Gifted by H. A. Swain
A few decades in the future, one entity has bought up the rights to all music and attempts to enforce it. People can have surgery to make them performers - or lose all musical ability. Health care is also very regimented, with robots dictating visits and requiring payment before insurance will cover more. It is just a carrying out of some of the concerns of the day. To make it a YA novel, there are some young people associated with underground music and "the establishment" that are doing something to fight the system.
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