[1attice]

She needs to move.

The psychological pressure we trans people are under in red states is breathtaking. Many of us are losing our health care. This is not a minor thing for us -- speaking personally, I'd rather die.

Even if it hasn't happened directly to her, it will have happened to her friends. We all talk. It's hard not to empathize with one another. I myself feel like I'm a tiny leaf on a river of grief, most days.

Just today, another one of us was shot in Atlanta.

Your friend needs to get to a sanctuary state. Someplace like California or Washington.

This will be very difficult. But we're literally now refugees.

Watch what happens to us. Learn what lives in the heart of the America. Disgust is appropriate.

[freemint]

You are right. This kind of justified anxiety fets stacked on top. But she is currently not in a position to move. I have already done the equivalent of a FIOA to German immigration office[1] to get their current evaluation of the trans situation in the US and whether they qualify for asylum status.

They don't take it as serious as they should. However atleast the orders how to deal with trans peoples seem respectful of their status and some of the complications.

[1] https://fragdenstaat.de/anfrage/bewertung-der-menschenrechts...

[avmich]

Is there a New England state with acceptably good conditions for trans people? Being physically closer to your original state could be really useful.

[armchairhacker]

Eastern Massachusetts. Also there are literally programs to help people like her move, such as https://www.rainbowrailroad.org/

But unless her friends are also moving its a hard sell. Her living situation won't be much better if at all, it could even be worse because everything is also more expensive and she knows no-one.

[cwiggs]

Generally curious, how are trans people loosing access to health care in red states?

[freemint]

I encourage you look into reports from amnesty international, they document such stuff well. They are usually a year behind on stuff, the German report about 2022 reads

> Darüber hinaus wurden in verschiedenen Bundesstaaten Dutzende von Gesetzentwürfen eingebracht, die darauf abzielten, den Zugang zu gender-bestätigender Gesundheitsversorgung ("gender-affirming healthcare") für trans Jugendliche einzuschränken. [1]

Which i would loosely translate: Different states introduced dozens of law proposals which aim to reduce access to gender-affirming health care for trans teenagers.

In 2023 a lot more stuff has happened [2] and might be in preperation.

Gender-affirming care is as far as the data suggests the best way to treat ICD-10 F64.0 and sub categories. Denying people those treatments to a legitimate and internationally recognized diagnosis is depriving them health care. Health care is a human right [3].

[1] https://www.amnesty.de/informieren/amnesty-report/usa-2022#s...

[2] https://thehill.com/changing-america/respect/diversity-inclu...

[3] https://www.ohchr.org/sites/default/files/Documents/Publicat...

[kadoban]

Republicans have made trans people the target of their newest culture war.

They're pushing to ban gender-affirming care, usually focusing on minors but some of the bans are for people up to age 26, and they're making noise about restricting or banning it for adults too.

[1attice]

This is easily googled. Look what just happened in Missouri. Florida is next.

And then there's the fact that dozens of red states have banned health care for trans youth.

We will die by the dozen. By our own hand; by gunshot. 'Death before detransition,' as we say.

But you will remember who really pulled the trigger, and who did nothing. It can and should haunt you.