Considering the prevalence of transgender servicemembers among the active duty military and the typical health-care costs for gender-transition-related medical treatment, the Rand study estimated that these treatments would cost the military between $2.4 million and $8.4 million annually.
“The implication is that even in the most extreme scenario that we were able to identify … we expect only a 0.13-percent ($8.4 million out of $6.2 billion) increase in health care spending,” Rand's authors concluded.
By contrast, total military spending on erectile dysfunction medicines amounts to $84 million annually, according to an analysis by the Military Times — 10 times the cost of annual transition-related medical care for active duty transgender servicemembers.
The military spends $41.6 million annually on Viagra alone, according to the Military Times analysis — roughly five times the estimated spending on transition-related medical care for transgender troops.
Looked at another way, the upper estimate for annual transgender medical costs in the military amounts to less than a tenth of the price of a new F-35 fighter jet. Or a thousandth of 1 percent of the Defense Department's annual budget.