I suggest then that they try and find a different therapist/psychologist who knows what they are doing.
Indeed in some parts of the world, this document means nothing to them, but then they have severe problems with anyone who is different in orientation and gender roles and identities.
This document isn't a request for these countries to abide by a set of rules.
That is up to their governments and possibly insurance carriers to do.
In other words, if it is looked down on by their medical industry, especially those who are still backwards in their insurance ideas of right and wrong, this document isn't the answer for them.
It is up to the people to form a better government or demand that the practises of their Health Professionals and insurance industries follow simple guidelines for *Trans Healthcare.
That is all that this document is designed to do.
Establish a set of criteria and level of standards that are simple enough to understand.
It isn't the end all of proof that surgery is necessary or even required.
It does establish that there is documented evidence that there is sufficient evidence that it does indeed stand to reason that *Trans Healthcare and any related surgeries are useful in allowing surgeries and related healthcare in after treatment, increases their quality of life to a level that approaches that of the rest of the people.
If in their area of society, they find it unacceptable that *Trans People should have that same quality of life, it is up to the people to change that.
The document can be used as evidence that this is acceptable and should be followed at a minimum.
Which is what the document is.
It sets a minimum of standards.
In some places, it is the minimum and standards are actually set higher.
While there is currently a backlash in sentiment from political and religious groups hoping to gain control over this and much more that affects peoples quality of life, it is the people's will that changes this and keeps these kinds of radical groups from changing and lowering peoples qualities of life, based on their idiotic values based on fear on anything that goes against their limited abilities to think clearly.
To simply state that it makes it harder and imply that it possibly makes it impossible for people to get the Healthcare they deserve is nitpicking at the least.
Without this set of standards, things would be still as they were twenty years ago.
Indeed, it has changed the way the Healthcare industries in many places approach the needs of *Trans People.
In a very positive way.
Yes there are still some places that their backwards thinking is still just that.
While the document attempts to change that, it cannot change that kind of thinking if it is not accepted.
It is up to the will of the people to do that.
If people are unwilling to fight for those changes, they won't happen because of this simple standards of care document.
Indeed, to nitpick at the wording and to find possible reasons to object to it, is going to happen just as ill informed and prejudiced thinking does with most everything.
It is much like those same kind of limited thinkers that in this country are trying to reinterpret our constitution into some religious backwater set of rules to live by.
And that is the law here. They are trying to make a case out of their way of life as being the only way to exist.
It has become an uphill battle to keep this kind of thinking that makes the idiotic changes in law at bay.
This set of standards is a constantly changing set of ideas that are designed to increase the quality of life for many people who otherwise wouldn't receive it.
If anyone has suggestions that are a positive influence on ongoing research and documentation that helps with this, it is by all means welcomed by the committees that have designed and put together this set of standards.
I have had my own input into it by way of making suggestions to those I know involved.
I don't know if my influence has made any kind of difference, but it was well received and not pooh-pawed as some uninformed opinion.
Most of it is based on interviews with people that it concerns.
If you have concerns about any changes that should or could be made, you should address the people who have researched and compiled this information into a document that is a standard of care, not the end all law dictating that it must be complied with.
You can find these people and ways of contacting them in the document itself.
If you have reservations about aspects of it, spell them out.
Making blanket statements without addressing the problem itself does nothing to change things.
Informed response to any changes you see that should be made, can be made, will be received along with the many suggestions that are made everyday to the people who put this together.
Again, the people who are doing the research and compiling evidence that supports better standards of care are still researching and compiling.
It is ongoing and will, as long as there is sufficient reason to do so.
It is through suggestions from the general population of *Trans People that gives it sufficient reason to go on.
If you can find a better standard to go by that they seem to have missed, then by all means suggest it to them.
They look at as much information as their limited abilities allows.
There is always the search for more money that expands this ability.
Much of it is done from donations and grants that come from concerned organizations.
That is another way of affecting changes that can and should be made, as more and more evidence is compiled.
It's up to the community to see that as much can be done as possible.
This document is a reflection of what the community has been able to do so far.
Like I said, it is not the law or the end all of an ongoing discussion of *Trans related healthcare.
It is what it is, flawed as it may seem, and picked apart by those who wish to see these changes undone.
If you see changes that can be made, suggest them.
It is in everyone's interests to support it, not to complain that enough hasn't been done.
Enough will never be done by not effecting the changes that can be made, by tearing down an attempt to make life better.
*Rant done....
Ativan