The Real Cost Of Denying Health Care To Trans Youth

“I would really like to write you this letter, but I don’t feel comfortable supporting your transition right now.”

In 2009, I was a junior in high school, just starting to make decisions about college and my future. Barbra Siperstein had just been elected as the first openly trans member of the Democratic National Convention. For many, the year marked the start of modern trans history, and the start of public discussion surrounding trans health care.

“I recognize your gender identity, and trust me, I understand, but I just can’t bring it in me to write a letter I don’t believe in.”

I had come out as trans the year prior, but like many trans people, I had known my identity since I was a young child. I remember watching the...

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