This is my last estrogen pill. There's a gap in my insurance lasting 3 weeks and I ran out of hormones, so I'm forced to be off them altogether for a few days, which is causing me mood swings and hot flashes. A single month of my medications without insurance would cost over $300. That's nearly $4,000 a year. I'm lucky that I have insurance through my program at all and am normally able to access lifesaving medicine. However, many aren't and trans people are disproportionately likely to not have insurance. Healthcare is a transgender issue that we need to talk more about.