(Denny Crane: "I Don't Want To Socialize With A Pinko Liberal Democrat Commie.Say What You Like About Republicans. We Stick To Our Convictions. Even When We Know We're Dead Wrong.")
I don't know the details about the current "crisis" but the law has been clear for a long time that prisoners are entitled to free health care.
Whether "health care" should include exotic and costly crap like sex-change operations is a matter which cries out for prudent judgment however.