Something I find confusing and equally hypocritical and infuriating, is the interplay of self-ID, gender dysphoria (transmed, truscum), late-onset gender dysphoria (transmed, truscum), and not needing gender dysphoria to be trans (tucute), and how it all plays out in trans activism.
So bear with me, this is kind of long:
Gender dysphoria is in the DSM 5. It's considered a psychological disorder. TRAs claim that as a result of gender dysphoria there is a high suicide rate among trans people, especially in kids. There is a higher rate of depression, anxiety, eating disorder, etc in people suffering from gender dysphoria. Therefore as a result of gender dysphoria it is necessary to pursue social transition, hormones, puberty blockers, and SRS surgeries. Trans people need all of these interventions to alleviate and treat their gender dysphoria so they won't commit suicide, and can live "happy", "healthy" lives. Doctors will then prescribe hormones, puberty blockers, and will perform SRS surgeries based on a trans person's dysphoria diagnosis and from therapist recommendations and assessments of the patient's gender dysphoria and necessity for gender affirming care. Doctors and pharmacists are able to bill insurance companies and Medicaid for trans affirming care, due to their patient's diagnosis of gender dysphoria.
People suffering from gender dysphoria, will wear the clothes of the opposite sex, will take hormones, and have all of these surgeries to look like the opposite sex, to alleviate their gender dysphoria. Since trans people are pursuing all of these procedures, it wouldn't be safe for them to be discriminated from female or male spaces. For example, I'm thinking along the lines of someone like Blaire White or Jazz Jennings. I can see how it would make sense for them to use a women's bathroom, locker room, or be in a women's prison. I think most people think of someone like Blaire White or Jazz Jennings, as the reason why trans people need to use opposite sex spaces. They're not thinking of the hulking, unwashed, AGP, with beards, trying to show off their titty skittles.
Now though, there are many trans people and TRAs who claim that you don't need to have gender dysphoria to be trans (tucutes). They are equally valid and are TRANS!!!! Even if you don't have gender dysphoria you are 100% trans, because you "feel" like a woman, man, nonbinary. You can freely self-ID as trans. You are 100% valid as trans, and you have every right to access all the hormones and surgeries that you want and "need" from therapists, doctors, and insurance providers. You also have every right to access and utilize opposite sex spaces and programs. You don't have to make any effort to pass, you can just say you are trans and the opposite sex, and everyone has to agree with you. You can participate in opposite sex sports teams. You are allowed to go into the opposite sex prison. You are allowed to take the scholarships and work opportunities that were designated for the opposite sex.
However, if you are not diagnosed with gender dysphoria, how do you get access to hormones and surgeries? How does a clinic (like Planned Parenthood), or a doctors prescribe hormones and perform surgeries on people without a gender dysphoria diagnosis? How would those doctors and clinics bill insurance without a gender dysphoria diagnosis. To my knowledge, insurance companies and Medicaid all require some type of medical and/or psychological disorder diagnosis to access treatments, surgeries, and medications. Do trans people lie to their therapists in order to get a gender dysphoria diagnosis, and get recommendations to provide to their doctors who require recommendations from a mental health provider? Do these self-ID trans people just straight up lie to doctors that that they have gender dysphoria in order to get their gender surgeries and medications? Do the therapists and doctors lie to their insurance companies and Medicaid about their patient's gender dysphoria, in order to get paid? Ok, so some trans people can afford to go to private doctors and clinics, and pay in cash to get all of the hormones and surgeries they want, but a lot of trans people cannot. Like TIF bottom surgeries are insanely expensive. I would argue that 99% of the TIFs who have bottom surgery (which usually means like 4-7 surgeries), hair removal, and medical tattooing -- have their insurance companies pay for it. Or how did ContraPoints convince his doctors and bill his health insurance for hormones and trans surgeries? He said he didn't feel like a TIM until he was an adult. Did he claim to have late on-set dysphoria, or did he claim that he felt like a TIM as an adult but didn't have dysphoria, but because he "felt" like a woman, it entitled him to trans affirming care?
If you don't have gender dysphoria, but are still trans, are the suicide statistics of gender dysphoric trans people the same? There is no research on the suicide and suicidal ideation of gender dysphoric vs non-gender dysphoric trans people. People feel pressured into validating trans people, caving into all of their demands, forcing name changes and pronouns on everyone, providing kids with puberty blockers and hormones right away, and providing trans surgeries ASAP, -- all because of the fear of suicide. However, if you don't have gender dysphoria, why would the suicide baiting of gender dysphoric people be the same? Or do people who don't have gender dysphoria have the same amount of suicide and suicidal ideation as people with gender dysphoria, and are therefore entitled to all of the things that people with gender dysphoria are entitled too: gender affirming care, opposite sex spaces, opposite sex opportunities, opposite sex bathrooms, opposite sex sport teams, opposite sex jails, opposite sex hospital wings, opposite sex shelters?
How can you claim to be trans when you don't have gender dysphoria, make no attempt to pass, or have late on-set gender dysphoria, and yet claim the same interventions that were initially meant for gender dysphoric patients? Like with the prisons. One would think that a TIM prisoner would only be transferred to the women's prison if they were formally diagnosed with gender dysphoria, in therapy, on hormones, attempting to pass, and desiring surgery. However, in most cases, TIM prisoners just self-ID and can transfer. There is no diagnosis of gender dysphoria. I would assume most are not in therapy. Some are not on hormones, most have not had any SRS. Or some of those TIM prisoners temporarily get on hormones while they are in male prisons, but once they transfer to the women's, they stop their hormones.
How can you claim self-ID and demand all trans affirming care, SRS, constant external validation from everyone around you, opposite sex spaces, -- when you don't have gender dysphoria? Initially all of these treatments, interventions, and accommodations were based on gender dysphoria and the scary suicide threats. In the past it we were told that trans people NEED trans affirming care, opposite sex spaces, and external validation because of their gender dysphoria diagnosis (which is a valid medical psychological condition), that they are so sick that they would harm themselves or commit suicide because they cannot transition, and that they are not safe and "cis" men could potentially physically harm and/or kill them.
It doesn't make sense, that people can now freely self-ID without any type of assessment or gatekeeping, and they can get all of trans interventions, surgeries, medical care, accommodations, external validation, pronoun changes they want, because they feel "trans" and believe that they are the opposite sex. For example if I had cancer, I would need various treatments (radiation, chemotherapy, surgery), I may qualify for Make A Wish Foundation, I may join other cancer support groups, I may qualify for cancer specific scholarships and grants. However, if I don't have cancer, why would I have access to radiation, chemotherapy, and surgery -- just because I "feel" like I have cancer. Why would my doctors freely give me chemotherapy and radiation without checking that I have cancer, just because I told them I had cancer? Why would I be able to use Make A Wish Foundation, join cancer support groups, and benefit from cancer specific scholarships and grants, if I just "feel" like I have cancer and therefore I am entitled to these programs and groups. A person with cancer is usually immunocompromised, and so the people around them have to be careful not to expose them to any viruses. However, if I don't have cancer, but I "feel" like I cancer, why would I have the right to demand that everyone around me be super careful and mindful not to get me sick?