I kinda doubt that one of the biggest national news anchors openly calling for terrorism against hospitals would fly anywhere else in the west besides Hungary or Poland. Maaaaybe in the UK, but even there the rampant transphobia in the press is hidden behind a thick layer of concern trolling. Being as blatant as this is qualitatively different, it's much further ahead on the road towards open extermination. Republicans have moved beyond trying to push us out of the public and social murder us by medical gatekeeping like the transphobes here in Europe do, this is actively working towards an anti-queer Reichskristallnacht. They've been steadily escalating like this for months now and we shouldn't downplay it with "meh, all bourgie democracies are fascist anyway".

It's also important to note that they're copying the anti-abortion playbook here and what that means for medical care. Protesting clinics, whether violently or "just" with vigils of evangelicals harassing patients, is a huge part of getting abortion clinics to shut down even in places were Roe is upheld. This method is employed by forced birth clerico-fascists in the EU as well, and it has massively reduced the number of doctors offering abortions in some countries. If they cannot outlaw it, they go for this route of making access to treatment harder.

So what does it mean when Republicans want to expand this form of militancy to trans health, now that they begin to view the battle for forced birth as one they have already won? I can only speak about the situation in Europe, but i do not imagine the American medical system to be significantly better, especially in red states. Trans healthcare already is strained, it already is a hassle trying to find doctors experienced with trans patients even for "minor" stuff like laser hair removal or HRT. It gets a lot harder when we're talking stuff that requires highly trained specialists, like bottom surgery. Many of these treatments are a matter of life and death for most of us. There are trans people without dysphoria, but for the majority of us, qualified medical care is absolutely required to live humanely. Wanting to transition and not being able to is a surefire recipe for suicide. I'm not saying this to be transmedicalist, trans people can be valid if the sight of their beard doesn't want to make them to unalive, but that means they're the exception, not the rule. And yes, being trans isn't all about dysphoria and mysery even for dysphoric, binary trans people like me, but the suffering is real for us - and it could be easily fixed if it was just made easier for us to transition. The average trans person absolutely needs medical care to live a normal life, or to even stay alive at all long-term. Normally this shouldn't be a problem, these treatments exist, it's not that hard to help us, but in many jurisdictions, there's just a handful or maybe even just one clinic in the entire country offering bottom surgeries. Further restricting access to them by making direct action against trans health care a thing is nothing but genocidal.