I work at a dental school.
He's on Medicaid, I don't know if he works.
You don't see someone dirty getting legitimate sex change assistance.
The meaning is probably obvious, but I don't understand this statement.
You don't see someone dirty getting legitimate sex change assistance because the patient has to undergo strict psychological counseling before they can even start. Therefore if he's physically dirty, he's gotten the hormones from somewhere else, like black market or stealing them himself.
There's a recent murder case of a married couple in Mass. She was an M.D. and he was something tangential to medicine that I forget. 16-20 years into their marriage he killed her. I guess they started out okay but he got nasty and slapping turned to beating. He was wearing her clothes and forcing her to provide him with vast quantities of hormones. By the time he killed her he had little juvenile boobies and a pageboy. He was an ugly bastard no matter what sex he was. I wish I could remember his name; he's probably having a tough time in jail...which he deserves. He killed her with a shotgun in front of their kids.