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I believe they are mentally ill. Just because i believe in my heart that i am a ghost doesnt make me a ghost.You are confusing hermaphroditism with transgenderism. While it's true the hermaphrodites exist, and just that fact makes most anti-trans arguments invalid, they are a microscopic percentage of the human population.
Transgender people are a much bigger portion of the population, albeit still a tiny one. Even so, there are millions of transgender people around the world.
You can deny that they are trans if you really want to, but that is denying reality.