Exactly, and there are hospital administrators and other professionals in this sphere who are on record (as in, recorded in conferences where they are speaking

Exactly, and there are hospital administrators and other professionals in this sphere who are on record (as in, recorded in conferences where they are speaking freely) as having said exactly this. They know it's a growth area in the for-profit health industry and are quite happy to see more hormones, more surgeries, more follow-up work being offered as a first-line treatment to people undergoing such identity crises. There's no money to be made in watchful waiting.