Like on the one hand there's new papers each year going "So it turns out that there's literally no fucking reason to restrict transition access based on these arbitrary criteria, and in fact, they were explicitly made up by some Danish fuck because he was personally obsessed with the idea that trans people were demons, and as it turns out the only measurable impacts of this policy are to increase risks to the patient" that have no impact on the healthcare systems they're criticizing whatsoever.
And then, on the other hand, you've got "Shockingly, this life-altering treatment that massively impacts how the patient is perceived by others in all facets of life is primarily supported by observational studies, as opposed to the enormous violations of bodily autonomy and human dignity necessary to perform a true randomized control trial. We recommend that treatment ceases immediately because you don't understand how evidence-based medicine works." And that becomes a linchpin of the politics of multiple European countries' trans healthcare politics for the next several years.
It's fucking clown world. Nobody who enabled this should be in a position of any power whatsoever.
