Discover more from Courageous Discourse™ with Dr. Peter McCullough & John Leake
Nationwide Estimates of Gender-Affirming Chest Reconstruction in the United States, 2016-2019
Only 5.5% of Cases were Self-Pay
By Peter A. McCullough, MD, MPH
The transgender narrative is quickly replacing news on COVID-19 and social media is loading up on images of men who have undergone breast augmentation to look more like women. These main retain the penis and testicles and have full male sexual function. Conversely, women changing to men opt for elective mastectomy of normal breast tissue. Who is paying for all of this? Section 1557 of the Affordable Care Act, introduced in 2016, increased access to gender-affirming surgeries for transgender and gender diverse individuals.
Das et al reported from a nationwide sample over 2016 to 2019. They found: “A weighted estimate of 21,293 encounters for chest reconstruction were included (17,480 [82.1%] masculinizing and 3813 [27.9%] feminizing). Between 2016 and 2019, the number of chest surgeries per 100,000 encounters increased by 143.2% from 27.3 to 66.4 (P < 0.001). A total 12,751 (59.9%) chest surgeries were covered by private health insurance, 6557 (30.8%) were covered by public health insurance, 1172 (5.5%) were self-pay, and 813 (3.8%) had other means of payment. The median total charges were $29,887 (IQR, $21,778-$43,785) for chest reconstruction overall.”
The bottom line is only 5.5% of transgender individuals pay for their cosmetic surgery which is very different from normal male or female plastic surgery which is almost always self-funded. Repeal of payment for gender-affirming surgeries would be expected to markedly reduce this disfiguring and unnecessary cost to the health-care system.
If you find “Courageous Discourse” enjoyable and useful to your endeavors, please subscribe as a paying or founder member to support our efforts in helping you engage in these discussions with family, friends, and your extended circles.
Das RK, Evans AG, Kalmar CL, Al Kassis S, Drolet BC, Perdikis G. Nationwide Estimates of Gender-Affirming Chest Reconstruction in the United States, 2016-2019. Aesthet Surg J. 2022 Dec 14;42(12):NP758-NP762. doi: 10.1093/asj/sjac193. PMID: 35863009; PMCID: PMC9750664.