

You can ding points for 'anxiety' and 'you just need to lose some weight'

Doctors are incentivized to find an answer, not just find something billable

Cons:

HIPAA

‘anxiety’ and 'you just

need to lose some weight’

Except in the hour of need, a binface stepped up.

it's incomplete to identify this only as a problem of consent, though that is a very large factor. the downplaying and erasure of dysphoria and the negativity surrounding bottom surgery are very much components of the rape culture that harms a staggering proportion of trans women

this is a culture that ingrains in the minds of trans women that we must love topping, that all trans women love topping, that any negative feelings we may have about it are just regressive internalized transphobia. it is ingrained in our minds that our value comes from topping

trans women with dysphoria should not have to deal with unwanted advances regarding our genitalia that make us shudder to our very core, followed by having to speak up and ask not to be talked about like that, with every goddamn person we flirt with

From as soon as we learn to talk we're told our wants and opinions don't matter. When our self-expression is deemed off-limits, it's natural that food choices, experiences of pain & sickness, passions and aspirations cannot be our own either. Basic medical care is held over us in exchange for compliance. We're told our sicknesses aren't real. Exercise and fitness are used as a cudgel to coerce us into proving our masculinity. School sports and extracurricular sports are basically used as sexgendered hazing rituals, sexual & physical & medical abuse enforced by teachers, parents and same-age peers alike. Our relationship to domestic labour is that we're taught that domestic labour is how women prove they are women, so we take up that role aggressively as the only means of feminine expression we're permitted, but without ever being rewarded with recognition as women. And everyone else around us gleefully accepts the way we overwork ourselves to the bone. Medical transition is completely out of the question for most of us, so you'll very commonly hear how we tried to completely starve ourselves during puberty to prevent our body from growing, the only bodily autonomy we can afford. And what little choice we do have for medical transition is basically doctors subjecting us to years of puberty blocker monotherapy, widely known to cause lifelong chronic health issues, just to prove that we're really actually trans. Then once we pass that trial they continue underdosing us anyway.

And through that whole process we're horribly aware of the way that society talks about us, how the entire landscape of entertainment treats us as a punchline, how the news playing everywhere calls for our erasure, how laws shift to delay your medical transition another year every year, how grown adults will write fantasies about hunting down and dismembering us, and will actually coordinate harassment and assault circles to target us, how the police & parents & teachers & any authorities won't do anything to protect us against that, instead preferring to enthusiastically call you by your deadname over your grave. They all want us dead. And so we play the part. We hide, we shrink ourselves, recluse into the corners of society to find solace. Dissociate from our already neglected bodies. Hope that a safety net will divine itself upon us by chance when we have no control over the forces dictating our lives. And kill ourselves if it never comes.

to just being "a person who thinks medical transition is good".