Very nice article. Personally, I actually have always felt from a young age that I was a boy, even if other people didn't see it immediately. This lead to a lot of things, including me believing in reincarnation because I didn't understand how else I could possibly be a man if I hadn't been born with the genitals every other little boy has. Unfortunately, being a young depressed person who believes in reincarnation can also lead to feelings of hopelessness and losing the will to live. After all, why bother if the next life will be so much better? That is how I used to feel, and I also spent all of my time reading and playing video games, anything I could do to "be" somebody else.
At the same time, I know that for many people, cisgender people included, it can be hard to know exactly who you are and not have doubts or fluctuations. For that reason I do believe that surgery and hormones should be available to EVERYONE, provided they sign the consent forms, liability waivers, express and understanding of the risks and limitations, and undergo a waiting period of 1 month before having surgery, as is the recommended standard when doing things such as vasectomy or tubal ligation, which cannot be guaranteed reversible.
I think that the current medical restrictions on obtaining treatment DO motivate a lot of people to lie, and at the same time they make some transgender people think they -need- to have certain things done, because it's all so graphed out and linear. That's not beneficial to anybody.
In reality, the LAW does NOT require psychotherapy. The law does not require recommendation letters. The law does not require anything other than you being healthy enough to undergo the effects of medication or surgery on your body. What DOES require that is the institution composed of certain doctors, but not all doctors force you to undergo waiting periods and jump through hoops, scattering pockets full of cash on your way. Transgender health clinics, though few and far between, are able to make sure that an individual is mentally healthy and assess whether they feel transition is what that person truly wants and what will help them to become more complete as an individual. I go to one such doctor, and it is definitely worth it. If not for them I would still be unemployed and too uncomfortable with myself and my life to join the work force and be a productive member of society.