This is a false dichotomy. It is not one or another.
Most of your biggest issues can be laconically attributed to the state being too big and too much power being in the hands of just a few.
That people can be in a rare occasion born into wrong body is a fact. It doesn't matter who buys menstrual hygiene products and how they use them. For example pads can be used to make safer variants of molotov cocktails. Purposefully misgendering someone is rude it is simple as that. Orange man is an etatist, but as president he was mostly harmless and impotent. Putin is responsible for what is going on in Ukraine. He is not responsible for everything, but a huge chunk of evil goes into his account. Aliens, I want to believe, but so far it sounds like nonsense.