Medical health approaches for trans folks are actually their own separate thing because they have to take into account effects of hormone therapy. Including this could raise awareness and preparedness at medical facilities, so it's not a bad idea at all. Either the individual on the hunger strike is on HRT and has had shit service at medical facilities where staff probably had no clue, or they're just highly sympathetic.

edit: (I'm using "trans" here as an umbrella term including non-binary individuals, in case anyone wasn't sure.)

I don't know why you were downvoted, but this is a good idea. I recently read an article about how Canada is the first country to provide an option for trans and nonbinary people in the census, and Quebec could definitely do something similar.

Beginning in 2021, the precision of "at birth" was added to the sex question on the census questionnaire, and a new question on gender was included. As a result, the historical continuity of information on sex was maintained while allowing all cisgender, transgender and non-binary individuals to report their gender.

https://www150.statcan.gc.ca/n1/daily-quotidien/220427/dq220427b-eng.htm

This is actually how it's handled in a lot of electronic medical records. There is a different indicator for sex/gender assigned at birth and current gender. I've not seen a specific indicator for intersex, but I've not encountered an intersex patient so far in my career.

I have similar thoughts for a solution- just don't have any sex or gender indicators on ID cards. Have a whole separate medical card that isn't for identification. You keep it in your wallet in case you're ever in an emergency, and doctors will use it to know if they should treat you like an xx or an xy or something else if it so applies. It could have a list on the back where you write any current medications, so a Dr knows what interactions your body might have to any treatments. This would be useful if, for example, you're a female presenting biologically xy Trans person who shows up unconscious in an ambulance. Then the doctor can look at that person's card and say "I will give this person the medical care that an XY person needs" vs saying "this person's ID card says male but they look female, should the treatment be for a man or a woman?"

As a non medical professional I'm sure I am oversimplifying the ordeal and glossing over important points, but it's just something I've thought a lot.

I'm not sure you fully understand the issue. This isn't merely about catering to a patient's preference to be addressed in a certain way. For some, the sex / gender assigned at birth is actually wrong, and continuing to carry that information serves no purpose but to cause harm.

What is the process for assigning gender at birth anyway? People look at the baby's genitals and make a guess. For 99% of babies, that heuristic works. But it turns out that some people are trans or intersex, and that wrong guess causes nothing but trouble.

Don't think that the assigned gender at birth is medically useful information, either. There are dozens of intersex conditions, and crudely categorizing people into two or three bins is too simplistic.

In short, it's complicated. The same solution is to trust that people are whatever gender they say they are, and if they need medical services, talk to them about what they need, instead of forcing them into a life course based on a genital inspection that happened years ago.