Oh yes, I didn't think you were against DIY HRT generally based on your comment.

I do think systemic violence is very much on topic, especially following my comment. We have to be real, every trans issue is a topic related to a group of people who are regularly targetted for genocide. This is why I'm a bit confused about this final point again, about wider access being definitively less effective and more harmful than alternatives, since we don't really have alternatives.

Every act of cooperation with a liberal-capitalist system is "kicking the can down the road," since that system fundamentally desires the eradication of queerness. As far as violence goes, I'm not sure how you could argue that, again, an increased generalized risk to the benefit of trans people is in any way more risky than simply continuing the current path, which is civil recognition, when that literally resulted in the current moment of trans genocide and is concurrent with the consistently high rate of self-harm and suicide among trans people. As far as I see it here, your point is that a potential threat to the general population is more of a concern than the very real and immediate threat faced by trans people today.

As you've stated in other comments, there already is HRT misinformation, and the systemic oppression that we experience has necessitated community responses and education campaigns. So, I don't really see how this would be a problem for trans people specifically, whom already have an information network via the preexistng ones within the trans community. I also don't see how this would be any more or less difficult to implement in the current cultural moment within the US (and anglosphere) and/or EU contexts, since, again, we are already dealing with the negative consequences of cooperation in the first place. I'm not sure what strategic value there is in foregoing campaigns that can codify trans access to HRT without explicit trans rights in mind, and therefore protection against the repeal of policy on the basis of anti-transness alone.

So, could you please explain what alternatives you're referring to?