Thanks for this reply, Mitzi. I very much agree with your point about how the application of a socioecological model to consideration of how to optimize the overall health of transgender people would be beneficial - especially given the multiple levels through which discrimination can act and be intervened upon. I think it would be amazing to have a commentary out in the world on that - I encourage you to write it! :)
Thanks for your points about the WHO reading. As you pointed out in the first question, there is still a long way to go in how we think and talk about issues of gender/sex - both in medicine and in society as a whole. As you point out, thinking about this intersectionally is critical. Your comments about the issue of wealth were thought provoking - while privilege is so often inherited, and our markers of SES (such as parental education) can reflect that, clearly in cases of family ostracization and societal discrimination this does not play out the same way. Unfortunately, there is so much work to be done in this area, but I am very excited to see where you take this work!