“I do not think there is much money in “sexual assignment” surgery, not will there ever be.”
Vanderbilt in Nashville is making TONS of money with this. I expect there are many others, and have heard that one of the hospitals in Boston is one of them.
My grandson had neonatal heart surgery at Boston's Children's Hospital . It is one of the premier hospitals in the world for that procedure. They have more business than they can handle. Wealthy people bring their children there from all over the world for treatment. They do not have to scrounge for business. They are heavily influenced by their association with Harvard. Like I said, they are accepting bottomless risk, in return for no possible net increase in revenue. They are in an area that is chock-a-block with prestige hospitals. This is a terrible business decision. This is all risk for no imaginable financial gain. It's lunacy.