The basic story here is that every time scientists have thought "we've finally done it, we've discovered the true mathematical nature of reality", they eventually prove themselves wrong, and proving themselves wrong has led to ever more accurate and beautiful descriptions. Often these new descriptions and discoveries are met with hostility with people who have decided "this is it, this is the final basis of reality", I don't need to give you examples of that, there are many in even the supposedly purely rational world of mathematics.
I think such occurrences are examples of where science as a discipline clashes with science as an ideology. When people think "this is it", that's when science becomes ideology. It's no surprise that this ideology merges with others, to form this sort of Simulationism and Singularism(?) we see today out of tech empires, or the absurdities of Lysenkoism in the USSR. Simplistic microeconomics used to "justify" capitalism.
one weird trick, insurance, mental health, GRS, other trans healthcare that needs letters
tl;dr: if you're seeing a psychiatrist, they can probably write you a second letter for GRS
insurance companies in the US have these letter of support requirements for trans care stuff (thanks, WPATH 🙃). one of their asshole gatekeeping moves is to require that one of them be from a therapist, and one of them be from someone with a fancier degree than your real therapist, like a PhD psychologist. and that last thing is possibly expensive and unnecessary and at best you're only going to see them once anyway and get your thing rubberstamped.
in my case, under United Healthcare aka UHC, the coverage document was written so that the requirements were one letter from one mental health professional, and then from someone with a PhD in certain subjects, or an MD. this may apply to you as well.
you know who had an MD? my psychiatrist, who i'm already seeing to keep a lid on the ADHD, insomnia, and anxiety. i told him i was getting GRS and i needed a second letter of support, he told me he'd never dealt with this shit before and to send him the format the letter needed to be in, i had a letter a week later.
i think he liked the words "reducing other drug load" when i told him one side effect was that i could drop spiro and probably have more energy.
so if you're trans and have mental health problems and can afford to treat them with drugs, you may not need to pay some *other* asshole to tell your insurance company again that yes, you know what GRS is. ask your psychiatrist and they might do it.
(iirc the second letter requirement might have even been fulfillable by my primary care doctor, but i didn't end up needing to test that theory.)
Forum observation: Tiny details in the way people are presented a form go a long way to influence the actual content and tone of the actual post
Certain elements like dark/light mode, textarea size, avatar, pseudonym options, voting options (+1, ❤️, ⭐ etc...) all have a subtle, but noticeable effect
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