But is that gender affirming care or is that just care?

That’s the neat part, it is all just “care”.

The whole thing gets muddy AF when one tries to squeeze definitions that make sense out of a box stuffed with binary gender and stereotyped gender “norms” that are not representative of real life. It is ridiculous to try to shove all possible characteristics of a person’s body into either “masculine” or “feminine” columns seemingly just to keep score for how “manly” or “feminine” the person is. (not saying you are doing this btw, this is a critique of a lot of our current society at large)