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the fundamental problem with trans healthcare in the UK is that it is almost impossible to access. i paid a thousand pounds, waited 18 months, answered some pretty invasive questions and finally... got access to a prescription that about 2 million people in the UK take
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you can't ask that doctors simultaneously provide and open and supportive space for patients to talk about their fears AND ask them gatekeep treatment from those they're not sure ought to have it. it just doesn't work that way.