She doesn't even advocate doing away with transgender healthcare altogether, just points out worrisome trends. The teenager not being aware of what certain medications would do to his body is a big warning signal. This is the type of scrutiny any sort of care should get, and you'd think even pro-trans people would like the idea of the process being improved: the right people would get the right treatment. But apparently the very act of walking through the door makes you "the right person."

As pointed out by others, even the practice of using the word "affirming" in trans healthcare is weird. The very process of going through the hormone and surgical procedures is marketed as this self-actualization process. This article in Vice talks about people who want unusual genital configurations (e.g. a vagina and a penis, or complete nullification): https://www.vice.com/en/article/4axp3n/trans-people-are-seeking-nonbinary-bottom-surgeries

I find it interesting that the article talks about "so-called transmedicalists," who talk about dysphoria being the main criteria for needing the surgery. Dysphoria is being used as the shield under which the surgeries are characterized as "life saving care," even as dysphoria is waved away as this narrow-minded way of thinking about trans issues.