It's an uphill legal battle to get people to understand that laws saying you have to get the patient's depression, anxiety, and suicidal ideation completely under control before they're allowed to start hrt when that's the source of those problems is untenable. Because while there are reasonable and empathetic folks there's faction who is pushing these laws as a means of soft-outlawing the treatment all together.

Ahh local politics, truly nothing else like it.