Here we reach the crux of the matter and the source of the distrust many trans people have for the NHS. We tell them we are trans, we want to transition. But that information about who we are and what we want counts for nothing unless we also have their permission. The system denies that we are reliable bearers of fundamental truths about ourselves. Our lack of trust in that system is just the equal and opposite reaction: they don’t listen to us, so we don’t listen to them.
Abigail Thorn
My Doctor Emailed Me Back (Trans Writes)