, all of which classify gender-affirming care as medically necessary.
"Movement away from states with discriminatory laws and policies might lead to improved mental health over the long-term, but in the short term, moving can be highly stressful because of the disruptions and uncertainties associated with moving," Pachankis told ABC News by email.
Anne shares custody of her older daughter with her ex-husband and said that by moving for her one daughter, she would have to forgo seeing her other daughter for much of the year. A move would also be a daunting financial burden for the family, likely costing them tens of thousands of dollars in addition to she and her husband having to find new jobs and the family having to find a new, supportive community and new medical care, according to Anne.
"For people who don't have the means to leave, what does that mean? That they might be incurring additional costs for homeschooling; that they might have to pay more for childcare; that they may have to either quit their job or work a third-shift so that there's always a parent or caretaker at home." he said.
"We shouldn't have to leave. This is our home," she said."We have a network and have built a lot of relationships in this community and we're established in our careers here and our children are established and have friends."
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