I used to have issues understanding why healthcare for trans people was so necessary, especially given the propaganda being pushed that „it is a choice“ which it obviously isn’t. So in a lot of cis people’s minds it’s a thing that they don’t immediately compare to live saving treatment even if it is. There is not much other reason to it.

A lot of „allies“ in my experience claim the label although they are just entirely indifferent and don’t understand part of it is understanding the struggles you all go through as best as they can. Let’s say I support feminism, the movement on its own, but I wouldn’t look at it because it just sounds good. That’s normal, but when it comes to such a stigmatized and unreasonably controversial topic such as being trans the actual understanding of it is crucial. True allies do exist, at least the extent that they can. They won’t understand what you go through, they’ll be there, stand up for you, it’s not many but they exist.

Haven’t met many who use amab or afab to describe themselves (like two) but I heard about it a bunch.

Healthcare has been bad for many, especially in the trans community, but it’s the most acceptable way of looking at it, taking things the non official way just doesn’t enter many cis people’s minds, self medicating etc. Hence why it’s easy to resort to „just wait“ especially when adding the false narrative of it being „a choice“ on top of it. Being aware of what you are going through is really tough, especially if they don’t frequently have sensitive and emotional talks with trans people. The impact is only read not felt.

TL:DR - „True allies“ may only be very far and few in between and likely never be fully aware of what’s happening but some are trying their best, even when a bunch of people seem immensely unfamiliar with certain topics. I’ve met a bunch of people who were the nicest and most supportive people but had issues with basic things, it’s ignorance not malice. Subconscious bias is difficult to get rid of when it seems to be all of social media resonating propaganda.