The US is the only "advanced" country in the world with a healthcare system entirely driven by the profit motive. Online "affirmative" gender clinics are only the beginning. ICD-11 redefines gender dysphoria (under mental health) as gender incongruence (under sexual health). https://twitter.com/briejnm/status/1152318292121440256 …
Medicare/Medicaid contract with private providers. They set rates (like insurance companies do), but it's still profit-driven. Even "nonprofits" are about getting rich. (Ever looked up the salaries for the people running those private hospitals?)