I know this has most likely been answered in this thread but I'm to much lazy fucker to look it up. Question
How the hell do they afford these surgeries??
I know some people create GoFundMes and I'm assuming sometimes they work ( A fool and their money heh) But I guess I just assumed the majority of trannies were broke. I have no idea how the medical field works when it comes to paying so am I missing something? Can you take out a loan or something? Insurance? I know these are dumbass question, but I honestly don't get it.
Like others said, Medicaid or single payer state healthcare in Canada, Britain and EU. Some private insurers also schedule gender care, though notably, NOT any reversals to gender procedures. They're mostly following the lead of state payers. If you wonder why troons seem to flock to certain retail jobs like working at Starbucks or PetCo, that's the reason... the company health benefits cover transition care.
The procedures could also be funded with HSA (Health Savings Accounts). Those are tax-preferred savings that can only be used to pay for medical bills, devices, Rxs, or OTC medical stuff. Boomers pay into these (or their company gives them free HSA $) and could potentially use them on a troon child if they wanted to, and some do.
Medical tourism aka the Thai option. Getting work done in Thailand exploits a really favorable baht:dollar exchange rate, so although that option is 100% self pay it will cost much less than equivalent work in the US. (Mexico is also popular for plastic surgery tourism, though I don't hear of many troons getting work done there.)
This is why the possible Medicaid restrictions to covering for this crap is scaring the stuffing out of them. It would dramatically cut down how many of them could “afford” it (besides heavily restricting who could even be deemed sane enough to get titty skittles or dickflips to begin with, like the good ol days).
IMO if that happened (please God, please) then HRT would probably remain cheap, probably orchiectomy and mastectomy would be relatively doable, but dickflips and 12-stage phalloplasties and those weird custom jobs would become a thing of the past.
What I'd like is if all the procedures that don't have a tried-and-true safe method and decades of retrospective data proving safety and efficacy were ineligible for reimbursement due to their experimental nature. Then the surgeons would have to pay the troons to operate on them, like amateur hairdressers in beauty school.