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Image transcription: The caption reads "The government after making trans people pay hundreds of dollars to change two lines on a piece of paper:" This caption is followed by a gif of a guy struggling to hold large stacks of cash against his head. End transcription.
Wait, preferential? Gender dysphoria isn't about preference, it's a mental illness. Gender affirmation is the accepted treatment.
By that logic, chemotherapy is a "preference" for people with cancer.
I say this as someone who doesn't really care about whether or not you have to pay. Government is going to government. They would charge you for breathing if they could.
Yes, it's someone preference to want to change their status on the little government paper. It doesn't change who they are. It's like getting a marriage license...it changes nothing in a relationship, but you are still required to pay the government for paper/processing.