It’s not life or death
1. “It’s not life or death”
Without GCS sexual functioning, self-esteem, body image, socioeconomic adjustment, family life, relationships, psychological status and general life satisfaction are all negatively affected. This is supported by the numerous studies (Murad M., 2010, DeCuypere, 2006, Kuiper M. 1988, Gorton 2011, Clements-Nolle K., 2006), which also consistently show that access to GCS reduces suicidality by a factor of three to six (between 67 percent and 84 percent). Eighty percent of transgender people contemplate suicide, and 41 percent of transgender people attempt it. Lack of access to care is in fact likely to kill many transgender people. If this was a type of cancer that was killing 41 percent of the people who developed it, and it was possible to reduce the mortality rate by similar percentages, there wouldn’t be any argument happening.
It doesn’t even have to be life or death to be medically necessary, though. A herniated disk won’t kill you, but it will wreck your quality of life. Similarly, this is why every major medical, psychological, psychiatric, and therapist organization in the <link is hidden> has issued statements supporting the medical necessity of GCS. The court system is increasingly acknowledging this, with five Circuit Courts having ruled that withholding transgender specific health care from prisoners is a violation of the 8th Amendment, because it is medically necessary.
2. “These people need therapy, not surgery.”
I have been over this before. They tried for decades to change people’s gender identities, the same way they tried to change sexual orientation. Drugs. Therapy. Electroshock therapy. Lobotomies. Institutionalization. It doesn’t work. It’s why California and New Jersey have banned reparative therapy that tries to change sexual orientation OR gender identity. Those bans are holding up in court, because the overwhelming scientific consensus is that you can’t change a person’s gender identity, and you can’t just make their dysphoria go away with drugs or talk therapy. If you could, then that would be the preferred treatment, not expensive surgery.
Support for the necessity of GCS is based on scientifically-based national medical research, professional medical specialty organizations, and widely and generally accepted medical and surgical practices and standards, and is supported by prevailing peer reviewed medical literature.
The opposition to the notion of necessity this comes from religious zealots and people who aren’t qualified to be making medical decisions anyway.