Okay, my bullshit detector is going off like crazy again. There's literally no way that a paramedic could legally decide to let someone in their care die for any reason. Sure, sometimes a patient is just too far gone to save, but there's fucking no way that a troon-hater could just go "oh, what are your pronouns again? sorry, you don't get to live today." If you got caught (and you almost certainly would), you'd not only lose your job, you'd probably go to jail for causing a wrongful death. Does anyone have any idea what John's blathering about here?
Also, considering the PAC is pretty much John, I guess you could claim a majority of troons by default. If you didn't know already, you'd probably find it a little weird that a natural-born woman seems to care so much about troon issues.