In one regard, many transgender Americans face the same plight as Chelsea Manning -- their health insurer won't cover the costly procedures associated with transitioning genders
But that isn't the case everywhere.
While the majority of private and public health insurance plans in the United States won't cover certain types of care or treatments for transgender people, a surprising array of countries including Iran, Brazil and the United Kingdom, cover procedures like hormone therapy and sex reassignment surgery either free of charge or at a low cost.
“The U.S. is very far behind,” said Kellan Baker, the associate director of lesbian, gay, bisexual and transgender progress at the Center for American Progress, a left-leaning think tank. “There are many countries with national health care systems that cover what transgender people need without prejudice.”