Why should you pay for "facial feminization surgery"?

See

https://www.nbcnews.com/news/us-news/trump-transgender-healthcare-gender-veterans-federal-employees-rcna346425

<Blockquote>She stressed about the need to pay $170 out of pocket every three months for hormone therapy. She didn’t know whether she’d be able to afford <b>facial feminization surgery</b>, which can cost as much as $50,000.</blockquote>

Why on earth should the general public be paying for this person's "facial feminization surgery"?

Is "facial feminization" a "medical necessity"? Of course not. How pathetic.