>>16382555HRT is about $100/year and most trans people don't get and/or want SRS. Also, the majority of 4chan trans people obtain DIY HRT without any pharmaceutical companies being involved.
>the total population times the cost is higher than hollywood altogetherThe trans population who seeks such operations times the cost is smaller than all other medical industries. Even if every trans person sought it, it'd still make way less money than almost anything else in medicine. If you're in the medical industry and want to make the most money possible, trans healthcare is probably the worst business decision you can make. There are only a small handful of surgeons who even exist in the field, and they all run firms of like 3 - 8 people and aren't affiliated with any corporations. No pharmaceutical company makes money from anything but HRT, which again is $100/year, and a high percentage just get it through independent sources. Just about every other thing they sell costs much more per person than HRT, and the target market is orders of magnitude larger.