The only thing we can do is hope informed consent is available to more people to avoid gatekeeping (which seems to only have become more common in the US and nowhere else) and introduce free health care. I had to go to a private GIC to avoid the 13 month waiting list for my nearest NHS GIC. Fortunately going private I only had to wait 6 months for T; which is even much quicker going to any GIC in the UK. It shouldn't be like that. Then again each time I have to pick up my NHS prescription for T I am thankful how affordable it is and that even though the NHS is far from perfect; it's better than not having it.