So, I understand the points you're making about medication regulation. Certainly, ibuprofen carries enough risk with abuse for the ease of access to be questioned, for example, but I'm unsure of the claim here that there are other ways for open access to HRT.

It seems that the conclusion here is that liberal civil rights campaigns are more effective with less risk, but I'm unsure if that's the point, since, y'know, that would require trans people to even further risk their safety by cooperating with institutions that are largely dedicated to the genocide of trans people. I'm sure that would carry a less general medical risk since, of course, it is not only trans people making use of these medications, but I don't see how this could be argued as more dangerous for trans people specifically.

I think it's also crucial to note here that even the non-violent actions that are necessary to fight for that protection carries the risk of incarceration, and therefore, significantly high chances of sexual violence given the disproportionate rate that trans people experience sexual violence in those cases. Even more, in the US, there are many cases where we'd be asking trans people to risk forceful "detransition" to participate in said campaign, as that is an accepted policy within the US carceral institution.

I do hope I'm misreading the last part of your comment for that reason, as I think that kind of point would ask us to ignore the trans people who died to secure what access we do have (very many of which suffered the consequences I listed above), as well as the reality that these institutions only conceded rights to that access as part of a longer campaign against transness, the consequences of which we are witnessing through the current wave of genocidal policies targetting trans people. With all that in mind, I find it difficult to weigh the valid concerns over medical safety against the specific needs for some of the most vulnerable people in our society. Surely, there is an acceptable risk I'm willing to generalize should that mean fewer trans youth die because they refuse to live without access to themselves.