Although things have been more positive transitioing still seems doubtful

[EmilyRyan]

Even though I have an excellent support network of friends and my outlook has somewhat improved I still feel like transitioning is not possible due to costs. Even if I got a job I still wouldn't be able to afford to see a doctor.  Unfortunately here in Tennessee there's next to no alternative options for affordable medical care since I don't qualify for medicaid in the state.  And it doesn't help I'm still trapped by my parent's stranglehold despite being 24 like I have no clue how to break away from them without causing too much trouble/grief. 

Speaking of jobs I took the advice most gave to me since my last post about jobs/skills and sorry to say even all the fast food restaurants in the town I live near don't wanna hire me and Walmart refuses to take me back.  Once again I feel worthless since I have no marketable skills and the only four year college degree I'm capable of getting, due to not being good at much, is in general studies which I will say I'm willing to work to obtain despite the chances of being gainfully employed are slim.

So yeah I doubt I'll ever get the chance go on hrt I might as well learn to cope with that.

[Ms Grace]

As the saying goes "never is a very long time"... and the other one "never say never"...

You're 24, I know things seem they'll be hopeless and impossible forever but that's only because you haven't been around long enough to learn that things change, either slowly or in a heart beat but they change. Sometimes it requires dedicated effort other times it falls into your lap... but they will change. So maybe you won't get on HRT this year or even the next - I totally get how absolutely distressing that may be for you, but the next several months do not amount to "never". It's a roadblock to be sure but it also an opportunity for you to look at options and to figure a way out.

And it doesn't help I'm still trapped by my parent's stranglehold despite being 24 like I have no clue how to break away from them without causing too much trouble/grief. 

Everyone has to leave the nest eventually , and 24 is certainly a good age to be spreading your wings and finding your own way in life... it need not cause trouble or grief. The issue is finding a way to finance it. Like I say, this may be a blockage but it does not mean you'll never leave... but you need to figure out some way or you'll still be there when you are 34...