The city of San Francisco will now provide health care benefits for city workers undergoing sex-change procedures. "This is very much a civil rights issue," said Supervisor Mark Leno. "This is about equal benefits for equal work." The benefit will be capped at $50,000, with a 15 percent surgical co-payment. For males changing to females, the procedure costs about $37,000; to go the other direction, it costs about $77,000.

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