While I agree that the overall process needs to be made more accessible and more affordable, I’m not sure I agree with you about the motivations of those requiring therapy. First of all, most insurance plans, at least in the US, still don’t cover gender transition related medical expenses. Secondly, and maybe I’m naive, but I honestly believe that most of the surgeons who perform gender confirmation surgery, or at least the ones who follow standards, actually care about their patient’s outcomes for their patient’s sake and not just to limit their liability.
It’s a frustrating process, that’s one thing I suspect we can agree on. My main objection, though, is the expense. I began my transition at the age of 36. After working through the issues I mentioned previously, I had my letters at 39. I had surgery at 47. That 8 year gap was purely financial. That needs to change. However, given the current political climate here, I’m not holding my breath.