- Nov 25, 2007
- Sailing the Homeward Ocean
I think theres 2 different issues here. 1 is the system of gatekeeping with GRCs and the 2nd is the provision of treatment with long waiting lists and a a limited number of clinics (none in Wales, only 1 for the under 17s which is being closed).I can't speak for more than the last couple years, but we lately have some "informed consent clinics" - typically 'sexual health clinics' and as often as not they're Planned Parenthood or similar also providing abortion services. They sliding-scale based on ability to pay (going down to zero if necessary), and will provide "gender dysphoria diagnosis" from MDs for those that need it (including for health insurance companies) and prescriptions for HRT; the latter can be price-reduced via things like GoodRx which as an example dropped the cost of a month's worth of my Estradiol from $150 retail to $45 last time I was at the pharmacy - I'm off health insurance for the last month since my employer went out of business and I've not found a new job yet. There's also Medicaid (if you're not in Florida, anyway - did that actually go through yet?) but I've no familiarity with that.