> Disabled people certainly don't want to be part of that classification but there's no subjectiveness when it comes to their disablement.

You'd be surprised. Being disabled is a spectrum just as being ugly is. It's not just perfectly healthy people vs people missing entire limbs. It's also the person with moderate chronic pain who can do anything they like but not everything they like.

And then there's the whole other subjectiveness that comes from bureaucrats having to classify people into discrete buckets based on how disabled they are. Sure you can't raise your arms above parallel, but does that qualify you for 4C coverage and not just 3D?

> Does that mean that rhinoplasty should be covered by insurance under the same merits of sex reassignment surgery?

If someone's nose is causing as much distress as gender dysphoria, why not?

Sex reassignment surgery isn't easy to get, and presumably coverage for "corrective" cosmetic surgery would also take some evidence. Patients couldn't just make an appointment on a whim.

> If someone's nose is causing as much distress as gender dysphoria, why not?

I definitely agree with you on this one.

But that's where I feel the line gets super blurry. This is not a white or black issue. Gender Dysphoria is an actual documented mental disorder.

Feeling ugly (or in the context of this debate, being classified as ugly), in general, it's not.

Sure, the line is blurry. But so are so many other lines and we can't simply peer into one's mind and see things. Fatigue is a symptom of at least a few autoimmune disorders, but that line is definitely fuzzy and we can't really tell if someone is faking or not.

Body dysorphic disorder is a real thing (probably spelled incorrectly). There are people out there that feel like their limb isn't theirs - it is alien - and go to great lengths to stop it. Some folks spend lots of time and money hiding "flaws" (like their nose), even when they cannot really afford the costs every month, and avoid dating and going out because of these things. Just because it isn't a specific disorder doesn't mean the people are healthy.

And then there is another category altogether: Folks that have had accidents of different sorts. Sure, facial scars from burns or a disfigured nose might not actually cause a psychological disorder and it might not make things physically difficult, but damn it is hard to argue that fixing these things (when possible) wouldn't improve one's quality of life.

Why would it be called a mental disorder? If it's a disorder, it's a physical disorder, whose symptoms are the shitty behavior of other people that it "causes".

Or perhaps a mental disorder in those other people, but that's not likely.

I guess I'm thinking it more from the perspective of third parties like insurance. Gender reassignment is generally covered by health insurance and exclusions may be classified as unlawful sex discrimination.

On the other hand, your health insurance could easily create subjective definitions to deny coverage. Because unlike gender dysphoria, beauty is not binary.

With Gender Dysphoria there is only one direction when it comes to re-assignment options, and it is fully documented that this surgery is beneficial for the patient's mental health.

With beauty/ugliness, there are hundreds of possible permutations and no documented precedence to validate that this is a necessary surgery.

Body Dysmorphic Disorder is in the DSM 5.

>Unattractive people don't want to be part of that classification and their belonging to that class is 100% subjective in any direction.

The way these laws work would not necessitate that. People who are old, disabled or queer are not required to carry a card or get a face tattoo. You are simply unable to descriminate on that variable, whatever the value is (old or young, able or unable, etc).

>Does that mean that rhinoplasty should be covered by insurance under the same merits of sex reassignment surgery?

Age is a protected class in Canada/Ontario but they don't cover blood boys for seniors under OHIP either (although I will strongly lobby for it in old age).