Stuck in there among the mangled language is, I think, an acknowledgement that puberty blockers are not, in fact reversible, so there is that
Otherwise, as pp said, it’s hardly as if this tiny population isn’t extremely vocal, and well represented in the media and politically. Also, a lack of acknowledgement that a tiny population can have a huge impact. One TW providing intimate or healthcare could see an awful lot of women, and one TW in a female hospital ward/prison/sports event/rape crisis centre will affect all the women there. And that’s before you consider the number of women who will self-exclude even when no TW is present, because the space is no longer guaranteed to be single-sex. He is right about one thing - there is no compassion for the women