Insurance Fraud Is Widespread in Transgender Medicine

City Journal ^ | Oct 30 2025 | Leor Sapir

[E. Pluribus Unum]

A key strategy in the Trump administration’s crackdown on gender medicine is identifying and prosecuting insurance fraud. A common form of potential billing fraud involves use of the diagnosis “Endocrine Disorder Not Otherwise Specified” (E34.9 in the International Classification of Diseases handbook), instead of “Gender Identity Disorders” (F64), for patients who do not have or are not being treated for endocrine disorders.

Critics of gender medicine might argue that fraud exists even with appropriate diagnostic coding. The “gender dysphoria” diagnosis, the reasoning goes, was created in 2013 for the purpose of ensuring insurance coverage for medical interventions.

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The argument is not without merit. In the 2010s, advocates of gender medicine in the United States recognized the dilemma for their field. Delisting gender identity disorder from the Diagnostic and Statistical Manual of Mental Disorders (DSM) would “destigmatize” gender incongruence, but at the expense of losing insurance coverage, which requires a diagnostic code. Because people who wished to undergo medical transition had no physical pathology, it was not possible to adopt a physiological diagnosis.

Heino Meyer-Bahlburg, a prominent figure in transgender medicine, concluded at the time that “the decision on the categorization of GIV [gender identity variants] cannot be achieved on a purely scientific basis” and called for “a pragmatic compromise.”

The compromise arrived in 2013, when the American Psychiatric Association replaced gender identity disorder with “gender dysphoria” in the DSM-5. Unlike gender identity disorder, the concept of gender dysphoria was not thought to imply that the mismatch between a person’s sex and self-conception of being a man or woman was itself a disorder.

The conceptual problem, however, was not resolved but merely swept under the rug in the interest of working...

[SaveFerris]

["TRANSGENDER"]

Godless Reprobate DEMOCRAT Goat 🐐 Joe Biden

The Biden/Harris administration hosts "TRANSEXUALS" at the White House in 2023, and goes on to establish the "The Transgender Day of Visibility" on the same day as Easter Sunday in 2024.

[and His (Charlie Kirk assassin) Trans Boyfriend Proclaimed Support for DEMOCRAT JOE Biden on Social Media]

Satan loves to sow confusion

GODLESS REPROBATE DEMOCRATS mutilate children
for That Old Serpent call the Devil and Satan

Like Democrat Son of Satan Barack Hussein Obama,
Resident Democrat Joe Biden is spirit of antichrist

God may not be a Republican
But Satan is certainly a Democrat.

Hopefully we can continue to raise awareness and inspire Conservative politicians to help fight back

CHRISTIANS should ESPECIALLY be against this because this is a direct war by The Enemy, SATAN, on the Word of God

Despite what the Lying Mop-head said, DEMOCRAT Joe Biden
SPECIFICALLY went to war against God and the Bible ON
PURPOSE on EASTER SUNDAY, MARCH 31, 2024

LURKERS, PLEASE TELL EVERYONE YOU KNOW -
SHARE THE IMAGES and TEXT via EMAIL / TEXT MESSAGES

DEMOCRAT JOE BIDEN WENT OUT OF HIS WAY TO INSULT THE
RESURRECTION OF OUR LORD & SAVIOR JESUS CHRIST ON

EASTER SUNDAY,
MARCH 31, 2024



Pastor Greg Laurie:

This is really hard to believe.

(DEMOCRAT) President Biden issued a proclamation recognizing March 31 (2024) as Transgender Day of Visibility.

This is also the date of Easter where we celebrate the fact that Jesus Christ rose from the dead. What is the president thinking?

This is a profound insult to the sincerely held religious beliefs of millions of Americans on our holiest day.

America needs God more then ever and yet this is the stance the White House takes.

It’s time to turn back to God not turn our backs on God.

We need to repent and pray for a spiritual awakening in America. It is our only hope.

https://x.com/greglaurie/status/1774211754371018918

We are NOT the same

[SaveFerris]

The Democrats don't even know WHICH BATHROOM to use.

The Democrats don't know that a man in a dress 👗🥻 IS NOT A WOMAN

How can we expect them to figure out anything else? 😄😆🤣🤣🤣😂



Democrats are at War
with Reality, Biology
and Almighty God

[fwdude]

The insurance coding system is DESIGNED with fraud in mind.

[Gen.Blather]

It seems one huge aspect of the problem is they did do away with the stigma. If just one doctor had said, “What?! You’re crazy!? I’m not going to ‘transition’ you. I’ll refer you to a psychiatrist.” That patient would have gone back to just cross dressing in the privacy of his own home.

As people who have had their gonads cut off age, they’ll start to have substantially more disabling medical issues than they would have had otherwise. A friend in his eighties recently was given medication to chemically castrate him, to treat cancer. There’s an uncommon side effect of psychosis. Yep. He got it. While in a psychotic state he became angry. His blood pressure shot up, and he had multiple strokes. The thing is he had someone who was supposed to be monitoring his response every day. They charted it but didn’t take him off the medication.

I visited my friend yesterday. In broken, stuttering speech he said he’d much rather he’d just died.

[E. Pluribus Unum]

The insurance coding system is DESIGNED with fraud in mind.

The MEDICAL coding system was never intended to be used for ACCOUNTING purposes, but they hijacked it anyway.

[GingisK]

I’d wager a guess that all of it is fraud plied upon the mentally ill.