The IRS argues that such surgery is cosmetic and not medically necessary.
Alex collier former IRS auditor claiming to be in contact with aliens from andromeda.
These transactions were deemed by the IRS to be tax shelters.
British Dictionary definitions for IRS
(in the US) Internal Revenue Service
insulin resistance syndrome: a condition associated with diabetes mellitus in which higher than normal levels of insulin are present in the blood to compensate for the failure of normal insulin levels to perform their function