What gets me here in the states is insurance and coding. My hormone letter specifically states I am diagnosed with a non binary scenario, that I am outside the benjamine standards, and that hormones are recommended. But I am out of pocket for my e-cyp, my spiro is coded to heart stuff, my finesteride to bph (which I do have), and my therapist I pay hard cash to. And he is worth it. When the government stuff kicks in here in the states, dysphoria is not covered, and I will pay my endo out of pocket rather than be forced to a clinic. Especially with my volatile endocrine system, it is a tough one.
So, where is the SOC and recommendations if I can't get coverage for the hormones that I need to prevent me going way off the deep end?
Right now, the gate is closed for surgery, as I am non binary.... however, it is also because after 2 years of therapy the collateral damage would be horrific, and I am not ready for prime time as they say. I don't sit when I pee.... not a girl in a male body. I am an androgyne....physically that label would be quite accurate, lately it is socially too.... still fine tuning my comfort zones.
So, surgery, meds, etc. An entire years income for surgery, plus getting the right folks to sign off, if I was not bound to the one I love. Which I remain, and that is forever.
Its a mess, and I don't know what leverage we have out there. It is grossly unfair, and the stuff of lawsuits, but then the suits will be the ones controlling our fate.
The whole thing thoroughly pisses me off. I do, however, strongly believe that a lot of self knowledge and awareness is needed prior to making choices, as self deception always results in pain.
Nuts. Yes, we need to change the systems, at least there is more awareness now of what is going on with us.
One quarter of my income is needed to take care of my ongoing, lifelong transitional care. A quarter. Supporting a family of five, how is that fair to them? I am working class, we are crushed under this stuff. And they (my wife and kids) don't need to see me in the wards or hanging from a tree because of no hormones.... or on psyche meds because of a refusal to acknowledge the real way to treat dysphoria. My wife almost left because she couldn't take seeing the agony I was going through in the first year of transition. Now, however, all is well, but we are dirt poor, and my father is funding my meds, but he has stage 4 cancer and is in his mid 80's. And I love him very deeply.
Mad fairy here.
Blessings
Satinjoy.