OK, I really have to say:
If someone, who apparantly identifies as a transsexual woman, who claims that they were self-medicating prior to being incarcerated, and after being denied HRT while being incarcerated, takes the somewhat drastic step of castrating themselves and then again asks for HRT - why the hell would you then prescribe them testosterone? Not exactly cruel and unusual in the usual definition, but in my opinion it's heading down that pathway.
I really don't think poor life decisions should preclude one from recieving adequate medical treatment. Obviously we don't have all the facts in this one particular instance, I wouldn't for one second claim to know the exact details in this one case. And I'm in no way implying this is the case in this particular matter, but it is entirely possible to be convicted and incarcerated for a crime that one is not guilty of, given the situation that one finds oneself in. Empathise for a moment - guilty or not, put yourself in a situation where the state has convicted you and now has complete control over your existence, and has told you unequivocally that you will not be given the medical care you know that you need. A situation like that breeds desperation.
People make bad choices every day. Some that hurt them, some that hurt others, some that the state takes away their rights for. It's the human condition. I personally have made far too many, some I could have got in a lot of trouble for. I've been lucky. Some are not so lucky. But I fail to see how taking some peoples bad choices and then using them as a reason for them to not recieve the medical care they require is in any way a moral way for society to act.
Megan