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Of course. I see it as similar to saying you're homophobic if you aren't attracted to people of the same sex. In their mind they may be a woman, but physically and more importantly in reality they are not. If someone wants to label that transphobic, than have at it.FIFY.
This is a tactic employed sporadically by the left, and I may be in that small minority that empathizes with their plight but is turned off even more so by that tactic.
Children brought to the United States by illegal immigrants are not Americans, or Citizens. I'd prefer that we do the sensible thing and streamline their path to citizenship, but saying they are because they feel like they are, or because they should be, doesn't make it so. Likewise, health care should be available to all Americans, within reason, and without devastating financial consequences for any citizen if they can't afford the tab. Maybe there's a convincing moral argument for making health care a right of citizenship, but as it stands, it's not. And saying so won't make it so, and it doesn't mean I'm a heartless bastard for acknowledging the way things are.
People's opinions of themselves and the world around them don't change the reality of that world. Endorsing those counterfactuals is indulging those delusions.
The devil made me do it the first time, second time I done it on my own - W