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And from the fat person's perspective, they go to the GP saying "I have this new issue; I've had this body type my whole life, so that part is not new." and the GP is ignoring their history.
Well, that question has been on every medical history form I've ever gotten because they don't print different ones for men and women.
My father was getting a Covid vaccine in 2021 and the nurse was completing an intake form in which she verbally asked him the questions on the form and filled in his answers for him. She asked him if he'd been pregnant recently. In his 60+ years, he'd never been asked this question by a medical professional before. See also this article about a blood donor clinic which used to ask "for female donors only have you been pregnant recently?", but changed the form to ask all donors that, even donors who'd already explicitly stated that they were male and hence incapable of getting pregnant. (They changed the form back to its non-pseudoscientific version in response to public outcry.)
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And from the smoker's perspective, they go to the GP saying "I have this new issue; I've been smoking since I was in high school and I've never been coughing up blood before" and the GP is ignoring their history.
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