the image has the text "the illusion of choice" with a red a blue pill underneath, referencing The Matrix. the blue pill has "887 2" embossed on it and and the red pill has "Premarin" printed on it.\
\[Transfem] [Non-binary]
That assumes all clients people will use do, which sadly isn't the case. So until all clients can see the alt text attached to a picture, we'll continue doing both as we believe in accessibility for all.
As realistically a lot of people will not switch clients for one feature.