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what does "legitimate" mean here? I mean, I see how there might be multiple types of trans people with different reasons and desires for transition, but what establishes the legitimacy of one over the other?
I support bodily autonomy without limit, but it seems clear to me that some trans people have motives ungrounded in medical need. So by "legitimate" I just mean that they're female in some biological sense, genetically or phenotypically, before transition.
Agreed on bodily autonomy. There are, statistically, neurological differences in trans people, but I doubt that those can be fully described in terms of "more feminine brain". It's likely a more complicated condition involving perception of self and others.
"Medical need" is also a spectrum. At what level an intervention, or the negative psychological consequences of withholding it, become medically relevant is ultimately arbitrary. Not to say the line can't be drawn, but it has to be clearly defined.
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