You wouldn't believe what it costs to get sick. Paying for doctors and life-saving medication bankrupts a lot of people here. Transgender-related healthcare can be staggeringly expensive , depending on where you live and what sort of insurance you have. Some insurance companies don't cover it all, some are pretty good about it, and others ration by categorizing some care as "cosmetic" but not other care. Some people can shop around for decent-ish coverage, but other people can't, because it's just not available where they live. There is a rough correlation between more affordable care existing in more left-leaning states, but that's not something to rely on. It all makes for a lot of stress in these troubling political times.