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We use this way of classification all the time, you are swapping disease with biological classification willy-nilly and that is what is confusing you.
Blindness is a disease, not a biological classification. A blind person still belongs to the human species, which is a sighted-species. A blind person still belongs to a sighted-species. Their blindness is not a sign they are a member of a different species, it is evidence they have a health problem.
A woman is a human who, if her body is not producing large gametes, has a health problem that requires explanation. A male body does not require a disease to explain why it's not producing large gametes.
Your counterfactual world where you have XX chromosomes requires you to not exist. It requires a completely different person to have been conceived and born.
The counterfactual worlds that I am using are all, "if the same organism was healthy." It is something that happens every day, some organism in a disease state becomes healthier.
Okay, so if a person has Magic XX Genetic Defect Syndrome, and is born with XX chromosomes, a vagina, etc. but no large gametes, they're... third gender? To be clear: there is no world where this person produces large gametes, since as you said, changing their genetics results in a completely different person.
Honestly, if they have a functioning vagina from birth (not a weird amalgamation of penile tissue and intestines sewn into a gaping hole that needs to be prevented from healing over) then I am comfortable calling them a woman. It's clear what direction their body would go. If it would take modern medicine to determine that their reproductive system doesn't work, they belong to the sex they appear.
We're talking about a magic person, so it's hard to specify what I mean by "direction." But I imagine that such a person either has ovaries or could receive an ovary transplant in a way a man could not. Their body would naturally make the hormones to stimulate the follicles and bring forth an egg. This egg could be fertilized by a motile gamete that had a straight path through the vagina. This conceptus would find a home in a uterus.
If you only have to bring one thing to health to make the female reproduction system work, then it's obviously the female reproduction system. A male reproductive system isn't a defective female reproductive system and vice versa.
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Pre-transition I was miserable, and now I'm happy. Surely that means healthier? Is there some health risk associated with transition that you're particularly concerned about?
If my genetics gave me depression, would you be opposed to me taking anti-depressants?
Are you equally opposed to cis people getting cosmetic surgery?
Your body is not healthier. You have lost some biological functioning that you had before.
Yes, there are soooo many health risks to cross-sex hormones. A FtM balds because of their testosterone. Do they take Finistrade? Finistrade is risky to women, do the same risks apply to this person?
But I don't even have to get on the weeds on this, the increased risk to cancers, blood clots, heart attacks, etc. The mechanism of transition itself purposely damages the reproductive system. It is by itself unhealthy.
Now, it may be the case that cross-sex hormones are an effective treatment for gender dysphoria, maybe the only effective treatment after a certain threshold (I much prefer treatment that would make someone's hormones more like their natal sex if they are being treated before the age of 16, and have seen evidence that this works better.)
I am not against treating trans people with cross sex hormones.
But there is a difference between getting a hormone treatment to treat your mental illness and trying to make everyone else in society believe your mental illness.
I am 100% against cosmetic surgery except where it restores functionality, like nose jobs to breathe better and skin repair for burn victims.
Well, you're consistent at least. I do think a realistic assessment of health ought to look at happiness a fair bit more, though. I was never going to reproduce for a variety of reasons, so I think it's totally reasonable to trade that off for happiness. I think people have plenty of hobbies that make them happy, despite being dangerous: they drive cars, they drink alcohol, they eat badly.
On a spiritual level... I'm not much for formal churches and whatnot, but as best as I can tell, my soul, my connection to the divine, wanted me to do this. I trust it, because when I was even younger, it held me back and said no, you're not ready to do this yet, and looking back I think it was right.
Plenty of people are spiritual, and plenty of people think it's a mental illness. I'm spiritual myself, but I still expect the people in the latter category to try and show some respect for people of faith.
Yes, happiness is a component of health. It's just not a component of the health of a reproductive system, which is what is under discussion here.
I respect Truth, and I'm sorry but this conversation has mostly cemented my belief that many trans people have a very tenuous grasp on reality and equivocate between concepts in order to justify themselves to themselves.
(I am a very spiritual person myself. I worship the Way, the Truth, and the Life.)
I'm aware of your spirituality - but I'm equally aware of mine. I believe that Jesus supports my decision, and that if he were here today he would "cure" me by making me indistinguishable from a cis woman. I'm no stranger to this being called a mental illness, either because someone doesn't agree that "Jesus" exists or because someone doesn't agree that "gender" exists. It seems like a fair equivalence myself - I'm asking you to have faith in some internal truth of mine that I can't prove to your satisfaction.
I will not.
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