@merpreb I have insurance. The working class have health insurance too thanks to the ACA :). Before, when I was growing up in extreme poverty, I got the (thankfully) mandatory school vaccinations and the ER. There was no going to the doctor for regular care. What I was describing is *with* insurance now. Also, I might even be considered middle class since I currently have a job and a college degree. I was trying to get people who are fortunate to have a nice doctor to realize that they are assuming a lot.

As for anger, I'm not angry. Anger brings to mind someone yelling. I'm frustrated and sad like "here we go again". A big assumption is that the middle class is most people. Unfortunately not. American popular culture is based around serving the 9-5 office worker type middle class so there's a big disconnect between the popular culture and reality.

For future reference, asking about sex reassignment surgery is threatening in addition to rude. If you wonder why it is a threat, refer to the statistics on our risk for suicide (often as the result of abuse) or getting murdered. But I will give you the benefit of the doubt and am helping by letting you know that you have no reason to ask unless you are a doctor treating a trans person or are trying to date one of us. We're human beings too. You wouldn't ask someone who isn't trans about their genitals.

Here you go:
https://transequality.org/issues/resources/questionable-questions-about-transgender-identity