Auditor questions spending priorities... At a time when lawmakers struggled to find money for health care for the state's most vulnerable people, Washington taxpayers footed the bill for a sex-change operation, penile implants, breast augmentation and ear piercings. In his most recent review of state Medicaid expenses, Auditor Brian Sonntag found thousands of questionable expenditures in the 2004 fiscal year. One in particular jumped off the page. Medicaid paid $9,549.92 to surgically transform a woman into a man. "You pick up the paper or watch the evening news and you see senior citizens who can't get medications of diabetes and...