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Back on topic, that prisoner does not suffer from a mental illness, as some suggest. It is a physical deformity that is easily visible, yet camouflaged in plain sight. But, unlike other types of deformity, such as a deviated septum or a harelip or a club foot, this deformity affects primarily the mind. That is why so many would (and do) deny appropriate treatment as defined by medical professionals. GRS/SRS is NOT cosmetic surgery in the case of a transsexual, it is corrective.
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Just to be clear, I didn't suggest it was a mental illness. That was the judge's justification for allowing the surgery to proceed. The problem, then, is not that the person in question is a prisoner, but that the judge negated much of the work done to create an understanding of what gender identity really is.
Of course one might say that those who question it, or don't understand it, are bigots. I do appreciate your post because it adds more perspective than just pointing out 'bigots' and it was clear and thoughtful.
A lot of things need to be fixed in health plans, the prime example being insurances not paying for birth control but paying for Viagra. It is still a 'man's' world in many respects, so every struggle for equality is an important one.
Thanks again for your post. You always provide a better understanding, without anger, without reaction. I admire that.