The Australian Puberty Blocker Market is Worth $27M

You might have the impression that accessing Puberty Blockers is prohibitively expensive. You may have heard that they are unfairly withheld from children, and how they should be subsidised by the government.

TransHub

TransHub

For this post, I have relied on data published by TransHub, which is an informational website owned and operated by ACON.

TransHub is the place trans people, children and parents go for their data about transitioning.

The Cost of Blocking Puberty

TransHub advise that there are 3 types of puberty blockers, and that these are prohibitively expensive. Goserelin, Leuprorelin and Triptorelin are each medications that are taken periodically 3-5 times per year.

These drugs are subsidised for conditions such as – endometriosis, chemical castration, prostate cnacer – and are limited for short treatment periods only.

PBS – https://www.pbs.gov.au/medicine/item/1454M

Doctors can prescribe “off label” so the consumer can buy them, but will not receive a subsidy. They must pay full price. For these 3 drugs, the cost is between $800 and $1200 per year per child.

To contrast, my daughter attends karate lessons which are $20 per week, or $1040 per year.

This cost is within reach of most working and middle-class households. The kinds of people who would dress a boy in pink and call him a girl.

Size of the market

Royal Children’s Hospital estimates that there are 45000 trans children in Australia.

If 60% of these children are eligible for puberty blockers, this gives us 27000 children.

27000 children paying $1000 per year is $27 Million dollars.

$27 Million a year

What the current number of trans children are worth in Australia

Each child will take puberty blockers for up to 6 years, meaning there is a need to continually convert younger and younger consumers to maintain the pipeline. The younger the child is placed on to the trans pathway, the more they will look forward to the day they can finally receive puberty-blocking drugs. They are less likely to pause and make a critical decision over something that has become a years-long obsession.

Subsidies are about removing consumer roadblocks

GnRH analogues are not listed on the PBS for puberty suppression related to gender affirmation, and as a result the costs can be prohibitively expensive for many young people and their families. Some young people will seek out public clinics but there are very few currently available in NSW.

TransHub – https://www.transhub.org.au/puberty-blockers

For many medications, the government will agree to pay part of the price direct to the manufacturer so that the consumer only pays a small amount at the pharmacy counter.

The manufacturer gets paid either way. So why is this important?

Subsidising puberty blockers will take away a barrier to starting the treatment. If the financial commitment is taken away, parents are more likely to give it a go and see what happens. This works alongside the myth that puberty blockers are safe and reversible.

That’s how my daughter got started in karate – 2 free trial lessons before I handed over my money.

Pie for everyone

For each trans child, the general practitioner (what Americans might call the primary-care doctor) also gets a small piece of the pie.

TransHub gives a list of doctors who are on board with dispensing puberty blockers to children. These doctors may charge $200 per visit to review and administer doses. There is a medicare rebate for these visits, meaning the doctor gets paid $200 and the customer receives around $80 back from the government.

There are also psychologists, endocrinologists and providers of “trans” paraphernalia such as chest binders and penis-tucking underwear.

These parties all stand to profit from a child who stays on the trans path. They act together with the parents and the pharmaceutical companies to lock the child into a life-long and life-altering decision.

Who is treating our children for dysphoria?

Dr Johanna Olson-Kennedy

chest surgery for trans guys as minors is critical and it’s available it’s not nearly as difficult as general reconstruction because it doesn’t have anything to do with sterilization the difficulty of genital surgery is that it is surgical sterilization and people get super worked up about that 

Dr Will Powers

 …just give hem Lupron all you do is you press pause on puberty and it just stops they stopped growing breasts their penis gets no bigger their testicles get no bigger they don’t any facial hair it’s just you keep them in kids stage pause and you give them time the total risk of doing this is if they’re on Lupron for many years their end bone mineral density will not be as high as it would have been had they gone through puberty earlier but that’s about it that’s pretty much the risk the other risk is they kill themselves which to me is like you know man you know when you’re 70 your bone mineral density versus you die at 11 


His personal subreddit has 7.4k members

And he takes unprescribed meds for a lark …Cis doctor gives himself dysphoria after taking lupron