Fantastic name

@3 Medicare has nothing to do with income. It's the program for people who are senior citizens or permanently disabled. Medicaid covers those who are impoverished (although often it is very limited as to who can receive it, which is why there recently were Medicaid expansions in many states). Surgeries for body dysmorphia still aren't covered by Medicaid. However, we can hope that they will be eventually. The real importance is how many insurance companies justify excluding things by saying, "Well, Medicare doesn't cover that..." and now they can't do that to transgender people.

@8 You clearly completely misunderstood what I wrote. When insurance companies choose what to cover and what to exclude - when they design their policies - they often look to Medicare as a guide. When people complain that big health insurance plan X does not cover Y, they often use the PR excuse that Medicare doesn't either. Which is why having Medicare cover it is important, even if it won't actually directly help many people.