There are 3 types of trannies in my eyes.
1 is young people who are dumb, weak, lazy, and soft. They had weak parents that don't tell them they are going through a identity phase but instead encourage or even push it on them, they go online where people tell them how great they are for being trans, adults outside the family encouraging them, and they see all the attention they get. So instead of going through a phase they truly think they are a tranny.
2 old pervert men who turn into a tranny for a sexual kick. They aren't trannies but it's a sexual thrill for them and fulfills a need they don't get otherwise.
3 the truly mental patients. Anyone that truly deeply subconsciously believes they are despite their consciousness and biology they are the wrong sex are mentally ill and need to be treated as such.
There is a reason why most trannies are younger or older. The rare 35 year old that's a tranny is also a sexual deviants or festish person and it's still based around sex.
Dr. McHugh is entitled to his own opinion on this. But if some guy wants to have his penis chopped off and thinks that will make him a gal, I don't see how anyone can stop him.
I don't think that the Taxpayers need to pay for this, but if someone wants to do it on their own bankroll, why not?
On the other hand people like that lower the standards, morals, and values of America. Everytime you let some fringe group go mainstream all you do is lower the bar for the fringier group below them to reach up and grab a hold of.
It all starts with "it doesn't effect me so go ahead". We let gays get married and go mainstream, then drag queens, then trannies, now pedophiles are starting to test the water. No it doesn't effect you, but it effects society slowly over time. It erodes out standards and values as a society.