Living on $3,400 a month: How one couple pays the bills while juggling medical debt and saving for gender-affirming surgery

Alex Mixson and his wife Marley Britt have been struggling with medical debt, but that hasn't stopped them from trying to save up for his gender-affirming care.

Alex Mixson

• Alex Mixson delayed top surgery to support his wife, who has a chronic health condition that prevented her from working.
• Despite financial struggles, Mixson is fundraising for surgery, crucial for his safety and identity.
• A third of transgender Americans avoid seeking healthcare because of the costs.