I hope these current reviews will also look into the role of Crowdfunders, which operate for profit, in enabling teenagers and young people to access the money for private, off-piste 'top surgery' and other drugs and operations. There are currently 56 pages for 'top surgery' on GoFundMe, with 18 fundraisers to a page, each looking to raise thousands of pounds for mastectomies, presumably done privately outside health service checks and balances, and from which money the website takes a cut. Many of these fundraisers look very young: I've seen crowdfunders on there run by parents for their children. Many have childlike drawings accompanying the page. Most are, by definition, too young to be earning serious adult wages. If they were, they wouldn't need to be asking strangers for cash.
I strongly believe it has been the development of crowdfunding sites that has made the surgery and pharma industries realise they can earn big money from a whole new market by targeting youngsters - more money than was ever possible to prise out of teenagers before such websites existed.