Considering that Medicare eligibility is age 65, in the immortal words of Hillary Clinton: “What difference does it make?”
Of course, these confused people are probably already claiming SS disability benefits and eligible for Medicare after 2 years of their ‘debilitating condition’.
IMHO, after age 65, gender confusion should be assigned to senile dementia and treated with aspirin.
That was my first thought, too -- but from the Medicare.gov website, "if you arent yet 65, you might also qualify for coverage if you have a disability or with End-Stage Renal disease (permanent kidney failure requiring dialysis or transplant)"
"Disabled people who are approved for Social Security disability insurance (SSDI) benefits will receive Medicare". So as I read it, if someone is disabled -- perhaps because he/she is crazy, he/she is now eligible for a free sex change operation! Ain't America great!
When Medicare approves a procedure/service, that approval makes it’s way into all other insurance companies. Medicare pretty much sets the standard and makes the rules.
So even though they may not actually pay for that many sex operations for seniors (except of course for the disabled covered by Medicare, who can’t work because they can’t function in a man’s body-or whatever/sarc), by ‘approving’ coverage, they are opening the door for all other insurers, including Medicaid/Obamacare to pay for this procedure.