Transexuals

[paulpablo]

Ok let me put it another way Paulpablo.

There is a medical condition X and a treatment for it Y.

I am not going to tell you what X and Y are to avoid unconscious bias.

How do you determine whether it should be available on the NHS?

It's a good question, how do you determine what should be available?

Personally for me I couldn't give a simple blanket statement for such a complex question and I'd have to judge each case individually.

Example.
Should the NHS pay for plastic surgery if someone has a big nose.  If someone has a little bit of an oversized nose but is emotionally unstable in dealing with it then I'd say no, maybe some therapy, if sufficient funds are available and it doesn't hold up anyone else waiting for more important treatment.
If someone had a nose that was 5 inches long then I'd definitely consider surgery for that person.  But that would have to be in a situation where money is available and there aren't people waiting for more important treatments.