"Here in the UK our treatment is part of the NHS, certainly GRS is available, with top surgery also available for many MtoFs as well. Our medication is funded, yet electrolysis and other "cosmetic" treatments can be hard to get or not available depending on just where you live.
Nobody will get NHS treatment before everybody is happy that they are ready, and that means socially and physically, after all this is major surgery and your need to be fit and healthy to get through it; there is also the "real life experience" which mean that we are expected to have lived in our true gender identity for some time (usually a couple of years) before being referred for surgery. It is worth noting that although the surgery is funded not all us will opt for it, taking the financial burden away makes it easier to focus on exactly what it is that is really needed."
I also know some individuals who don't think Medicare should cover Gender Reassignment Surgery at all in this country and they have their valid points too.
As far as the person goes who started this discussion, I won't see her until again until the latter part of July to garner any more information. In the meantime, I did ask my therapist and all she could say was she thought the person started with a doctor in the Indianapolis, Indiana area who did the surgery and took Medicare...then worked her way backwards from there.
I will try to find out more (as I said) from our next LGBT transgender veteran meeting.