@goatsarah Well, yes. But.
One of my best friends has a trans daughter, who is just on the point of being prescribed blockers after a battle of about five years. We don't at this point know whether she's sufficiently far along that this will 'only' make it harder to find a sympathetic GP, or a final last-minute defeat after so long waiting.
So yes, even within an awful system, this will make things materially worse for some trans people.