Health policy. Mental health. Women's health. LGBT health. Progressive politics.
Here is a NY Times article about a change in state policy such that trans individuals can have their gender changed on their birth certificate without having had a sex-change operation.
As someone who routinely uses birth certificates for genealogy I must say this might make things very confusing.
Unfortunately, this was a proposal on the New York City level and not on the NY State level. Us upstate trannies may never have that right!
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