Fahran wrote:Grenartia wrote:I understand why the debate exists, but I really hate that it does exist.
I believe it's a necessary debate if we intend to set up transitioning as a bonafide medical treatment. I don't think euphoria alone provides a viable justification for the vast majority of insurance plans, least of all in public healthcare systems. Dysphoria, on the other hand, provides a compelling argument for medical necessity.
Yeah, this basically.
Plus you have to properly mentally evaluate people or you'll get more people who go the whole way to permanent effects through medication or even surgery and then realise they've made a mistake. Which is miserable for them, results in lawsuits against the institutions, and gives an almost unlimited supply of ammo for those who try to argue that medical transition should be curtailed or made much more difficult.
The ideal solution isn't abolition of transmedicalism but making it more receptive to non-binary people, and properly fund gender psychiatry so that people can have more regular appointments rather than the long wait time mostly being unsupported admin delays which encourage people to massage their stories in the direction of what they think the authorities want to hear.
If you want medical treatment then requiring a diagnosis of dysphoria is quite legit. I'm more open to the idea of changing identity documents on the basis of self-definition, though there'd have to be penalties for any people who tried to do it for fraudulent purposes like lowering their insurance premium, and possibly limitations on access to women-only spaces unless someone submits themselves to that psychiatric evaluation process.