I went through a very similar situation as the trans elder in this article, and it happened here in California where trans people are supposedly protected.
After a terrible event that left me with two broken legs, I faced a couple of surgeries to get put back together. Once that was completed I was told that I would need to be in a nursing home/rehab center for months to regain my ability to walk. So they had to find a long term care facility to put me, and as you might guess, no one wanted me because I am trans. Finally, one location did take me, although they were 30 miles from my home, which prevented my wife from visiting (she doesn’t drive). Their rooms take 3 people each, and when I arrived they were trying to put me in with two men. I rather exploded at that idea because I am a woman! Their response was, “Well, you don’t expect us to put you in with women, do you?” My answer was “Yeah, since I’m a woman! Duh.” They refused, and instead cleared a room and put me in by myself.
As great as that sounds to have a private room, it wasn’t because then they were losing 2/3rds of the money they could be making on that room, so the treatment I received was horrific at best. The doctor in charge of my treatment told me right up front on the first day that she thought I was an abomination, and she would do what she could to prevent my access to estrogen and others things that kept me alive as a trans person.
I should note that at the time this all happened, I was fully transitioned, although that had only happened less than a year before the incident.
There is much more to the story that I won’t get into the details of, with the exception that I want to note that the doctor actively worked to kill me. This is not hyperbole, this is fact. She came very close to succeeding in her attempt, but luckily I was saved by a friend who was able to get me out of there. I was told at that point that I had less than 24 hours to live, if my friend had not been successful. I now suffer with permanent damage that will almost certainly shorten my life. And remember that all this happened in the trans-friendly state of California. And also this was a doctor, whose supposed creed is “First do no harm.” That’s how deep the hatred goes for trans people everywhere.