It’s all fun and games till they reach 65 and the tax payer is paying for unnecessary health care options. If someone is going to commit suicide because they can’t change their body to a man or woman, they need help mentally. Insurance companies take the hit with the taxpayer. If Medicare and Medicaid are forced into paying unnecessary health care procedures, the federal and state governments will be in unlimited debt. In the 90s insurance companies denied many cosmetic procedures, even if they weren’t cosmetic. Take TMJ for example, insurance doesn’t care how bad your jaw and face hurts, I was considered cosmetic to many insurance companies.