Transitioning 2.0
Mother Jones|July/August 2021
Community support has always helped trans people become themselves. Now, Big Tech thinks it can too.
By Lil Kalish
Transitioning 2.0

By August, Felicity Giles knew it was time. Her happiness was long overdue. The 36-year-old trucker changed her name, adopted the middle name Saoirse—“freedom” in Gaelic—and started looking into medically transitioning. “It was mainly an attempt to break from who I was and who I grew up as,” she told me. At the start of 2021, she spent weeks calling Planned Parenthoods in Fort Worth, Texas, where she and her spouse live, seeking a consultation for hormone replacement therapy. But the pandemic, and high demand, meant waiting more than a month to get a consultation, let alone begin HRT. Even when appointments opened up, she said, “I called them every day and never got through.”

Scrolling through Twitter one night, Felicity read about Plume, a new subscription telehealth service that makes it easier for trans people to access hormones and lab work or procure doctors’ letters needed for surgeries and name changes. A day after forking over a $99-per-month fee, Felicity was talking to a Plume clinician. After a few questions, they chatted about HRT. Within hours, Plume connected her with a local physician who prescribed her estrogen and dutasteride, a testosterone blocker. Felicity picked up her first dose that night.

Plume is one of about a dozen telehealth services catering to trans clients that have cropped up in the last two years. It’s a niche market aimed at eliminating barriers that keep trans people from accessing health care. According to a 2015 study, a third of trans people report that health care providers have harassed them or denied treatment on the basis of gender identity.

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