Throughout America, transgender patients are struggling due to failures in the health care system. Health care ought to be designed to be inclusive for all types of patients, but most doctors have little or no knowledge of what transgender patients need or how to understand and help them. Access to proper health care can literally be a life or death situation for some. Transgender patients require certain treatments which might include hormone therapy or surgery. These treatments can cost up to tens of thousands of dollars, which most insurance policies refuse to cover. Expenses aside, many doctors don’t have knowledge of or experience with these treatments and often see them as being elective. Patients who live in rural communities, or have no major cities nearby are often out of luck, as most transgender-friendly doctors and clinics are in major cities such as New York or Miami.