And yes, this includes sensitive issues such as abortion and birth control. Should publicly funded health care pay for such things? Taking aside the moral objections of some taxpayers to the scheme, is this a necessary health care issue or an optional one? Again, even discussing this is taboo in our country. And it is a discussion worth having.
(Oddly enough, in my parent's and grandparent's generation, gender issues among children were treated more liberally to some extent. Young boys grew their hair long and wore dresses until they were nearly grade-school age. At some point, they would be transitioned to "knickers" which were pants that went down to below the knees. Getting your first set of real trousers was a sign of the transition into manhood. Today, gender-specific clothing is assigned almost from the cradle. How times have changed!)
UPDATE: We should understand the terms of discussion before discussing it. And the entire thing with "transgender" issues is that it encompasses a variety of issues and orientations. Of course, most people want to talk about the sex part, because that is what people are interested in. Or they want to talk about some ugly guy with a beard wearing a dress. There are a lot of misconceptions.
1. There are heterosexual males who like to wear women's clothing while having sex with a women. They are not gay, they are not transgender, they are not trans-sexuals. They have no desire to be a woman or act like a woman, they just have a fetish for women's clothing. Since this mostly occurs behind closed doors, you do not hear from these folks much. I guess you could call them sexual transvestites.
2. There are gay men who want to have sex with other men. They do not want to be women or act like women or dress like women. These are not transgender, transvestites, trans-sexuals or whatever. These are merely homosexual men.
3. There are women who want to have sex with other women, but do not want to be, act, or dress like men. These are Lesbians.
4. There are men and women who enjoy having sex with men or women, but are not interested in cross-dressing or acting like the opposite gender. These are bisexuals.
5. There are people of either gender who want to dress and act like the opposite gender, and it may have nothing to do with sex or sexual orientation. They just like to identify with another gender.
6. There are a very small number of people born with hermaphroditic genitalia. In the old days, doctors would often "correct" this by surgically altering genitals. Often such folks were forced into gender roles they did not feel comfortable with.
7. There are also people born with extra "male" and "female" genes (XYY and XXY) which does not necessarily affect sexual orientation, but may affect the physical appearance and body of the person with this genetic makeup.
8. There are people who are heterosexual but have interests that are not considered stereotypical for their gender. They do not identify with or want to be an opposite gender, they merely are interested in things that are not considered typical by our society for their gender. Women who want to repair trucks or men who want to arrange flowers are usually assumed by society to be homosexuals, but such is not always the case.
9. There are people who cross-dress as a hobby, for entertainment purposes, or just to have fun. They have no sexual interest in cross-dressing or any desire to assume another gender. For them, it is a hobby or even a profession. These you could call female impersonators (or male impersonators).
10. Believe it or not, there actually exist something called heterosexuals, who are comfortable with their biological gender and are sexually attracted to the opposite sex. Yes, freakish, I know. But there you have it.
11. There are people who are any mixture of all of the above. People are unique and really can't be categorized or pigeon-holed.
The mythology among much of the general public is that gay men all want to be women (not true) or lesbians all really want to be men (again not true). The mythology is also that people who cross-dress (which both men and women do, although women can dress in a male manner and face less approbation for it) are homosexual or bi-sexual or that their cross-dressing is somehow a sexual act, which is may or may not be. It is a lot more complicated than that.
And it goes without saying, that most people really don't care one way or another what you do in your personal life, but they don't necessarily want to deal with your personal issues in public.
And yet, that fails to explain why Bruce Jenner gets such high ratings on his or her TeeVee show...
Maybe it is like when people slow down to see a car wreck? Maybe.