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You were never a teenager, were you?
Age to drive: 16? Still a teenager Age of consent: varies by state but is generally around 15 or so. Smoke: gross. But I never heard of a teenager having much problems acquiring tobacco, alcohol, or weed.
Kids in my daughter's middle school were vaping. According to my daughter, a kid's mom was selling vapes through them to kids in the school. There will always be a market to sell kids contraband and plenty of kids will be happy to pay a premium for it regardless of what their parents say.
But in this case, with gender affirming care, it's generally a case where the parents also want the child to have that care. It's being denied despite what the parents, the child, and even their doctor wants.
What kind of question is that?
A rhetorical one. I am guessing most people understood that.