* ....struggles for bodily autonomy and healthcare equality*
People in the UK with trans identities have as much bodily autonomy and access to free healthcare as those without. The Cass proposes that the healthcare provided to trans people meets the same quality standards as all other areas of healthcare. The healthcare provided by the Tavi fell short of those standards.
Across all medical fields in the NHS, HCPs are gatekeepers of treatment, this is a fundamental role they hold to protect patients. It's not authoritarian, paternalistic or transphobic - this applies to every NHS patient. HCPs may offer no treatment, one treatment or a choice between treatments. This depends on evidenced based clinical reasoning.
They are right to say that they have lost something, but they shouldn't have had it in the first place and this is being corrected.
I guess an extreme liberal might argue that all healthcare is oppressive in that individuals don't get to make their own choice about what treatments they can access. It isn't reasonable to claim that this 'oppression' is limited to trans people only.
I keep hearing that 'cis children' are offered puberty blockers and this presents clear evidence of discrimination. This is as ridiculous as citing discrimination and bigotry that cis cancer patients are offered chemotherapy but cancer free trans patients aren't, despite wanting it.
Money can buy you access to more treatments, in terms of speed of access and where cost is the reason for not being offered a treatment on the NHS, but it can't buy you access to treatments that have been deemed unsafe or damaging (where the known or potential risks outweigh the known or potential benefits) - well at least not when medics operate within the confines of their licences to practice.
This anger and upset has been fuelled by the Tavi's negligence to practice ethically and safely. TRAs would still have had beef that they couldn't have their treatments of choice, on demand, but they wouldn't have had the upset/ anger that comes from being given something you want (perhaps giving the impression that it is your right to have it) then it being taken away.