It's not the same, though. Getting one's dick turned inside out is at least a conventionally recognized procedure, and given that the general public still holds the outdated view that all troons suffer from crippling gender dysphoria and find life with male genitalia unbearable, I can at least see how some insurance plans might cover "traditional" SRS. By contrast, getting an amhole installed
but keeping your dick is hard to frame as anything other than coomer degeneracy. Lots of important surgeries don't get coverage (for example, denials for
breast reduction surgery have been on the increase recently), but my premiums are gonna go up so Ripley can keep his dong? How far does this go? Can I get a
second dick? Can I get six gender-affirming breast implants so I can pretend to nurse a litter of piglets? Grrr... go ahead and give me my hats, because I'm mad at the goddamn Internet about this.