Throwback to Va*sh orbiter Demon Mama saying that in a post-revolutionary society people needing hormone therapy could simply go to their local backyard chemist and get distilled horse piss as a viable solution.
Endocrinology is a very delicate science and it requires a high level of quality control to ensure that the people getting hormone therapy don't go fucking themselves up and throwing their bodies completely out of whack.
I'm sure that some backyard chemist would be up to the job but... what sort of quality assurance and certifications and standardisations are going to be enforced on a backyard chemist exactly?
This might come off as paternalistic but if someone in your region is the only person producing backyard hormone therapy, or they are the only trustworthy source, then I don't feel comfortable sending potentially very vulnerable young trans people their way where this backyard chemist would be in a position to exploit and extort trans people, especially trans youth.
My serious concern is that it would end up in the same sort of parasitic arrangements that lots of drug dealers currently have with their customers. Gives me the ick thinking that a person like Demon Mama, who is (allegedly) vehemently opposed to authoritarianism, would be so comfortable to hand over so much power to some sketchy dude using his bathtub to manufacture hormones and allowing that person control over others in what is often a matter of life or death.
Also this argument is very crypto-capitalist because the defence of this position essentially amounts to "The free market will sort itself out if we just let it do its thing! (Except no money is involved because I said so.)" You can claim that's an unfair characterisation of the argument but it's arrangements like this that are like little engines replicating pseudo-petit bourgeois social relations within a post-revolutionary society that can threaten to undermine it and can have major consequences for society.
/rant
I figure that this image depicts a castor bean crop and the poster is like "Who needs chemotherapy when you have ricin?"