That One Person Who Won't Shut Up About Sastiel

They wear suits, but they don't even know basic etiquette.

this is what I mean about how right now in the united states (won't speak for elsewhere but feel free to lmk in the notes if you'd like) a lot of us trans adults who are able to access transition care can only do so at the direct expense of trans minors. this clinic would not have opened if they held the line and offered equal access to healthcare to trans minors.

"Martin announced the direct-care clinic, calling it “one of the first times a public health department has ever taken that step.” But when Cabán pushed back, pointing out that trans youth are the ones most under attack right now—noting that there are “almost no providers” left for youth the entire city—Martin indicated the clinic would not serve youth, citing the need to “strike a balance” between providing care and avoiding “clawbacks from the federal government.” This morning, EITM can directly confirm that the age cutoff is 19—matching the Trump administration’s executive order threshold, not the standard legal age of adulthood in New York."

a lot of the structural transphobia we are experiencing is hitting minors even worse. their care gets banned first. if you want a preview of what access to healthcare will look like for us trans adults in 2 years, look at what access looks like for legal minors right now.

https://transactual.org.uk/blog/2026/03/12/the-nhs-has-paused-new-prescriptions-of-gender-affirming-hormones-for-under-18s/