Those "significant medical issues" to-date have included such things as having the correct sexual orientation and presenting the approved set of dysphoria symptoms. The "true" transsexual had to have the right story and the right presentation. Historically, they had to give up their families and pledge to never contact them, transition socially without hormones, undergo years and years of duplicative therapy, and agree never to reveal their transsexual history. Currently, transsexuals endure a stigmatizing mental illness diagnosis and for what? To prove that what they are is valid to someone else's standard? Identity - transsexuality - is not a mental illness. Should people have to prove they really have a female identity to marry? Should they have to have therapy or a "real life experience" trying to get pregnant before undergoing a tubal ligation to make sure they have no regrets? Maybe men should have to prove they're really men before going into the military ... after all, we shouldn't be sending women into combat, should we?
I'm NOT advocating stupidity, blind decisions, or anything similar. I simply think informed consent is MORE than adequate for the purpose. Charles Kane is a straw man, a statistical anomaly who would have done whatever it took to transition as he had the money to do so anyway. And he USED the medical establishment. That physician did not follow the SOCs, but the SOCs, contrary to popular belief, are not scripture. They are guidelines that therapists and physicians adapt as needed to patient circumstances.
Lea