We have to push back because there will never, ever be self-enforced gatekeeping with these people. There's no "this far, but no farther" when it comes to troons unless it's enforced by opposition.
I have absolutely no love for the health insurance industry, but it annoys me that they're not the ones setting a limit (on trans treatment in the US, paid for by insurance).
These bastards (insurance) have the time, analysts and software to make chronically-ill people jump through hoops, demand periodic proof from the doctor that your leg didn't grow back, your islet cells are still gone, you tried all the less-e
xpensive invasive treatments and documented them and so now
please can you have a new knee, automatic rejection of the first claim in order to capture the funds from the percentage of patients who give up and don't contest it after that.
And they're rubber-stamping SRS, with its endless dissatisfaction and revisions, creating a chronic patient. The surgeon and anesthesiologist and the hospital get paid, the estrogen manufacturer gets paid, but the insurance company? How do they profit if they have to pay out for this? So many of these troons aren't even on a group health insurance from a job; they're on their parents' insurance.
I'm unironically asking this; for once I would like to see asshole fight asshole while normal people stand back.