In recent times republicans in the USA are trying to push weird laws to force trans people to not express themselves and conform with their assigned gender at birth.
This cartoon was made by a trans man. For them its a usual process in transitioning to have their breasts removed. With such laws, trans men would be required to somehow get breasts again to appear in public, which is obvious stupid.
So to answer your question: Yes, Republicans are trying to force people into gender reassignment. This is just an extension of them trying to take away people's medication, bully children and torture women
I finally beat the game this week and with this I might just play it again to try and beat the time limit difficulty. I really hope their improvement of the final fight will be good, as right now it is just underwhelming