MIdgebabe, you say as long as we respect other opinions and can find a way forward that does not discriminate unnecessarily and harmfully. Where tensions arise, a certain pragmatism is needed. That pragmatism should be focussed on minimising harm all around.
That's a paragraph that warrants examination.
When it comes to the right of women to specify female HCP for smears and mammography, those women have no need to "respect other opinions". It's irrelevant
For female patients to specify the sex of their HCP is intrinsically discriminatory. However such discrimination is neither unnecessary or harmful unless you're looking at it from the perspective of a man who identifies as a woman and wants to perform female intimate care. Such an individual might see their treatment as harmful and unnecessary. But as HCPs are there to serve the interests of patients rather than the other way round it's irrelevant.
Your next sentence is very odd. "Where tensions arise"? What tensions would those be precisely? And what course of action would a "certain pragmatism" imply? Sounds very odd. Almost threatening.
The idea that we should focus on "minimising harm all around" is an odd remark unless you are including the interests of the HCP.
If that's your meaning you have misunderstood the relationship between a HCP and their patient. The patient has absolutely no obligation to validate the HCP and there should be no harm to minimise. The only way I can make that sentence make sense is if the harm referred to is the perceived affront to a MtF when female patients don't perceive them as a woman.
I may have completely misunderstood your post. If so i apologize. But it's a weird paragraph.