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Interesting approach , certainly puts more skin in the game for doctors performing surgical procedures to alter sexual identity appearances. Liability insurance would be prohibitively high( OB Doctors can be Sued this way already and have high premiums) and that in itself is a deterrent.The law would have to be written with exquisite care to avoid overreach into regular lifesaving procedures.We don’t need to worsen our already painful shortage of medical/ surgical practitioners while simultaneously trying to curb the outliers that are breaking their oath to do no harm.

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