Yeah I guess I failed to distinguish between maga and conservatives
To be fair, the entire Republican party seems to be all about blurring that line right now. I think the big challenge is Trump awakened something in folks who haven't been politically active in a very long time, and because they haven't been politically active, they aren't coming into politics with a clear ideology or set of policies they want to see passed other than "I like trump!" Which is probably a big part of why we just have a bunch of attempts at turning his presidency into a dictatorship and state-sponsored racism as the only clear policy trump actually cares about, and any policies that are directly enriching large businesses are just a case of those with deep pockets cozying up to folks in power with loose morals.
But let's be real, the Republican party hasn't been about conservatism for quite a while. They've definitely been coasting off of pure brand recognition with occasional injections of christofascism and state sponsored violence against minorities to help maintain their old jim crow roots. They've successfully cultivated a culture of being Republican, so they can do what they want policy-wise and still reliably win around a third of the elections in the country without resorting to voter suppression, and they can reliably win about half of the elections in the country with voter suppression
You chose a pretty poor example. People don't spend years seeing doctors about transitioning without being slightly very gender disphoric. One trans dude I know literally had so many hoops to jump through including having multiple kids before they could finally convince their doctors to prescribe HRT because the doctors kept saying "well you might change your mind though! What if you want kids? What if you want to breastfeed? What if you just don't like the way you look and that's why you're trying to transition?" Etc.
Or just look at the viral tweet of the one trans woman being like "yeah I offered a single hormone pill to my buddies as a joke and they all recoiled in horror"
A better example for holding actual debate would be arguing over how to approach the housing shortage in America, or the best approach to reducing the wealth gap. Basically anything where you can agree on the premise and debate policy. This is usually how I talk to republicans at work or in my family, I focus purely on policy because generally people can agree on problems that they can see, and if you can avoid the common turns of phrase that political pundits use you can probably even agree on some policy ideas. I had a brilliant conversation with some conservatives at work recently regarding insurance where we basically were all in agreement of "holy shit something has to change here now that we have multiple disasters a year wiping out entire cities and counties"