@Winesalot
At what point do people have to acknowledge that they are responsible for their individual bodies and that body’s needs and be proactive. And that the transmen and NB people who deny their biology need to find some mental health care if they cannot deal with getting Pap smears.
This seems to be an issue in of a lot of health care. The balance between state responsibility and personal responsibility. Informed consent and informed dissent are only valid if people are given enough information to make those choices (which is our responsibility as the health care providers) and the opportunity and environment in which they can choose at all (state responsibility).
Then there are issues of socioeconomic impacts on health choices and people's outcomes. More poor people smoke and have bad diets, then go on to have lifestyle related health conditions and shorter lives with poorer health. Is that personal choice and therefore their fault or is it a social issue that the state should tackle?
You can argue that people have a responsibility to take care of their own health, or not... But how far do you take that?
As a HCP I swing between the two a lot of the time, because of course we make choices that effect our health, but those choices aren't made in isolation or with full facts and choice is often an illusion.
Sorry, randomly musing off topic a bit...