You know, my foster son needed the services of an endocrinologist for a while. (He was developmentally delayed, and there was a question of whether he needed to be on hormone therapy to kickstart his puberty.)

The question of cost didn't come up, because we lived in Montreal and had access to Canada's excellent nationalized healthcare. But when a close friend of mine suggested a second opinion from an endocrinologist in Boston, ... wow!

This is over 20 years ago now, and that specialist charged several (I don't remember precisely) hundred dollars per hour for consults. The idea of a road trip to Boston Children's soon went out the window as unaffordable.

And that's just one specialist.

How much would a psychiatrist and bioethicist charge? And how does a gender clinic even find a bioethicist? Do they have to be in Ohio?

Outside Cleveland, Cincinnati, and maybe Columbus, you don't find a lot of population centers with big hospitals or universities that would employ such a rare bird.

Effective ban, indeed!