Six years of silence and waiting sit between us. Surviving within the infrastructure of the United States, we delay our marriage for years because of how it would impact our income-driven repayment plans and our eligibility for Medicaid, aware that we can go to the courthouse instead of having a wedding if there is (another) federal threat to our right to marry. I think fleetingly about how different our worlds would be if your access to gender-affirming care wasn’t constantly denied under the inaccurate guise of “saving money,”1 even within the employer-provided health insurance at your “trans-affirming” workplace. That would be a world where we wouldn’t have waited for the better part of a decade for your surgery to avoid accruing additional debt because it is considered “elective,” despite the fact that you are legally required to have it before you can change your birth certificate because of the...

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