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In domestic adoptions, U.S. adoptees receive two birth certificates: the original and an amended one. The speaker aims to clarify the differences between these documents and discuss the challenges adult adoptees face today. Birth certificates serve important purposes, including establishing identity and aiding in processes like enrolling in school, obtaining a Social Security card, acquiring a driver's license or passport, applying for college financial aid, and obtaining a marriage license. The speaker plans to propose changes to the current adoption system, which they describe as confusing and archaic, to address these ongoing issues for adoptees.