That’s a good question and complicated problem, as it does seem unlikely that SRS and HRT would be covered by insurance if gender troubles were no longer classified as mental illnesses. I unfortunately don’t think that our current socio-political-economic system is capable of ethically accommodating the needs of trans people because of how fundamentally sexist, racist, and classist it is. There would need to be significant structural and cultural changes before this could happen on an institutional level, and I don’t see this happening soon. This said, though, if trans identities become fetishized and marketable as a commodity like gay identities did (for example, see how much money Pride festivals generate), then I think this will galvanize cultural change and create institutional space for trans-affirming care. I am also hopeful that younger generations will advocate for these changes, and that gender variance will become normalized after younger generations begin to participate in and make changes to our political system. For now, though, we must work with what we’ve got and embrace critical discourse so that we can affect it in our everyday lives by having these kinds of conversations with as many people as possible.