I would extremely worried if I were you. The TM6 will be closely monitored for everyone. If you put tourism and then stay in a hospital you could be deported. Also check the credentials of your surgeon, make sure you will not come out looking like a ladyboy, otherwise you will be sent direct to soi 6/1 earn enough to pay off immigration.
We are talking about combat zone and sometimes the last thing on anyones mind it to keep track of the spending. DCAA auditors were all civilian GS types and most were on the slightly older side. Record keeping was not exactly a priority from what I saw. SIGAR (Special Inspector General for Afghanistan Reconstruction) was suppose to "track the money". SIGAR was supposed to track exactly where over $140 Billion went. Apparently SIGAR is still active and is suppose to end in September 2025. I wonder what the final report will say?
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