The problem I have is when government decides that it knows what is best for you and that you couldn't possibly be smart enough to make your own decisions without their help. Maybe some day scientists will be able to grow reproductive organs allowing for a complete and full transition. That still does not mean people should be required to do so. There would likely still be trans people of different types. Some would want to present as the other gender but not have all the procedures done. Some may just be occasional crossdressers. It is up to the individual to decide how to live, not Uncle Sam. They may even create a pill that would change gay people to straight. That doesn't mean that any gay person should be required to do so.
Here is how I believe transgendered care should be handled:
1. Gender on DL or ID is self-identifable. No questions asked.
Anyone may use the bathroom for the gender they are presenting or self-identifying. No letters or papers needed.
2. Trans people who would like therapy may do so but such decisions are optional.
3. Any trans person who wishes to take hormones may do so. No law would require a prescription or even that they see a doctor or pharmacy. Pharmacies may elect to refuse and require a doctor referral and they would be strongly recommended to be under the care of a physician for their own health and safety. Regardless, no law would be in place requiring gatekeepers for any of this.
4. If an individual wants SRS or other surgeries, that is between them and the surgeon. No surgeon is required to provide the surgery or deny the surgery per any law.
Do I think it is wise to do things properly? Do I think people should seek therapy, make sure that they are in good shape to receive HRT as determined by their doctors, and live RLE before making a decision they might regret? Absolutely. There is a difference, however, between strongly recommending something and outright requiring it. I don't believe in forced safety. If people screw up their lives, it is called personal responsibility. If one doctor is strict about RLE and another is not, it is called the free market.
The point is that there is no reason that the government should be anywhere in the picture with the possible exception of licensing the physicians that treat us. Trying to protect us from ourselves is a bunch of hogwash. If people think it is working, ask yourself why so many TG people are injecting hormones bought illegally off the street and going to other countries for SRS to bypass all of the regulations here. People want what they want and don't need permission from the state to get what they want. It is called freedom. Enough said.
