so the NHS is really fucking bad about trans healthcare for a lot of reasons. The process is unusually bureaucratic even for the NHS and hyper gate kept, like they will just deny care based on single answers to weird questions. Without a really good doctor who is willing to go to bat for you and stick it out and who understands this very specific process in the NHS, you probably will never actually be able to get care.
Partially this is due to NHS being underfunded and partially because people in positions of power have worked to make trans healthcare as difficult as possible to get in England.
It’s because the NHS puts up a variety of barriers to care, with most trans patients going through a 2-5 year wait to get the hormones. This applies to adults.
Most trans people in the UK use DIY until the NHS finally decides they’re “Trans enough” to deserve it, and even then, it’s not guaranteed to be available due to political reasons.
Essentially, the government in the UK is extremely transphobic, and trans people are demonized and looked down upon worse than immigrants.
Good question. I’m an adult from the NL and I’d say more than half of the people I know on hrt use diy.
The first step would be overcoming your fear to visit a gp. These are tied to your postalcode and often there isn’t much choice.
Now you have to overcome it again when seeing a psychiatrist, and pay for that because it isn’t fully covered. So you might be paying a lot just to simply be discriminated.
I finally have a supportive gp now, which was a pain to find. The only medical professional I’ve seen that knew what she was talking about was the woman who did my laser treatment.
Yup. Cuz I’m poor I have only the basic level of healthcare. I should add that this is essentially free and so it’s not an entirely bad system. But it’s effectively useless in many cases if you are poor.
How can someone be poor here? Well this can happen when you don’t fit squarely in the safety net. For example a friend of mine lived with her bf, but because it was social housing they made it extra small to motivate people to get out. But that also somehow made it legally too small for two people to live there. But because she is trans and poor she was essentially forced into that situation. So people often can’t be registered in the right places, which can impact your social stipend.
That’s why you are forced to pick the cheapest healthcare option, and that means your own risk will be about 1k euros a year. You have to pay that much for healthcare that year before you are covered 100%. It’s to demotivate overusing the system. Makes sense if you can afford it.
But what if you are genuinely poor? It’s common. Just imagine the levels of discomfort we go through. Imagine being a woman with facial hair and it makes you uncomfortable. How are you supposed to do anything like work? And all the stress causes mental health issues. It’s common to see in my community. People get panic attacks and everything.
And when against all odds you do go, and you pay all that somehow, you’ll likely be discriminated. There’s simply not enough training for psychologists here. From where I stand it’s absolutely reasonable that people use diy hrt, financially and emotionally. And you have to set that in perspective to the past, where that was the status quo. 😿
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so the NHS is really fucking bad about trans healthcare for a lot of reasons. The process is unusually bureaucratic even for the NHS and hyper gate kept, like they will just deny care based on single answers to weird questions. Without a really good doctor who is willing to go to bat for you and stick it out and who understands this very specific process in the NHS, you probably will never actually be able to get care.
Partially this is due to NHS being underfunded and partially because people in positions of power have worked to make trans healthcare as difficult as possible to get in England.
It’s because the NHS puts up a variety of barriers to care, with most trans patients going through a 2-5 year wait to get the hormones. This applies to adults.
Most trans people in the UK use DIY until the NHS finally decides they’re “Trans enough” to deserve it, and even then, it’s not guaranteed to be available due to political reasons.
Essentially, the government in the UK is extremely transphobic, and trans people are demonized and looked down upon worse than immigrants.
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Yeah I agree
Good question. I’m an adult from the NL and I’d say more than half of the people I know on hrt use diy.
The first step would be overcoming your fear to visit a gp. These are tied to your postalcode and often there isn’t much choice.
Now you have to overcome it again when seeing a psychiatrist, and pay for that because it isn’t fully covered. So you might be paying a lot just to simply be discriminated.
I finally have a supportive gp now, which was a pain to find. The only medical professional I’ve seen that knew what she was talking about was the woman who did my laser treatment.
I’m still waiting.
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Yup. Cuz I’m poor I have only the basic level of healthcare. I should add that this is essentially free and so it’s not an entirely bad system. But it’s effectively useless in many cases if you are poor.
How can someone be poor here? Well this can happen when you don’t fit squarely in the safety net. For example a friend of mine lived with her bf, but because it was social housing they made it extra small to motivate people to get out. But that also somehow made it legally too small for two people to live there. But because she is trans and poor she was essentially forced into that situation. So people often can’t be registered in the right places, which can impact your social stipend.
That’s why you are forced to pick the cheapest healthcare option, and that means your own risk will be about 1k euros a year. You have to pay that much for healthcare that year before you are covered 100%. It’s to demotivate overusing the system. Makes sense if you can afford it.
But what if you are genuinely poor? It’s common. Just imagine the levels of discomfort we go through. Imagine being a woman with facial hair and it makes you uncomfortable. How are you supposed to do anything like work? And all the stress causes mental health issues. It’s common to see in my community. People get panic attacks and everything.
And when against all odds you do go, and you pay all that somehow, you’ll likely be discriminated. There’s simply not enough training for psychologists here. From where I stand it’s absolutely reasonable that people use diy hrt, financially and emotionally. And you have to set that in perspective to the past, where that was the status quo. 😿
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Yap same with the hiv story in the US until they threw ashes on the lawn of the white house iirc.
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Yup I saw that. And the series Pose.
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Cyberpunk is a dramatization of the world we live in.
because the new nhs guidelines are to forcibly detransition trans people (and the wait to even START hrt was already absurdly long).
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I don’t think the guidelines say _anything _ about forceably detransitioning anyone and I’m not sure why you think they do.
That might be what the guidelines say, but it’s not the experience of any trans British person is or has been and not what the people in charge of the British government or healthcare say. Here’s a short video explaining in detail how the British government fails trans people
https://www.thepinknews.com/2024/05/06/nhs-trans-healthcare-detransition/