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Transgender people are prone to depression, and that's expected when you live in a body that you want to rip your way out of it. I don't think anyone would "choose" to feel that way.

What sort of soldier continues to be "mentally fit" throughout their service though?

I am pretty sure many soldiers experience PTSD, depression and a plethora of other mental disorders, especially in the American army where psychos and war criminals are allowed to join and unleash their craziness. So please, come up with a different explanation as to why Trump made this decision. I am neutral to his decision so far but that's because I don't get why people join the army in the first place.