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I can tell you anecdotally from my own experience and that of my friends that since January 2017 dealing with medical insurance companies has gotten noticeably harder for trans people. One doctor told me of cases in his practice where companies had already pre-authorized procedures, and then arbitrarily changed their minds even though the procedures were supposed to be covered under policies the patients had.

 

https://www.politico.com/magazine/story/2018/03/31/transgender-health-care-trump-administration-217713

 

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