Trump Urges Passage of the SAVE America Act — With New Provisions

Trump wants Congress to add voter ID and mail-in ballot restrictions, as well as unrelated anti-trans provisions.

https://murica.website/2026/03/trump-urges-passage-of-the-save-america-act-with-new-provisions/

Trump Urges Passage of the SAVE America Act — With New Provisions – The USA Potato

We don't have the spoons for a detailed post. We've written other posts recently giving updates on some of our struggles, but we needed to get the thoughts out of our head before sleep tonight 🥺😔

We're realistically facing a situation very soon where we'll officially be told that we're not going to get any gender-affirming surgeries from NHS England whatsoever, making the last nearly 5 years of trying to progress through this dehumanising, anxiety-inducing, decorating, belittling, gatekeeping, outdated process completely worthless  

We already had to accept we could never get FFS.

We tried twice to convince them to give us VFS, but they said no, and gave us no actual further voice training help.

We knew that trying to get PPT vaginoplasty would be a longshot, but we never expected:

  • to have PPT basically badmouthed during a consultation;
  • to hear basic PIV or scrotal flap techniques described as the "gold standard" (!!!) for genital reconfiguration surgery (GRS);
  • to be told that the only surgeon who'd see us is one we'd never, ever trust or want anywhere near us, especially after having specifically requested another surgeon (the only one we'd trust in the UK for GRS); and
  • that we'd need to go back begging to our gender clinic -- which no longer responds to our emails at all -- to try to convince them to submit a funding request for a basic standalone bilateral orchidectomy and scrotectomy... which would have been required anyway as part of PIV or vulvoplasty!!!

We've reached the point where we don't think we can get any joy from seeing other trans+ folks' joy and euphoria from making progress in their own transitions, particularly surgeries, as we can't help but feel so painfully sad crushingly jealous and upset that we cannot get even the most basic care after waiting even longer 😔

And nope: we've zero chance of being able to ever even fund the cheapest of surgeries privately.

Apologies for the sad dump. We needed to write it all out to have any chance at getting to sleep soon  

#EOEGS #NHS #NHSEngland #FuckTheNHS #FuckEngland #FuckTheUK #GenderAffirmingSurgery #GenderAffirmingHealthcare #gatekeeping #trans #transgender #NonBinary #TransFem #GRS #GenderDysphoria #transition #PPT #PIV #FFS #VFS #orchidectomy #FML #queer #LGBTQ+ #LGBTQIA+ #LackOfTransJoy

Hey folks

Been trying and failing to write this post for a few days now.

Mood, health, energy, time, chores, obligations, and responsibilities kept getting in the way.

So, we're gonna summarise everything as much as we can, and try and limit our emotional response to it.

Important context

  • We have been trying to get meaningful gender-affirming healthcare through the NHS since April 2021.
  • We had tried to get clear information on surgery options, particularly genital reconfiguration surgery (GRS) options, for years, but never got clear options: only vague wording.
  • We were almost certain sure that no form of penile-preserving vaginoplasty would be available, so we narrowed our choices to peritoneal pull-through (PPT) vaginoplasty or a bilateral orchidectomy.
    • We didn't and don't want penile inversion vaginoplasty (PIV) or vulvoplasty (aka zero-depth vaginoplasty).
  • We finally passed all hurdles through an NHS pilot scheme (East Of England Gender Service; EOEGS) in late 2024.
    • This is under the Nottingham Centre for Transgender Health (NCTH).
  • Our surgery referral was only sent over to a private hospital by the NHS Gender Dysphoria National Referral Support Service (GDNRSS) in late 2025.
  • We had an initial assessment meeting with that private hospital this week.

Information from meeting

  • The NHS will not fund PPT vaginoplasty unless there's medically no other option (i.e., last resort).
    • Basically only if you've got "inadequate donor site skin" for other methods.
  • Despite offering PPT privately, the hospital considers PIV the "gold standard", and was heavily biased against PPT, advising that PPT:
    • "is not self-lubricating";
    • has "more granulation tissue" and "more complications associated with it";
    • typically has a "worse surgical outcome";
    • "turns into skin" in the long run;
    • is more likely to "stenose" and "scar".
  • No form of penile-preserving vaginoplasty is available (as we thought).
  • The NHS will not fund the hospital to do standalone bilateral orchidectomies for any referrals sent to them via GDNRSS.
  • The specific (and only surgeon) we had asked to be referred to did not pick up our referral.
    • Worse, a surgeon we absolutely do not want to go anywhere near picked up our case!!!
  • We discovered that NHS gender clinics sit in on their Multi-Disciplinary Team (MDT) meetings to discuss patients' surgery requests!!!

Outcomes for us

After considering options and offers, we resignedly sent an email to the private hospital, requesting that they refer us back to GDNRSS, advising that:

  • The GRS options were explained to us, but we did not find them suitable.
  • The surgeon who offered to take our case was not suitable.
  • We wish to discuss next steps with the GDNRSS.

Sadly, an individual funding request (IFR) will almost-certainly be required, but the gender clinic has previously refused to submit any IFRs for us, so we're kinda very likely to be screwed here.

For anybody not aware, IFRs get submitted to your local integrated care board / system (ICB/ICS) in England. They'll only agree to fund something if:

  • There are "exceptional clinical circumstances" to support the request.
  • The IFR clearly demonstrates "clinical exceptionality".

Although technically an NHS GP can submit an IFR, unless it comes from the NHS gender clinic with a detailed explanation of why they can't / won't fund the surgery and why it's necessary, the local ICB funding team will just reject the request.

This is sadly a major issue for us, as we've raised multiple complaints against our gender clinic for their awful service (or rather lack thereof) and they've stopped responding to any of our emails now, so there's little to no chance of them even agreeing to submit an IFR for us, let alone doing one with a decent chance of being accepted.

We don't know what the current price is for a bilateral orchidectomy, but it was up to about £6k a year or two back, so it's probably more like £7K to £8K now 

In other words, nothing we could afford privately any time in the next decade.

So... yeah 🙃

If you wondered why our posts have been a little bit more bleak the last few days, this is among the reasons 😅 (There are sadly many other things contributing too.)

It's our own fault really for even trying to go through the NHS route and thinking that maybe, just maybe, they wouldn't continually fuck us around.

Anyway, that's the toot.

#NHS #NHSEngland #EOEGS #NCTH #trans #transgender #NonBinary #enby #FemEnby #GRS #GAS #vaginoplasty #orchidectomy #GenderAffirmingHealthcare #IFR #ICB #ICS #FuckTheNHS #FuckTheUK #DesegregateTransHealthcare #TransRights #TransRightsAreHumanRights #LGBTQ+ #LGBTQIA+

i am so very upset. i know that its meant to appease the current admin but it seems ridiculous for one of the biggest health systems in wisconsin to basically halt care for a portion of their patients.

(dont get me started on UW Madison medical school no longer teaching medical students how to perform abortions...)

https://www.wpr.org/news/childrens-wisconsin-uw-health-stop-providing-gender-affirming-treatments-minors

#uwmadison #wisconsin #genderaffirmingcare #genderaffirminghealthcare

Children's Wisconsin, UW Health stop providing gender-affirming treatments for minors

Children’s Wisconsin and UW Health have stopped providing gender-affirming care treatments to minors, citing recent federal policy changes.

WPR

3 Hospitals Under Investigation for Providing Gender-Affirming Care to Youth

Children’s hospitals in Washington State, Colorado, and Minnesota face federal scrutiny for care that is legal.

https://murica.website/2026/01/3-hospitals-under-investigation-for-providing-gender-affirming-care-to-youth/

3 Hospitals Under Investigation for Providing Gender-Affirming Care to Youth – The USA Potato

Just finished watching Leeja Miller's latest video on new anti-trans rules in the US 🥺

Leeja referenced a Trans Relocation Guide, so we wanted to share this here for any US folks affected by this   

Additionally, in case you're not already aware of it, there's a global, umbrella organisation called ILGA World that we recommend checking out. It's sub-divided into regional network organisations and has over 2000 member organisations.

The regional networks are:

ILGA-Europe produces a yearly Rainbow Map to rank European (and some adjacent) countries by LGBTQIA+ rights and equality.

If you are affected by the recent anti-trans rights actions taken in the US or elsewhere, please, please make a note of the above organisations, as well as the below websites about gender-affirming hormone therapy (GAHT):

Suffice to say, boosts very much welcome and appreciated  

#trans #transgender #TransRights #TransRightsAreHumanRights #healthcare #GenderAffirmingHealthcare #GAHT #HRT #LGBTQ+ #LGBTQIA+ #queer #FirstTheyCame #UnitedWeStandDividedWeFall #FuckFascism #FuckBigotry #FuckTransphobia #FuckTrump #FuckJFKJr #US #USA #BoostsWelcome

The New Anti-Trans Rules Are SO Much Worse Than You Think

YouTube

Group Offers Guidance to Help Keep Getting Care After New Trump Anti-Trans Rule

Organizations like the Trans Youth Emergency Project will be essential in navigating a rapidly shrinking care landscape.

https://murica.website/2025/12/group-offers-guidance-to-help-keep-getting-care-after-new-trump-anti-trans-rule/

Group Offers Guidance to Help Keep Getting Care After New Trump Anti-Trans Rule – The USA Potato

@jaelisp We're AuDHD, so trying to reconcile opposites is our daily struggle 😅

At a high-level, we see and resolve the seeming contradiction broadly as follows:

Nationalised health services, free at the point of use and paid for by taxation (national insurance contributions) are a fundamentally good idea at their core and have the capacity to be amazing.

That said, malicious forces will do everything within their power to erode any national public service, especially healthcare, for their own gain.

These malicious forces include (but are not limited to):

  • Private healthcare companies.
  • Free market capitalism ideologues / extremists.
  • US-style Christian extremists.
  • Fascists, racists, and bigots in general.
  • Corrupt politicians (i.e., seemingly most politicians, sadly).
  • Successive governments trying to make the service ever worse over multiple decades to justify slow, creeping privatisation.

It is not just being eroded from the outside either, sadly. There are ideological forces at work within the medical institutions themselves  

We're talking (in no order) pervasive, insidious, institutionalised:

  • Transphobia.
  • Transmisogyny and misogyny
  • Ableism.
    • Fatphobia and sizeism.
    • Infantilisation of neurodivergent folks.
    • Lack of accessibility, especially on contact options, appointments, and support needs.
    • Stigmatisation of mental health struggles.
  • Queerphobia.
    • Homophobia
    • Biphobia and bi-erasure.
  • Racism and xenophobia.

etc.

Even the BMA reported on the systemic issues recently!

BMA - Survey finds medical profession more ableist than wider society, with hundreds of disabled and neurodivergent doctors leaving the workforce

Some issues are not the result of a lack of funding or expertise, but a fundamental refusal from the very top to change the way the system works.

On gender-affirming care, for example, The Transgender Issue: An Argument For Justice by Shon Faye breaks down how gatekeeping, long-waits, and transphobia were baked into the system from its creation.

Since its inception, access to trans healthcare has similarly been an ideological battleground. For those who need them, medical transition and contraception or abortion are – or should be – about the bodily autonomy of the individual, their right to mental well-being and the freedom to carve out their own destiny in defiance of prevailing gender roles. (These roles, should we need reminding, frame women as vessels for reproduction and trans people as threats to the strict separation of male and female sex roles on which patriarchy depends.) Access to abortion and access to trans healthcare are often attacked in similar ways: principally by overstating the incidence and likelihood of regretting either process, and an intense, disproportionate focus in the media on the stories of individuals who do regret their personal choices, as a way to undermine the principle of choice generally. Only about 5 per cent of women experience any degree of regret over their abortion. Multiple studies show the regret rate for gender reassignment surgery is even lower: about 0–2 percent. Despite this, the fear of regret has become a powerful tool used to justify the delay or withholding of treatment.

and

... it wasn’t until the 1960s that transsexualism became a formally recognized diagnosis within the British medical establishment. ... Medical support for trans people, however, was still rare. Throughout the 1960s and 1970s, individual trans patients continued to use the ambiguous and contested link between physical intersex traits and the psychological experience of gender dysphoria to get certain doctors to treat them – though, even then, few doctors would. A 1966 study in the British Medical Journal found that only ‘9% of psychiatrists, 6% of GPs, and 3% of surgeons’ would agree to actively assist transsexual patients. All of which effectively meant that trans people’s lives and destinies were dependent on the whims of a very small number of British doctors.

Shon goes into detail about the awful Dr John Randell, who worked in the gender identity clinic at Charing Cross Hospital, including one part that tells you all you really need to know about him:

Even when Randell had assisted with transition, patients often found him brusque, even cruel. ‘It hasn’t made you a woman, you know – you’ll always be a man,’ he reportedly told one trans woman who thanked him after surgery.

She sums up his pivotal involvement as follows:

It’s worth pausing to consider that the most powerful pioneer of trans healthcare in twentieth-century Britain was a cisgender male psychiatrist who believed neither in the reality of trans people’s deeply held identities nor that gender norms were socially constructed ideals that could be relaxed, challenged or abolished. He believed trans people were delusional about the reality of their situation and that at the same time they also needed to be highly competent mimics of gender stereotypes. He did not believe that they should be allowed freedom over their interpretation or expression of gender.

In short, the NHS could be great, but the current systems are fundamental rotten at their core. In order to fix the NHS, we would need to break both it and the medical institutions down, rebuild them, and then spend decades building them back up whilst engraining a culture of empathy, caring, and non-discrimination into the training of all staff (medical and non-medical) across the board.

#NHS #transphobia #transmisogyny #racism #bigotry #prejudice #GenderAffirmingHealthcare #ableism #FuckTheNHS #ShonFaye #BMA #queer #LGBTQ+ #LGBTQIA+

Survey finds medical profession more ableist than wider society, with hundreds of disabled and neurodivergent doctors leaving the workforce - BMA media centre - BMA

BMA press release.

The British Medical Association is the trade union and professional body for doctors in the UK.