What happens to someone who has gender identity disorder if he or she is not treated? Why is this surgery and/or hormone treatment considered a medical necessity?

I am unhappy that prisoners get free medical treatment that people who have not committed any crime cannot afford. Where is the line drawn? I would much rather pay for someone who has committed no crime to get any and all kinds of medical treatment than have my taxes go toward paying for medical treatment for prisoners unless it is absolutely necessary.

I have no issue whatsoever with someone opting for trans gender surgery if he or she can pay for it. Also, I deeply want a more equitable health care system in this country.
2/c. Coarse hair med. density.
Protein sensitive but can use occasionally
Highly porous. Color over grey.
Best 1st day method: Ice Queen!
Stylers: Mix Curls in a Bottle into everything for shine. Terrible pj
Sometimes try roller sets or use a curling brush - classic glamor.
Every day is a gift