Sexual identity and gender have actually been explored and not set-in-stone culturally since pretty much the beginning of humanity. There are numerous examples from across the globe throughout history (Africans, American Indians, Sumerians, etc) of cultures that have not held rigid gender norms, not constrained the idea of gender to one's sex at birth, and held queerness in high regard and as a part of normal life. I recognize the temptation to view these changing ideas as a Western concoction borne of liberalism, but LGBTQ+ identities have existed in multiplicity across so many varying cultures and civilizations that it's kind of a misguided notion (not directing that at you, just in general

). I loathe big Pharma and the extraction of profit and value from marginalized people's struggles as well, but I don't think that should discount/discredit in any way the people who should receive those services.