“I have memories as a child of wanting to be male-bodied, but I assumed I was meant to be the way I was. I struggled a lot.
“I never enjoyed having breasts. I remember once in college I went to be fitted for a bra in a store and I couldn’t stop crying. I couldn’t really figure out why; I just assumed there was something wrong with me or I was too emotional.
“I bound my chest for a while and then I had surgery. My insurance company said they would cover 70 percent of a double mastectomy if there was a history of breast cancer—which was the case—but not for sex reassignment. I got a letter in the mail, saying, ‘We don’t cover this.”