I think the word "transmedicalism" needs to be reserved for ideas that support giving authority over trans identity to medical institutions, actually.
The political project of trans self-determination can't be transmedicalist, no matter how much someone says "we need to prioritize access to medical transition," because increasing access in pretty much every real-world context is the same thing as attacking the authority of institutional gatekeepers.
Like when you're calling DIY advocates "transmeds" you have Lost The Fucking Plot. You have decided that "transmed" means "trans person whose vibes I don't like." Words actually need to mean things to be useful.
Anyone who's never had to deal with trans healthcare in the gatekeeping model especially needs to put in work to learn this: What transmedicalists are advocating for, whether they understand it or not, is a system where a cis man with a history of sexually harassing patients determines if you're "trans enough" to transition.
anti abortion propaganda that tries to like scare you into feeling guilty by reminding you that the fetus has body parts are so funny. "uwu please don't abort me I have eyes at 4 weeks old 🥺" nice try sucker I don't care if you see it coming
whenever the conversation about difficulty and accessibility in games come up i want to slam my head into a wall because noone thats speaking has anything more than a surface level understanding of what "difficulty" even is
your game should have accessibility options, but if your only accessibility options are "turn off central game mechanics" then you have made shit accessibility options.
you know what accessibility option doesnt completely fucking butcher your game while allowing almost everyone to play it? an option that is not available in 99.99% of all games ever made? easy:
i was in a communal all-gender restroom today and as i was washing my hands a middle-aged man came out of one of the stalls, started to make for the door, clocked me standing at the sinks, and changed course to wash his hands with a real hangdog look on his face