> I think a lot of coastal elites have no idea what they're talking about when they speak about the extreme danger of being different in middle-America.
I suspect you are undervaluing the impact a region's law and culture can have. Being murdered is not the only danger of being trans in America.
LGBTQ individuals are the single largest target for hate crime. [1] Trans women, in particular, seem to draw both violent crime, hate speech, and legislation that makes their lives considerably more difficult.
Trans individuals more frequently suffer secondary health impacts simply for fear of using public restrooms. They may not use a restroom when they need to, or deliberately dehydrate themselves to avoid having to use a public restroom.
Even without violence, being the target of aggressive/hateful language when in public is not something anyone should have to deal with. It's an emotional burden that can lead to other emotional and physical symptoms of anxiety and depression.
When legislation like NC's HB2 goes on the books, it can make trans people targets. (See instances where people stood outside public restrooms 'checking' for trans individuals, or in Washington state, where the I-1515's initiative chairmen encouraged men to follow women into the restrooms to deliberately make them uncomfortable so they'd sign the initiative.)
The danger is definitely there, across many axes. Some of the dangers are subtle, and may not be obvious on casual inspection, but it definitely feels like there's extreme danger even in communities as liberal as Seattle -- let alone in areas where there's less tolerance.
[1] http://www.nytimes.com/interactive/2016/06/16/us/hate-crimes...