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this post was submitted on 25 Oct 2023
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Transmedicalism and its cisfascist views on what's a "legitimate" trans person are still pervasive in many parts of the world. Go ask people in a western country how many of them think you can be a woman when you have a penis, results won't be pretty. Japan has societal attitudes towards LGBT rights that are comparable to a lot of western countries - in fact, gay marriage has more public support there than in the USA, but is still illegal. Lawmakers and other elites are chronically lagging behind public acceptance, as they always do. Transphobia is something that is implemented top-down, it's incredibly hard to get rid of on a legal level.
it's a weird state of affairs in the US. our view of medical care as a consumer good means that abuse by doctors is rampant with few legal protections, because instead of an established standard of care, you're supposed to shop around for a doctor that will treat you correctly.
My country actually has at least decent standards of care for trans people, but they simply get ignored by large parts of our medical community. Finding competent trans health care around here is a matter of knowing who to ask for advice, and way too often only feasible if you live in metropolitian areas.