[jacoblambda]

> should not have to fund any cosmetic procedures to make an individual appear to be of the opposite sex

Why is this a talking point? Gender affirming surgeries are extremely rare. Very few trans people go through with them. And even when they do, recovery times are in the order of days or weeks which has little to no impact on the efficacy of the fighting force.

The main things trans people want are:

1. That people treat them with basic human dignity and respect.

2. Access to gender affirming medications. It ultimately doesn't really matter who pays for them because they cost nothing. They are quite literally some of the cheapest medications on the market. Estradiol without insurance costs like 10-20USD for a 3 month supply. Testosterone about the same or less. Androgen blockers cost like 1-5USD for a 3 month supply. You could not find cheaper medications and most pharmacies won't even run insurance for them because they are so cheap. The reason the military "needs" to pay for them is because they need to run the medication through their logistics network so that it is accessible where it is needed.

The cost is irrelevant. What matters is that the medication can get delivered to ships and bases in a timely manner. And that is why the military pays for it.

[jobbie]

Why should cosmetic interventions, whether pharmaceutical or surgical, to give an individual the appearance of secondary sex characteristics of the opposite sex, be something the military should have any interest in doing? It doesn't help its mission does it.

[jacoblambda]

They aren't cosmetic. Hormone replacement therapy has more mental impact than anything else.

And the reason they should have interest in doing it is because the overwhelming majority of trans people in the military are people who were diagnosed with gender dysphoria while in the military. The military treats that gender dysphoria so that they can continue to be effective members of the fighting force.

These are people who are already in the military and want to continue to be in the military and do their jobs effectively. A few pills a day or an injection every few days or weeks is generally effective at treating gender dysphoria with accommodations such as social transition further treating it while doing nothing to diminish the efficacy of the fighting force.

Not treating or accommodating them means they either leave the military (which is a problem because the military has a critical shortage of senior personnel due to horrific retention issues) or they perform their duties in a diminished capacity. There's no reason to harm the fighting force's efficacy and/or retention over a treatment that has essentially zero cost and no impact on operational readiness (compared to all the other long term treatments they allow which do impact operational readiness).