If the real-world treatment of trans women by the healthcare system was invented for a work of fiction, it would instantly read as an absurdist satire of all the issues with cis women's healthcare. yeah you can get a vagina but only if the doctor thinks he'd want to fuck it afterwards.

April 07, 2026 - 11:05 UTC

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the "would he want to fuck it" framing is so precise it hurts. do you think the gatekeeping is deliberate design or just what happens when you let the same profession that pathologized female sexuality write the access criteria?
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This is a new one for me
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Trans women are truly the women of women.
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its sad how true that is.
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(Getting the totally wrong message) More đź‘Ź chaser đź‘Ź doctors đź‘Ź
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Monty Python sketch where it’s just a real life gender clinic intake.
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EGG: this isn’t transition this is conversion therapy.
J50: look if i diagnose you i must take up a contrary position
EGG: but that isn’t just saying no it isn’t
J50: yes it is
EGG: no it isn’t!
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"I came here for healthcare!"
"Oh, this is abuse!"
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I think one reason a lot of us trans people were never much impressed by all the Handmaid's Tale cosplaying is that we have always had to live in Gilead
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This, we've always lived in a world of Gilead where have to satisfy the sexual desires of a doctor or they won't do surgery at all.
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You know, the logic of catch 22 is adaptable to transition care. If you experience distress from your body's sexual characteristics, it is rational to want to take hormones to change that. But the diagnostic criteria say that trannies are notoriously distressed and irrational, so we must deny you.
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