My post wasn't really about that. It was about the dismissiveness of some of the responses I was reading — people replying to a poster who'd said that her breast development is so minimal that it's contributed to serious mental health problems, that the underdevelopment was severe enough even to affect her ability to feed her child, and asking about whether the NHS can provide a medical treatment that could help improve her overall health. Responses like
"The NHS wouldn’t give me a breast reduction despite my spine being damaged. What makes you think they’ll give you cosmetic surgery?"
and
"The NHS would not fund this, it's cosmetic. You will have to fund it yourself."
and
"Why do you think the NHS is going to give you cosmetic surgery?"
Short, snippy, dismissive posts, bundling up the whole complicated issue into a tidy little putdown.
I'm aware that fewer and fewer procedures which might conceivably be able to be characterised as "cosmetic" are being made available on the NHS. The stories on this thread from people who've been refused treatment they need are horrendous and infuriating. People left to either pay out themselves, or live with the physical and/or psychiatric consequences. "It's cosmetic" is so often a spurious justification, exploiting the fact that some people may choose to have that treatment for cosmetic reasons to get out of having to provide it to people with a clinical need.
I understand that the NHS is struggling but the answer isn't to just lie down and accept that the NHS in many cases won't help people who need, deserve, and are entitled to medical care, so long as they can find an excuse not to, like "it's cosmetic". People with genuine medical needs are essentially smeared as just vanity-driven freeloaders, and I can't believe so many people are buying into that bullshit. If the NHS is broken, we're not going to fix it by buying into lies about patients who've been failed.
(I have a minor experience with something similar. A few years ago, DP saw the GP about a dodgy growth on his eyelid. The GP said that it could be suspicious, but that this kind of lump is considered a cosmetic issue and therefore not the NHS's concern — "but it's affecting your vision now, yes?" <meaningful nod, gaze held> The thing was a small coloured lump that he could barely perceive, and only if he made the effort, and she knew damn well he could see fine. But the only way the GP could get him seen by the right people was to bend the truth. The NHS is so keen to offload as much as possible into the "not our problem" bin that it seems like alm"st anything that can be deemed potentially cosmetic will be. Turns out it was a skin cancer, which recently came back, so it's back to the ophthalmic surgeon and fingers crossed he doesn't lose too much eyelid. "Cosmetic" 🙄 Thank fuck for rule-bending GPs.)