And there will be no real consequences because all of the Republicans support this, or accept it as a cost of doing business to get tax cuts for the rich.

I don’t see the changes as the real issue - the real issue is that these sorts of changes should have been in the changelog.

It’s like claiming to follow semver and then releasing a bugfix with breaking changes.

If a survey asked people what gender they identified as, you think it constitutes "fixes" to go back and label that data as "Sex"?

I would imagine that the modern definition of gender is less important for healthcare then the biological sex of the patient.

I feel it is one of the unfortunate consequences of "sex" being a noun and a verb, as well as a somewhat prudish desinclination to asking "has external genitalia" and use "gender" instead that lead us to the logomachy we have today.

(Of course the label should not have been gender or sex in either case because all one can determine at birth is whether they see a penis or not, and for less than 1% of humans that's not sufficient to determine their genetic makeup)