Despite the extreme ways in which their bodies are mythologized, fetishized and denigrated by our culture, trans sex workers, compared to other kinds… - Shon Faye

Movements are taken out of the hands of the radical, angry, non-respectable, non-conforming people who did the years of unrewarded hard graft to make it all happen, then gradually they are overrun by small-minded career activists out to make a name for themselves. In other words, social justice movements that cede their ability to decide priorities and direction to wealthy corporations and media outlets also grant those groups the right to determine which political demands are acceptable and which are not.

Reliance on policing to solve transphobic hatred among teenagers and young adults, instead of questioning the underlying causes of their hate, is what some radical activists call ‘carceral logic’: a punishment mentality, which is more concerned with being seen to punish violence with greater force than with working towards the creation of a less violent society. Preventing a culture from developing in which hatred towards trans people is normalized is much more likely to reduce harm than the ineffective use of hate-crime legislation and police powers.

For those who need them, medical transition and contraception or abortion are – or should be – about the bodily autonomy of the individual, their right to mental well-being and the freedom to carve out their own destiny in defiance of prevailing gender roles. (These roles, should we need reminding, frame women as vessels for reproduction and trans people as threats to the strict separation of male and female sex roles on which patriarchy depends.) Access to abortion and access to trans healthcare are often attacked in similar ways: principally by overstating the incidence and likelihood of regretting either process, and an intense, disproportionate focus in the media on the stories of individuals who do regret their personal choices, as a way to undermine the principle of choice generally. Only about 5 per cent of women experience any degree of regret over their abortion. Multiple studies show the regret rate for gender reassignment surgery is even lower: about 0–2 per cent. Despite this, the fear of regret has become a powerful tool used to justify the delay or withholding of treatment. Little wonder, then, that it is conservative politicians who attack trans healthcare and women’s in the same breath.