Germany

Political situation for trans people

Germany is doing pretty ok at the moment. There's a law on self determination, meaning you can choose your gender marker and given names, once a year and after a three months waiting period. However, elections are coming up in February, and the conservative and far right parties look strong. We could end up in a Trump first term kind of situation, bad people in power, but no plan yet how to dash out evil like Trump second term.

Access to trans health care

Health insurance in Germany follow a model where most people are on mandatory public health insurance, which private insurance as a choice above certain yearly incomes. Both pay for HRT. You can get HRT from either endocrinologists or ob/gyns, the latter often being easier to work with. You do need an official diagnosis in most cases (a liability thing), so if you have paperwork with an ICD-10 diagnosis of F64.0, bring that with you, it will make your life easier. If you don't, the usual way to get one is through sessions with a specialized therapists. There are some who will help you out after a single online session, names are available from your local trans peers.

Getting access to surgery was hard to become with, but has become especially tricky after a recent court case. Details are out there, for now, don't count on getting any.

DIY is accessible, sellers exist that ship from within the EU (and thus without any customs interfering).

Immigration

The routes are:

• Skilled immigration. https://www.bundesregierung.de/breg-en/news/skilled-immigration-2264340

(to be continued)