Yes, me and everyone else in my country. I also pay for habitual smokers with cancer, and extreme sport enthusiasts with multiple fractures. Being middle-class, I pay more taxes than most. I don't need an explanation on my country's taxation and medicare systems. I am asking you would have the surgery if you did not have to spend a dime over what you have been spending in taxes your entire life or would you still keep and even use your penis or vagina?