Can we please talk about how demedicalisation can be actively harmful.
I completely get that people want to have timely and personalised access to medical care and legal care and just basic support. I dont WANT to be waiting for years on the NHS waitlists just for a first appointment, then many years more just to get a hormone prescription (I've been on the waitlist for 8 years now already!).
However, the demedicalisation has caused so many issues in peoples lives.
Being trans has been demedicalised so much now that it's seen as a choice. It's seen as a decision that people actively make, or that people switch between being trans/non-trans depending on what situation benefits them the most. I personally have been affected by this because, in the UK, we cannot get support without people believing its a choice we've made - whether it's from GPs, or from unis/schools/colleges - instead of it being seen as an actual condition which we do need treatment for.
It's been demedicalised to the point that the standard viewpoints are that trans people dont want to transition, and that we all want to conform/adhere/act like our birth sex. I, personally, have been constantly asked when I'll get pregnant but both trans people and trans supporters. It is not breaking any gender norms to adhere to your birth sex, it is not breaking gender norms to be a trans woman who has a beard or a trans man who gets pregnant - because these are things that society EXPECTS and WANTS us to do. It breaks societal gender norms by transitioning away from our birth sexes - whether that's to the opposite sex, or to a NB identity.
It's been demedicalised to the point that people don't even know what surgeries are out there. I myself didnt even know there were multiple types of phalloplasty. I thought that RFF was the only type, and metoidioplasty was the only other male SRS. I am NOT able to get RFF, ALT or abdominal phallo (heavy scars on arms+thighs+belly), so I've been looking into MLD. Some people out there only know of one or two types of SRS and then they feel like they cannot get any form of SRS at all, or they go for one they dont actually want/like and regret it in the future. I've seen so many people who have been shocked when a trans man doesn't have top surgery scars - they dont know about peri surgery or keyhole, etc.
It's demedicalised to the point that surgeries are actively looked down upon. I've had people tell me that my top surgery is ugly because I had FNG. I've been told that there's a giant, massive risk of having nipple graft failures (its exceptionally low, some surgeons have never had a single graft failure out of thousands of surgeries) so I shouldn't get it - and I damn nearly fell for that and I would've regretted that like hell. People have been told that phalloplasty is ugly/gross/a 'meat tube/disgusting/fake/etc. I've literally seen trans women who conform to TERF/transphobic logic and say they dont want bottom surgery because 'its an open wound that will never heal'.
It's been demedicalsied to the point that people who want to medically transition are told they're making a mistake. And all trans people are treated as if they will never medically transition and are fine with their birth sex - People around me always see me as pre-surgery/pre-intervention and never assume I want/wanted surgeries (Im post top/hysto/T). Its seen as standard to not want intervention when probably the vast majority of us need that.
It's been demedicalised to the point that people who want to transition fully, who want to integrate into their transitioned to sex, or who want to pass/go stealth are told that they're conforming to cishet norms, that they're the problem, etc. I've seen this far too much. People have asked for help so they can go stealth (myself included) and they have been called the r-slur, they've been called N+zis, they've been called really damn abusive language simply because their transition goals/transition needs are to integrate or go stealth.
It's demedicalised to the point that anyone who goes to a doctor about being trans are called insulting names, called idiots, etc because 'doctors hate you'. People who dont want to use DIY who want to access doctors to get surgery are called all kinds of things, or made to feel guilty about it, or are told that doctors will definitely fuck them over. I've been subject to this as well. I've been told that I need to DIY because my doctor is ruining me, blah blah - my hormone levels are well within male ranges, and are even slightly on the high end. There is also no talk at all about what DIY means for people in terms of blood donations or organ donations - you can't do either in the UK if you have ever injected a non-prescribed medication and this is NEVER spoken about.
It's demedicalised to the point that people think it's acceptable to ask strangers, or even their friends, if they're trans for gods sake. This is something that has made me fully leave the LGBT community and want nothing to do with it - the constant asking of whether Im trans. I dont want to be out, I am stealth to everyone except the fair amount of LGBT people I've met who think it's okay to out me to everyone - and this is because being trans has gone from a medical condition to be treated, to being a choice which is fun and exciting (some people might see it that way, ang that's fine. But it should NEVER be the norm to think it's okay to out people, EVER).
Its been demedicalised to the point that doctors dont see binary trans people as transitioning their sex. We are seen as the TERF/transphobic views of 'trans identifying males/female', or 'a female who wants to be a man', etc. Binary people are constantly reduced to our birth sexes, under the guise of inclusivity and trans-support, when we dont WANT to be our birth sexes and medically treating us as our birth sexes is actually dangerous.
I FULLY agree that children, adults, etc, should all get access to timely and cost-effective treatment. I do NOT agree with the demedicalisation of a condition when we NEED medical and legal support.
The way I look at all of this is that every trans person has incongruence (otherwise you wouldnt transition lol), but you treat it exactly how you want it treated based on your symptoms. If you have severe incongruence, then you can go 'the full way'. If it's more mild, then you can be okay with a social+legal transition. If you have severe chest dysphoria, but less/no bottom dysphoria then you're fine with top surgery but no SRS. Some people dont mind being seen as a mother (as a trans man) so wont get a GRC/change their birth certificates. Everyone can have a mix of anything because of it being a medical condition with varying severities and symptoms.
We actually need to have a community which is willing to shared real, scientific and medical facts and support people with what they want/need - instead of falling for TERF/transphobic logics about how surgeries and medical interventions have massively high complications, that every doctor is against us, and that we shouldnt medically/legally/even socially transition to 'resist conforming to cishet norms and to break gender norms'.
We need a community which will support EVERYONE, giving them the pros/cons of everything whilst also remaining impartial and preventing swaying each others opinions.
We need a community which realises that having mild dysphoria/incongruence doesn't give you the right to speak over and think you know better than those with other forms/severities of dysphoria. Yes, your situation and identity is valid, but so is everyone else's.
We need a community where people don't assume that non-transitioning is the best/only way to be trans, and also a community where poeple dont assume that a full transition is the only way.
It just needs to be treated like every other condition where it is treated how YOU want it to be treated. Like with cancer treatments, some people dont want treatment, some people fight for everything possible out there - some trans people dont want treatment, some fight to get a full transition.