From Newsgroup: talk.politics.misc

On 3/9/2026 2:29 PM, Bradley K. Sherman wrote:

Grok, Gemini, ChatGPT, Encyclopedia Britannica, Wikipedia, and the
Council on Foreign Relations.

All currently woke DEI garbage sources.

While California grapples with a massive budget deficit and record homelessness, state lawmakers and San Francisco officials have quietly
turned taxpayer-funded Medi-Cal into a one-stop shop for
gender-affirming care, including cross-sex hormones, breast implants,
and genital surgeries. What’s worse is this funding is not just going to California and US citizens; it is going to illegal immigrants. As first exposed by investigative journalist Chris Rufo, the program extends
full-scope benefits to undocumented migrants who are living in taxpayer-supported housing.

Rufo’s reporting in City Journal pulls back the curtain on San
Francisco’s shelter system, where illegal immigrants from Honduras, Venezuela, El Salvador, and Mexico are receiving shelter, food, and
direct referrals to Medi-Cal-covered transgender procedures. At
MSC-South, the city’s largest shelter with a $66 million annual
contract, staff confirmed housing migrants and explicitly refusing
cooperation with federal immigration authorities. “When the ICE thing
was going around, we all had a meeting, and they told us, ‘We ain’t letting them in,’” one employee told investigators.

Residents interviewed on site included “Lyca,” a Honduran illegal immigrant identifying as a transgender woman, who openly stated he has Medi-Cal and is receiving cross-sex hormone therapy. Another Honduran, “Alondra,” was offered city-funded rent assistance. At the Embarcadero SAFE Navigation Center, “Jacqueline,” a Mexican national identifying as
a transgender woman, described receiving hormones and breast implants
through Medi-Cal despite being undocumented. “Even though you’re undocumented,” he said, “you can get them.” Jacqueline is now waiting for “bottom surgery”—the castration and creation of a neo-vagina. The Taimon Booton Navigation Center, a publicly funded facility specifically
for transgender, gender non-conforming, and intersex individuals,
funnels more of these migrants toward the same pipeline.

The mechanism is straightforward: California Governor Gavin Newsom and
the Legislature expanded full-scope Medi-Cal to all undocumented adults
in 2022, regardless of immigration status. The program now treats “gender-affirming care” as a medical necessity for anyone whose “gender identity does not match their gender assigned at birth.” Questions are
never asked about legal status at shelters or clinics. Word of this free medical smorgasbord is assuredly traveling south of the border. Come to California, get housed, and get your sex-change procedures on the house.

Taxpayers aren’t just paying for a one-time procedure. Gender-affirming hormone replacement therapy (HRT) is a lifelong commitment, with
California picking up the tab through Medi-Cal. Studies of commercially insured populations show median annual payer costs for feminizing (estrogen-based) hormone therapy around $153 per year and masculinizing (testosterone-based) therapy around $121 per year. Out-of-pocket costs
with coverage are often under $13 per month, but when Medi-Cal foots the entire bill, the state absorbs the full recurring expense. Over a
decade, that adds up to thousands per person; over a lifetime, tens of thousands.

Surgeries are where the real money flows. According to detailed claims data:

Vaginoplasty (male-to-female genital reconstruction, including
castration and neo-vagina creation): up to $45,080 per surgery.
Phalloplasty (female-to-male genital construction): up to $63,432 per
surgery.
Orchiectomy (testicle removal, often a precursor): around $6,927 per
surgery.
Top surgery (mastectomy or breast augmentation): typically $8,500–$16,000. Comprehensive male-to-female transitions, including facial feminization, breast implants, and bottom surgery, routinely exceed $35,000–$75,000. Female-to-male procedures can top $150,000 in complex cases. These are
not hypothetical figures—Medi-Cal reimburses providers at these payer
rates, meaning every procedure is a direct draw on California’s General
Fund and federal matching dollars.

Multiply that across even a modest number of patients in San Francisco’s shelters alone, and the costs compound quickly. According to the Budget Committee, the state is already on track to spend $8.4 billion this
fiscal year on Medi-Cal health benefits for illegal immigrants. That’s
more than $5 billion above earlier projections.

Governor Newsom and San Francisco leaders defend these policies as compassionate and nondiscriminatory. Yet California faces a structural
budget deficit, crumbling infrastructure, and a homelessness crisis that
has left veterans, families, and American citizens on the streets while shelters double as gateways to elective surgeries for foreign nationals.

Rufo’s whistleblower-driven investigation reveals the quiet reality: ideology has overtaken practicality. Public shelters do not verify
immigration status. Medi-Cal does not require proof of lawful presence
for these benefits. And clinics across San Francisco stand ready to
perform ridiculously expensive (and experimental) trans surgeries at
taxpayer expense.

California families struggling to pay their own medical bills or
watching their tax dollars vanish into state coffers have every right to
ask: Why are we funding sex-change operations for illegal immigrants
before we’ve housed our own veterans or fixed our broken streets? This isn’t accidental; it’s policy. And until Sacramento rethinks the blank-check approach to Medi-Cal for non-citizens, California taxpayers
will continue subsidizing not just shelter and food, but hormones,
implants, and irreversible surgeries, for anyone who makes it to a San Francisco shelter and asks.

https://californiaglobe.com/fr/california-taxpayers-on-the-hook-for-sex-changes-for-illegal-immigrants/
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