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...