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The speaker discusses the dual birth certificates held by U.S. adoptees: an original birth certificate and an amended birth certificate. They explain the differences between these two documents and highlight the challenges many adult adoptees face due to this system. The speaker aims to propose changes to improve the existing, confusing method regarding birth certificates. Birth certificates serve crucial functions, such as proving identity, enrolling children in school, obtaining a Social Security card, applying for a driver's license, acquiring a passport, seeking college financial aid, and applying for a marriage license.