Quote from: Jonie on July 25, 2007, 11:11:14 AM
I would like to thank you all for answering this post. It has become clear to me that I am not the only one who has faced this problem. I find it puzzling that in all the world, England is the only place this happens. I live in the US and yet it happened to me, but why isn't anyone from the US or anyplace else talking about this?
Quite literally, its not as much of an issue in the US. Most gender therapist in the US are under AEGIS, which basically states three months of therapy than HRT, some are even more loose with the SoC minimum and ignore it for HRT.
The US we pay for it, but HRT is readily available.
Additionally in big cities with LGBT clinics are actually BETTER than UK gender clinics. The gay community has basically given us a way to get HRT on the cheap and easy, because we are seen as "traditionally underserved" group of queer people. You have to live within driving distance of one of these clinics, but I know people who travel 2-3 hours just to get to one. No waiting list either. They are also very cheap and are on a sliding scale, so even if you do not have insurance, you still get inexpensive medical care. These clinics often have therapist on staff for inexpensive prices as well. LGBT clinics are the closest thing to socialized medicine in the states, the queer community has develoted a ton of fundraising to forming and maintaining these clinics, its is probably the ONLY benefit to being LGBT in the US.
The complaints are going to come from the UK and Canada because there is a Blanchard system in place in many places in the UK. Which is RLT and maybe HRT, if you are lucky. US on the other hand...its very different. Blanchard is seen as a hack who ruined the DSM at this point.
I could go on, but you will hear very few stories from the US and a ton from the UK. The only thing you will hear from the US is lack of insurance coverage. But taking many of the LGBT clinics are now in network and insurance carriers will cover any bill from there...even the exclusions do not hold that much weight for HRT.
So its complicated. TS is the one area where the UK system fails quite often.
The US the issue is cost, not stalling treatment. Treatment can be found if you look.