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Yes, well, few as they may be, there seems to be a higher concentration of them in the biggest international association concerned with transgender health.
The majority of the observable universe being the cold vacuum of space, you're quite correct, but the one bit of the universe where humans are typically seen, depriving them of oxygen does usually require some form of intervention. If you want a real gotcha you can say they would be upset at refusing a blood transfusion or a dialysis machine, though even there the Natural Law enjoyers have arguments for why they are ok with that, and not other things.
Puberty is a necessary process for development of not just all humans, not just all primates, not even only of all mammals, but practically every animal observable to the naked eye, that anyone will ever run into. Without it it, you lose access to one of the core functions of your body. You can say that it might be worth it under specific circumstances, bot it's loony say they're the same.
The ventilator itself is an active intervention, while puberty is, again, the process of developing a core function of one's healthy body, making the analogy somewhat stilted.
This is where most utilitarians cheat. It's not enough to look at the outcomes, you need a moral framework to judge those outcomes by.
I got used to the "no dog in this fight" folks, but I'd imagine you'd have somethimg to say about your "real world" model of mental health not really reflecting reality because of this issue.
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