Yes, I'm aware of the cissexual trans people, and the political conflict within the community revolving around them, though I think you're certainly confused about the modern understanding of a lot of this within the trans community. If you're going to draw a line anywhere, hormones are a much better place than bottom surgery, speaking as someone who's undergone both. Hell, there are even nonbinary bottom surgeries these days, with both and neither being on the table.

All of this is however generally unrelated to the fact that how people use the words male and female right now is kinda a shitshow. You've got people like me using them as the adjective of gender, others using them like you, then still others using them to refer to assigned sex at birth (especially among those who reject the idea that most aspects of sex are mutable or that sex is a bimodal distribution of many traits, most of which are bimodally distributed themselves, but instead argue it's a binary based on a single trait).

We need a full medical freedom amendment

Because they're significant voting blocks with a history of letting their religion say how to vote

On the user side: it just works as far as any in America can. It's free and you don't have co-pays or any of that shit. You do have pretty restricted choices in who you see though because of the other sides to it

On the provider side: it's more complicated and has restrictions on how much you can charge, but it's been thoroughly gamed where possible. Many offices don't take it

On the internal side: it's a cluster fuck. It's a highly regulated service that the government pays for, but is provided by private insurers. Some states have public options, but most states are just giving you the medicaid plan of your choice of health insurance company. This is the ultimate reason why medicaid for all is a bad idea, it lets the source of the problem fester

The thing with bar codes is that some people think they are the mark of the beast. It was a lot more popular when they were new technology

Yeah you don't gotta use it, but you'll get your card whether you like it or not

And hearing. The fact that hearing aids aren't included in nearly every state is ridiculous

Yeah, I'm sick and tired of this "network" bullshit and this "picking a plan" bullshit. We should be aiming to do better than Canada and the UK, not trying to do "Germany but laughably worse"

Hell, at that point why compromise.

Semi related, some states have started mandating hearing be covered by health insurance and it's something the feds really should have done years ago. It really sucks being a 20 something who needs to scrape together a couple thousand dollars to be able to hear (and thus be more employable)

Yeah what we want is nationalized healthcare. I'd say medicaid for all, but medicaid still goes through private insurers

Put him in the hidden supermax then cement it shut. Kill two birds with one stone

It really is the least believable of bigger religions