Being " not trans enough"

[kelly_aus]

DSM exists in USA no where else, it is a document for the medical insurance industry in the USA.

I'm well aware of that, Cindy, I was merely making a point.

[JulieBlair]

Coverage for transgender people in the United States is sadly dependent on where you live.  In sixteen states it is required, in the balance not so much.  Sadly Florida is not on the list of mandatory coverage, and so folks whose insurance coverage is dependent on their employer are often left out in the cold.  This will eventually change, but probably not any time soon.