The government is not responsive to the needs of transgender people and some of our families are hostile because "we embarrass" them with our gender change. Sexual exploitation is common. Poor and economically disadvantaged trans women are most vulnerable to sexual exploitation and violence.

The preoccupation with transition and surgery objectifies trans people. And then we don't get to really deal with the real lived experiences. The reality of trans people's lives is that so often we are targets of violence. We experience discrimination disproportionately to the rest of the community. Our unemployment rate is twice the national average; if you are a trans person of color, that rate is four times the national average. The homicide rate is highest among trans women. If we focus on transition, we don't actually get to talk about those things.

[M]ales who wish to identify as women will be offered additional protections under the law; but those born female will not benefit in the same way. Of course, trans-identified people should be protected from abuse and discrimination. But why not women too? Does the SNP think the minority of individuals who choose to identify as transgender are much more at risk than women and girls? Women suffer disproportionally as victims of rape, domestic abuse, FGM, child marriage, and femicide around the world, yet in Scotland this seems to count for little.

The demand for true trans liberation echoes and overlaps with the demands of workers, socialists, feminists, anti-racists and queer people. They are radical demands, in that they go to the root of what our society is and what it could be. For this reason, the existence of trans people is a source of constant anxiety for many who are either invested in the status quo or fearful about what would replace it. In order to neutralize the potential threat to social norms posed by trans people's existence, the establishment has always sought to confine and curtail their freedom. In twenty-first-century Britain, this has been achieved in large part by belittling our political needs and turning them into a 'issue'. Typically, trans people are lumped together as 'the transgender issue', dismissing and erasing the complexity of trans lives, reducing them to a set of stereotypes on which various social anxieties can be brought to bear. By and large, the transgender issue is seen as a 'toxic debate', a 'difficult topic' chewed over (usually by people who are not trans themselves) on television shows, in newspaper opinion pieces and in university philosophy departments. Actual trans people are rarely to be seen.

Generally, trans people remain confined to lower-paid, more precarious roles even in the organizations that campaign for our welfare. In particular, Black and Asian trans communities in Britain remain completely under-represented in LGBTQ+ sector organizations; these are the same communities experiencing the brunt of systemic anti-LGBTQ+ oppression in the UK.

I regularly ask these people a few questions. What is gender identity? When was it invented? At what age does it come into being? How is it different from stereotyped gender roles? How much money is to be made through surgery and lifelong hormones? What is the need for men who identify as women to make women feel uncomfortable? What happens when you want to have a child if you have been made infertile or in fact don’t have a womb? Do you just hire one? Is surrogacy the next phase of dehumanising women? I have yet to receive answers.
The sheer anger of certain trans activists puts me in mind of men’s rights activists; they want what women have and that means access to us all. In response, there is still huge cowardice. The fear of being called transphobic means silence. Silence = Death, as we used to say when we were campaigning around Aids.

Trans healthcare must be revolutionized urgently: it was created not to help us but to conceal that which is unpalatable to cisgender people and to erase the implications of our existence for the rest of society. That is why we were not permitted families in so many cultures and why authoritarian governments always attack our access to care. Yet in this we are not unique. Cisgender women, disabled people, fat people, black people, HIV-positive people and trans people are all groups that experience high degrees of medical discrimination and abuse, historically and currently. Our struggle is, then, a shared one – and it should not be left to us alone. In the wake of the coronavirus pandemic especially, the 2020s and beyond will see us all struggle in a new era of recession and growing about who deserves healthcare investment. This is a daunting, frightening time, but solidarity between all of us who are pushed to the margins may yield new health activist movements and resistance.

The reality is that transition is an act most trans women and girls see as lifesaving, and one for which they can be punished severely: with violence, with community and familial rejection, with poverty, with mental illness, with sexual abuse, with domestic violence and, yes, with murder. That we can be both highly at risk of rape by men and blamed for rape by feminists is made possible because the media constructs trans women simultaneously as deviant men and as dangerous women.

I believe the majority of trans-identified people not only pose zero threat to others, but are vulnerable for all the reasons I've outlined. Trans people need and deserve protection. Like women, they're most likely to be killed by sexual partners.

Feministing writer Jos Truitt puts it, “trans women are disrespected and treated terribly when they don’t pass, but if they do pass they’re called out for upholding the gender binary and cis standards of beauty. It is an impossible bind.”13

[The Women and Equalities Select Committee 2016 report on transgender rights.] The report contains many sensible recommendations that any progressive should support. NHS waiting times for surgery are too long and should be reduced; GPs would benefit from further training; and specialist provision, which is patchy outside London and overstretched within it, could be vastly improved. Police officers should also be given training and encouragement to record hate crimes and to pursue action against perpetrators; schools should institute strong anti-bullying measures.

We were fed up being harassed and strip-searched by the police, denied medical treatment, refused housing and even barred from using public bathrooms just because we were trans. We were tired of being beaten and murdered. So we went out and worked.

[On proposed gender self-id reforms and women-only spaces] I don't have all the answers [...] I happen to be trans. All I can do is say how it is for me. I can't come in and wave a magic wand and solve all the problems, because some people are very entrenched.

The experience of being trans is shaped by social class. While there are trans people, the vast majority are working class – just as the vast majority of the total population is working class. Trans workers are often employed in lower paid and more precarious jobs, with a high risk of discrimination and bullying in the workplace. As a result, trans political struggle is part of a wider class struggle. Despite this, trans politics is commonly misrepresented as coddled, bourgeois and anti-working class.