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Taxpayer Funding

Increased Healthcare Costs for All Marylanders
GENDER-AFFIRMING SURGERIES, AVERAGE COSTS (1993-2019)
Includes costs incurred after each procedure for a 14 day window
SURGERIES
Phalloplasty (Construction of a penis)
Vaginoplasty (Construction of a vagina)
Hysterectomy (Removal of uterus and cervix)
Orchiectomy (Removal of the testicles)
Mastectomy (Removal of breasts)
Mammoplasty (Reshape breasts)
FFS (Facial Feminization Surgeries)
Per Procedure
$65,318
$47,285
$16,050
$8,177
$14,481
$17,298
$29,963
Per Person
$137,985
$56,269
$16,167
$8,177
$14,924
$18,649
$36,572
(multi-episode procedures)
(multi-episode procedures)
MEDICATIONS to maintain suppression of Natural Hormones
Testosterone
Estrogren and Anti-Androgens
GnRH Agonists (Gonadotropin Releasing Hormone) *Puberty Blocker
Age When Starting
> 14 years old
> 14 years old
8-14 years old
End Point / Duration
Lifetime Medical Dependence to maintain gender appearance
Lifetime Medical Dependence to maintain gender appearance
3-5 years
Annual Medication Costs Per Person
$723
$1,193
$17,838

Data from NIH National Library of Medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9679590/

Table above reveals costs associated with gender-affirming surgeries and related hormone therapies. When any law is passed that promotes certain behaviors, those behaviors tend to increase. When something becomes a Constitutional right, money cannot be a barrier to exercise that right. All Marylanders will be paying for these elective, experimental surgeries and related hormone costs through increased taxes and private health insurance premiums.

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