I'm really surprised that the futa surgery is legal. How can you "reconstruct" something that doesn't even exist in nature? Bolt-on sillicone boobs and dick inversions are awful, but at least those two procedures are trying to imitate things that actually exist as a part of human anatomy, not freakish hentai.
If someone identified as a cyclops could they get Medicaid to pay a surgeon to remove their eyes, and implant a new eye in the center of their forehead? And then have people believe them when they say they'll die with out it?