I am with ZumbaGirl on this entire argument. We MUST put emotional reactions and personal judgement aside to see the real issues at play here. We have a transgender inmate who identified as trans BEFORE being imprisoned, and we have a justice system, political system, and prison system trying to define medically necessary treatment as simply hormone therapy and nothing more.
As all of us know, not all trans people will require SRS/GRS, but those who do should have it. Zumba Girl made a good point when she talked about the power of others to decide that YOU can't have your surgery based on arbitrary reasoning. Let us ask ourselves what has gone so wrong in our culture and so wrong in our hearts that we can easily look away and pretend not to see that people in a prison who have made bad choices and may or may not be guilty of whatever crimes they were convicted of, are still human beings deserving of mercy, compassion, and kindness?
Do not forget that any of us can easily be accused of any given crime at any time, and end up in the system. Our system of trial and conviction is a joke! Do any of you know that it is sooo easy for the state to try and convict someone on any given criminal charge that there is no credibility in convictions anymore? We can guess all we want that the heavy weight of the prison population is guilty all we want, but, we HAVE to stop right there! The reason is obvious!
To deny someone medical care simply because of a criminal conviction and because they are in prison is tantamount to 8th and 14th amendment violations. There has to be medically necessary treatment, it has to be done via due process and equal protection of the law.
Zumba Girl has personally taken on the one remaining vocal force in her state who wants to deny all of us our gender identities (if memory serves me right) in the form of "she who shall not be named" and did it at great personal risk since "she who shall not be named" is quite off her rocker as she has clearly demonstrated to all of us on an international basis. Before you deny someone medical treatment that they absolutely need, simply based on criminal history or being in a prison...think about your own life, put yourself in this inmate's shoes, and decide how YOU would want to be treated.
Maybe this is a GOOD thing, because if Kosilek gets her surgery for free, it could open the doors for all trans-identified people to have access to SRS/GRS in the non-prison sector of society for free. I think a society should absolutely take care of its population with needs when they can't pay for it. GRS/SRS is NOT an elective thing, it isn't cosmetic, it isn't a fetish, this is very real.