Florabunting, affirmation has not always been the policy. In the 50s/60s/ 70s the NHS used what would now be called conversion therapy.
Hormones were used to boost natal sex not alter it. Psychotherapy and suggestions to go away and get married and have kids were common (which likely led to some of the distressing cases in the really sad trans widows thread here that all should read). And electro convulsive therapy was attempted to shock the brain into compliance.
Affirmation was always a last resort and about 90% of those saying they were transsexual were not so diagnosed and deterred from an NHS transition path way.
Seeing things from the 21st century perspective misses that dangerous shifts have occurred in recent decades.
A move away from the idea that this is not obviously a serious medical problem that needs extensive psychiatric assessment to find out why someone argues they are the wrong sex whilst knowing their true biology.
As a transsexual this is obvious and cases need fully investigating not simply accepted as true because.
Also transition is now the first option instead of the very last resort after other means have failed.
We have moved further and further away from psychiatric assessment and consideration of various possible causes and doctors having to be dragged kicking and screaming to transition as the only remaining option.
I do not think it is a coincidence that 'old school transsexuals' were generally aware of the importance of boundaries, that nobody changes sex and have assimilated into society easily and rarely claimed transophobia.
Whereas today all that has changed.
The erosion of therapy and making transition easy and not hard to get approved and extensive effort to eliminate and try to treat other possibilities that might lead to gender non conformity has coincided with the activism we are seeing now.
And which is demanding the removal of final barriers with government approval.
This process was meant to be hard. It should never be easy. It is madness to turn it into a choice.
That attitude within government has led to the appalling laxity of consideration over the consequences for children.
We cannot simply remove all obstacles or not look for causes that might be triggering psychological or medical conditions.
Anybody viewing this objectively can see that.
Yet it is exactly what we are doing.