Trans people deserve social dignity and personal respect, regardless of whether or not they wish to immerse themselves in feminist politics. At a tim… - Shon Faye

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.

Patriarchy is based on three key ideas: that ‘male’ and ‘female’ are a natural, immutable and exhaustive binary; that all males should be masculine, and all females should be feminine; that masculinity is incompatible with and superior to femininity.

In all this, it cannot be emphasized enough that the political demands of trans people align with those of disabled people, migrants, people with mental illnesses, LGB people and ethnic minorities (and, needless to say, trans people can be found within all of these groups). This overlap between the needs of different marginalized people must be stressed because the illusion that trans people’s concerns are niche and highly complex is often a way to disempower them. The emphasis on the ‘minority’ status of minorities keeps them focused on explaining their difference in public discourse, so that they can be continuously batted away as an aberration or minor concern. In the specific case of trans people, this disempowerment begins at the most fundamental level: with our bodies and our right to exercise autonomy over them without interference by society. If we are to liberate all trans people socially, we must begin with the liberation of the physical trans body.