Why on earth are we paying for this!!!

It is one thing to advocate for health care for transgenders.

Who can argue against health care for everyone, whatever their gender identity is?

But let's look at what "health care for transgenders" means to some, including at least one “gender-affirming care” doctor.

"One of the most surreal aspects of following the issue of “gender-affirming care” has been to hear 

gender clinicians and surgeons so bluntly describe, often with smiles on their faces, 

the harm they inflict on the bodies of gender nonconforming children and adults 

...

For genital surgery, [@queersurgeon] says the greatest variation is what can be done with phalloplasty—

the construction of a neo [i.e. artificial] phallus using skin harvested from the arm, thigh, abdomen, or upper back.

...

Then there is perineal masculinization, where the surgeon performs everything except a urethral lengthening—that is, phalloplasty, scrotoplasty, vaginectomy (the vaginal canal is sutured shut), burial of the clitoral tissue, et cetera.";

Read

https://open.substack.com/pub/benappel/p/this-is-what-theyre-doing 

or watch the video at

Video: Surgeon discusses performing gender-reaffirming surgery on youth | Daily Mail Online https://share.google/IqUtQ4Mk4r6fKh5WL

where @queersurgeon describes some of what he has done.

Who pays for this?

Googling "who pays for gender reassignment surgery" yields 

"Transgender surgery is primarily funded through a combination of private health insurance, employer-sponsored plans, public programs like Medicare and Medicaid, and personal out-of-pocket payments. 

Many insurance providers now cover gender-affirming surgery as a medically necessary procedure, 

though coverage varies significantly by state, plan type, and specific insurer." 

See also 

https://www.healthline.com/health/does-the-government-pay-for-gender-affirming-surgery

So if your insurance premium went up, now you know part of the reason.