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Maybe his petty beef with his fellow rich white dude overrides his transphobia?
Simpler than that - Elon doesn't believe he's transphobic, and in his mind pointing at "real" transphobes proves it.
As much as I wouldn't be surprised that Altman is a piece of shit, releasing an "open letter" by DMing it to Musk is just nonsense. 100% chance that Musk thinks he's really smart for making this, and no one will be able to see through his deception.
I found a YouTube link in your post. Here are links to the same video on alternative frontends that protect your privacy: