Sex change operation..heh
Nobody in this forum cares Lallie what that person says but they keep talking anyway...
reality check...LOL
Sex change operation..heh
Nobody in this forum cares Lallie what that person says but they keep talking anyway...
reality check...LOL
I am real
100% true. Of course SRS is almost always out of pocket ......genital surgery is not uniquely costly.
Lea
Hell, my recent endoscopy with associated dilation of the esophagus sphincter was billed at one sky high level and paid at a rock bottom final cost and was still way too expensive! The hospital alone for a short stay room was billed at over $34,000 and paid out to them by the insurance company at about $1,300+. They have their rack rates and then their accepted payment amounts. No wonder no one understands what the true medical costs are. The big guys, hospitals, insurance companies, etc. like it that way.
There’s mountains of data available on health care payment rates. While you can’t always get at negotiated contract rates, there are published ranges typical for each state/area. A lot of insurance companies have price tools (for their subscribers). Medicare data are published. Hospital financials are usually available. Pharmacy prices are readily available, whether out of pocket or covered by insurance.
COST (and profit/loss, cash flow, and other metrics) - as opposed to patient/consumer pricing - is far more difficult as anyone remotely familiar with accounting and finance will attest. What’s the true cost of a procedure in a hospital where, for argument’s sake, there is only patient during the fiscal year? Is the real cost of a procedure more when done by a specialist? Does the availability of generic drugs drive the prices and cost structure of branded drugs up or down and why? What’s a reasonable cost allocation approach for a public clinic? There are HUNDREDS OF THOUSANDS of such potential considerations ... these are some of the simplest.
Personally, I think the simplest approach is to look at: 1) the income structures in the health care industry, 2) capital investment vs infrastructure health, 3) demand for critical care and the most basic preventive care as the most important basic statistics, and 4) ownership and wealth statistics for health care corporations. My take on those is that salaries are highly-skewed, investment and infrastucture health are in good shape (in the US), critical care is well-covered (if poorly from a process standpoint, again in the US), and that ownership is HIGHLY concentrated in the control of money managers, whose market needs drives the capital structure of the industry. I would draw subjective conclusions from there, but I’ll keep those to myself.
SRS is, in almost every respect you can think of, an anomaly in an otherwise highly-structured, if hugely-complex industry - whatever you choose to call it.
Aunt Kelly - IMNSHO, almost every statement in your response is incorrect. Start with the easiest, that of castration. An orichiectomy is almost universally acceptable as “sex change surgery” (or whatever other terms the particular statute uses) in the states that require surgery documentation for name and gender changes.
Lea
I do feel that way, and I do agree with you 101% on your "I am not a Woman; I don't want to be a Woman; I don't want to be mistaken for a Woman. - I am not a Man; I don't want to be a Man; I don't want to be mistaken for a Man. - I am a TRANSGENDER Human Being. And in fact for all it's worth, me too, I'm still trying to figure out what "That" actually means to my life." Thank you for the inspirational sharing!
I think that this thread has been taken as far off course as is possible. Time to close it