But surely the solution to this is making sure women are made aware that they have the right to refuse care from anyone they like in these types of circumstance, free from shame.
And if a female asks and is then told that it indeed is a woman who is doing the procedure? Because by law the truth of sex of that person cannot be disclosed.
I don't see why this has to have anything to do with what trans people are allowed to do with their BCs.
Because it perpetuates a legal fiction. Because the trans status of a person can be hidden from employers who then have a responsibility to ensure the safeguarding of others.
I have had to provide ID to an employer. Is that not standard? Birth certificate information then allows all other ID to be changed. A nurse, for example, may not even realize they are lying to a patient who asks for confirmation that that person doing the procedure is not female.
So, your point about ‘refusing care’ again hinges on the patient being told a legal fiction by a person in a position of trust, either deliberately or through lack of knowledge.
Do you seriously not understand the % of women who will accept that and damp down their discomfort? Your ‘just make sure they all know’ sounds willfully naive and may be victim blaming them for trusting others too much and/or for not wanting to cause issues as well.
Having been 30 years old and being told directly by the male about to give me an ultra sound that I could ask for someone else, I was flustered and uncomfortable and still said ok because I didn’t know what to do. I even then agreed to have two other male (students) present. All the time I was so uncomfortable the ultrasound was very painful. And I did nothing. Knowing I had been given the option of saying no.
So, I know how it can and does happen.
That you continue to say ‘I don’t see how birth certificates being changed then effects x’ seems to be more your own determination to ignore the use of a birth certificate.