millions of law-abiding Americans don’t have health insurance to pay for cancer treatment, or medications for chronic conditions. But it would be morally abhorrent to refuse treatment for prisoners to save money.
Thems the breaks. If the state is taking custody of someone, then they are responsible for their physical wellbeing and providing medical care.
And from a purely pragmatic point of view, paying probably less than $100 per month for hormone treatment is FAR cheaper than the long terms costs of not doing so (e.g. higher costs for counseling, antidepressants or other meds, more staffing and expense for suicide watches or solitary confinement, cost of treating suicide attempts, cost of dealing with lawsuits for withholding care). If Manning files a lawsuit to try to get hormone treatment, the state’s legal fees alone will dwarf the cost of just providing the treatment.
In one of the other trans threads going on at the moment, Una Persson shared that without insurance helping to pay for them estradiol and (I can’t remember the name of the other drug) cost a little under $50 a month.
I don’t know much about much when it comes to these issues, but I’d hope doctors strongly encourage him to live as a woman without any hormones for awhile. He’s been through a terrific amount of psychological and emotional trauma and I wouldn’t want him jumping into something out of a desperate attempt to exert some sort of control over his life the military can’t take away from him.
You don’t just declare yourself a trans person and immediately get hormone therapy and surgery. ANY patient would have a waiting period filled with extensive testing before being given hormones.