Den Autor Patrick Byrne fënnt datt méi wéi de Begrëff Geschlechtidentitéit ënnersicht gëtt, wat méi onsécher gëtt, zweedeiteg a kontradiktoresch a féiert zu déif legal a kulturell Konflikter. Wat méi déi transgender Weltbildung am Gesetz geschützt ass, wat méi Leit menacéiert mat legalem, professionnellen a kulturelle Sanktiounen, wa se insistéieren op d'biologesch Tatsaach ze erkennen datt Mënschen entweder männlech oder weiblech sinn.
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