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.

Despite the extreme ways in which their bodies are mythologized, fetishized and denigrated by our culture, trans sex workers, compared to other kinds of trans worker, enjoy the least solidarity and have the least political attention paid to the reality of their lives. This disparity only increases when the trans sex worker is also a migrant and a person of colour.

In general, trans people are more likely to have lower incomes and to experience poverty than the wider population. [...] Prejudice persists. It is not just a personal affront, but an economic reality that shapes and limits trans lives.

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.

The majority of trans people are working class, and the oppression of trans people is specifically rooted in capitalism. In short, capitalism across the world still relies heavily on the idea of different categories of men’s work and women’s work, in which ‘women’s work’ (such as housework, child-rearing and emotional labour) is either poorly paid or not paid at all. In order for this categorization to function, it needs to rest on a clear idea of how to divide men and women. Capitalism also requires a certain level of unemployment to function. If there were enough work to go round, no worker would worry about losing their job, and all workers could demand higher wages and better conditions. The ever-present spectre of unemployment, on the other hand, enables employers to dictate conditions. Equally, in times of severe crisis this ‘reserve army’ of unemployed people can be called into employment as and when the economy requires it. This system of deliberate unemployment needs ways to mark who will work and who will be left unemployed. In our society this is principally achieved through race, class, gender and disability. and revulsion at the existence of trans people usefully provides another class of people more likely to be left in the ranks of the unemployed (even more so if they are trans and poor, black or disabled – which is why unemployment is highest among these trans people).

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.

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.

It is important to realize that the framing of trans people as ‘parodies’ who reinforce stereotypes cruelly disregards the ways in which those same British trans people – whose gender expression, dress, hairstyles, makeup preferences and so on have, it clearly needs to be said, always varied as much as their cisgender counterparts’ – have spent the past fifty years being coerced into narrow gender conformity by their doctors, then mocked and derided as too stereotypical and regressive by cis onlookers. If it sounds like a catch-22, it’s because it is.

The reality of trans life today is often hidden from public view.

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.

In the media, much of the focus on ‘trans rights’ in recent years has been on legislative rights (such as streamlining the process for legal gender recognition or having a gender-neutral passport), and on social conduct, such as checking a person’s pronouns. This emphasis stems in part from a media agenda set by cisgender people, often – as we’ve seen – for the purposes of creating controversy and fuelling a culture war. As a result, like many movements formed around an aspect of personal identity, class politics and a broader critique of capitalism have become sidelined in the trans movement. Besides the time and energy trans people have to spend defending civil rights and social courtesies, there’s a pretty straightforward reason for this. In any minority group, those who have the time, resources and political access to lead the charge for recognition and better treatment tend to be the middle-class members, who don’t appreciate the urgent issues of poverty and homelessness that for many can impede participation in activist movements. This representational imbalance leads to ‘single issue’ priorities, which emphasize the personal freedoms of the individual over the economic liberation of the entire minority group. Trans politics is no different. Poverty and homelessness are rarely framed as ‘trans issues’ in the media – or even by large LGBTQ+ lobby groups.

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 solidarity with trans communities. Anti-trans discourse is very much alive on the left in Britain, in trade unions and in local party branches.

Transgender people face discrimination at work, casual abuse in the street and long waits for NHS care. None of those problems will be addressed by the government’s plan to change gender reassignment to a matter of simple declaration.

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.