@Madken65
And it turns out the policy regarding gender affirming "care" for incarcerated people was created by the Obama admin but not instituted by the time he left office. It was revised slightly by the Trump administration to clarify that only necessary care would be provided, and then submitted to congress. So the policies currently in place are Trump policies.
@Madken65
The reality is no one is getting elective anything in prison, whether it's gender affirming surgery or anything else. But if someone who already had their gonads removed gets incarcerated, it is medically necessary to treat them with one hormone or another. Otherwise they get osteoporosis -- you are actively harming them. So the policy simply means they get the hormone that matches their gender identity.