... But you still charge everybody into debt bondage for saving their lives. Here I do not pay for health insurance and have never walked out of the ER with a bill. I legitimately fear my American friends getting hurt in a way that simply does not apply to my domestic friends because I know that their lives won't be impacted financially long term. From what I have gathered from information about their wait times for surgery there isn't that much difference except for joint and mobility related stuff and even then it's not that far off.
The fact that employers are allowed to control what healthcare you receive and coerce you into staying with them or else you enter a dicey period where you have to cover you or your family yourself in any way just seems fucking exploitative and bonkers from a Canadian perspective.
I feel for both you and your friend. Over the last while with trans stuff being in the news so much it does feel like being constantly under fire with a lot of hope for things getting better like they were even five years ago going by the wayside. I have a friend who has struggled with BPD on top of being trans and it has been kind of hard telling her that she actually is being a little too sensitive and assuming way more hostility than she's actually receiving from people in her life by "mind reading" intentions that are not there.
As one of the few other trans people in her life it's really hard being her reality check. When we queer folk have community we do a better job of keeping each other grounded and advocating for the general intentions of cis family, friends and romantic partners and give them grace to be imperfect allies. We can acknowledge when things suck because of a lack of understanding or because someone is still hurting us despite not wanting to... But that's not always based out of transphobia. The world is imperfect and sometimes that means we don't always have our cake and eat it too.