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1/ Prediction: The "assigned male/female at birth" lingo will become the medical standard due to pressure by activists. It already is in some places. Once adopted, activists will insist these "assignments" are non-consentual—even violent—acts of potential misgendering.
2/ Because of this, activists will demand that medical professionals make no such "assignments" at birth, leaving the birth certificate blank, and allow people to decide for themselves what sex they are later.

It sounds nuts, but I am pretty confident they'll attempt to do this.
3/ I think it's essentially a coin flip as to whether or not they will succeed.
4/ This is an important move for activists, because lawmakers and sporting organizations, to push back against sex denialism and protect female-only spaces, are drawing up rules that exclude "individuals assigned male at birth."

But if medical professionals are forced to...
5/ no longer "assign" sexes at birth, then these laws & rules will be unenforceable. There will be no legal way to protect female spaces such as sports, prisons, shelters, etc. from biological males, since biological sex will be replaced entirely with gender identity in law.
6/ Welp, @stuckland9 just pointed this tweet out to me.
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