Its everywhere and kept very much on the down-low.
Here in Oz if you as a practitioner speak out there have been practitioners who have been given a show cause not to lose practising rights for failing to adhere to the position statement of the peak bodies on the entire trans delusion
Its nowhere near as bad as it is in the US where it is pervasive, pernicious, devious and influential but like almost all things,.,,the Oz experience soon follows on the heels of the American one.
Thankfully, it is looking like the worm is turning as the research coming out is showing the delusion for what it is.