Yep fair enough. But you get why nobody in USA cares about Chelsea Manning or whether or not she's allowed into Canada.

It has never been demonstrated scientifically that gender modification surgeries are medically necessary, or beneficial in the long term. I wonder if proponents of considering it a medical necessity feel the same way about breast augmentation?

They aren't covered by most insurance programs, either in the US nor in most other countries.

Denying it is not the same as denying someone antibiotics when they have an infection.

Well, what about breast reconstruction after cancer?

Or what about breast reduction after medication induced growth (on men or women)?

Do you think those should be covered by insurance or other responsible parties?