His partner? Are you sure about that one? This 100% reads like a troon X poon romance (MTF with FTM), the OP sounds like the classic nagging wife trying to get her deadbeat husband to stop smoking weed all day and take his medications regularly.
Also funny how OP admits the pre surgery screening is so flimsy. 10 minutes discussing the weather. They don’t check about medical history, current medications, social drug use, mental health comorbidities, or anything else. They just care that the credit card swipe goes through. So much for “nobody ever regrets the surgeries because the barriers are so high and they have to jump through so many hoops”