Ireland’s public health is atrocious even for cis people. It’s massively underfunded, the staff are paid and treated horribly, it’s way too centralized to Dublin so rural areas get left behind, and private options are insanely expensive. I’ve heard of trans people being on a waiting list for treatment for over ten years. You can get denied treatment for gender dysphoria for any bullshit the doctor comes up with, including being autistic, being depressed, or having any kinds of history with drugs, even medicinal. None of this is to mention the rampant abuse, homophobia, transphobia, misogyny, racism, ableism and so on.