Yeah, well, that kind of flies out the window if you're dealing with a trans or gender-nonconforming person. For fucks' sakes, at least one transwoman (Tyra Hunter) has died due to gross negligence because the EMTs refused to treat her once they found out she was transgender (evidence presented during the trial indicated she would've had a 90% chance of surviving if she'd gotten treatment), and there wasn't a national news spotlight, at least that I can remember, or can tell. Basically, if you aren't cis and gender-conforming, you get treated like shit and hardly anybody gives a shit. That's starting to change, but is still the general rule.