I wonder to what extent the "big tent" strategy of LGBTQ+ activism in general, and "pride" attitude specifically have contributed to the loss of focus on gender dysphoria.

If one doesn't pay attention to any details, one could be mistaken for thinking that the only thing being trans ever comes down to is some weird fantasy or impulse ("I wish I were a hummingbird...")--which works if you aren't asking anyone else for anything ("just treat us like normal people, like everyone else, and please just leave us alone"--sure, whatever, you can wear iridescent feathers on your throat if you feel like it) but doesn't convey the appropriate gravity if you are asking for things ("gender-affirming care should be covered by medical plans", "we need an exception for the almost-universal prohibition against elective surgery on children based on the child's report of their emotional state", and so on).

Of course, one ought to be able to expect people to pay attention to details. But I do wonder if insufficient heed has been paid to the mismatch between the needs of people with gender dysphoria and the style of the LGBTQ+ movement overall. It might require more concerted messaging than it would seem to get anti-woke people to even register that there's a problem with their outlook.