The Manhattan Institute discovered that California is providing “gender-affirming care” — sex changes — to a “population of male-to-female ‘transgender’ illegal aliens” in San Francisco homeless shelters.
At San Francisco’s largest homeless shelter, St. Vincent De Paul’s MSC-South facility, a Honduran illegal alien
confirmed that he was an illegal immigrant and that the shelter doesn’t ask questions about immigration status. “Tengo Medi-Cal,” he said, referring to the state health-care program, which, under Governor Gavin Newsom, began providing “full scope” coverage to illegal aliens, which includes transgender procedures, or “gender affirming care.” He said he was receiving cross-sex hormone therapy—and bore the physical signs of having done so….
At the Embarcadero SAFE Navigation Center, a city-funded shelter on the eastern waterfront that did not respond to our comment request, we heard similar stories. “Jacqueline”—a self-identified “trans woman” from Mexico living at the shelter who claimed to be a lawful U.S. resident—indicated that there were illegal aliens living in the shelter.
Wearing rouge on his cheeks and a low-cut red shirt, Jacqueline flaunted his large chest. He said that he had gotten transgender hormone treatments, and confirmed that he had received breast implants from the state Medi-Cal program. Though Jacqueline claimed to be a legal resident, he suggested that the state also provides implants to illegal immigrants. “Even though you’re undocumented,” he said, “you can get them.”
“You have to have a process, the hormones . . . go through therapy,” he said. “Es un proceso.”
We asked Jacqueline if he had also completed “bottom surgery,” a type of genital procedure that can involve castrating a male and turning his penile tissue into a “neo-vagina.” San Francisco has multiple clinics that offer bottom surgery, which the state reportedly provides to Medi-Cal recipients, under the theory that it can be a “medical necessity” for those whose gender identity does “not match their gender assigned at birth.”
“Did you do bottom, too? Bottom surgery?” we asked.
“I’m waiting for that one,” Jacqueline replied.
Transgender treatments don’t end with sex change surgery. They require medications for the rest of your life, at a significant cost. As Britain’s National Health Service explains, hormones “need to be taken for the rest of your life, even if you have gender surgery.”
They don’t solve the psychiatric problems of people who receive sex changes. An FDA official who supported giving minors puberty blockers conceded that they actually increase suicidality. Indeed, the “FDA knew ‘gender affirming’ puberty blockers increase ‘suicidality’ in 2017,” reported Just the News.
95% of young transgender people on testosterone develop pelvic floor dysfunction; most have bowel issues and sexual dysfunction. As the Telegraph reported, “Around 87 per cent…had urinary symptoms such as incontinence, frequent toilet visits and bed-wetting, while 74 per cent had bowel issues including constipation or being unable to hold stools or wind in. Some 53 per cent suffered from sexual dysfunction…Almost half had an ‘orgasm disorder’, while a quarter suffered from pain during sexual intercourse.”
Doctors who do sex changes often falsely ttell parents that they needed to give their kids a sex change to keep them from committing suicide, even though this isn’t true. One of America’s most prominent gender doctors, “Dr. Olson-Kennedy disclosed to how she speaks with parents of gender dysphoric patients: ‘We often ask parents, “Would you rather have a dead son than a live daughter?”’”
But this is false and misleading. Even the transgender lawyer who challenged Tennessee’s restrictions on transgender treatments for kids admitted to the Supreme Court that “completed suicide is thankfully and admittedly rare” among transgender youth, even those not given gender-affirming treatment, and that “there is no evidence…that this [transgender-affirming] treatment reduces completed suicide.” The ACLU’s Chase Strangio conceded that to the Supreme Court.

