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Proxies for the thing you really want to know are pretty useful when you can check the proxy cheaply and the thing you really want to know is (comparatively) expensive to test.

Like, I don't think the world would be better if we routinely gave cismen pregnancy tests, would it?

Again, we're talking about forms here. If you have a reason to want to know if someone has a uterus or might be or become pregnant, you can just ask that. Forms for things where this is important usually do anyways. Sometimes gated on an "if you answered female to the above..." which actually compounds the problem for some people who are not neatly categorized that way.

Likewise, asking a cis man if he is or might be pregnant should not be a horrible thing to do, nor a problem for record keeping, though like I alluded to in my initial reply here, it does sometimes cause confusion or even confrontation to ask them.

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