Transgender people’s sense of personal identity and gender does not correspond with their birth sex. The problems with this are obvious – Trump and his administration are trying to define transgender people out of existence. Bhekisisa surveyed six of the country’s largest medical schemes: the Government Employees Medical Scheme (Gems), Fedhealth, Discovery Health, Momentum Health, Bonitas and Profmed. Together, these schemes are responsible for more than three-million people — or almost a third of all privately insured South Africans, according to the Council for Medical Schemes’ latest annual report. Legally, medical aids that don’t cover such treatment may be violating trans people’s constitutional rights, Legal Resource Centre attorney Mandy Mudarikwa argues.