People react with horror to the thought of women being forced to seek "back alley" abortions but not to trans people being forced to seek black market hormones and surgery even though the risks and the principle of bodily autonomy are the same in each case.
We're talking about scientifically and medically sound and even routine healthcare in both cases, but there's this underlying feeling among a lot of cis people that trans people could just stop if we really had to.