What? Activism by trans people is directly responsible for the improvement of the lives of trans people (see informed consent for example).
You have to look at the real world, not the world that (presumably) we both wish we lived in. In real life, activism just leads to counter-activism.
I'm not saying that trans folks aren't better off now than they were a decade ago, but I am saying that for every action there is an equal and opposite reaction. If you have a medical condition that needs treatment you probably don't need a line of dummies lining up to block you as you walk in because you've turned your condition into "Activism."
Some things are made worse by turning it into politics.
[0] https://gender.stanford.edu/news/continuities-and-developmen...
Trans people are better off now specifically due to trans activism.
Every action having an "equal and opposite reaction" is a physics concept which doesn't apply here.