Of all the examples of gender clinics using fraudulent diagnosis codes, this is the most blatant. Other clinics hedge their language, but Howard Brown has the subtlety of the Kool-Aid Man: "If you are prescribed hormones, you will receive a diagnosis of Endocrine Disorder." They are diagnosing their patients with diseases they don't have so that insurance companies will pay for hormones they don't need. The patients get harmed, the doctors get rich, and the whole thing is paid for by you and me, through insurance premiums or taxes. And for all of those thinking - 'Is this a crime? Sure does sound like one.' You would be correct. This is, in fact, a federal crime. Not civil. But criminal. And recent prosecutions of doctors who have been found guilty of similar crimes have resulted in prison sentences ranging between 8 years all the way to 59 years.