Even a simple act of weighing the breast mass would have confirmed that the non breast body fat content of your supposed friend would have been upwards of eighty pounds of *excess* body fat. The fact that she is in fact obese would expose her to serious drawbacks and risks that could affect her entire future life, physically and psychologically, in the event of surgery.
The effort of these medical industry members to override this important fact is highly predictable and virtually to be expected nowadays, since the PS industry, over a decade of promotion, has established the medical industry as its most significant symbiotic link. When the medical industry creates a system for drawing hundreds of million dollars out of the insurance industry for the facilitation of its own favorite surgery, the insurance companies, which are incapable of manufacturing money, must attain these huge funds (greater than everything spent on breast implants in America) in some way.
Primarily, they will have to rearrange their priorities, so that other needed surgeries, to other needy people, who may need relief from true chronic pain, will be turned down as a result. Thus, so that the medical industry can turn the insurance industry into its ass, perhaps half a billion dollars of other needed surgeries (that do not happen to be breast reduction) are denied.
The insurance companies, in order to fulfill the false and misleading trust in the medical establishment, find themselves not only *not profiting* from this (unlike the doctors, who profit greatly) but exposing themselves to potentially billions of dollars of legal liability should the shit (from denied medical cases) hit the fan