Bupa Global Health finally got back to confirm that yes... if you've been diagnosed for gender dysphoria or incongruence, then this is a pre-existing condition and any request (medical, surgical, etc) would be excluded on that basis.

I knew this... it's just stupid.

It's a bit "your existence is your problem", and well... I already know that, but what I keep being vocal about is that the mere existence of someone shouldn't be grounds for excluding them for receiving care.

The system is operating as designed... I am angry with the design of the system.

@dee Jesus Christ what???

@julia yeah... and this is in the UK... the policy would cost about £2k per month (pay after income tax, so it represents £4k per month, £48k of annual gross earnings), and it is the only private health insurance in the UK that explicitly includes gender dysphoria in the policy.

but that only applies so long as you do not already have a diagnosis.

which means there is no private health in the UK open to someone already on record as being out... no option exists.

and the NHS still has their 22 year waiting list.

and the only other option is to fully pay out of pocket... i.e. buy a pussy and a new nose rather than buy a house.

@dee fuccckkkkkkk 🫂

God I hate this world

@julia there is a hack though... I'm not going to try it, but it could work.

change full name, get a new NHS number, ask for old records to be sealed, new health data starts as a blank slate, get your GRC, change birth certificate.

you are now a new person who has no diagnosis of anything that anyone can access, not even a health company.

apply for health insurance, and get a fresh diagnosis.

is this hell of bureaucracy worth it to save £40k on a retrofit vagina? idk... I prefer less admin in my life

@dee I prefer less paperwork so I get that but the fact that you can do that is pretty cool

@julia we even get HMRC tax officers who handle spies and the Royal Family... as lay civil servants are not allowed to know we were anything other than what we say we are now.

there are some things we do get right.

access to healthcare is not one of those things.

@dee @julia Proving diplomas (or even just work history) and such are one's own would be troublesome. It might just screw one over in a different way instead.
@dee @julia Hallway chats say that prices in Thailand are much more cheaper than in top European countries (and definitely cheaper than a home). But I'm just a random anonymous person writing on the Internet, who isn't planning any surgery for herself. Do your own research instead of trusting my word.
@cinnamon @julia oh it's much cheaper, but by using the top UK surgeon I ensure the NHS will own the long-term maintenance (well... dilation is on me, but you know what I mean)
@dee my recollection is they also have an explicit blanket exclusion for trans care
@mirahimage this policy applies an explicit inclusion, then and explicitly excludes.
@dee Does this mean that everytime you change jobs (and likely private health care provider) all your health life is "reset", anything you had (gender related or not) becomes "a preexisting condition" and there's a bunch of healthcare CEOs rubbing hands together?
@cinnamon yes... how dare you exist!

@dee are there any health insurance companies that don't screw us over 🤬

Here it's just so difficult to get a diagnosis that will be accepted that they don't even need to turn us down

@dee that's so fucked up :(