19 Inside the Gender Mutilation Scam Industry
On June 18, 2024, a former gender mutilation nurse named Vanessa Sivadge exposed the degree of fraud that occurs in the disgusting gender mutilation business. According to Venessa, doctors at Texas Children’s Hospital falsified medical records and broke the law to keep practicing “gender-affirming care”. They also committed Medicaid fraud to secure funds for the hospital’s child sex-change program. Here is a link to the article: https://www.city-journal.org/article/the-murky-business-of-transgender-medicine
Here are quotes from the article:
“Beginning in 2021, Sivadge saw a dramatic rise in the number of “transgender children” treated at the hospital. These patients struggled with various problems: depression, anxiety, addiction, suicide attempts, physical abuse, and discomfort with puberty. But rather than deal with these underlying psychological conditions, doctors at the hospital would diagnose them with “gender dysphoria” and assign them to “gender-affirming care. The practice made Sivadge recoil. “In the cardiac clinic, we were taking sick kids and making them better. In the transgender clinic, it was the opposite. We were harming these kids.”
Then, in 2022, she breathed a sigh of relief. Under pressure from the state attorney general, Ken Paxton, Texas Children’s CEO Mark Wallace said that he was shutting down the child gender clinic. But it wasn’t true. Mere days later, it had secretly reopened for business. And business was booming. Doctors were managing dozens of pediatric sex-change cases, performing surgeries, blocking puberty, and implanting hormone devices.
In Sivadge’s view, Roberts and other providers were manipulating patients into accepting “gender-affirming care.” When parents objected, the doctors bulldozed them, she claims. Some families, she believed, feared that the hospital would call Child Protective Services if they dissented.
Texas Children’s Hospital continued its sex-change program but focused now on patients who had reached the legal age of 18. Sivadge saw the same terrible medical regimen being prescribed for these young adults: testosterone for girls, estrogen for boys, and referrals for specialty services. While Roberts and Paul had stopped providing sex-change procedures for minors, the gender clinic still overflowed with “transgender” teens.
Sivadge’s duties as a nurse included providing medication refills and working with doctors to provide parents with information about treatment plans. She worked with patients’ charts and saw their complex psychological diagnoses and the treatments administered by the doctors.
Then Sivadge noticed discrepancies in the paperwork. She followed some of the medical charts for these patients and came to believe that doctors might be violating the law. As Sivadge learned, Texas law forbade hospitals from billing Medicaid for transgender procedures. The Texas Medicaid Provider Procedures Manual has long stated that “sex change operations” are “not benefits of Texas Medicaid.” In 2021, Texas Medicaid officials told the Kaiser Family Foundation that this prohibition was not limited to genital surgeries but “explicitly excludes coverage of all gender affirming health services.” In Texas, Medicaid and the Children’s Health Insurance Program already don’t cover transition-related surgeries and prescription drugs like hormone therapies and puberty blockers.
At Texas Children’s, as she was treating patients, Sivadge carefully scrutinized the treatments related to an alarming number of “transgender” teenagers, who, she came to believe, were unlawfully billing the state Medicaid program. One patient, whom we’ll call Patient A, began treatment at Texas Children’s in 2022, at the age of 16. Patient A is a biological female who identified as “non-binary” and whose records claimed that she was “male.” This patient began treatment with a prescription for testosterone as part of the patient’s “gender-affirming” medical regimen. During treatment, Roberts explained to Patient A the effects of testosterone, including masculinization and the suppression of fertility, and had her continue with testosterone injections.
Another patient, whom we’ll call Patient B, began care at Texas Children’s in 2022, also at the age of 16. Patient B is a biological male who identified as a female and whose records indicated the transgender identity, “female.” He arrived at the gender clinic under the care of Paul, already having begun a prescription of a testosterone blocker and estrogen, which served as a sex-change hormone. Patient B had increased the size of his breasts but was frustrated by the persistence of facial hair. Paul discussed changing the testosterone blocker and increasing the dose of estrogen in order to make progress with feminization. Patient B told Paul that he wanted his breasts to be larger. Paul adjusted Patient B’s estrogen prescription and discussed the possibility of breast implants.
Sivadge noticed another critical piece of information: Patient A and Patient B, like several other “transgender” patients, were enrolled in Texas Children’s Health Plan STAR, a “no-cost Medicaid managed care plan.” Despite the law, which prohibited billing Medicaid for “gender-affirming care,” it appears that this was a standard practice at Texas Children’s Hospital. As Roberts himself admitted in a 2023 affidavit related to the lawsuit against SB 14, he had several patients in his transgender medicine program “who receive their health coverage through Medicaid.”
According to a legal expert with deep knowledge of Texas Medicaid law, the essential facts are as follows: Patients A and B had coverage through Texas Children’s Plan STAR; the doctors explicitly treated them for the purpose of “gender-affirming care”; and the standard practice would be for the hospital to submit this care for reimbursement through the state Medicaid program. “Based on the facts we have, the only reasonable conclusion is that Texas Children’s Hospital was using Texas Medicaid funds to pay for ‘gender-affirming care,’ contrary to Texas law,” said the legal expert.
For Sivadge, there was no doubt about what was happening. “The largest children’s hospital in the country is illegally billing Medicaid for transgender procedures,” she said. “It is evident that the hospital continues to believe it is above the law not just by concealing the existence of their transgender medicine program from the public, but by stealing from the federal government.”
Sivadge now feels regret. “I was told to do something I knew was wrong. It made me sick that the lie called ‘gender-affirming care’ was being sold to parents and children and creating hugely lucrative profits in secret—and I was part of it.”
Sivadge is not the only one feeling regret. Doctors, families, and political leaders are all starting to question the folly of child sex-change programs. The sense is growing that the public was sold a bill of goods—and that children are being put in grave danger.