1:38am
October 9, 2014

Just filled out my health insurance forms!
yeah!!! fucking around with health insurance forms!!!!
I hate when people complain about “oh health forms are stupid they want my biological sex instead of my gender!!!!” or “they only have male or female!!!”
There’s a reason for that, you dumb fucks, and they’re referring to biological sex
Different health risks are present in different sexes, and whatever gender is in your head does not change the fact that if you were born female, you have a higher risk for certain cancers and osteoporosis, and if you were born male you have a higher risk for heart disease and often a shorter lifespan than a female.
In other words, your biological sex is an important factor in health and health insurance, and your special snowflake status doesn’t change that.
Coulda said it nicer but it’s true; it’s about health.
No. There gets a point where nice doesn’t work. There’s too many stupid ass angsty teens on here that are gonna get themselves seriously hurt or sick because they wanna be a special fucking snowflake. Lemme tell you a thing. Doctors don’t give a flying fuck what you identify as. All they want to know is do you have two X chromosomes or an XY? Because cancer and lupus and certain medicines don’t give a flying fuck what pronouns you use. This is about your fucking LIFE. stop being angsty for TWELVE SECONDS because when you’re in an ambulance or going into cardiac arrest or whatever the situation may be, it’s ESSENTIAL that you get your head out of your ass long enough to tell them your BIOLOGICAL SEX that you were BORN WITH. It literally may save your life.
this is all very violent imo
It’s important
it’s not but ok lol
hi im one of those doctors you idiots keep using as an excuse to yell at trans people
every single thing you’ve said is incorrect, and you do not know what you are talking about
I may need to know what organs a patient does or does not have, their hormonal status and history of exposure, and even their karyotype. Ideas like “biological sex” can often imply a lot of this. In medicine, that isn’t good enough. We have to be able to catch exceptions, side-effects, sequelae, and anomalies that might affect only one in a million patients. Exceptions to any one or more elements of the “biological sex” paradigm are much, much, much, much more common than that.
You genuinely do not know a patient’s chromosomes until you’ve run an expensive test, and even then, who knows! they could be a mosaic. Whether this information is important, and when, and why, depends. It all completely depends. A gender/sex/whatever marker on a form is not and never will be important. No matter how you cut it, is and always will be a miniscule source of information. Frankly, by disclosing a trans background on this form, the OP has made it more diagnostically useful to a clinician than that form has ever been before - we trans people are statistically very uncommon and tend to encounter distinct hardships and challenges that are highly relevant to our medical needs. Even then, it would still be no substitute for actually interviewing the patient.
So that’s the other thing you House addicts don’t have a clue about. Good doctors do “give a flying fuck” about how the patient identifies, because a patient’s background is absolutely key to their health. Knowing a patient’s basic demographics can help me think about what may be more or less likely in terms of their care needs.
More importantly, it helps me treat my patient with respect. This is both the decent thing to do and an absolute minimum requirement for being able to get damn near anything done. You sneering choads couldn’t cure a side of beef.
also, because people are so horribly misinformed, the idea of “biological sex” is just as much a societal construct as the idea of “gender”. what does it mean to be “biologically” male and female? stop reinforcing a gender binary that leaves no room for people to be “in-between”—what does this shit mean for instance for intersex people?
historically, and presently, intersex people have been stigmatized and othered by the medical industry and by society at large. bodies that don’t conform to this binary mode of thinking are ostracized, invisibilized by society. bodies that don’t fit into these molds are altered, forced to choose to live as either a “woman” or a “man”. what do you pro-“sex is a biological truth”ers have to say to that? how do you account for bodies that don’t conform to these standards?
the dsm (diagnostic and statistical manual of mental disorders) has defined sexual ambiguity as a mental disorder. the dsm has defined sexual dysphoria as a mental disorder. the medical community and society have deemed sexual (and by sexuality i’m still only referring to “sex” and “gender”) deviance, as anything that doesn’t fit within this ridiculously narrow confine of phenotypical characteristics.
human sexuality (not synonymous with sexual orientation in this case) should be seen as a spectrum. the “ideal” model to base this spectrum off of would be the body that combines both “male” and “female” anatomical structures, which would allow more than room for ALL types of bodies to be visibilized and accounted for.
this idea that science is some objective truth needs to be stopped. bodies, like everything in the world, are composed of matter. matter means something to us because we give it meaning. bodies are matter given meaning, there is no “objective” truth to be found in human biology.
This remains my ultimate trump card to the “but biology! but chromosomes!” nitwits. If you know a bit about actual biology, this is astounding.
There are multiple documented families in which there are multiple documented generations of fertile XY cis women.
We’ve known for a long time that there were androgen insensitivity disorders that meant that children were born who had XY chromosome but had vaginas and uteruses and soforth, grew up cis, and developed secondary sexual characteristics usually associated with cis women. Breasts and hips and all. But they all appeared to be infertile, and scientists genuinely thought that there was no way at all they could produce fertile eggs.
Then a couple of scientists stumbled across, by chance, a family where the women were all karyotyped XY, and nobody would ever have guessed. All of the children they had were cis female, and all appeared to have XY chromosomes. And the scientists were astonished. So they wrote up the case study and published, and then other scientists went, “Oh, yeah, we found some other people like that a while back, here they are.”
Chromosomes do not necessarily match genitalia do not necessarily match identity do not necessarily match reproductive ability. None of the things these oiks think makes “biological sex” actually fucking does so. Genitals are not binary. Reproduction is not binary. Identity is not binary. Chromosomal sex is not binary. As the doctor above pointed out, one person can have more than one set of genes altogether.
Yes, there are circumstances in which a doctor might need to know any and all of these. And they can ask, or even put multiple questions on the questionnaire. But they should always want to know a patient’s identity, because they matters in how they treat the patient as a human being, in their most basic interactions, before the doctor touches an arm or a tissue sample or begins a diagnosis.
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