People are using the military for the drugs and surgery. Very few actually serve due to the process and time it takes.
I read a story done on a guy who discussed how he was going to enlist and then announce he is trans. After going through the psychological part and the hormone therapy, then surgery, then recovery, then pain medication - then BOOM, enlistment is over. The time to transition was close to the entire time he had to serve.
Then he was crying because he said he wouldn’t be able to get his surgery paid for because President Trump (his first term) was going to prevent trans from joining.