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The highest penalties on hospitals are charged after knee or hip replacements, $265,000 per excess readmission. [40] The goals are to encourage better post-hospital care and more referrals to hospice and end-of-life care in lieu of treatment, [ 41 ] [ 42 ] while the effect is also to reduce coverage in hospitals that treat poor and frail patients.
Many transgender people experience gender dysphoria, and some seek medical treatments such as hormone replacement therapy, gender-affirming surgery, or psychotherapy. Not all transgender people desire these treatments, [ 16 ] and some cannot undergo them for legal, [ 17 ] financial, [ 18 ] or medical [ 19 ] reasons.
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