A handful of states cover medical costs for transgender Medicaid recipients, but Oregon is the only one that uses Medicaid funds to help pre-transgender kids delay puberty. Temporarily suppressing puberty requires a shot of a drug called Lupron every three months, at a cost of about $7,500 per injection, but "people with gender dysphoria that did not receive treatment had a much higher rate of hospitalizations or ER visits or doctors visits for depression and anxiety, and they had a pretty significantly high suicide rate," Dr. Ariel Smits tells NPR.
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