You know why you never hear of cases from mainland Europe about people who were banned for calling transwomen men? That's because (among other reasons) there are labour laws in place, restricting the free market, that forbids companies from firing people over their opinions.
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If we go into the very specific topic LGBT and gender ideology the free market is HUGELY in its favour.
Why are trans issues such a huge political topic in USA? Because healthcare is private and therefore medical companies can earn a huge dime pushing new medical practices that countries with public healthcare do not care for.
I popped in to see what shit Molyneux was up to since he vanished off my radar ages ago, but I think this is worth addressing.
You touched on Europe when talking about cancelling, and you are right to assume that cancelling people is in part a public affair, but you didn't address the heavy legal subtext. Tightening of hate-crime laws predates the phenomenon of "cancelling," specifically the idea that class action lawsuits can hold employers for not firing known perpetrators of "hate-crimes" when they are brought to attention.
This should not be misconstrued as the same manner of thing as boycotts or other civilian action, it's strictly a government measure, and businesses avoid government even if they have to act as petty (unpunishable) cops to do so. It's way safer than letting the rabid civil prosecutors step in to rip your company apart, or having to pay your own lawyers to do their awful, awful job.
This is also why HR departments in real companies have tripled in size, can't hire anyone without a long ass background check, force employees to sign tons of waivers that say they'll be good boys, girls and others, undergo a ton of training to make sure it "sticks," and have to file seemingly endless paperwork to prove they are creating a
safe and
inclusive space, with zero "malicious actions." It is un-ironically cheaper and safer than the feds getting involved.
Government interference and insistence on insurance, payer problems, and state defined ethics means that any observation you can make on public health for public vs. private will be extremely muddy. State and federal institutions are involved in every element of applied and research medicine. There is no easy "capitalism did this, state did that" assessment you can make, because there is interference from top to bottom, and market failures from top to bottom. It's like if you got a couple of IKEA tables and swapped half the parts from one box with the other. Neither one comes out looking right.
Medicine in the US is far from some pure private market, and the generations who remember a private healthcare market anywhere across the planet are slowly dying off.
The US is
trailing European countries with more thorough public healthcare in studying and implementing gender-affirmative care, because what elements of a free market it has, also means personal liability without state-controlled shields & financing. You act as though the free market is the driver, but in places where there are no consequences for cutting dongs off willy nilly, it happens more readily and with less public outcry. That is to say, "medical companies" can only make money from this, because the state has said that you
cannot prosecute doctors for ruining your life by administering HRT or cutting off your dong and replacing it with a flesh wound- blaming it on the US' private market makes no sense, when the same thing has happened in Europe and most of Asia.
Meanwhile, if your premiums
did go up because of tranny malpractice suits, you better believe consumers would cry out. If you weren't alive before 2000 AD, do some reading on life and health insurance and AIDS for this exact reason. Private insurers rebelling against HIV/AIDS provisions and forcing off gays from their services was a massive motivator in the government getting involved; it did not "like" the market's risk assessment, as it doesn't with the myriad doctors who object to HRT and transgender surgery.
If anything, like this the free market (as it exists) has been a bulwark against gay issues, including and especially transgender issues. LGBT issues are costly and unproductive to a peoples in a way few other socially popular causes are, so in the US (and the U.K., which has some similar social and economic outlooks to the U.S.,) they've been slow walked even while every other social issue, no matter how vapid or dumb, has chugged onwards. Conservative attitudes aren't actually that hard to budge, it seems, but the citizen's pocketbook and personal wellbeing absolutely are.
If you want to point to how capitalism intersects with transgender advocacy, you should instead point to the preponderance of wealthy, mostly conservative trannies who fund and finance lobbying and media propaganda efforts, and how that might be a factor of things like abnormal sexuality, excessive amounts of free time, and intelligence.