the thing about the “why can’t we say pregnant WOMEN instead of pregnant PEOPLE, PC gone mad!” discussion going on right now is that even the “cis ally” side is kind of not understanding why, exactly, “official” stuff about pregnancy needs to use gender neutral language.
the use of gendered language, whether in law or in company guidelines, has been used as an excuse to exclude trans people from various kinds of reproductive healthcare. there have been stories of abortion providers pointing to the use of “pregnant women” in all clinic literature to justify not giving trans men assistance. there are issues where “women’s health clinics” will refuse to accept referrals for anyone who doesn’t have “F” on their records, which of course includes many trans women. there are in turn stories of trans women being unable to access “male” prostrate cancer screening.
language in this sort of capacity needs to be as factual and neutral and carefully constructed to avoid loopholes as possible. at this stage in my life, as a non-woman capable of pregnancy, i don’t really CARE anymore if you talk casually about pregnancy as something that happens to women. but i DO care if the medical system writes out some guidelines that, in only acknowledging pregnant women as a possibility, open me up to the possibility of being denied care by transphobes who can claim they’re just following the rules.
this is a real issue for us, the gendering of health care leading to single-sex guidelines which are actively used by assholes to say “no, we only treat [gender] here”. it’s not a matter of nitpicking over everyday language; it’s about ensuring we are safe from loopholes that can be used to exploit us.
I know a trans guy who had his gender marker changed after top surgery, and later was refused coverage for a pelvic exam because he was marked as male. he had to fight tooth and nail and in the end they had to change his marker in the insurance system back to female just so he could get one. and the kicker is, they suddenly stopped covering his testosterone once he was no longer marked as male.
it’s for reasons like this that some people don’t get their gender markers changed, but that in itself creates dangerous situations when their marker doesn’t match their presented gender - I’ve heard horror stories of people getting arrested after being pulled over by a cop who thought they were lying about their identity.
So changing gender marker = no coverage for necessary healthcare, not changing gender marker = potentially dangerous situations. This system is literally endangering trans people’s lives. THAT’S why it needs to change.






















