Thanks to all for reading my report about the Do No Harm analysis on the numbers of youth who have received pediatric gender-transition treatment and surgeries. Give me a follow if you're so inclined. I report often and in-depth about this controversial medical field.
Thank you for this work and writing. The numbers are also high for vulnerable twenty somethings. Many parents including myself have lost kids to medicalization in this demographic.
This is madness. We knew the number was likely very high for puberty blockers & hormones, but radical trans activists have been saying “nobody is doing surgery on minors” for years. Oh, except for the 5,700+ times they did.
It IS amazing how people talk themselves into these positions.
When the Cass Review was released, I discussed gender drugs with some folks, who were vociferously supportive of their use. They took three distinct steps:
1) These drugs are completely safe.
2) These drugs are not necessarily safe, but people take experimental drugs all the time.
3) These drugs may not be safe, but there is informed consent so it's fine.
At the point I dropped out of the discussion, realizing that these people were commmitted and nothing--not facts, not logical argument, not reality--was going to change that. I suspect, though, that in twenty years, when this gender stuff is seen in the same light as recovered memories and multiple personalities, these people will act as though they'd never been in the least supportive of it.
You may be surprised to find that there are adult transsexuals who are against gender reassignment surgeries for minors. This is an immensely complex issue, but basically the 'Transgender Movement' is driven by 'Queer Activists' who infiltrated, colonised and weaponised the medical condition of transsexualism, which up until quite recently was subject to serious gatekeeping. Also irresponsible pharmaceutical companies and surgeons have seen an opportunity to make huge profits off of people including minors who have suffered contagion from the activists.
I go into extensive detail about this in my book 'The War on Gender ~ Postmodernism and Trans Identity' which can be found on Amazon.
I would be happy to engage on this subject whether in comments, DM, email, Zoom or podcast.
Good article, and now is a good time to consider the medical rhetoric around trans medical care.
Quote:
“Gender-transition treatment is a substantial source of revenue for a number of large hospitals. Keep in mind, however, that even if Mount Sinai brought in all $8.2 million they billed for such medial care over five years, this would only have amounted to 0.05 percent of the hospital system’s total revenues during that period, of about $17 billion.”
This statement contradicts itself. 0.05% of revenue is not substantial, it’s barely “material” in financial audit terms. It’s often a “rounding” error.
As we’ll see the numbers are a mirage to frighten you. At a hospitals which can change a notorious $400 a Tylenol, trans surgical care can actually cost the equivalent of 10-20 of those Tylenol.
Quote:
“Accordingly, users of the Do Not Harm website can […] over the five-year period of the analysis, California health care providers treated at least 2024 minors with gender-transition treatments, billing nearly $29 million for 1359 surgeries […]
You can easily see that that $29 million over five years actually means $6 million a year, and we will see that it really means perhaps $2m cash received for 270 surgeries, or $7k a surgery. The total market revenue for California annually is less that the average US used Toyota dealership revenue.
I’m going to use the term “blockbuster” instead of “big moneymaker” for trans medical care. It helps to put in perspective.
Looking at California only, At around $15k per child average billed annually, this is not a “blockbuster” or anywhere near since the care cost is so low, and so few children use it. (I’ll get back to billed va paid.)
At $15k per child billed, it’s around the price of a used Toyota, or a Tonsillectomy.
Nobody is touting tonsillectomies as “blockbuster moneymakers” even though they are performed 500 times more often than surgery for trans.00
1. How is it that tonsillectomies are not blockbusters for children at 500,000 a year, but these are blockbusters at 1,200 year at the same billed cost? Not a blockbuster.
2. 6000 surgeries for 5700 (let’s say 6000) kids over 5 years is 240 kids a year per age cohort (13-17). That’s not a blockbuster.
3. So of the claimed 60,000 trans kids the Williams institute claims exists per age cohort, (more than gay kids now, mind you!) 240 have surgery on average? 99.6% don’t have surgery? That’s not a blockbuster.
Now let’s look at the “insurance claims” amounts.
Hospitals may charge 2x - 4x the cost of a
Procedure on a bill - or higher. However, “in-network” hospitals have negotiated a rate for standard procedures with each insurer so they can market themselves to group insurance rate holders. The negotiated rate is closer to actual cost +20%.
If you have an identical in-network or out-of-network hospital you’ll chose the one in-network, cheaper perhaps, if has no deductible and has “full coverage” perhaps. That means that while the bill you see - “the claim” may be $15K (average) for these procedures (“list price”) the insurance company has negotiated a discount of 60-70% on the claim.
I can’t see the insurance data but to be clear, while a hospital may make a claim for an amount - $15,000 - the insurance provide then has an agreed fee - $5,000 - then you see an adjustment of $10,000. The adjustments don’t appear on a hospitals revenue line, or on cost of the procedure. It probably appears on cost of sales - because it’s a marketing expense on an inflated fee.
So? What does that mean? While providers may have billed a total $120M over 5 years or $24M a year, they may have received only $10M total per year over the whole US after “adjustments”. Think of that. You read $120M over 5 years and it may actually mean $10M a year cash revenue.
4. The actual cash received per child treated - for the 400 children a year per age group - is closer to $5K on average. That’s less than a used Toyota and consistent with reported costs of procedures by multiple sources like NIH. Not a blockbuster.
5. Deadpool x Wolverine brought in around $660m cash revenue in the US this year. That’s a blockbuster. That’s 3,300% more than all child trans surgery at perhaps $20m. This is not a blockbuster.
6. An average used car dealership brings in about $7-8m in cash revenue per year. A large Toyota used car dealership brings in about as much revenue as all trans surgery a year. That’s not a blockbuster.
7. An average Toyota used car dealership in the US brings in as much cash revenue as all trans surgery has in California per year. That’s not a blockbuster.
Why are there constant claims of “huge moneymaker” or “blockbuster” or $2-$5B market for this?
First, to make money. A $2-$5B annual US market claim has been created by numerous fake marketing research “farms” (as far as I can ascertain) in India. A payment of $2000 gets you a completely spurious market analysis on any subject. I find them quite amusing since under 5-6 names they appear with the same data. Even same website structure.
Second, self marketing. Hospitals will always be claiming to be in the forefront of any medical procedure, until it’s a problem. How many hospital groups have Fen-Phen clinics today? $13B later in paid medical damage claims later it’s disappeared. In the hospital world doing lots of procedures is evidence that you have experts. Until trans medical care is fully understood to be an atrocity similar to prefrontal lobotomy, it will be on “top-10” procedure lists until it isn’t.
Third, to find a criminal for these atrocities. “Big Business” is a convenient metaphor, and tried and proven. Unfortunately it’s simply nonsense in this case, and portraying trans parents as the underdog fighting big pharma “pushing” a marginal revenue procedure will backfire because it’s simply not true.
The condition of trans gender identity was created through medical misconduct and falsified research by psychologists, just the same as “psychosurgery” and lobotomies.
Trans delusional fetishists with the cooperation of psychiatry have groomed parents, physicians, surgeons, and politicians into believing delusions can be cured by chemical sterilization used primarily on sex criminals in the past, and sexually mutilating and sterilizing surgery, and provided new euphemisms to hide the nature of the medical abomination.
The classifying of unhappiness “that a delusion isn’t real” is from the world of medicine. The treatment of a delusion by mutilating healthy tissue or sterilizing chemistry is equivalent to medieval drilling holes in heads to release demons.
Psychiatry is the source, the proponent, and the self-delusional medical system at fault, with no real financial benefit. As trans does, psychiatry attempts to maintain an institutional delusion that trans care is a form of legitimate medicine and not pseudo-science.
Also, I have a question for Ben unrelated to this article, but since I don't use social media (unless you consider Substack comments social media) I'll ask it here: A couple of weeks ago a bunch of state attorneys general sent a letter to the AAP request information about how the 2018 policy statement supporting gender affirming care was drafted and approved. I believe the deadline for the AAP to respond was yesterday. Are you aware of whether the AAP responded to that letter?
Thanks to all for reading my report about the Do No Harm analysis on the numbers of youth who have received pediatric gender-transition treatment and surgeries. Give me a follow if you're so inclined. I report often and in-depth about this controversial medical field.
Thank you for this work and writing. The numbers are also high for vulnerable twenty somethings. Many parents including myself have lost kids to medicalization in this demographic.
This is madness. We knew the number was likely very high for puberty blockers & hormones, but radical trans activists have been saying “nobody is doing surgery on minors” for years. Oh, except for the 5,700+ times they did.
”it's a conspiracy theory"
"It's not happening"
"If it wasn't happening it wouldn't be any of your business anyway"
"It's happening but it's a good thing"
"Why are you asking questions? Are you a bigot?"
Exactly
It IS amazing how people talk themselves into these positions.
When the Cass Review was released, I discussed gender drugs with some folks, who were vociferously supportive of their use. They took three distinct steps:
1) These drugs are completely safe.
2) These drugs are not necessarily safe, but people take experimental drugs all the time.
3) These drugs may not be safe, but there is informed consent so it's fine.
At the point I dropped out of the discussion, realizing that these people were commmitted and nothing--not facts, not logical argument, not reality--was going to change that. I suspect, though, that in twenty years, when this gender stuff is seen in the same light as recovered memories and multiple personalities, these people will act as though they'd never been in the least supportive of it.
You may be surprised to find that there are adult transsexuals who are against gender reassignment surgeries for minors. This is an immensely complex issue, but basically the 'Transgender Movement' is driven by 'Queer Activists' who infiltrated, colonised and weaponised the medical condition of transsexualism, which up until quite recently was subject to serious gatekeeping. Also irresponsible pharmaceutical companies and surgeons have seen an opportunity to make huge profits off of people including minors who have suffered contagion from the activists.
I go into extensive detail about this in my book 'The War on Gender ~ Postmodernism and Trans Identity' which can be found on Amazon.
I would be happy to engage on this subject whether in comments, DM, email, Zoom or podcast.
Is there a recording of Dr. Peters' Instagram discussion anywhere?
https://www.globenewswire.com/news-release/2023/10/19/2763002/0/en/Sex-Reassignment-Surgery-Market-Worth-6-26-Billion-by-2030-Exclusive-Report-by-The-Insight-Partners.html
https://www.mountsinai.org/about/newsroom/2019/the-staggering-costs-of-being-transgender-in-the-us-where-even-patients-with-health-insurance-can-face-sixfigure-bills-benji-jones
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9679590/
Good article, and now is a good time to consider the medical rhetoric around trans medical care.
Quote:
“Gender-transition treatment is a substantial source of revenue for a number of large hospitals. Keep in mind, however, that even if Mount Sinai brought in all $8.2 million they billed for such medial care over five years, this would only have amounted to 0.05 percent of the hospital system’s total revenues during that period, of about $17 billion.”
This statement contradicts itself. 0.05% of revenue is not substantial, it’s barely “material” in financial audit terms. It’s often a “rounding” error.
As we’ll see the numbers are a mirage to frighten you. At a hospitals which can change a notorious $400 a Tylenol, trans surgical care can actually cost the equivalent of 10-20 of those Tylenol.
Quote:
“Accordingly, users of the Do Not Harm website can […] over the five-year period of the analysis, California health care providers treated at least 2024 minors with gender-transition treatments, billing nearly $29 million for 1359 surgeries […]
You can easily see that that $29 million over five years actually means $6 million a year, and we will see that it really means perhaps $2m cash received for 270 surgeries, or $7k a surgery. The total market revenue for California annually is less that the average US used Toyota dealership revenue.
I’m going to use the term “blockbuster” instead of “big moneymaker” for trans medical care. It helps to put in perspective.
Looking at California only, At around $15k per child average billed annually, this is not a “blockbuster” or anywhere near since the care cost is so low, and so few children use it. (I’ll get back to billed va paid.)
At $15k per child billed, it’s around the price of a used Toyota, or a Tonsillectomy.
Nobody is touting tonsillectomies as “blockbuster moneymakers” even though they are performed 500 times more often than surgery for trans.00
1. How is it that tonsillectomies are not blockbusters for children at 500,000 a year, but these are blockbusters at 1,200 year at the same billed cost? Not a blockbuster.
2. 6000 surgeries for 5700 (let’s say 6000) kids over 5 years is 240 kids a year per age cohort (13-17). That’s not a blockbuster.
3. So of the claimed 60,000 trans kids the Williams institute claims exists per age cohort, (more than gay kids now, mind you!) 240 have surgery on average? 99.6% don’t have surgery? That’s not a blockbuster.
Now let’s look at the “insurance claims” amounts.
Hospitals may charge 2x - 4x the cost of a
Procedure on a bill - or higher. However, “in-network” hospitals have negotiated a rate for standard procedures with each insurer so they can market themselves to group insurance rate holders. The negotiated rate is closer to actual cost +20%.
If you have an identical in-network or out-of-network hospital you’ll chose the one in-network, cheaper perhaps, if has no deductible and has “full coverage” perhaps. That means that while the bill you see - “the claim” may be $15K (average) for these procedures (“list price”) the insurance company has negotiated a discount of 60-70% on the claim.
I can’t see the insurance data but to be clear, while a hospital may make a claim for an amount - $15,000 - the insurance provide then has an agreed fee - $5,000 - then you see an adjustment of $10,000. The adjustments don’t appear on a hospitals revenue line, or on cost of the procedure. It probably appears on cost of sales - because it’s a marketing expense on an inflated fee.
So? What does that mean? While providers may have billed a total $120M over 5 years or $24M a year, they may have received only $10M total per year over the whole US after “adjustments”. Think of that. You read $120M over 5 years and it may actually mean $10M a year cash revenue.
4. The actual cash received per child treated - for the 400 children a year per age group - is closer to $5K on average. That’s less than a used Toyota and consistent with reported costs of procedures by multiple sources like NIH. Not a blockbuster.
5. Deadpool x Wolverine brought in around $660m cash revenue in the US this year. That’s a blockbuster. That’s 3,300% more than all child trans surgery at perhaps $20m. This is not a blockbuster.
6. An average used car dealership brings in about $7-8m in cash revenue per year. A large Toyota used car dealership brings in about as much revenue as all trans surgery a year. That’s not a blockbuster.
7. An average Toyota used car dealership in the US brings in as much cash revenue as all trans surgery has in California per year. That’s not a blockbuster.
Why are there constant claims of “huge moneymaker” or “blockbuster” or $2-$5B market for this?
First, to make money. A $2-$5B annual US market claim has been created by numerous fake marketing research “farms” (as far as I can ascertain) in India. A payment of $2000 gets you a completely spurious market analysis on any subject. I find them quite amusing since under 5-6 names they appear with the same data. Even same website structure.
Second, self marketing. Hospitals will always be claiming to be in the forefront of any medical procedure, until it’s a problem. How many hospital groups have Fen-Phen clinics today? $13B later in paid medical damage claims later it’s disappeared. In the hospital world doing lots of procedures is evidence that you have experts. Until trans medical care is fully understood to be an atrocity similar to prefrontal lobotomy, it will be on “top-10” procedure lists until it isn’t.
Third, to find a criminal for these atrocities. “Big Business” is a convenient metaphor, and tried and proven. Unfortunately it’s simply nonsense in this case, and portraying trans parents as the underdog fighting big pharma “pushing” a marginal revenue procedure will backfire because it’s simply not true.
The condition of trans gender identity was created through medical misconduct and falsified research by psychologists, just the same as “psychosurgery” and lobotomies.
Trans delusional fetishists with the cooperation of psychiatry have groomed parents, physicians, surgeons, and politicians into believing delusions can be cured by chemical sterilization used primarily on sex criminals in the past, and sexually mutilating and sterilizing surgery, and provided new euphemisms to hide the nature of the medical abomination.
The classifying of unhappiness “that a delusion isn’t real” is from the world of medicine. The treatment of a delusion by mutilating healthy tissue or sterilizing chemistry is equivalent to medieval drilling holes in heads to release demons.
Psychiatry is the source, the proponent, and the self-delusional medical system at fault, with no real financial benefit. As trans does, psychiatry attempts to maintain an institutional delusion that trans care is a form of legitimate medicine and not pseudo-science.
Blockbuster? No.
Atrocity? Yes.
Psychiatric delusion? Absolutely.
Thanks for all the excellent research you have done for this report.
So how is it that somebody finds money for this butchery when so many people can’t get proper care for serious medical conditions?
There is real money in the mutilation and sterilization of children, apparently.
Also, I have a question for Ben unrelated to this article, but since I don't use social media (unless you consider Substack comments social media) I'll ask it here: A couple of weeks ago a bunch of state attorneys general sent a letter to the AAP request information about how the 2018 policy statement supporting gender affirming care was drafted and approved. I believe the deadline for the AAP to respond was yesterday. Are you aware of whether the AAP responded to that letter?
Would you like to watch a documentary of a child in the UK who is born transgender? BORN!
Bullshit scare tactics. How many little Johnny’s go to school in the morning and return as little Sally. Zero!
https://youtu.be/ChbMt9qJgaA