They kinda are. Not at the fringes, there used to be targeted outing campaigns in the hopes of getting trans people fired or killed back in the day, but what was once extreme personal bigotry has become a pipeline and is increasingly legitimized by mainstream right wing politics. If you ask the average bush era republican if the medical establishment should be forced to institutionalize trans people, they'd reply with a slur for sure but they'd not support overriding medical institutions.
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