As a Canadian who generally fits this category, i am fairly privileged, have all my basic needs met and some security for the future under status quo conditions. I have my struggles, but they have not so much to with marginalization or oppression. But it depends on who you are. Indigenous women are still going missing, racists are still gonna racist, billionaires are still exploiting people struggling with food and housing security, etc. same goes for the USA. For millions of Americans who are upper-middle/upper class, heteronormative, and white, life is continuing on just fine, feeling safe and experiencing a government that functions as well as it ever has from their perspective. They’re too busy living their lives to get caught up in the “noise of angry squabbling of childish politicians”. Maybe expenses have gone up, but they can still sustain all their expectations out of life. He’ll you can imagine there are a not insignificant proportion of the Russian population are like this.

Wheels.

Current best practice AFAIK is exactly this. Gender care includes psychiatric/mental health, and occupational (ish) therapy that leads up to surgery after a lot of care. Gender dysphoria, like many things has an internal and external layer where society sets expectations and acts on us based on our gender expression in ways that can be quite brutal. Some folks may end up enby or smth or find something acceptable without surgery, which has its downsides. However none of this should preclude surgery as an option, as evidence has shown it is a highly effective treatment in our current context.

This is the biomedical view that focuses on dysfunction and suffering of the individual and addressing that dysfunction. There is a more philosophical/existential view worth understanding to balance the biomedical view. It is one that acknowledges that we are who we are and we develop the way we develop. If we are to flourish as humans and as a society, it must be through compassion for each others’ experiences as human subjects struggling to figure ourselves and each other out. Imposing one’s worldview on others by force is to treat humans as objects through manipulation. That’s mistaken and harmful. Compassion doesn’t mean you don’t stand up to bullies or you don’t resist injustice or you don’t fight back in self defense. It means you’re always seeking to humanize rather than dominate. This can mean supporting trans folks in accessing care or it can mean helping them to consider all their options.