This is not simply a matter of a few ‘bad apples’ practising psychiatry, or well-meaning ignorance on the part of GPs’ receptionists that can be quickly remedied by an afternoon training session. The medical establishment in Britain is systemically and institutionally discriminatory towards trans people. This may come as a surprise to those who argue that transgender identity is a fad being pushed by ‘Big Pharma’, private plastic surgeons and a nefarious global medical industry: a conspiracy theory rehearsed among groups as apparently disparate as the US Christian right and some anti-trans
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