US government report reveals mass insurance fraud in the gender change industry

[fromorbit]

Big news. The extent of this is appalling, but not surprising. With WPATH admitting its ideas have no basis the foundations behind the huge gender medical industry in the US is imploding.

HHS Releases Report Exposing Fraudulent Insurance Coding For Sex-rejecting Procedures On Minors

WASHINGTON, D.C. — August 13, 2026 — The U.S. Department of Health and Human Services (HHS) today released a report Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine,” a commissioned report examining insurance coding practices, perverse financial incentives, and the provision of sex-rejecting procedures for minors. Drawing on Centers for Medicare & Medicaid Services (CMS) Guidance, Department of Justice (DOJ) investigations, peer-reviewed scientific literature, hospital records, whistleblower testimony, nationwide insurance claims analyses, and interviews with patients and parents, the report presents HHS’ findings and recommendations about the industry pushing and profiting off so-called “gender medicine.” A shortform documentary illustrating the report’s findings and highlighting the stories of victims of predatory gender medical practices was also released in conjunction with the report.According to the report, more than 225 hospitals and health systems established pediatric gender programs nationwide. The report also analyzes nationwide claims data from 2015 through 2025 and identifies approximately $50 million in insurance claims for puberty blockers billed using endocrine disorder diagnostic code E34.9 (Endocrine Disorder, Unspecified). It further reports that nearly $11 million in claims for patients ages 13–17 were billed using a diagnosis code for precocious puberty E301 — findings the report says warrant additional review of insurance coding practices.
https://www.hhs.gov/press-room/hhs-report-insurance-coding-sex-rejecting-procedures-minors.html

This could have global impacts in the fight against this awful practice.

Just trying to lay my hands on my surprised face - it must be around here somewhere…

Thanks for sharing this - they have been warned about this for years - WPATH and the rest of the organisations profiting from this are absolute cowboys.

😬

Big Pharma vs Insurance. Two goliaths battling it out and the children who've been harmed (and continue to be harmed) are just the red shirts.

Reminds me of Godzilla and Kong.

I feel so sad for the young adults in the accompanying video to the report. What was done to them as children is horrifying.

Wow, shocked faces here.

Great analogy. I had not considered the heft of the health insurance industry up against big pharma. It could get messy.

Whistleblowers have spoken about this for years. Thank heavens it is getting some traction now. I hope they bankrupt the lot of them.

I'm surprised its taken this long. My DS has severe Crohn's and Im always shocked on US forums just how much people have to battle with insurance companies for medication which keeps their child alive from an actual clinically observable disease.

In shocked, shocked I tell ya.

All those ruined lives, I just hope the day of reckoning is coming, and the monsters pushing this end up in jail where they belong.

Can any Americans (or people familiar with the American context) say anything about the extent to which this is a genuine, evidence-based, solution-seeking expert report, rather than something tainted with the froth of ideology? It's contents appear completely unsurprising and realistic, but with govt in the US so corrupted by ideology it is hard to trust anything much without scrutiny.

Also, assuming that it is genuinely evidence based and has the welfare of gender-distressed people at heart, what are the chances of people in the US actually hearing it as such, and accepting its results?

I strongly recommend watching the accompanying video; it's only 12 mins long. Those young people are so brave to speak out in order to try to protect future children, and they deserve everyone's attention. I hope that they can find peace, and acceptance that they bear absolutely zero responsibility for the horrors that have been inflicted on them.

God, those poor girls. Did I miss it, were any boys transitioning to girls there?

It includes the mother of a boy but not the boy himself

Thanks. I wonder why there weren't more boys? I wonder if it's because they don't tend to have surgery until older.

https://www.politico.com/news/2026/08/13/vance-wants-justice-department-to-investigate-transgender-care-01036842

https://nitter.net/JDVance/status/2087939909239677308

Very disturbing that the US healthcare system and big pharma could be so conniving. And I feel desperately sad for children and young people who have the life their health and futures so deeply affected.

Having said that, I can longer take US government publications at face value. The report, including some peer reviews are here https://opa.hhs.gov/gender-dysphoria but I’m not sure they leave me any the wiser.

Will ne'er those hands be clean?

For all Vance’s shortcomings, he really gets why it’s a problem. I watched his interview with Joe Rogan when he was first announced as Trump’s running mate.

(The link leads to a '403 Forbidden' error. Any way to fix that?)

It seems to be a separate report, Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices, for which some evidence of peer review is provided, rather than the (rather emotively titled) Wolves in White Coats.

It is horrible not to be able to take govt reports at face value, but I do feel this one might owe at least something to the US govt's culture war, anti-trans, co-opting of legitimate concerns around "gender affirming" medicine. That doesn't detract from any evidence-based claims that it makes, but it will affect the the reception of it, and the possibility of progress.

Works ok for me

Not saying that the motive for the court case is right, but is is worth remembering that the reclassifying of Gender dysphoria as being a medical condition that could be covered by medical insurance was not just a win for TRAs but medical insurance companies.

And probably something that the Democrats should have questioned if not at the time, but in the following years.

I was interested to see that one of the contributors is May Mailman, who was one of the main authors of Trump's Executive Order 'Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government'.

May Mailman is the Director of the Independent Women’s Law Center and a former senior White House official for President Donald J. Trump's first and second terms. She previously served as Deputy Solicitor General for the state of Ohio. Ms. Mailman holds a JD from Harvard Law School and a B.S. from the University of Kansas.

That was extremely well drafted.

I've been reading some of the US news coverage of this, but came across this. May have been linked to on other threads.

'Lesbian Democrat' doctor leaves ACOG after exposing 'fraudulent' transgender research
https://www.liveaction.org/news/lesbian-democrat-doctor-acog-exposing-fraudulent-transgender

Not to side track thread, but just wondered how many others have lost the jobs, professional standing because of the wholesale following of WPATH.

Thanks for posting. Once again, it shows that some of the worst victims of this are the people who identify (or identified) as trans themselves.