Just before the end of 2020, California Insurance Commissioner Ricardo Lara issued an order stating that insurance companies cannot refuse to pay for a minor girl’s mastectomy just because she isn’t 18 yet. He reached this conclusion by defining the surgical removal of healthy breasts and the “creation of a male chest” as medically “necessary” for girls suffering from gender dysphoria (the painful sense of identifying with the gender opposite their biological sex) rather than “cosmetic.” This means that a gender dysphoric girl’s healthy chest would be considered “abnormal” if she identifies as male. “For far too long, individuals diagnosed...