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Should trans people be allowed to receive free reassignment surgery on the NHS? watch

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    (Original post by Dandaman1)
    ...Plus having to raise the money and pay for reassignment surgery gives people time to think. It certainly helps make sure they're committed and serious about it.

    Actually, the current NHS guidelines for transgender people are that they MUST live in their preferred gender identity, full time, for at least 1-2 years. Most transgender people don't wake up one morning, think "I don't feel like the gender I was assigned at birth" and then immediately hop to the GP. A lot of transgender people spend a substantial amount of time in their life coming to terms with their identity, and only once they have realised or accepted it, do they begin to think about seeing the GP. After this, the usual course of treatment is mental health support and various therapies, and if the patient is still consenting, hormonal replacement therapy. The hormones take quite a long time to establish themselves in the body and begin to cause physical changes. Only after this, plus or including the official one or two years of living in their preferred gender, will they qualify for surgery on the NHS.

    If you believe someone who has gone through all of that isn't "committed and serious" about it, then I don't know what else is.
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    (Original post by BobSausage)
    That's not my point, the smokers have brought this upon themselves, they are selfishly self-centred, and despite being fully aware of the health risks, they continue to smoke and expect us to pay for their treatment, is it not fair that transgender people get correctional treatment because it's cheaper than smokers treatment and there are so few transgender people, I mean less than 1% of the population isn't much compared to the number of smokers who demand treatment for what they've intentionally brought upon themselves.
    I see what you're saying but you have to realise that one carries a life threatening consequence whilst the other does not..that is why it is funded by the NHS. The only treatment for smoking related illnesses is through biological means. The same can't be said for gender dysphoria.
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    Wel, if you say no to gender reassignment, then you're heading down a slippery slope.

    I've got health problems which aren't life threatening. But they do affect my quality of life. Should they not be treated too?
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    (Original post by Tiger Rag)
    Wel, if you say no to gender reassignment, then you're heading down a slippery slope.

    I've got health problems which aren't life threatening. But they do affect my quality of life. Should they not be treated too?
    Mental health problems should be treated. Gender reassignment surgery is purely physical.
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    (Original post by cherryred90s)
    Mental health problems should be treated. Gender reassignment surgery is purely physical.
    Gender dysmorphia is a mental health problem.
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    If it's stuff like reassignment, addiction, jumping off a building because you're drunk you should be footed with the bill

    We shouldn't be funding all this crap with people's taxes
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    (Original post by cherryred90s)
    Yes and that is what should be treated. Gender reassignment surgery isn't a cure for depression
    Sounds like you think the solution is to make people stop being trans and to help them to "accept" the gender they were born with... which is ominously similar to conversion therapy (an extremely transphobic and unethical practice which is illegal in many countries). Gender reassignment surgery is a way to treat gender dysphoria - what don't you understand about that?
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    (Original post by tanyapotter)
    Sounds like you think the solution is to make people stop being trans and to help them to "accept" the gender they were born with... which is ominously similar to conversion therapy (an extremely transphobic and unethical practice which is illegal in many countries). Gender reassignment surgery is a way to treat gender dysphoria - what don't you understand about that?
    Wow, talk about jumping to conclusions. who said anything about making people stop being trans? you don't have to have gender reassignment surgery to qualify as trans. Also, I'm pretty sure that anyone wanting the surgery is recommended to speak to a health care professional in the form of counselling and what not. It's a big change that some trans people may not want to undergo. Physical Surgery isn't a direct cure of a mental health problem. Can you cure depression with surgery? Can you cure schizophrenia with surgery? Can you cure bipolar disorder with surgery? Nobody is saying that you can't have gender reassignment surgery, but being that it is cosmetic, pay for it yourself.
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    Wow,I thought TSR was meant to be the liberal tolerant place where everyone has libertarian views .So many hypocrites on this thread.

    Gender dysphoria is a real, genuine condition and reassignment surgery should be allowed free on the NHS.Doing this is far more cheaper than treating the many mental health problems like depression that follows if they don't get the surgery.Those who say its expensive should realise its like saying vaccines are economic waste of time and we should just treat the diseases themselves.

    Those saying we should spend on "more deserving " things like cancer and mental health can't see the irony.Since it was this kind of thinking that led to infectious diseases,cancer etc.being prioritised over mental health ,which was and still is neglected.
    So much transphobia on this thread.
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    (Original post by cherryred90s)
    Wow, talk about jumping to conclusions. who said anything about making people stop being trans? you don't have to have gender reassignment surgery to qualify as trans. Also, I'm pretty sure that anyone wanting the surgery is recommended to speak to a health care professional in the form of counselling and what not. It's a big change that some trans people may not want to undergo. Physical Surgery isn't a direct cure of a mental health problem. Can you cure depression with surgery? Can you cure schizophrenia with surgery? Can you cure bipolar disorder with surgery? Nobody is saying that you can't have gender reassignment surgery, but being that it is cosmetic, pay for it yourself.
    Why would you need to cure schizophrenia or bipolar disorder with surgery? Gender dysphoria is directly related to and often dominated by unwanted physical features, and bipolar disorder/schizophrenia are not. Make this simple distinction, please.
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    Is there any data on historical transgender cases? Or is it just now we have the option for surgery that people believe they are in the wrong body more? I'd really be interested if anybody could point me in the right direction ^^

    Anyway, I think higher priority should be given to treatments for 'physical' medical problems such as cancer, etc. I think it's desperately sad that the NHS can't afford some treatments for cancer that work better/more efficiently/will give a few extra years into life, yet pay for treatments such as this... Especially when there's the opportunity to regret it, which some do..

    I realise there is a lot of taboo surrounding talking about trans people because the arguments for surgery tend to be depression, mental health, etc., which are of course normally conditions and problems that try to treat. But if you suggest treating trans people, it can be quite offensive. So, trying my best to be PC, I think that: a lot of people who would have been content to just cross dress or be 'gender fluid' in the past are now contemplating sex changes and saying they *need* one when they would probably be fine without. I don't deny that there are a small portion that genuinely feel 'made wrong'... But I think a huge number of people have discovered all these new gender options such as gender fluid, agender, which are being normalised, and I'm not sure a lot of these people truly know what they are/should be/want to be anymore.

    I'm not really sure where I stand on this issue overall because I honestly believe normalising it makes it worse - I'm female, but have always been quite 'tomboyish', if I'd known about 'gender fluidity' five or six years ago I'd probably have identified as such. But now I just think you can be a tomboy or an effeminate bloke without having to label it.

    I'd say:
    An option for it to be on the NHS if it can be shown that not having the surgery would lead to a significant drop in quality of life...

    But only for over 18s. I'm sick of seeing young children being given hormones. At 8/9/10 you are simply too young to know what you will want to be in the future.
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    No - being trans may not be a choice but having reassignment surgery is.
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    (Original post by tanyapotter)
    Sounds like you think the solution is to make people stop being trans and to help them to "accept" the gender they were born with... which is ominously similar to conversion therapy (an extremely transphobic and unethical practice which is illegal in many countries). Gender reassignment surgery is a way to treat gender dysphoria - what don't you understand about that?
    I mean ... herein lies the problem. The evidence is coming out now that gender reassignment surgery is not a particularly brilliant way for treating this condition. The surgeon who pioneered the technique at Johns Hopkins doesn't perform it anymore for that reason.

    My opposition to this has nothing to do with transphobia, it's quite the opposite situation in fact. My opposition comes from the fact that I think facilitating trans people in this is unkind. *
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    (Original post by A Mysterious Lord)
    No - being trans may not be a choice but having reassignment surgery is.
    Good point. I believe it is an orientation.
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    (Original post by tanyapotter)
    Why would you need to cure schizophrenia or bipolar disorder with surgery? Gender dysphoria is directly related to and dominated by unwanted physical features, and bipolar disorder/schizophrenia are not. Make this simple distinction, please.
    My point is that like schizophrenia/depression, gender dysphoria is a mental health issue. Mental health problems cannot be cured via surgery. A symptom of gender dysphoria is wanting gender reassignment surgery. not everyone with gender dysphoria will want to undergo that surgery. There are alternatives, it is not the only solution.

    If a schizophrenic expressed that they are unhappy being human and would rather be a mouse, should the NHS fund the surgery? And if successful, would they no longer be schizophrenic?
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    As far as I'm concerned, a man who drank himself to liver failure, smoked himself to lung cancer, ate himself to diabetes, did that entirely of his own free will. And yet the NHS still pays for treats out of taxpayers money.

    Gender reassignment is a minimal cost compared to that!
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    (Original post by cherryred90s)
    Let's say I'm depressed as a human and believe that I was born in the wrong body, and would be much happier if I could live as a cat. Should the NHS fund treatment for me to have surgery to enhance my human features so that I look like a cat?
    That's hardly the same, but let's break it down for the sake of it.

    1- are there a significant number of people suffering because they feel this way? If yes, there should be a treatment of sort- so this applies to both.
    2- what is the diagnosis? Gender dysmorphia is a widely recognised condition. Wanting to be a cat sounds like a different kind of mental health condition, the likes of which are ruled out in the assessment of a trans person.
    3- what is an appropriate solution? Becoming cat-like does not enable someone to fit in with society and carry on functioning, whereas transitioning does. Not all trans people want surgery, and they often have to wait a long time for it, so it is not taken lightly.
    Both would be treated by the NHS, but not in the same way as it is not appropriate.
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    (Original post by cherryred90s)
    My point is that like schizophrenia/depression, gender dysphoria is a mental health issue. Mental health problems cannot be cured via surgery. A symptom of gender dysphoria is wanting gender reassignment surgery. not everyone with gender dysphoria will want to undergo that surgery. There are alternatives, it is not the only solution.

    If a schizophrenic expressed that they are unhappy being human and would rather be a mouse, should the NHS fund the surgery? And if successful, would they no longer be schizophrenic?
    What evidence to you have that surgery is not a cure of gender dysmorphia? Suicide and self harm are significantly lowered, which is a successful outcome.
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    (Original post by cherryred90s)
    My point is that like schizophrenia/depression, gender dysphoria is a mental health issue. Mental health problems cannot be cured via surgery. A symptom of gender dysphoria is wanting gender reassignment surgery. not everyone with gender dysphoria will want to undergo that surgery. There are alternatives, it is not the only solution.

    If a schizophrenic expressed that they are unhappy being human and would rather be a mouse, should the NHS fund the surgery? And if successful, would they no longer be schizophrenic?
    Are you a mental health professional? If not, then how can you make the claim that gender dysphoria cannot be cured by surgery?

    Also, wanting gender reassignment surgery is not a "symptom" of gender dysphoria. Is wanting to be happy a symptom of depression? No. Constantly being sad is.

    You're making a ridiculous comparison to schizophrenia. To even compare transgenderism with wanting to be a mouse shows you don't have a clue what you're on about.
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    (Original post by liquidconfidence)
    Why should this topic even be up for debate?? Of course it's not a waste and trans people should forever be entitled to in on the NHS.
    Agreed, so much ignorance and bias in this threat.

    Yes - they absolutely should be allowed to have their treatment on the NHS


    (Original post by Tai Ga)
    No way. It's purely cosmetic. Inject funds into better mental health care.
    Oh the irony that you dont even see - or maybe you do and youre simply being facetious.

    (Original post by BRONZEMEDAL1)
    Exactly this, you get labelled a transphobic person. It's the shaming that you liberals do when somebody wants to disagree or say anything remotely questioning about the tyranny of the rainbow flag.
    I wouldnt label you transphobic - merely ignorant of the difficulties faced by trans people
 
 
 
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