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Wren Vetens was promised a significant discount on the cost of her gender confirmation surgery if she paid in cash upfront, without using her health insurance. Yet after the surgery, Vetens received an explanation of benefits saying the hospital had billed her insurer nearly $92,000. Lauren Justice for KHN hide caption

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Lauren Justice for KHN

Wren Vetens was promised a significant discount on the cost of her gender-confirmation surgery if she paid in cash upfront, without using her health insurance. Yet afterward, Vetens received an explanation of benefits saying the hospital had billed her insurer nearly $92,000. Lauren Justice for KHN hide caption

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Lauren Justice for KHN

Bill Of The Month: A Plan For Affordable Gender-Confirmation Surgery Goes Awry

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Scarlett Johansson announced on Friday she is dropping out of the starring role in Rub & Tug, a film about a transgender man who ran an extensive prostitution ring during the 1970s and '80s. Jordan Strauss/Invision hide caption

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Jordan Strauss/Invision

A transgender woman named Shabnam applies makeup before stepping out onto Lahore's streets to beg for money. On Tuesday, Pakistani lawmakers passed legislation that gives transgender people fundamental rights. Diaa Hadid/NPR hide caption

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Diaa Hadid/NPR

As a Ph.D. student at Texas A&M University, Mario Suarez is researching ways teachers can help LGBTQ youth. Gabriel Cristóver Pérez/KUT hide caption

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Gabriel Cristóver Pérez/KUT

Coming Out As Transgender Strengthened This Teacher's Commitment To His Students

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Critics of Roger Severino, director of the Office for Civil Rights at HHS, worry Severino's efforts on behalf of some health workers will reduce women's access to reproductive health services and could aggravate discrimination against transgender people. Jacquelyn Martin/AP hide caption

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Jacquelyn Martin/AP

Civil Rights Chief At HHS Defends The Right To Refuse Care On Religious Grounds

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The Department of Health and Humans Services is adding a Division of Conscience and Religious Freedom to protect doctors, nurses and other health care workers who refuse to take part in some kinds of care because of moral or religious objections. Mark Wilson/Getty Images hide caption

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Mark Wilson/Getty Images

Trump Admin Will Protect Health Workers Who Refuse Services On Religious Grounds

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"In 70 years, Pakistan has bought transgenders to a position where they have no rights and no respect," says Ashi. "We are trying to regain our status in society." Diaa Hadid/NPR hide caption

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Diaa Hadid/NPR

Pakistan's Transgender Women, Long Marginalized, Mobilize For Rights

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On Twitter on July 26, President Trump declared that transgender individuals would not be allowed to serve in the military, contrary to a policy announced by the Pentagon last year. Now 5 trans service members have sued over the announcement. J. David Ake/AP hide caption

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J. David Ake/AP

Danica Roem, a Democrat who won a race for delegate in Virginia's 13th Congressional District, at her campaign office in September. Roem is the first transgender person elected to a state legislature. Paul J. Richards/AFP/Getty Images hide caption

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Paul J. Richards/AFP/Getty Images

Dr. Sandeep Nanwani checks Madame Wiwik's coordination and reflexes. She's in her late 60s and recently had a stroke. Claire Harbage/NPR hide caption

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Claire Harbage/NPR

Transgender Women Of Indonesia Have A Champion In A 26-Year-Old Doctor

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How much does biology shape who we are, and how much is determined by culture and the environment in which we live? Renee Klahr/NPR hide caption

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Renee Klahr/NPR

Nature, Nurture, And Our Evolving Debates About Gender

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Harrison Browne, seen here playing for the Buffalo Beauts, says he feels lucky to be part of a league that accepts him and wants him to feel comfortable. Courtesy of the National Women's Hockey League hide caption

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Courtesy of the National Women's Hockey League

Defense Secretary Jim Mattis will maintain current policy on transgender service members, promising to convene a panel to study how to implement President Trump's ban on transgender troops. Alex Brandon/AP hide caption

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Alex Brandon/AP

Defense Secretary Jim Mattis, seen here in June, has been relatively quiet about President Trump's call for a ban on transgender service members in the U.S. military. New guidelines would give him leeway to determine who should serve. Matthias Schrader/AP hide caption

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Matthias Schrader/AP

Trump's Transgender Ban In Military Will Focus On New Enlistments

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On Twitter on July 26, President Trump declared that transgender individuals would not be allowed to serve in the military, contrary to a policy announced by the Pentagon last year. Now 5 trans service members have sued over the announcement. J. David Ake/AP hide caption

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J. David Ake/AP