Since the 2016 Pentagon decision that allowed trans people to openly serve in the military, health care costs have risen by between $2.4 million and $8.4 million a year, according to one estimate. A separate study from 2015 predicted that additional health care costs for trans soldiers would come to just $5.6 million a year ― “little more than a rounding error” in the context of the military’s nearly $50 billion health care budget.

From 2011 until 2015, the Defense Department spent $294 million on erectile dysfunction drugs, according to the Military Times.