I also see why it isn't the default. It should be, but there are other procedures where that's the case, depending on where you are in the world.
Post mastectomy reconstruction surgeries aren't always covered by everything. Should be, but aren't.
I say anything that treats the patient should be covered, period, including any and all reconstructive procedures like FFS. It's just a matter of getting people to realize it's medical care, not elective cosmetic surgery.
Doesn't seem to matter whether it's a form of socialized health care, or capitalist, allocation of funds/resources is rarely decided by people that actually understand what's going on, it's decided by accountants, lawyers, and legislators.
It sucks. There are goodly amount of surgeries and other care that get labeled as cosmetic or elective that are fundamentally part of treating the patient. It's absurd.
I don't mean any ill but I'd just like to understand better; I apologise sincerely if this is offensive and I beg your patience with me. Supposing a transgender person already "passes," is there a meaningful difference between FFS and cosmetic surgery? There are cis people with very severe body image issues including with, say, how their nose or brow looks -- even suicidally so.
Its medically necessary, and many states and organizations state it as such. Being against it is transphobia.
This community is not about cisgender people. Body dysmorphia in cisgender people is a different illness from gender dysphoria altogether, and has a different treatment regimen.
I'm not against it, I want to understand the issue better. I do not understand why being against it is transphobia, but I would like to understand this better.
No provinces in Canada nor any medical boards consider it necessary, though they do consider other more expensive transgender surgeries medically necessary. (That is not to say I agree with them on account of their authority -- but I am curious what analogous organisations in the US differ here.) Edit: I imagine the vast majority of trans people agree that gender-affirming surgeries like top & bottom are necessary, or at least should be covered, but I'd be interested to see if most trans people agree that FFS is medically necessary.
I can understand the argument that it's simply a different illness than cisgender dysmorphia. But, why do we not consider cisgender dysmorphia something which warrants medically necessary surgery? It can cause equal amounts of suffering. Perhaps we should fund both.