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In domestic adoption, adoptees receive two birth certificates: an original and an amended one. The speaker highlights the differences between these documents and discusses the unique challenges adult adoptees face due to this system. Birth certificates are crucial for establishing identity and are required for various purposes such as enrolling in school, obtaining Social Security cards, applying for driver's licenses or passports, and applying for college financial aid or marriage licenses. The speaker also presents a proposal to address the complexities of the current birth certificate system that affects adoptees.