The treatment of transsexuals turns medicine into a system of well organised prejudice, cruelty and mistreatment. Patients are abused while the perpetrators are convinced that this is necessary, good treatment! In volume I of Manufacturing Insanity Eva examines how it is possible that patients suffer and die while doctors watch in complete denial. Maybe this denial of patient's needs and rights, all the abuse and death is created by an inherent systemic inability of medicine to acknowledge just these needs? But doctors letting their patients suffer and die because they are incapable to accept their own shortcomings? That's insane! Well, maybe not! Because on her way through the jungle of medical history, politics, practice, self-understanding and the patient experience Eva finds that in the end this is all about sex, power and cultist beliefs! The one piece in the puzzle that is completely irrelevant is the emotional integrity of the individual patient! Welcome to Manufacturing Insanity!