This is more likely to hurt patients though. People metabolize medications according to hormonal sex, not genetics. If you report your assigned sex at birth, some dumbass is going to try and give you a medication dose based on that, not your hormonal sex. It’s just an invitation to bigotry and medical errors. Even people who are nominally allies may still think “well I support your identity and pronouns, but your medical needs are obviously still those of your sex at birth.” Medical people tend to be pretty ignorant about trans bodies, and trans people need to look out for our own interests, because the system certainky won’t.