The connection between politicized medical disinformation surrounding COVID-19, and potential disinformation campaigns targetting trans people is interesting. Is there something in particular you're referencing, or is this more speculation on a potential issue?
I know my biggest barrier to care was indeed medical clearance and medication/tools restriction. Even with socialized coverage, it was about a thousand dollars and five months of my time to get started; let alone the years I spent waiting to even start the process because I knew that would be the most expensive hurdle. Hardly had to go through the same process for ibuprofen, which also carries fairly severe side effects if abused.