 activists, lawmakers, doctors, nurses, therapists, all of these people are going with the same ideological line that the most important thing is gender ideology, that if you believe you're trans, everyone else better affirm you or else they hate you and want you dead. And that lie is very much becoming, I would argue, kind of like a religious sentiment across the US. If you mispronounce someone, that's more outrageous than if you punch them in the face.