Oh, I'm fully on board with DIY as a life saving measure. It infuriates me that anyone, much less a kid, has to go that route, but it is an ugly world full of hate and even just plain bias, so DIY is the only realistic option for way too many people.
I'm just saying that trying to make a class of meds OTC isn't the long term answer to that problem.
I'm so sick of seeing good people treated like garbage for the crime of not fitting preconceptions. It's one of the things that shifted my views on the desirability of violent revolution away from a purely pacifist stance. Too many people get crushed waiting for a peaceful change. But that's not really on topic, sorry for the mini rant.
Coming back to it, I think that trying to reclassify HRT meds as OTC would, at best, kick the can down the road on trans rights to access. At worst, it turns into another fight of its own that just isn't useful on a strategic level, and since it doesn't achieve the goal any better than other paths to open access, the risks it brings aren't worth it.