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the fact of trans people being involved has the effect of making anything complicated, apparently. It's just sooooo complicated to checks notes allow us the same rights and protections as anyone else. But oh hey someone's building a database of trans people while passing a bunch of anti-trans legislation? Hold on now it's complicated he may have a point.
And, of course, it's only trans people for now. If they can build a database of people getting gender-affirming care, they can build a database of people getting any other sort of medical care. For example, care for HIV or sickle cell anemia or Tay Sachs. And then there's the ability to make a database of women getting legal abortions, certain forms of birth control or IVF treatments. Awfully convenient way to keep track of 'problem' members of society, isn't it?