They're not left alone though - social transition is, as we know from Cass, not a neutral act.
I think we have a different definition of 'healthcare' for transpeople. And yes, young people absolutely have been sterilised with surgeries which mangle or remove their reproductive and sexual organs, and hormone medication which has been used for chemical castration of sex offenders. You know that. The testimony of detrans young people is available, though they do get shouted down a lot. I suspect we also have a different definition of homophobia.
Perhaps the words of Lord Blencathra, speaking in the House of Lords on Friday, are relevant here:
We have had the most despicable conversion therapy foisted on our children and sanctioned by the NHS. I am referring to the gross abuses inflicted on children by the Tavistock clinic and GIDS. Perhaps it was scrapping the words in the Hippocratic oath, “First do no harm”, that led to doctors neutering thousands of children, or perhaps they were captured by the ideologues of the transgender cult, led by the discredited organisation Mermaids