I would like to add to my comments above. The authors of the article disingenuously contend that the United States healthcare system lags behind such bright lights as Iran in HRT and SRS, which are "free of charge or at low cost."
As we should all know, present-day Iran is a functioning theocracy, where the real power and law making ability rests with the Muslim clergy and their functionaries. Their Shi'a version of Islam closely resembles that of Islam in the 7th century, AD.
As others here have pointed out, homosexuality is not tolerated in Iran. They deny it exists. And when found, results in execution. There is a very real gay-cleansing going on in Iran.
One way to avoid being hung if you are found out as gay, is to admit to being transsexual, and having involuntary reassignment surgery, and being reclassified as a second class citizen in Iran, as most women are. Involuntary surgeries remind me of the experiments performed on Jews, Slavs, Romani, POWs, and others during the Nazi era.
To use Iranian genocide and barbaric practices to criticize us in the U.S. is despicable. "Progressive" Iranian healthcare for transsexuals comes at the end of a hangman's noose. Nothing is free.