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Ayla
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Post by Ayla on Dec 18, 2014 18:09:36 GMT 8
Fascinating. Health coverage must be provided to all, a standard contract is required and a set per centage of your income must be paid to cover health insurance (suspect the wealthy don't like this), the av health cost per person is half that in the US and the av life expectancy is 2 years greater in the Netherlands. Impressive. I can see why it is often quoted as best practice. Each model has its pros and cons. Could a non binary receive HRT and body modification in the Netherlands or would they need to do this with the private system? Does the Netherlands provide tough requirements for trans folk to receive treatment - medical or surgical? Do they require you to live 12 months in your target gender before surgery is permitted. What would be the total cost that you would expect to pay for hrt, counselling, GCS and BA if, as a NB, you wished to transition physically MTF and then to identify as NB?
It does sound that you may have a better system than that in the rest of Europe. Is this how you see it? Canada and ANZ seem to be pretty good but understand that in the U.S. this can be expensive and necessarily involves private providers and is rarely covered by the Government or by private insurers.
I wonder if we have a consensus on this? Looking forward to comments from around the globe!
Safe travels
Aisla
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Post by Deleted on Dec 20, 2014 1:47:33 GMT 8
Star, thanks for the exhaustive rundown on the system there. I have often felt bad for those who really need but can't afford the cost of transitioning and I suppose the Netherlands system meets those needs rather nicely. Here in the US most of the different aspects of transition including GRS is an out of pocket elective although there are some insurers that cover those expenses under certain circumstances. Most of the post-op folks I have ever met here have paid for it on their own either by selling their house following divorce or by getting financing through a loan. Personally I don't have a problem with that other than the fact that it precludes the possibility of many who become marginalized and who in all fairness could really use some help.
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Post by Ayla on Dec 20, 2014 4:26:47 GMT 8
Star
Thank you for such a detailed overview. Ours is a mix of government and private sector providers and insurance. Public is slower. There is no requirement for RLE and you can start HRT before RLE. Operates on an informed consent model. Hair removal and speech therapy, FFS, BA are usually at cost to patent, as is GCS. Some choose in country, Asian, North American surgeons. Fewer travel to europe or South America. Drugs are cheap, there is no copayment, but health insurers only cover small parts of the costs.
My FFS was in the US, so have to date only had HRT, therapy, psychiatrist, endo, breast reduction, hair removal in Oz and this was not cheap
For other non trans folk the health system works well with universal health care provided and the option available to take private haealth insurance to guarantee immediate treatment by the surgeon and hospital of your choice. You still bear a significant cost if privately insured.
Safe travels
Aisla
Safe travels
Aisla
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