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Friday, November 13, 2026Nov 13

When states limit care, some trans people do it themselves

Transgender woman Stacy Cay displays some of the hormone therapy drugs she has stockpiled in fear of losing her supply, Thursday, April 20, 2023, at her home in Overland Park, Kan. (AP Photo/Charlie Riedel)
Transgender woman Stacy Cay displays some of the hormone therapy drugs she has stockpiled in fear of losing her supply, Thursday, April 20, 2023, at her home in Overland Park, Kan. (AP Photo/Charlie Riedel)


JEFFERSON CITY, Mo. (AP) — With her insurance about to run out and Republicans in her home state of Missouri ramping up rhetoric against gender-affirming health care, Erin Stille nervously visited a foreign pharmaceutical site as a “last resort” to ensure she could continue getting the hormones she needs.

Stille, 26, sent a $300 bank transfer to a Taiwan-based supplier for a 6-month supply of estrogen patches and androgen-blocking pills. For three weeks she feared she’d been scammed but breathed a sigh of relief when a large package arrived at her home in St. Peters.

“It’s definitely a little scary,” Stille said. “Taking a chance like this, I could have my money stolen and there’s not much I can do about it. But I figured, at this point, that the benefits outweigh the risks.”

Stille, and others nationwide, are scrambling to form contingency plans as Republican politicians rapidly erode access to the gender-affirming treatments many credit as life-saving.