...what I don't understand--
what seems a sudden unexplained cultural shift
related to who can afford it.

Whenever money is in the agenda,
my back hairs stand up

It is only by asking questions that others can grow to understand.
I have been following the news on Transexuality since it first appeared on TV and magazines.  It was a story about a little child feeling misgendered.  I was sympathetic to her predicament.

I Was Under the Impression that The First Amendment Was Important Here!