Thing That Never Happens Has Happened At Least $135 Million Times At Taxpayer Expense
We were charged big bucks to hurt the kids while they said it wasn't happening
A Congressional Budget Office analysis of Medicaid and the Children’s Health Insurance Program has found that taxpayers spent at least $135 million on transgender medicalization, including surgeries, on minors from 2019 to 2023.
Benjamin Ryan reports at The New York Sun that “combined CHIP and Medicaid spending on gender-transition interventions for minors increased from $17.2 million in 2019 to $34.1 million in 2023; the bulk of the spending went to puberty blockers, which are extraordinarily expensive.”
The study found 80,546 young people receiving this ‘care’ through a search of diagnostic and procedure codes that are approved for that purpose. As regular readers of The Distance will be aware, it is also very common for clinicians to use false medical billing codes for young patients, so this is still an undercount of the affected population.
That’s important to bear in mind because the new numbers are much higher than the ‘floor’ estimates produced by Stop The Harm in 2024. In preparation for Trump’s State of the Union address, Fox News highlighted those findings this week, producing a graphic that has been shared around the world. But it is already obsolete, now.

“We always knew our estimates represented the floor, not the ceiling,” Dr. Travis Morrell, a senior fellow at Do No Harm, told Benjamin Ryan. “One of the biggest questions left unanswered by this and other studies is that they do not capture the number of patients treated with inaccurate billing codes, something WPATH still recommends today on their website.”
Of course, this is all unpossible. It cannot possibly be true, for we were repeatedly assured that none of it was happening, that zero minors were being surgically altered, that no one had been harmed at all.
Now that the brutal lie is exposed, the real numbers keep growing. CBO report author Jared Lane K. Maeda finds that “gender-related surgery utilization for those aged 15 to 17 years was higher than previously reported.” Brace yourselves, it only gets worse from here.
According to a Washington state database, “Stiller Aesthetics, a cosmetic surgery practice led by Dr. Geoffrey Stiller, MD, has received more than $4.3 million from the Washington State Health Care Authority since July 2019” for ‘gender-affirming’ surgeries on prison inmates.
“Records show Stiller Aesthetics was a ‘facility contact’ on an internal prison list of gender medicine providers, and post-operative transgender surgery instructions from Stiller Aesthetics were distributed to inmates”, the Daily Wire reports.
In one case, a “staff member requested an inmate be placed in a single cell for a full year after undergoing genital surgery to provide privacy for their postoperative dilation needs” after vaginoplasty.
For prisoners, this procedure comes with an extraordinary housing privilege. Under normal circumstances, privacy simply does not exist in prison. But for the world’s most marginalized community, anything is possible.
“Ms. [redacted] has her gender reassignment surgery scheduled for 11/22/24, after which time she will require a private place to dilate for 30mins 3x daily for six months to 1 year,” states the document.
“Recommending up to 1 year single cell,” the document states.
Prisons were actually the first institutions that gender insanity captured. Captive female populations were perfect guinea pigs for the normalization of men in women’s spaces. A television show about women in prison, Orange Is The New Black, introduced a transgender character designed to make men in women’s prisons seem acceptable.
This mirrored the process by which ‘trans kids’ were revealed to us through curated ‘reality television’. Jazz Jennings was a media product from the age of 11. His chemical and surgical castration process was aired to the world in order to normalize it. Jazz was a transgender character designed to make poisoning and mutilating kids seem acceptable.
Donald Trump won his second term with an ad campaign (he was “for you”, while Harris was “for they/them”) highlighting his opponent’s support of free transgender surgeries for undocumented aliens in detention.
Trump first mentioned it in their debate. Time magazine initially labeled it “false”, but had to correct themselves. PolitiFact rated the claim “mostly true”, but not entirely true, because it “lacked nuance”. The New York Times, ABC News, and PBS all clamored for context, while FactCheck.org declared it is good, actually, that incarcerated aliens get transgender surgeries.
In that case, they could not lie. The rest is history. But history has a different solution for the ‘trans kids’ phenomenon, and for all the lies that were told to sell it to America as health care.
Whereas lawsuits made it possible to put men in women’s prisons in the first place, litigation is going to break the gender doctors. We saw recently that one detransitioned young woman can incur a $2 million jury award. It took a lot of spending to get us here, and now there will be hell to pay on the way out.



This is a new instance of possible trans terrorism . Attempted shooting NH Border agent similar to previous Zizian killing. BLU DALY
Investigators examining ideological ties of Border Patrol shooting suspect https://share.google/9C6pAmkiJaYdiQPWp