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1: Why should people who don't understand the different sexes and how they're supposed to work together ever come up with the best course of action for legitimately transgender individuals (i.e. not just men with a terminal case of "it's ma'am")?
The flipside of not being able to have a proper answer to the question of what a woman is means that you don't have a good answer for what a man is. Which I believe is a pretty scorching indictment for an organization, an entire "scientific" field, and to a point the Tribe backing it that claims to have an answer to whether a man should become a woman- if the distinction between genders is meaningless, then dysphoria shouldn't exist (and thus shouldn't even be acknowledged), right?
An organization that's supposed to support transgender health first and foremost needs to understand, and understand properly (as in, the good-faith scientific distinction and not the common definitions), what gender even is in the first place (and communicate that definition coherently). If they don't understand it, or have definitions that are first and foremost self-serving (perhaps if their salaries depends on them intentionally misunderstanding it), then they have no business telling men when and when not to become women and vice versa.
I'd argue that rejecting the bimodal distribution of gendered behaviors, or trying to push men further and further into being women (for various reasons, ranging from a simple failure of preventing the male biological niche from getting destroyed by market forces to the actively malicious gender supremacy movements) is one of the reasons we even have an explosion of ex-men in the first place. The collapse of a positive, approachable masculinity also creates ex-women, since the tolerance of tomboyishness as a subgenre of "woman" collapsed with it (and without a positive, approachable masculinity, femininity had nothing to constrain it from becoming toxic).
2: Why should people who don't have a healthy sense of pro-social adult sexuality be able to come up with a solid answer for when trans is and isn't a fetish (or to have any hope of understanding what productive development/expressions of child sexuality should be)?
"I spend a bunch of time writing online about how great it would be if basically every boy on the planet was castrated" is not the mark of someone who has a well-rounded view of what co-operative/productive sexual expression looks like. The elephant in the room on the Blue side is that this way of thinking, and everything they do to express power, is itself some shade of castration; men with a healthier (as in, less internalized androphobia) understanding of how the sexes interact have quite accurately noticed this tendency, it's why the memes specify a ball-busting bitch.
The problem is squaring the circle between "patholotical androphobia" and "children are sexual beings". How are we supposed to expect that an answer that depends specifically on getting the latter right is going to be correct when the minds of everyone working on that answer are utterly consumed by the former? I'm pretty sure Boku no Pico is a healthier and more productive treatise on male sexuality than anything high-ranking WPATH personnel will ever come up with.
(As an aside, it's probably worth noting that the main difference between adult sexuality and child sexuality seems to have something to do with the presence/absence of biological impulse to play power games with sex- so expecting someone whose entire sexuality is nothing but explicitly malicious power games to try and make things better for people who inherently lack the understanding/biological drive to do them is so, so much worse. "It's ma'am" is the model transperson to people like this, and it is those power games that lend themselves to the bad faith consequences: suppressing de-transitioner literature, placing ex-men in women's prisons, and so on.)
3: Given the above, why would a movement whose entire motivation is some abstract form of "fuck you, Dad" ever be able to ask the "are you doing this out of spite?" question and be able to engage productively with the fact that the response is sometimes 'yes'?
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