• Ada@lemmy.blahaj.zone
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        4 months ago

        Trans surgeries are not “cosmetic”.

        Speaking as a trans person, access to trans healthcare is far more important to me than dental healthcare.

          • Ada@lemmy.blahaj.zone
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            4 months ago

            Cosmetic surgery relates to appearance. Transition related surgeries relate to dysphoria

            Someone with damaged teeth would disagree with you because of appearance, health, social and mental impact of living with and having to hide damaged teeth.

            Both my partner and myself both have damaged teeth. It’s nothing like that

            Arguing trans healthcare should always come first because you prefer it in your situation is a shit argument.

            I don’t need it. I was fortunate enough to be able to self fund my own surgeries. But doing so has had long lasting effects on my financial security.

            Notably, I didn’t spend that money on teeth or any other cosmetic issues, because it’s not even remotely the same. Spending my future to make my teeth look better would be a poor choice.

            Spending my future to deal with my dysphoria was what I had to do to ensure that I had a future.

              • Ada@lemmy.blahaj.zone
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                4 months ago

                Yeah, the trans person, talking about first hand experiences navigating this exact topic is the one who doesn’t get it…

                • Sethayy
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                  4 months ago

                  No offence but comments like this are only harmful to our community, and I know saying this might not change your mind on anything, but I’d feel wrong if I didn’t ask.

                  Don’t try to speak for all of us, I know many of us have been treated horribly for years simply because who we are, and as fucked as that is it doesn’t make it ok to put your trauma above others, in a way that may be affected by your personal bias.

                  The queer community has always been about outsiders, arguably even more so than simply about sex or gender, and in that vein I couldnt go to bed comfortably if I could gaurentee ffs to some of our sisters while leaving millions in constant physical pain, just like I feel looking in the mirror every day.

                  This is class warfare, not bum fights in an alleyway - cause we all know the upper class has rock solid solidarity, and we don’t stand a chance until we do as well.

          • marcie (she/her)@lemmy.mlM
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            4 months ago

            its not cosmetic, its reconstructive. i dont give a fuck what some fascistic cis people think is ‘cosmetic’ or not, the term is mostly just used by insurance companies and governments to weasel out of paying out to medically necessary interventions.

            why the fuck are you in this comm? leave.

            • Sethayy
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              4 months ago

              I’m a trans commie and think dysphoria is generally cosmetic, and think its fucked both teeth and ffs aren’t covered.

              But I guess I just don’t like punching down

              • Diva (she/her)@lemmy.mlM
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                4 months ago

                It is fucked that both teeth and ffs are arbitrarily gate kept in order to balance the books in a deeply disfunctuonal healthcare system. It should obviously all be free at the point of care. And the only reason it isn’t is to deny care to poor people.

                What’s obnoxious are the cises showing up (in other comments) to be like " um actually if you look up the medical authorities in the fascist country America people say it’s cosmetic". 🤓

                • Sethayy
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                  4 months ago

                  Yeah I agree with that, and people need their argument dopamine hit so things are gonna by defualt get unruly pretty quick.

                  I think the only thing I disagree with is making it too much of an us vs them situation, as hard as that is when it feels like they’re doing the same, but hey maybe I was just born out of hippie times and am feeling the pain lmao - they had some shit going on when they disagreed with labels being overly general in my opinion

    • southsamurai
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      4 months ago

      I agree.

      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.

  • jsomae@lemmy.ml
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    4 months ago

    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.

    • marcie (she/her)@lemmy.mlM
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      4 months ago

      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.

      • jsomae@lemmy.ml
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        4 months ago

        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.

        • marcie (she/her)@lemmy.mlM
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          4 months ago

          Its my understanding that body dysmorphia is best treated with anti-depressants in most patients. Anti-depressants have no effect on gender dysphoria. If anti depressants aren’t working, maybe some other kind of intervention is warranted for those patients.

          I do not understand why being against it is transphobia, but I would like to understand this better.

          FFS is a reconstructive surgery. It is hard to compare to anything, but the purpose is to revert disfiguration by having the improper hormones. If cis people had this issue with hormones, then of course they should be covered.

          • jsomae@lemmy.ml
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            4 months ago

            OK, the argument that it’s caused by improper hormones is very compelling. The state could save money by helping ensure the hormones are corrected as early as possible.

            I do not know if antidepressants help cis dysmorphia, I’m somewhat skeptical about that. Antidepressants aren’t a miracle drug when it comes to this kind of thing, from what I’ve seen.

            • marcie (she/her)@lemmy.mlM
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              4 months ago

              I’m not sure about it either, I just know that it seems to be the most clinically significant treatment. Most people with body dysmorphia regret their surgeries, rates for trans regret are extremely low. Usually in the range of .5%-2% depending on surgery. For reference, somewhere around 30-40% regret knee surgery depending on the study. Regret rate science is a pretty well established thing.

              • jsomae@lemmy.ml
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                4 months ago

                Yeah that makes sense, I don’t doubt the regret numbers. I didn’t realize cosmetic surgery regret was that high. Well damn, consider me educated.

                I’ve seen that knee surgery figure before but I don’t think it’s a good comparison at all, and it’s easily attacked. Knee surgery has immense potential for chronic pain afterward, and poor mobility. Dysmorphia regret rates are much more compelling.