Reason magazine's blog recently posted an item about gender reassignment not being accepted by the IRS as legitmate medical expenses, which also led them to link to selections from contributing editor Deirdre McClosky 's 1999's memoir about her life and her own reassignment. It's an interesting account, and points out the double standard to which those seeking reassignment were often subjected:
Donald had complained to Blue Cross: "The DSM-IV [Diagnostic and Statistical Manual of Mental Disorders] you rely on calls transsexuality a 'disorder,' and, unusually among such 'disorders,' this one has a cure--surgical, including facial surgery. But then you won't pay for it. You can't have it both ways. Either it's a personal choice, in which case the psychiatrists should butt out, or it's a disorder, in which case medical insurance should pay for the cure."