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Unfortunately it’s an ancient tradition. Transitioning is like abortion in that people will find a way if desperate enough even if that way is life threatening.
I think maybe we need to acknowledge this more.
Exactly. This is the only argument needed to support treatments and drugs. If a person wants to do it (a choice made with a sufficiently healthy mind), we should provide safety. Euthanasia, abortion, hormones, etc. We shouldn’t care about further views.