On Friday Horace posted about the opening on Thursday of a 30-day public comment period about the coverage of sexual reassignment surgery by Medicare and Medicaid Services (CSM.gov).
CMS.gov prefaced the open commentary with this remark:
Transsexual surgery for sex reassignment of transsexuals is controversial. Because of the lack of well controlled, long term studies of the safety and effectiveness of the surgical procedures and attendant therapies for transsexualism, the treatment is considered experimental. Moreover, there is a high rate of serious complications for these surgical procedures. For these reasons, transsexual surgery is not covered.That was the policy adopted in 1981. Thirty-two years later, it has not been reviewed.
Before the commentary on that diary had finished, Horace had noted that the links seemed to be down.
It turns out that wasn't any server problem.