Marina AísaDec 26, 2022

The new Spain's "Trans Law" 🏳️‍⚧️ is historical. It doesn’t only improve rights for trans people but also for lesbian cis-women and intersex people.

I haven't read much info about it in English and I believe it’s such a good Christmas 🎁 for the LGBT community so I'll explain it 👇

Show threadvera grey 
@marinaaisa legit if i wasn't trying to plan surgeries i would be making serious moves to join you in barcelona >_>
Dec 26, 2022 at 11:19pmWeb
Show threadMarina AísaDec 26, 2022
@QuietMisdreavus most of surgeries for trans people are covered by the public Spanish Health Care System I believe. I don’t know if that changes anything 😅 I want you in Barcelona tho 🤗
Show threadXerz 💗Dec 26, 2022

@marinaaisa @QuietMisdreavus Welp, there’s no such a thing as the “Spanish Health Care System”, as post-Aznar almost every autonomy has their local system, and e.g. here in Castilla-La Mancha there’s no public healthcare whatsoever.

Here’s the autonomies that DO grant SRS afaik:

  • Andalucía
  • Madrid (might not do it for much longer but hey)
  • Catalonia
  • Euskadi
  • Valencia
  • Aragon
  • Asturias
  • Extremadura
Show threadXerz 💗Dec 26, 2022

@marinaaisa @QuietMisdreavus Welp, there’s no such a thing as the “Spanish Health Care System”, as post-Aznar almost every autonomy has their local system, and e.g. here in Castilla-La Mancha there’s no public healthcare whatsoever.

Here’s the autonomies that DO grant SRS afaik:

  • Andalucía
  • Madrid (might not do it for much longer but hey)
  • Catalonia
  • Euskadi
  • Valencia
  • Aragon
  • Asturias
  • Extremadura
  • Canarias

Might also get forwarded to another autonomy if you live at e.g. Navarre, from some quick double checking

Show threadMarina AísaDec 27, 2022

@xerz @QuietMisdreavus You are right, public health care is an autonomy competence instead of national one. When I say "Spanish Health Care System" is just a simplification.

All the 17 autonomies have public healthcare competences, I don't understand why you say Castilla-La Mancha doesn't.

https://sanidad.castillalamancha.es/

Servicio de Salud de Castilla-La Mancha

Show threadXerz 💗Dec 27, 2022
@marinaaisa @QuietMisdreavus what I mean is that Castilla-La Mancha has no active gender clinics (even if there’s one on paper), no HRT and no SRS, so 0 trans healthcare – sorry for the ambiguity!
Show threadMarina AísaDec 27, 2022

@xerz @QuietMisdreavus damn, I didn't know that about Castilla La Mancha health care system :/

This is why is important to legislate in a national level so there isn't inequalities like these ones between the autonomies.

Show threadXerz 💗Dec 27, 2022
@marinaaisa @QuietMisdreavus it’s alright, seems like nobody gets how things work here until they deal with them – not much support from the public here either and no state-wide legislation in sight but at least I’m lucky enough to have private healthcare for now…
Show threadvera grey Dec 27, 2022
@marinaaisa i'm already in line here at a couple clinics, it's probably faster to stay here for another year-and-a-half than to pick up and move first 😅 (dunno how it would be in Catalonia but i assume there would be some kind of waitlist)
Show threadMarina AísaDec 27, 2022
@QuietMisdreavus I think you are doing it right. Health care system here is free, very good and efficient but not the fastest due to waitlists. I wish it would be different!
Show threadvera grey Dec 27, 2022

@marinaaisa i feel like this is the tradeoff that you get in situations like this - either there's no centralization and everything's "market-based" and costs skyrocket when people realize that you can charge whatever the heck you want for something that people can't say no to (e.g. here in the US),

or there's some socially-acceptable amount of centralization, but still kneecapped by market thinking, and there's some baseline of care, but cost-cutting and austerity etc leave the system completely threadbare and unable to care for anyone who falls outside the norm (e.g. over in the UK)

and while i would love to see a socialist revolution and a proper resource allocation for the public good, i also don't expect it to be well tolerated by the US or EU 🤷‍♀️