Gender affirming care for Trans people | EP. 19 | The Blake Debate

[@tmc7903]

I watched this whole Q&A on Ladbible yesterday. I have to say I found something about this man very unsettling. While he seemed very caring towards his patients he was extremely flippant about how trans issues affect women, our spaces and sports etc. He was vague about the dangers and outcomes of genital construction surgeries and seemed to boast that his man made vaginas are better (apparently more sensitive) that real vaginas. He came across as arrogant and quite misogynistic. The whole comments section was praising him for being amazing though so maybe im crazy. Then again they do say surgeons have a much higher percentage of narcissism and psychopathy 🤷🏼‍♀️ Alexis, I love your channel. You. Come across as a total sweetheart. Your common sense approach to transitioning into women's spaces and your empathy is so appreciated ❤

[@rlawrence9838]

His job is to destroy biological organs and health that not every human being is blessed to be born with. He is an anti-surgeon.

[@plumenommershpadoinkle7575]

i felt the same. i also was concerned at his assertion that the inside of a natural vagina, including the cervix, has no sensation or nerve endings. why does he think childbirth, vaginismus, iud insertions, cervical bruising, etc are known to be so painful?

[@siennad587]

As someone who had severe anorexia at one point in my life comparing it to trans surgery doesn’t make sense. I have body dysmorphia I always will but we don’t preform liposuction on anorexics. You have to see a nutritionist and therapist. If you are 18 trans and want surgery it is none of my business. My only concern is the safety of bottom surgery but that’s a decision someone has to make themselves. I adore you both and Alexis you are such a positive light not only as a trans woman but a human being!

[@noamleora]

Absolutely what I was thinking about the anorexic argument. No one sends them to have surgery on their body. Because it is a mental health issue dealt with through counseling and sometimes force feeding. Even if the patient would beg for a tummy tuck or any other surgery instead. 😢

[@user-zm7xk6po3n]

They were talking about the suicidal part as a way of showing how much a lot of trans people go through. Again not a comparison but more of a measure of suffering.

[@noamleora]

@user-zm7xk6po3n What about the rates of suicide after surgery? It has been shown that the numbers have gone up after surgery. When surgery doesn't fix the mental problem. Also the amount of complications after bottom surgery is horrendous.

[@user-zm7xk6po3n]

@@noamleora so what? not what i responded too. dont be so negative.

[@priscillaroberts7945]

No such thing as trans women. They are men playing dress up. No matter how they disfigure themselves they are men and will remain so.

[@PaigeNicoleKomar]

I just love that you guys don't have issues discussing these topics and you both do it so tastefully. I'm not trans and don't even know anyone who is trans, but I love you two both so much that I watch every video and podcast... I just totally respect you both as individuals and you are both so freaking funny 🤣... I also relate in a really strange way. I'm female, born with scoliosis, and grew to be 5'11" by 5th grade, then 6'2" by 7th grade, and finally fully grown at , 6'6" by high school. So, I always wished the doctors could chop my legs halfway off and reattach them, so that I was "normal" height. Like Liam, I was bullied, tripped in the halls and on the sidewalks in school, mentally tortured by my peers, etc JUST for being a tall girl. So, I get not being comfortable in your body. Now, as a 43 year old adult, I have a collapsed spine and I'm permanently stuck leaned over to where I almost look like an upside down "L" when I "stand," and I'm in a wheel chair now. So, I'd given ANYTHING to be tall and straight again. Isn't it crazy how that happens?! Anyway, thank you guys for everything you have given me which is laughter, education, and a better understanding of what others go through... ❤❤❤❤ you guys!

[@LawyerLevin]

I cannot express how much i love Alexis’s channel… she is tge textbook definition of “moderate”… the trans debate is desperate for this kind of rationality, compassion and critical thought! applauding you! 👏👏👏

[@sylasgirl]

Firstly the Cass report debunked the suicide assertion, and clearly shows that transitioning does NOT reduce those rates. Also the comparison with those with anorexia would be more accurate if the NHS paid for psychological therapy for anorexic people but not trans people. NOT that the NHS won’t pay for cosmetic surgery for trans people. And the to claim trans people pay for their own treatment by getting jobs and paying tax WTF?! So do the majority of people! Anyone who works pays for the NHS that’s what our NI contributions are for! If they give trans people cosmetic surgery they need to offer it to ANYONE who feels terrible about their bodies. Women who have flat boobs often have terrible body dysphoria, so are they getting boob jobs? Will men get hair transplants? Will women with PCOS get laser hair removal? Transitioning is a choice. Yes, trans people should get therapy on the NHS but absolutely not surgeries. The justification needed would also require ignoring the fact detransitioners exist. We will see probably the majority of young trans people abandon it 5 years, because most have simply succumbed to the social contagion and will grow out of it. And are men in their late 40’s REALLY going to suddenly get a better, higher paid job because they got their junk turned inside out? Of course not, that’s just absurd.

[@valbonney2575]

@@ChloeClements34 I'm sorry you've had a traumatic life and struggle with the things you do, but so do many thousands of other people, for all sorts of reasons, and can't get help on the NHS. There are people with life-threatening conditions who can't get treatment, people with severe mental health problems who can't get treatment, people whose illness could be stabilised (or even improved) but is worsening instead, because they can't get treatment. Nobody has "the right to be happy" ... it may be a life goal, but it's not a right! I'm not anti-transition, by any means (I have a trans grandson whom I love, respect and support), but can we get some perspective on this and consider the rest of society please, not just trans people?

[@janebennetto5655]

Thank you for your comment. You said exactly what I wanted to say. The surgeon was a typical surgeon- everything they do it “right” and no-one should question it (arrogant and narcissistic). To quote su1c1de rates as off-hand as that is irresponsible and incorrect. ❤🇬🇧❌❌

[@Baddiebeebumbling]

Men transitioning in their late 40s aren’t representative of transsexual MTFs. Stop erasing HSTS.

[@MsTattygrass]

Well Said!

[@fashupora5487]

What you don’t realize is sex dysphoria is innate, it is ego syntonic. Anorexia, body dysmorphia, are ego DYSTONIC. These are not “cosmetic surgeries” for vanity. These are done to alleviate the symptoms that are caused by one’s neurological sex being misaligned from one’s chromosomal make up. POINT BLANK PERIOD

[@nicolemartinboone5699]

As someone who suffered from the effects of an eating disorder it’s NOT comparable to SRS. Yes, we have body dysmorphia but doctors are not prescribing liposuction to alleviate it. That’s not the correct treatment. It takes months to years of therapy and counseling to address where the dysmorphia comes from and how to treat the underlying issues. I believe everyone with body dysmorphia and/or gender dysphoria need extensive investigative therapy to determine if 1. They do in fact have the disorder, 2.why they have it (dysphoria/dysmorphia can be symptoms of many mental health disorders and 3.what treatment or combo of treatments work best for the individual. A medical mistake like an unnecessary SRS is permanent and can ruin lives. That is why screening people properly and extensively is imperative when determining if someone is a candidate

[@smallfries3462]

I don't have an issue with it as long as the person is old enough to consent to these treatments and they understand it's permanent and cannot be undone.

[@ReginaTrans_]

But there’s happy kids who are now happy trans women !!! Like Kim Petra’s and many more, they’re all 30s now and already lived their best life!!! Why should we forbid it just for a few immature ones who were never trans to begin with and now obviously regret, we cannot stop kids transitioning just for a few ones who did a mistake (yes it’s the minority who regrets it) these types of kids did it for other issues that had nothing to do with gender dysphoria

[@davidwinkle2818]

It's not just about regret, but also whether it's a case of using a sledgehammer to crack a nut. Most children with gender dysphoria will 'desist' from it by adulthood. Unless we can find a way to tell which ones will have a lifelong trans identity, it's better to let nature run its course.

[@shmoo42]

Yeah see Kim Petra as an example. Most kids aren't trans. But the ones that are deserve the care they need.

[@ReginaTrans_]

@@shmoo42 dude I’m high key jealous of Kim, she has done exactly all the things I would have if I had stopped my puberty at 12, all her life is a literal dream !!!!!

[@mentalalchemysubliminals]

@@ReginaTrans_We don't really know if she is happy or not, yeah she is successful, happy? I dont know. Underweight om Ozempic and most of her songs are about being a guy's fetish.

[@kekkelpenneypeckeltoot5700]

A question. How should we deal with other types of body dysmorphia? People who think theyre ugly or too fat or their nose is too big or they have a “lazy” eye, and don’t feel good and comfortable in their bodies? I’m not questioning transition I’m asking about people who need/want other body modifications to be free from depression, anxiety and social phobia . Thanks!!

[@deanawatson2555]

You guys are adorable. I think gender CARE is the key term in this case. It has to be comprehensive psychological evaluation to weed out “fakers”. In America, that used to be the case but now affirming someone’s transness supersedes in depth evaluation and hormones are dispensed like candy.

[@Necrophyllis.]

Yeah in Canada we still have all the red tape. Thankfully I've managed to navigate it and get on hrt, but it's definitely not handed out like candy here.

[@bestaqua23]

This is because top surgery coats about half of what a five year therapy plan costs . there are not a lot of people who fake being trans there are however people who do not get the correct guidance form supposed professional. I live in a country where the lgbt exceptance is pretty high a d teans people where visible from the late 90 and yet our doctors tell people not to get on hormones, get off of hormones or explore different identits and it didn't actually impact trans people I know all thet negatively ( the ones who where told no to take hormones are happy with that and the ones who wanted hormones got them ) . I would like to point out we have more restrictions on all forms of cosmetics intervention and spasificly for kids and thet seem to have lowered the numbers of people who regret plastic surgery by a *lot* . So agin the whole American system seems to be preticlry sensitive to this

[@smithcon1968]

Later 50's woman here. First I love you two. You both make me smile. I'm post menopausal and been completely gutted like a fish because of cancer. The hormone blockers were a true and total nightmare. Quite a few runs of steroids from arthritis and I have the whole f*** where did all that hair come from syndrome. Many sets of tweezers are my friends. Grey hairs are the worst. Keep being you, both of you.

[@KoalaOwlPaws]

Off-topic: I've learned a lot from your Channel Alexis. I feel happy and I feel like I'm able to think, It's a breath of fresh air seeing people like you being honest, providing your own opinions, knowledgeable stuff to let people know whats going on. And I love your makeup, and I also like the tattoos Liam has. You both are amazing! Love you!

[@Alexis_blake00]

Wow, thank you so much

[@KoalaOwlPaws]

@@Alexis_blake00 you're welcome.

[@minime7375]

I kinda disagree with the concept that gender dysphoria is the one causing the (oftentimes) associated mental health issues like depression, bipolar, etc. Many a time a patient is misdiagnosed as trans because of the other issues being present and transitioning doesn’t alleviate anything. The comparison to an0rexia for me is inept, you don’t treat an patient by putting them on a restrictive diet to become as thin as they possibly could because that’s what they identify with. People talk a lot about transitioning children being imoral but too easily transitioning a mentally ill and/or uninformed adult is to me almost just as bad.

[@Justin-pe9cl]

It’s also trendy

[@fashupora5487]

What you don’t realize is sex dysphoria is innate, it is ego syntonic. Anorexia, body dysmorphia, are ego DYSTONIC.

[@Justin-pe9cl]

@@fashupora5487 Explain.

[@fashupora5487]

@@Justin-pe9cl sex dysphoria is caused by one’s neurological sex not being in alignment with their chromosomal make up. Alexis Blake, for instance, is literally neurologically female. POINT BLANK PERIOD.

[@minime7375]

@@Justin-pe9cl They mean to say that dysphoria is innate to someone’s personality, the others are conflicting. Which doesn’t invalidate my point about frequent misdiagnosis.

[@cyano741]

I treat it like an identity phobia. A person with a spider phobia, knows it is irrational to be fearful of spiders, everyone around them knows it is irrational. That does not stop their psyche from having a visceral panic attack when confronted with a spider. You can treat it two ways " exposure therapy" or lifelong avoidance. Both work for different reasons, and will work on different people, based on their personality traits. We all know it is a mental health condition, but it does not encompass the entire person. It might say something about their personality traits, their temperament, childhood and their mental state. But just like a person with a spider phobia, you're not just your phobia. Although, identity encompasses a much larger space than a singular object of fear. Often it is clear that gender identity issues come from childhood trauma, personality disorders such as borderline, emotional/mental instability. Which means the gender identity issues are a secondary problem, of a much larger core problem. That is best treated with anything else but gender transition. When none of those aspects play a role, you have true gender dysphoria, which is often resolved similarly like a phobia. Where gender transition would be the lifelong avoidance tactic. I think that there should be much stricter guidelines and psychological evaluation to determine if someone is clearly mentally stable aside from feeling gender dysphoric. Gatekeeping is not evil. People should care about the difference. Someone with autism or borderline needs proper help, not boobs.

[@bestaqua23]

I'm sorry but qay do you think tranageder people who are trans because of trauma should not tension? I have met such people and they all seem to be as happy with their tension as the more " normal " trans people. Gender dispora caused by trauma is usually the equivalent of loosing you ability to walk in a car crash. Yes you are unable to walk ( or form a stable identity) because of the trauma but the results are still the same

[@cyano741]

@@bestaqua23 Read back your message. Incomprehensible and unreadable.

[@miniscenesgb]

You two are hilarious. Talk loads of common sense and such strong characters. you make me nod in agreement and laugh at the same time :) My fave internet couple

[@user-my7fd8qz2p]

I had to stop your video to just tell you guys a few things. Doctors should prescribe your podcast (especially this one) to people that have any kind of dismorphia. I don't have body issues or any of these issues but watching and listening to what you have to say I feel better about myself. You guys are so wise (and wise guys with eachother) lol. You word everything so perfect for all people to understand what Trans is. I love you guys (not that way though, haha.) Keep doing this for people. If the conversation comes up, I'm going to recommend your podcast to everyone with questions or anyone who would like to learn about the stuff going on these days. You guys are great. You're funny. And can take eachothers shit and toss it right back! So cool. Thank you.

[@FireGoldFlame777]

I think surgery is completely fine so long as you are old enough and have gone through the correct steps first. Just jumping into it is dangerous. I also think that bottom surgery can be very dangerous but to each their own! Love watching the two of you. I always get a giggle out of it! I love how you are speaking about a serious topic yet there is comic relief from Liam!

[@leannepryde8876]

In NZ, we have the same system. I agree with the Dr ❤️. Liam, you both should do a video about pressure men have to look good. You are extra handsome & both of you are jaw-dropping 😊

[@TanyaRando]

I love the dynamic between you and Liam, and the way he teases you. I hate our waiting lists in the UK, but I like that there’s gender affirming care on the NHS, because it seems unfair that someone who just doesn’t earn enough to save that kind of money, can’t even have this to look forward to in the future, so that should ease the mental anguish, if only a little.

[@haileyranson8255]

Although I'm not saying gender affirming care shouldn't be provided to trans people in the UK via the NHS, the idea that because most people wouldn't be able to afford to pay for the treatment out of pocket and therefore must have access to the care on the NHS is not that simple. The NHS is stretched so thin already, and there are millions of people living with medical conditions that are debilitating, disabling and incredibly painful and cannot access the best treatment because the NHS can't afford to pay for it. I have endometriosis and although there are some really brilliant breakthroughs in treatment these days, it's impossible to get this treatment on the NHS because there are so many women living with it. Instead we're just provided with treatment of symptoms Instead of trying to remove the issue. The NHS won't give me a hysterectomy for many reasons - a huge one being cost - even though it would very likely cure me and give me my quality of life back. Instead I'm just pumped with horrible drugs and painkillers that have awful side effects just to live with 5/10 level pain as my baseline. It's impossible to access care because the waiting lists are so long and because it's not life threatening, we're just told to get on with it. Living in pain every day the way I have all my life pushed me to attempt to end my life on more than one occasion, because no doctor cared about me and no one really cared about my pain. Unfortunately this is very common, especially for women. I've only spoken about endometriosis and there are too many conditions like this that people are living with daily and cannot get care on the NHS. It's just not as simple as people think. Funding should be given based on actual statistics and in ratio to how many people have each condition. 1 in 10 women (and it's believed to be more, but it is so underdiagnosed and ignored) have endometriosis, which means there are millions of women suffering. It's pretty crap all round for everyone, truthfully.

[@rhiannonpatton339]

Alexis, I know you get nervous about what Liam may or may not say, but at the end of the day, he absolutely loves and adores you and I believe an honest person is a better person. I think you both approach topics in a neutral way that is understandable to all. It is a refreshing change to some extremely opinionated people. I love your connection and I certainly hope I can meet you in person one day.

[@MrMcCuinn]

You two are the most adorable people ever!! I absolutely love seeing your relationship. My husband and I are both autistic and I have ADHD. We dream to grow up to be as well balanced as the two of you are, and we're 54 and 69. Much love! Keep spreading the good word of calm, clear, respectful communication.

[@Antonia17482]

Halfway through and Liam this episode is very entertaining

[@zitawaterhouse6408]

Such a beautiful couple ❤ Love your points on everything and your general outlook on life ❤️

[@karenharrison6407]

Well done for showing this clip. It's a wonderful example of care x

[@tatsf]

The dynamic between you is great! So enjoyable to watch! Here in the US many insurance companies now cover gender affirming care, but not all, and not necessarily all procedures. Here in San Francisco the city does cover gender affirming care for city employees. We have clinics where people can access hormones, counseling, etc but I wouldn't say the hormones are "handed out like candy" like some think. Access is important as when access is too difficult or only available to those who are wealthier many people turn to black market hormones, "pumping parties", and surgeries which is very dangerous. This still happens in many parts of the US.

[@mentalalchemysubliminals]

13:42 Liam is a funny guy! I want to know more about him. Can ya'll do a podcast about his background. Such an interesting person.

[@Lea-bw9wj]

Liam was being extra cheeky today 🤣

[@rayvenlee4677]

Hi Alexis and Liam, This is another wonderful video; keep them coming. I would love to hear more in-depth about your transition from Liam's perspective. I know you have both touched on it before. What has he found the hardest? Etc. 💜

[@kellie-suedesigns]

I think everyone needs a Liam in their life. Love you guys. Xx.

[@georgina-j3m]

Love you two so much , Alexis when are you doing another collab, I loved your one with Buck Angel 🥰🥰🥰

[@artistrybyjennifer]

Yes in the US, SOME companies offer insurance. But you have to choose the company they offer. Which can be extremely expensive...so some opt to go through the state they live in and buy their own... it's based on income. However, the more you make, the more you pay ( monthly) it can be as high as 500 a month, (one adult) , some as high as $1200 a month( family plan). Middle-class people, like myself, ( Massachusetts a very expensive state ) offer us 'plans' based on our earnings. The downside to not paying a lot is the coverage. So I could choose a plan for $150 monthly. But there's only certain doctors that will even take your crap insurance. Your deductible is very high and it covers next to nothing. So there are a ton of out of pocket costs... I opted for something somewhat in the middle. $250 monthly ( for myself, the hubby also pays about 250) for a ' decent' policy. It's still hard searching for doctors. But I refuse to pay $500 monthly for health insurance when Massachusetts housing costs are so high, along with our current inflation=groceries are up at about $500 weekly... just to name a few costly things since Biden took over, so....🙄....Anyway, as you can see we have an awful Healthcare system here that needs major help. * not getting political, I'm just stating facts. I myself did better financially 4 years ago. But I will say our Healthcare system has been flawed With every administration. Hope that wasn't too confusing, novel over lol😂

[@creepyloverallday]

Liam is so adorable lol I just love his personality

[@petebartlett2229]

Hits home when you said about gender care and anorexia ’unaliving’ That is a wake up moment. And Liam adhd and unfinished projects is normal…embrace it!!!

[@Ann-oi]

SO ADHD Liam is hitting the mark with comparisons to my behaviour, 57 & ADHD diagnosed at 42 🤣🤣 I STILL don't know what to do when I leave school 😵‍💫

[@lisadunn1138]

As someone who cannot get a breast reduction on the nhs i find it absolutely infuriating to listen to that surgeon. I have been assualted, i have been r@ped, i suffer horrific neck and back issues, my skin is breaking down, every summer i got infections......the list goes on. Yet apparently a K/L cup isnt a big deal. A bra that fits is impossible to find. I cant exercise. But if i went and asked for them to be removed because i didn't identity as a female theyd have no issue with doing the surgery?? How is that fair?

[@briannachandler4202]

6:30 I could feel you counting through the screen Alexis! Love you both 😂❤

[@MilyssaLeigh]

Wow, I was expecting something completely different. What a pleasant surprise.

[@christopherwaller1642]

Hey! It would be amazing for you to make a video on your thoughts about the LGB alliance splitting from trans Love your videos x

[@hannahsarthub]

In the US, it depends on what insurance you have and what state you live in. We do have Medical Assistance, or state funded medical insurance. Gender surgeries are allowed in MN through Medical Assistance. You have to have a gender dysphoria diagnosis and live as that gender for 6-12 months (according to the department of health services website). Some surgeries have no age restriction, some are only allowed for adults. However, MN is very liberal. States that are more conservative will have stricter policies.

[@kimmac0306]

I’ve been enjoying watching your channel, Alexis. Your really nice to listen to and very informative 😊❤

[@Alexis_blake00]

Thank you so much!☺️

[@kimmac0306]

@@Alexis_blake00 🥰

[@Completely-Hatstand]

Kinda loved the good Dr and naturally yourselves. 💛

[@NatalieÅrnorienne]

i saw that interview on lad bible, the doctor in question was great. Also I agree with Alexis, electrolysis hurts like hell, like having sunburn each time but works wonders

[@davidwinkle2818]

I recommend reading about how the NHS decides whether to offer a treatment by using a scoring system based on "quality adjusted life years" (QALYs). One year of perfect health is worth 1.0 QALY. One year bedridden is 0.5, one year in a coma or dead is 0.0, and it can even be negative for severe pain. The NHS deems a treatment worthwhile if it costs no more than £30,000 for every 1.0 QALY that would be gained by the average patient. So a treatment worth £30,000 would be worthwhile if patients who have it would on average live one extra year in perfect health, or live two extra years bedridden, or have their quality of life score improve from 0.9 to 0.95 over 20 years, or from 0.9 to 0.925 over 40 years.

[@Baddiebeebumbling]

Does this mean they offer treatments based on how someone is living a year before the potential treatment or based on the knowledge of the typical outcomes of giving the potential treatment to patients?

[@davidwinkle2818]

It's based on a calculation of: (average QALYs a patient would have for the remainder of their life if they have the treatment) minus (average QALYs a patient would have for the remainder of their life without it)

[@teresalatiolais8477]

Laim, shame on you “ not in the mood” lolol you two are making me feel better I’ve caught the flu and been in bed not working or working out.

[@KoalaOwlPaws]

I do have a few questions: What's your favorite food? What's your favorite color? What's your favorite animal? I do apologize if these question sound boring. 😅

[@LoganFrost213]

I adore you two. Ya’ll are just so adorable! I have ADHD and my sister has to deal with me saying crazy things out of no where lol she gives me some of the same looks to 😂

[@mariamunroe6861]

I really think They should change the affirming part of this care to Gender Mental Health care.., The stories are that They walk in to these clinic's and say I am a Woman trapped in a man's body..., something like that and they are put on Hormone blockers and estrogen immediately..., These People need time and care to make these decisions that are life changing and lifetime care for..., Like if a Person with a eating disorder says to their doctor I am fat and they weigh 85 pounds the doctor can not say I affirm You are fat example that is...., anyway I love Your content and personalities..., Thank You....

[@chelsea7755]

Do you dye your hair? If you do, could you get the colours from the stylist lol please?! Your hair is beautiful 😍

[@Diannarobi57]

I don’t agree children should not have any of these treatments they are going through changes, peer pressure and wanting more freedoms at home. Once they are old enough to fully understand and know things are not reversible and have gone through counseling and mental help assistance then let them make their decision when they are 18 or older and not before. The government needs to stay out of it.

[@Justin-pe9cl]

Nobody should be doing this. It’s all fake.

[@fashupora5487]

@@Justin-pe9cl What you don’t realize is sex dysphoria is innate, it is ego syntonic. Anorexia, body dysmorphia, are ego DYSTONIC.

[@eddiemudge3460]

I find it so interesting that you almost transitioned back when you were 15. do you ever wish you went ahead with it then, or do you think waiting until later was the best option for you? love your content

[@Alexis_blake00]

No I’m glad I didn’t. It allowed me to understand things more and that the decision I made when I was 27 was the right one x

[@coraleestedile5061]

In Canada some province cover trans health care. But it is still a long process

[@Jasminestealth1]

Much like the term "transgender" now means freaking anything... the term "affirming Care" now means anything and everything... so .. its so freaking broad.. that it can be attacked.. and it can be as narrow as having a safe space to talk... We need to clean up the language.. in order to have a better conversation.

[@HonestHans4]

Thank you for your reply!

[@Alexis_blake00]

Any time!

[@Maredie1]

Very sadly, my friends daughter transitioned to male and he went thru all the surgeries, he was still tortured and ended up unaliving himself. He was surrounded by very accepting family and friends, very easy transition in their country, fully funded. It's extremely complex. My heart was broken for him and his family.

[@Alexis_blake00]

oh so sorry to hear what a awful story x

[@itsacarolbthing5221]

Random question; when two men with full beards kiss, so the beards get taffled up?

[@Joeytheboatbudgiefamily]

Hi babe. Love your chanel. Your both amazing. Keep up the good work. Xxxx

[@roxane4632]

Just pointing out that doctor said "We ESTIMATE that 1 out 5 would commit the deed". "Estimate" is the key word here, no scientific data existis to support this claim. This is what scares me as a health professional and a trans woman myself. There's a huge difference in saying that 1 out of 5 of your clients express that issue and saying that they estimate something. One of them makes it clear that it's his empirical professional opinion and the other makes it almost sound like it's based on scientific evidence. Even tho as a professional I can understand the usage of estimate and why he used it to a lot of ppl, because it's coming from the doctor's mouth, they'll take it as fact and scientifically proven. Just something that didn't sit right with me with the doc's vid. That being said, yes ofc trans people need health care! Damn we all need just look at the state of society and it doesn't take a lot of brain power to realize that we are a sick society where we all need help in different ways. Saying trans ppl should not be helped is the same of not having any humanity in your heart.

[@maurice5536]

I love your hair colour Alexis is that your natural haircut colour ?

[@Alexis_blake00]

Mostly 🥹😅

[@zoeymichael3966]

I just learned about Miriam Rivera, and I am shocked. 😯 She commented suicide (officially). Could you do a video with your opinion about that, please? 🙏 (The show in general)

[@Jules_1804]

Tiling is effing hard! 😂

[@stanleyfox4201]

i don't agree with bottom surgery. vulnerable people being sold a lie and many regret, many go wrong and post surgery is when the unaliving goes up.

[@fashupora5487]

A lot of these bottom surgery results are caused due to fear mongering. There are transsexuals I know who have had SRS for decades and are living happy successful lives. Stop following these conservative bs channels. DO NOT POLITICIZE TRANSSEXUALISM!!!

[@Jasminestealth1]

just aa fyi in america - the choice is - accept the job insurance - or no insurance ... so if your company is small - trans issues is not only not offered - not available... and if your a "trans" person hoping to be "stealth"... then you dont ask the questions... as interview for a job - to "out" yourself.. and asking in interview ... discrimination...

[@stegosaur9812]

13:39 help 😭😭😭

[@just_passing_through]

I personally have an issue with the term “gender affirming” care. It makes it sound as if anyone going to a healthcare professional say that they think they are transgender is simply going to have that affirmed without any further investigation. Don’t think it should be that simple. I think it should be thoroughly investigated and any underlying mental health issues dealt with prior to assisting a transition. mistakes can be made, and mistakes have been made in the past by people just being pushed through without adequate assessment. I don’t think you should just affirm everyone that walks through the door.

[@debbiehart9967]

Anorexics don't usually get carved up as a treatment...sorry not seeing the similarities. Puberty is the worst time for this simply because most of us are uncomfortable about our changes...ours is way more obvious than boys. Emotionally it is a nightmare for girls, so please save this until ur of age n not during puberty. What about the ones who realise they've made a mistake...not just the successes...not all of them are.

[@childensstorytime]

Tiling is not easy body double is good

[@Ultramentsh]

One in five? That's high. Yet men in general makeup nearly 80 percent of the rate in total. It's barely mentioned. No acknowledgement is given. No adjustments are made. We just die quietly 🤷🏼‍♂️😔. ♥️ You's two

[@AlexM-ht9ff]

Trans female here. Gender affirming care is no one's business except the patients and doctor. I bet if Blaire White saw that video, she'd be against that surgeon. Gender affirming care is determined by medical physicians. Also, transsexualism is rooted in neurology and it's how people are born. I live in the USA. We have many types of insurance here. -Medicaid goes by state by state and it's for low-income and people on disability income. -Medicare is for seniors. -Private insurance is for those employed or independent contractors. -CHIP is for low-income children. Our healthcare system is very, very broken. Private insurance is extremely expensive and yes, we have wait times as those in Europe. It took me 18 months to get my tracheal shave. It took me longer to get my other surgeries. Many conservatives LOVE to spew lies about our care in the USA. And no, kids aren't being transitioned in schools. Their goal is to disinfranchise trans care with lies.

[@JerzyG84]

A conservative could say the same thing and replace the rhetoric. Maybe try listening to conservatives and their concerns because there are real problems out there. Both sides of media tell lies about the other side.

[@AlexM-ht9ff]

@@JerzyG84 As someone who lives in the USA, I lived under a conservative governor in Florida and I FLED to a Democrat liberal state (Las Vegas, Nevada). Idk if you live in the USA or UK but I'm going to assume you live in UK. Here in the USA, conservative Republicans are RUTHLESS when it comes to trans people. They have literally tried to pass bans, even for adults and they truly believe they're ENTITLED to control trans care and women's reproductive rights. I don't know if you're a fence sitter or someone who claims to be "neutral". But I don't care about your feelings. It's the fact that conservatives are ROTTEN TO THE CORE when it comes to trans care. I know because I lived under it Thank God I live in Vegas. My city is ran by liberals. Give me a liberal over a conservative anyday of the week.

[@AlexM-ht9ff]

@@JerzyG84 Lastly, there are no sides. Point is, it's NO ONE'S BUSINESS except between the patient and healthcare practitioner and that's final. Mind your own business.

[@JerzyG84]

@AlexM-ht9ff then it should be out of schools. I was speaking of where you grouped conservatives together, said they LOVE to spread lies, etc. Let's not group Hate and speak one sided. Talking and Listening respectfully goes a long way. Take care.

[@AlexM-ht9ff]

@@JerzyG84 Getting it out of schools? You mean how trans minors find safe spaces at school cus their conservative parents are bigots? Or, how conservative parents are forcing schools to out their kids cus their parents are bigots? I'm glad that trans is being more mainstream because there isn't anything wrong with it. I was born in the late 1980s and I grew up in a time where the Internet was rare. Most people relied on box TVs, fax machines, and landlines. We had no representation, like ZERO. Is that what you want? To be returned to early 1990s? I can tell you lean very conservative are most likely you dislike trans people. We aren't returning back to those days. I lived in those days and I clearly remember how it was. Never again. Thank God young trans people don't have to go through what us older trans people went through. Never again. Conservatives don't like change. Guess what? The world changes whether they like it or not.

[@MizziProductions]

I find it hard knowing that I have to pay for ADHD medication that allows me to stay employed, manage my household, etc., and transitions are free. I will never recover from ADHD and my life will always be difficult. That’s my gripe. That’s not to say that gender dysphoria isn’t a miserable diagnosis, but I think if we’re setting the standard that mental health care is essential care, it should either all come with a low price, or should be free for everyone. ADHD is miserable.

[@shmoo42]

My insurance covers both adhd meds and hrt. If it's not covered where you are then it should be.

[@Baddiebeebumbling]

Transitioning isn’t free that’s an absurd thing to say. All trans people have to pay for their hormone medication whether it’s on a prescription or privately.

[@towpottsfam7631]

I hope that doc isn't taking about kids though. I think the suicide rates has been discrediting. Many people still feel suicidal after transition because there are comorbidity. Very interesting to bring in anorexia as a comparison because the treatment of anorexic people is not to affirm that they are fat. However 10 year wait is obviously Going to loose some of the people who it might not be right for. Happy for it to be on NHS if person has consistently needed it for 10 years so it's not just a cosmetic thing in which case cis/bio women should be allowed it too. Re going provate to speed it up. This is fine with mentally stable adult but I wouldn't agree with it for children because they might just be struggling with puberty or internalised homophobia or just be a gender non conforming kid and not have the stereotypes mke them think they are trans. Anyway that's my 2 cents you beautiful blakes ❤

[@daleenehlers2385]

Liam, why do you always wear headphones?

[@Alexis_blake00]

so he can monitor the mics as we are talking x

[@daleenehlers2385]

Ahhh, makes sense ❤

[@sw4499]

Liam is so funny

[@Kaileigh_Broko]

Hey Alexis and Liam. Just wanted to know, what is your Halloween plans?

[@Alexis_blake00]

Probably double date with our best friend and her partner x

[@Kaileigh_Broko]

@@Alexis_blake00 Sounds great and probably fun Halloween costumes too.x

[@jackiemorningmist7599]

❤so love you 😍 both

[@ISAM.001]

Liam is correct! It’s just based off what insurance you have. I will say though most private insurances do NOT cover a LOT of stuff. It’s basically just coverage for hormones and the sexual affirmation procedure. It’s kind of ironic how the country cries sm about trans ppl “mutilating” their bodies but the only thing insurances cover are the most extreme areas of treatment lmao…like if someone was questioning if they are trans and needs hair removal and wants to do that before any major hormones or surgical decisions, they gotta pay out of pocket most of the time lmao As a trans woman myself I rly feel like laser hair removal is probably the number one thing outside of hormones that should be covered by insurance. Like beard hair literally kills my mental every day and is my number one subject of dysphoria…yet there’s 0 insurance assistance to pay for it (now mind you, w private insurances there are some great stories where some people did get niche things covered after arguing w their insurances forever and going thru loopholes and stuff/like medical professionals offering notes and proof that it’s “needed” or “urgent”).

[@thedragonsunicorn]

if alexis could choose to be born again, would she chose to be born biologically a woman or would she go through her transition journey again? sorry if this is a straight forward answer, it's just i know a lot of trans people feel quite connected to their trans identity? love yall x

[@Baddiebeebumbling]

No transsexual person wants to be trans because no one wants to suffer. Transsexuals aren’t ashamed of being trans but as any other human being would wish for the life filled with the least suffering possible.

[@TraceyLeyland-Jepson]

Love you beautiful x Mum x ❤❤❤❤❤❤

[@MaleOrderBride]

Is Liam ftm??😮

[@oliviamaynard9372]

I liked this one. No Neon light. I still dont see a future even after transition.

[@VioletWaves44]

The comparison to anorexia isn’t so cut and dry. We don’t give anorexic patients weight loss surgeries so their bodies align with their dysphoric state. We offer long and involved therapy and intervention. As it is right now, transition is the only thing offered and pushed for patients with gender dysphoria. I feel that this is wrong. I’m grateful that it works out well for people, such as yourself Alexis. But it’s not the only treatment that should be offered. Especially when a lot of kids feel dysphoric during puberty, or at the prospect of puberty, and then they grow out of it. I’m really shocked that you both allowed this guy to manipulate you with that stat about suic!de, which is intentionally skewed. It’s been shown that trans patients suic!de ideation goes UP statistically AFTER surgeries. That guy made some points that I agreed with. I suffer hugely with mental health issues and I know the stigma very well. Everyone deserves the right treatment. But that’s a whole other can of worms about what the NHS offers as treatment. I get panic attacks a few times a week and I was told I can have invasive drugs (which have harmed me in the past), or wait for several months for counselling. And when I’ve had counselling on the NHS before it’s been subpar to say the least. Frankly, I don’t think the healthcare system has anywhere near the correct quality of care for ANY mental health condition. And they’ve done a brilliant job of smearing holistic practices. Intentionally.

[@retrovinyl5392]

I didn’t like that doctor. Too pompous seems like he’s trying to cover up something. I think if you’re an young adult or child you should have mental health treatment not medical for the first few years.

[@graveurgraveur2691]

This is obviously not about money!

[@Diannarobi57]

For surgeries again they need to be of the age to consent and insurance should pay for it

[@kytticockroach2299]

Dr. James Bellringer - full video is interesting. Hi Alexis and Liam!❤

[@karatecatmom6713]

“Pee” is more demure! 😘

[@cjoyellow-bee6362]

I agree when someone transitions their life totally changes for the good because they are who they that were meant to be are finally in the their own body.I’ve seen many videos, documentaries and post that have seen the reaction to each part of the transition. To me those are the ones to me who truly need to transition. (I don’t know if thats appropriate for me to say) It still upsets me that transgender people are still not excepted.

[@SassyShelly]

Unless the guy in that interview is also advocating for the NHS to give liposuction and ozepic to anorexics he needs to not be advocating for the NHS to pay for transitions. The NHS should be covering serious mental health treatment and therapy for all of these different mental health issues across the board and that's where it should end

[@yolospourinlovinciart1304]

That is such bullshit

[@yolospourinlovinciart1304]

This is a trend not for all but 1 in 5 crap is bull

[@MagicMoon-s6z]

@@yolospourinlovinciart1304what?