We really need to. I can't be happy and content in a world where cis boys brutalise trans girls.
I can't stand the exotification of me and my peers, I'm not a new, empty continent for cis academics to colonise. I already have a civilisation. I already have a culture. It's mine. It has words and contexts and concepts for my life, my things - and y'know what? It's not a cis playground. Not even if cis intentions are good. It's my space, and I decide who enters, and on what conditions, and I decide, too, if they have to leave, or are invited further in.
I will not tolerate a medical establishment that's intent on exotification and othering of non-cissexual people. We're people who need medical help - we're not guinea pigs for testing the latest theories on transsexuality. We don't, actually, need much research on transsexuality - I couldn't care less why I am, or was, this way. I care a lot about my health, my hormonal balance, my overall health. Do they research that? Nah. Of course not. Are our endocrine systems routinely checked for any possible oddities? If you're lucky and know what to demand. Are our HRTs monitored carefully? Well, yes, if you're lucky and know what to demand. Does your ob/gyn know what to look for? Yes, if you're lucky and know... I think you can see the pattern here.
How do we go about changing it? To be honest, I haven't a clue. Educating only takes you so far, and it's incredibly slow, and doesn't seem to have the power to bring about the kind of sea change I want. It's too slow, and too tedious, and too damn classist if every transitioner has to explain everything to every single doctor they meet - the poorest haven't got the resources to get the same doctor time and again, nor can they choose as easily as, say, I can.
I have educated my doctors. Both my GP and my ob/gyn are well aware of my bodily differences, and my HRT is monitored and managed well. But it's not enough! It's not good enough that one middle-class, educated, white trans woman can get what she needs - it should be routine for everyone, not just me.
How the hell does one take on the whole medical establishment?