Gender reassigment surgery is cosmetic in nature, therefore, considered an "elective", which means it's 'optional' or 'chosen' by the person undergoing the procedure. Which could also fall under 'not necessary'. As I said before, if someone feels that they need this surgery and it is completely necessary, then by all means, do it! But do not do it on my dime. I see it as a poor use of tax dollars. Hell, if the goverment is going to use The Peoples hard earned money to pay for someone elses happiness, then maybe they should throw in breast implants for all of the flat-chested tax paying women out there! They are tired of being mistaken for boys! They deserve a chance at happiness too, right?
Again, I have no problem with it unless I have to pay for it. If I'm paying, then I should have a say. And I say "no".
The effect of saying "no" all depends on who says "yes". If enough people/the right people say "yes" then you'll be saying "no" to the IRS, and they don't appreciate that.
its so bizarre that you think that something so fundamentally life altering, that changes the functioning and structure of a body in such a major way, and has such ramifications on a persons core identity aspects and the way that they participate in and are perceived by their culture and society, can meaningfully be termed "cosmetic". for some reason, you are not thinking clearly.
The thing is, that while everyone has a right to be respected and to pursue happiness, it's not just a matter of magically getting the assets out of nowhere to achieve those things, no matter how worthy the cause may be. Love and acceptance are free and unlimited assets. Money and resources are not, they are earned with hard work, and if it's not a person's personal choice to achieve what they want and do as they choose with what they've rightfully earned, then it becomes a slippery slope for everyone. Life is hard for everyone and there are shortcuts for no one. Charity is a noble value but what makes it noble is its personally decisive nature.
Sex reassignment surgery (SRS) and related surgeries are not cosmetic in nature. The
WPATH Standards of Care views SRS as medically necessary. I can explain why. In the case of trans women undergoing hormone replacement therapy (which is one of the prerequisites for SRS, in addition to a year of real-life experience living full-time as the opposite gender and 2-3 letters from doctorate level psychologists and psychiatrists), the presence of the dangly bits is detrimental because it requires taking anti-androgens and higher doses of estrogen, which is actually dangerous as people age. After genital surgery, trans women are able to discontinue anti-androgens and reduce their estrogen dosage because they will no longer need to worry about counteracting testosterone. So at the very least, full orchiectomy should be covered, and it would need to be inguinal orchiectomy or another method that allows for people to get SRS in the future. In inguinal orchiectomy, the testicles are drawn out through the inguinal canal as opposed to cutting the scrotum open. If trans women are forced to take anti-androgens and higher doses of estrogen into their old age, bad side effects can result, including an increased risk of deep vein thrombrosis, which will kill the person when it comes undone and travels to the brain. Liver and kidney function are also in jeopardy.
The story is similar for trans men. After starting testosterone, most seem to have their uterus's removed because, from what I understand, anti-estrogen and anti-progesterone drugs suck (not sure if they're even used), and I'm sure that having to take higher doses of testosterone is also dangerous.
As for the full vaginoplasty, labiaplasty, or phalloplasty, a lot of people have dysphoria until they're able to correct these issues. It is not that uncommon for trans women to end up hospitalized for trying to castrate themselves. I've actually spoken to people who have tried to do so or really want to do so.
This trans man killed himself after he was not able to get a penis through phalloplasty. It is also important for trans men to have access to double-mastectomies because having boobs causes them a great deal of dysphoria, and they wear binders which are not ideal long term. Improperly done binding is dangerous, so trans men hurt themselves through that as well.
In many places, being able to have SRS is tied to documentation change and other legal rights. IMO, its not fair for the state to require it for documentation change but then not pay for it because it is viewed as cosmetic only.
Finally, it wouldn't actually cost that much to pay for the surgeries. It is not like there are that many transsexuals running around, so denying people who need things this so desperately out of ignorance of their importance is really awful.
Edit: I'd like to add, if you read the Telegraph article about the Belgian man, that having SRS doesn't change you from a woman to a man or vice versa. You're a woman or man regardless of what is in your pants and even if the person never has surgery, but obviously, some people would like it to match.