In the US informed consent is an option in many places, so you can get HRT in days.

Might give this a look: https://www.i2transhealth.de/english-landing-page/

That’s how the US military is though oddly enough. It’s effectively run very bureaucratically outside combat zones. If everyone wasn’t wearing uniforms you could mistake it easily for a regular business operating out of a bunch of run down buildings that offered free housing and healthcare, and if you signed up before 2018 or so and did 20 years you are guaranteed your salary for life. (2018(ish) the military switched to a 401k with match system)

It’s a solid social safety net in a country where the other social safety net (social security) doesn’t pay enough to live really and the healthcare through Medicare/Medicaid barely takes care of you.