Two months ago, Canada’s Globe and Mail newspaper published a story about one Nathaniel Le May, a 41-year-old civil servant seeking government funding for “gender-affirming” surgery.

Le May, who identifies as “transmasculine non-binary,” is seeking a phalloplasty (an artificial penis) but not a vaginectomy (vagina removal). In other words, Le May is a biological woman who wants to have both a vagina and a penis, at taxpayer expense.

This being Canada, Le May’s provincial health insurer—the Ontario Health Insurance Plan (OHIP)—was more than happy to bankroll the pseudo-penis. But phalloplasties typically aren’t performed on women unless their female reproductive organs are removed, so as to avoid hormonal complications that can elevate the risk of cervical cancer.