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i say this as a huge supporter of single payer but also as a trans person.
in an ideal world, a national health system is great but then you also look at places like the uk where wait times for gender affirming care are up to four years and both puberty blockers are on the verge of being banned by the left of centre party.
The reasons for that, though, are largely because the NHS has been under attack by the right wing for more than a decade. It was a huge inflection point for Brexit, and there’s been a major effort to break it so they can point at how broken it is.
Don’t use the NHS issues to judge how such a system would or should work for trans care. It’s been actively sabotaged.
my point was that it's susceptible to it in the first place... and the attacks on trans care come from both the tories and labour
All social* systems are susceptible to bigotry, and fascistic capitalism most of all.
Labour isn’t perfect by any stretch, but pretending both sides have been equally to blame is just as unfortunate in the UK as it is in the US, Germany, Australia, and Canada. One side may be slow to put your needs to the fore, but make no mistake, the other wants you dead.