Labour itself is innocent of transphobia, both within its membership and from some of its key figures, who have failed to show full and public solida… - Shon Faye

It may seem paradoxical that in a period where civil rights for LGBT people seem to be at unique risk – a time in which Boris Johnson, a man who once called gay men ‘tank-topped bum boys’ and equated gay marriage with bestiality, can be prime minister – there has never been more media representation for LGBT people or more companies happy to insist they support us. This is not out of the sheer kindness of corporate hearts. Brands have recognized that the rainbow flag lends them the goodwill of people who care about social justice. Corporations can purport to be part of a movement with countercultural and liberationist roots, package that movement as ‘aspirational’ for marketing purposes, and in doing so denude it of all the politics that threaten the capitalist status quo and sell it back to those who can afford it. The idea that conspicuous consumption is a route to sexual and gender freedom has been effective in allowing the LGBT movement’s muscles to atrophy. In a godless age, there are new ways to give the masses their opium.

The simple moral case for resisting transphobia as a form of cruelty should be enough for anyone who has been similarly victimized by society (as cisgender lesbians, gay men and bisexual people have all been in one way or another) to stand with us in solidarity. Yet it should also be a matter of self-interest. The world in which trans people’s rights are restricted relies on narratives of dehumanization and myths of sexual predation. Restricting trans people’s rights relies on policing other people’s gendered appearance in toilets and changing rooms by arbitrating on who looks male or female enough, and by punishing deviation from rigid norms with intimidation and violence. It involves kids following the examples of adults and harassing their peers in the playground for being different. It relies on parents either beating into submission the child asserting their identity, or psychologically breaking them with conversion therapy. These traumatic experiences affect all ‘queers’, whether trans or cis. Advocating for them in any form for any letter will inevitably normalize their use against everyone judged queer. Politically, it is a gift to fascists at a time of growing far-right sentiment in Europe and North America alike.

Trans healthcare, then, is part of a wider political struggle for bodily autonomy that women, LGBTQ+ people, disabled people and ethnic minorities have all been fighting – a struggle that intensified during the decade of austerity that was the 2010s. This political struggle has primarily focused on trans adults, growing societal awareness of whom has allowed for more robust advocacy and rebuttal of the myths about medical transition. Even transphobes and reactionaries in the media and in politics, uneasy and disapproving though they remain, have come to begrudgingly tolerate adult medical transition as a matter of personal autonomy. After all, as trans people have successfully argued, adults are entitled to do whatever they want with their own bodies.