Actions taken by some of these leagues to allow trans athletes who have been on hormone replacement therapy for sufficient periods of time seem, tentatively speaking, adequate requirements and ones that show a good-faith interest in balancing the rights of trans people while addressing any unfair advantages they may have. I imagine these will continue to evolve over time based on real-world data, which is slow to come because trans people are such small percentages of the general population.
Ok. Let's start with the principles. Your position seems to be that if the male advantage can be removed via medical treatment, the transwomen should be allowed to compete as women.
We agree. I suspect that almost all of the participants in the thread agree. I suspect that the majority of Americans, and an even bigger majority in the rest of the English speaking world agree. (I limit myself to the English speaking world because I mostly interact with foreigners on this forum, and they speak English.)
So, on the core principle. I think we're good. Not just with me, but I think with everyone, or nearly everyone, else in this thread.
We'll revisit this in a moment, but on the principles, we seem to be in agreement.
This works well for elite level sports, where testing and the like are already common, but obviously does not work for more pedestrian sports leagues like schools. Especially given the context of the US, where financial barriers to trans-affirming medical care abound.
Here, though, I think we would disagree.
I think the reason it doesn't work for high schools is that those people who support inclusion of trans-girls in girls' athletics also, by a wide margin, insist that no other stipulation be applied to their participation.
In other words, there are some people who are adamantly opposed to transgirl participation in girls' sports. Those people don't care about medical transitions. They still say no. There's another group, including me, who are open minded on the subject, but are skeptical that a reasonable metric could be defined that is useful for teenagers. There are just a whole lot of issues. I, personally, would not slam the door on transgirl participation, but I'm unsure about the position of supporting medical transition as a participation requirement for high school sports. The entire subject makes me nervous, for reasons of health of the minors involved. Finally, there is the mainstream pro-trans rights crowd, and they would insist that it is wrong to impose such a stipulation on minors.
So what you end up with is that there is no one who actually supports allowing participation of transgirl teens subject to some medical criteria.
It has nothing to do with availability of care.
Ok. Now, revisiting the first point. We agree that a person whose male advantage has been removed via medical treatment should be allowed to participate in the women's league. Where there is controversy is that merely specifying a current hormone level does not appear to actually remove the advantage. The tricky thing is to figure out a way to remove the male advantage without threatening the health of the athlete. It's no easy task.
I don't want to misrepresent you. You didn't actually say anything about the male advantage. You only said hormone level. However, I am saying that the only reason to worry about hormone levels is because that is one source of the male advantage. It's not the hormones as such that are the issue. Some of us are offended that women who have naturally high levels of testesterone are actually excluded by these rules. If they are biological females, although very unusual females that have an abnormal, but natural, advantage from high testesterone levels, I think they should be allowed to compete as women.
So, there's some technical issues that are difficult to work out, and are beyond the expertise of anyone here to go into great detail on, but a lot of us agree that if a solution could be found, that would be great, but until then, we prefer segregation by sex.
Above all, we are absolutely opposed to segregation based on self identified gender, either at an elite or school level.