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Dr Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services. (Anna Moneymaker/Getty Images)
Mehmet Oz, better-known as Dr Oz, has raged about “$150k penis surgery” for trans youth, but he failed to cite any facts.
Dr Oz, who leads Medicaid and Medicare, announced on Thursday (18 December), alongside health secretary Robert F Kennedy Jr, measures that will ban gender-affirming care for trans youth.
The ban, part of Dr Oz’s bid to end “taxpayer funding of sex rejecting procedures for children in Medicaid and CHIP [children’s health insurance program], full stop”, takes the form of two new proposed rules from Medicaid and Medicare.
The first prevents doctors and hospitals from receiving federal Medicaid reimbursement for gender-affirming care provided to trans youth under the age of 18, while the second blocks all Medicaid and Medicare funding for any services at hospitals that provide pediatric gender-affirming care.
Medicaid, which is the health care program that covers low-income Americans, alongside older and disabled citizens, is taken at most hospitals, meaning the proposals could have a wide-ranging effect, as per New Hampshire Public Radio.
During announcing the proposals, Kennedy referred to gender-affirming care as “malpractice”, while Dr Oz went completely off topic.
The 65-year-old began ranting about the prices of bottom surgery, which is very rarely performed on individuals under 18.
“A vaginoplasty – a procedure a child does not need – costs $60,000,” he claimed, adding: “Shockingly, a phalloplasty, the creation of a penis, costs, on average, in America, $150,000 per child.
“I do believe, with doing some work, that these prices have continued to increase due to increased manufactured demand,” he continued. “A scrotalplasty, where you add testicles? That’s extra.”
Dr Oz didn’t clarify where he pulled his quoted figures from, but according to the Gender Confirmation Center, the price of a vaginoplasty is between $23,000 and $24,500, while phalloplasty ranges between $35,000 and $50,000.
According to 2025 data from the Williams Institute, about one per cent of people aged 13 and older identify as trans in the US, and despite the proposals attacking gender-affirming care for trans youth, multiple studies show that surgeries are rarely performed on minors.
A 2024 study by researchers at Harvard TH Chan School of Public Health found that no gender-affirming surgeries were performed on trans or gender diverse youth (TGD) aged 12 and younger in 2019, the most recent year for which data is available.
For teens ages 15 to 17 and adults ages 18 and older, the rate of undergoing gender-affirming surgery was 2.1 per 100,000 and 5.3 per 100,000, respectively. The majority of surgeries were chest surgeries.
Co-author Elizabeth Boskey, instructor in the Department of Social and Behavioral Sciences, said: “We found that gender-affirming surgeries are rarely performed for transgender minors, suggesting that US surgeons are appropriately following international guidelines around assessment and care.”
Lead author Dannie Dai, research data analyst in the Department of Health Policy and Management, added: “Our findings suggest that legislation blocking gender-affirming care among TGD youth is not about protecting children, but is rooted in bias and stigma against TGD identities and seeks to address a perceived problem that does not actually exist.”
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Faefyx Collington (They/Them)December 21, 2025, 4:41 pm ESTMay 14, 2024; New York, NY, USA; Speaker of the House Mike Johnson (center), and Vivek Ramaswamy (right) look on while former President Donald Trump speaks to the media alongside his lawyer Todd Blanche before his criminal trial at Manhattan criminal court at the New York State Supreme Court on May 14, 2024. Mandatory Credit: Justin Lane/Pool via USA TODAY NETWORK | Justin Lane/Pool via USA TODAY N
Yesterday’s announcement from Donald Trump’s Department of Health and Human Services (HHS) shows just why the 2026 midterms will matter so much, and why the 11 months of waiting to get there could be so disastrous. We need a Congress that will stand up and snatch back the purse strings as the Founding Fathers originally intended.
In the United States Constitution, Congress is granted the power of the purse: the right to decide how much to spend and on what. Also, importantly, it gets to decide when to remove funding. In the 70s, that was used to pull funding from the Vietnam War. That power does not belong with the Executive Branch, which the Constitution says must “take Care that the Laws be faithfully executed.”
Unfortunately, the Founders likely never imagined people like House Speaker Mike Johnson (R-LA) or Senate Majority Leader John Thune (R-SD), who have been willing to roll over and allow Trump to usurp their power, in violation of the basic concepts behind the checks and balances built into the Constitution.
Trump has been doing plenty of ruling by threatening public funding. But the Trump administration’s new plan to block gender-affirming care for trans youth is possibly the most egregious example so far.
Congress is already working to block gender-affirming care. This week, the House of Representatives passed two gender-affirming care bans for minors, one from Rep. Marjorie Taylor Greene (R-GA) and one from Rep. Dan Crenshaw (R-TX). Those bans are horrific, and we can only pray that the Senate will stop them, but they are at least going through some sort of democratic process.
The Trump administration has a way to move towards a gender-affirming care ban if that is in line with the will of the people and democracy. The HHS proposal doesn’t represent a ban; instead, it’s an end-run on democracy, hoping to conduct a scorched-earth funding pull that they should have no authority to do.
HHS hopes to pull federal funding for any hospitals that provide gender-affirming care to minors. HHS has coined the term “sex-rejecting procedures,” an inaccurate piece of nomenclature carefully designed to target only trans people, and not affect cis people, who actually receive the majority of gender-affirming healthcare.
The HHS funding blocking proposal would pull all federal funding from any institution that conducts any gender-affirming care for trans people, even if patients pay for it without using federal funds. Hospitals will have to either comply with the HHS plans by ceasing gender-affirming care or risk losing all federal funding for all other treatments. Major hospital systems have already cut their programs because of these sorts of threats.
Trans youth and their families would be left seeking institutions that only provide gender-affirming care and forgo all government funding, if such a place even exists. Additionally, the removal of Medicaid coverage could see prices rise.
There will certainly be pushback against this plan, especially from cities and states that have marked themselves as trans sanctuaries. But those challenges will take time, and a small interruption in care or even just the threat of it does huge damage to trans youth. Denial of care has been linked to increased rates of depression and anxiety, and for those who have begun puberty, the physical changes that can happen in a short time can be extremely upsetting.
Trump keeps using threats of pulling federal funding to power his authoritarianism. That tactic is only working because Congress isn’t stopping him and saying, “No, that’s our job.” When Nixon pulled federal funds as a way to end programs with the Environmental Protection Agency (a process called impoundment), Congress passed the Congressional Budget and Impoundment Control Act, which closed loopholes and ensured that the president couldn’t rule this way. The Supreme Court went on to rule in 1975 that the president did not have the power to overrule Congress by impounding funds.
Michael Dorf, a constitutional law professor at Cornell University Law School, spoke with ABC News early in the Trump presidency, when he first started using this trick. “If Congress says you’re spending that much money on the federal programs, that’s how much is being spent. The president cannot stop it even temporarily,” he said. “Congress passed this statue this very particular rules of what exactly the president has to do if he wants to not spend money on money Congress has spent. He can ask Congress to for a recission, but there is a 45-day clock and a bunch of procedures, none of which have been followed by Trump.”
Congress’ move here wasn’t just granting itself new powers, but providing a safeguard to ensure that the power of the purse remained where the Constitution had put it. Republicans are quick to wheel out the Constitution and the will of the Founding Fathers, but all of that seems forgotten under Trump. Instead, Congress is leaving decisions to be drawn out in protracted judicial battles, which ultimately run the risk of landing in the Trump-packed Supreme Court.
(While we’re at it, Congress is also the institution that has the power to do things like rename The John F. Kennedy Memorial Center for the Performing Arts. But they seem to have forgotten that bit of power too.)
All of those federal funding threats work well for Trump, as he and his administration can wave their hands and claim that they’re standing by their promise to cut bloated government spending (all while spending millions in taxpayer money on golfing and Kid Rock). But it all relies on a tactic that shouldn’t even be part of the presidential toolkit.
There might be a lot of justifiable hope in 2026 that things will work out. Elections this year have already shown a big swing away from Trump’s party. Republicans are resigning, opening more seats that the party could lose between now and 2027. And while Congress might be voting on gender-affirming care bans themselves, it took a capitulation to a hardline anti-trans Republican as she was heading out the door to get that to happen.
But we’re only halfway to those midterms, and there’s going to be a lot of pain if the current Congress can’t remember why they’re there for another year.
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This is just hate and bigotry. It is a group of people who hate trans people for some unknown reason and have made their life / career the harassment of trans minors who play sports. I can not see how this harms this reporter and his group in any way. To make your life about harming others is a real petty way to exist. Many conservatives use their religion to justify such hate but the Jesus of the bible never said a word against the entire LGBTQ+ community. So their hate is internally driven and they must be such miserable people. So Sad. The drive to regress the world’s most progressive countries back to an uneducated straight cis white male controlled society is really causing a lot of damage to people and freedom to express your life as you wish. It seems driven by two groups, the older people who are uncomfortable with the progression of society and younger religious people driven by wealthy religious hate groups. Hugs
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