I don’t think any therapy is cheap, but prisons should be providing it to inmates who need it. I suspect she didn’t transition until now because she’s been in the military, which doesn’t allow transgender people. She would have been discharged if she came out or transitioned, just like gay people were prior to the appeal of Don’t Ask, Don’t Tell. Many trans people wait to come out or transition for various reasons. Also, while transitioning can be expensive, she probably could have found cheap resources in the civilian world that would still be better than what she’ll get while behind bars, so I don’t think free medical care is a big priority here. Also, even if the prison or the military was willing to pay for surgery, something that drastic and expensive probably wouldn’t even be viable. There aren’t that many surgeons who are experts at surgery on transgender people, so people often have to travel across the country or even abroad to have surgery done. It’s unlikely that she’d be able to do that even if money wasn’t an issue. And honestly, if she wanted things to be “easy,” she would have been better off pretending to be male. Trans women are at disproportionate risk of abuse and rape in prison. Very few trans people would come out if they weren’t suffering psychologically. It’s just so much easier not to be out as trans in our society that there’s really no benefit to coming out unless you feel like you have no other choice.