The medical community has almost unanimously concluded that medical support (to include counseling, hormone therapy, and sexual reassignment surgeries) is the standard of care for individuals who are transgender and/or express gender dysphoria. The long-term consequences of patients being unable to access and afford this care are significant, to include severe psychological distress, social difficulty, long-term medical conditions related to elevated stress, and suicide. Because of social stigma and discrimination, transgender individuals struggle with poverty and unemployment at unusually high rates, and rely on safety net programs such as medicare and medicaid. Giving transgender people access to necessary care through these programs is an essential part of supporting them as members of society. Using religious objections or social stigma against these patients as an excuse to discriminate is beneath the dignity and standards of a civilized society. Please make the rational and compassionate choice to cover these *Standards of Care* treatments with MediCare and Medicaid.