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@Alec
A fine is still an unjust tyrannical punishment for misgendering someone.
Still looking for some acknowledgement that you got two important facts wrong in your opening statement: (1) the law does not apply to "anyone" but only to caregivers in long-term care facilities, and (2) misgendering without accompanying threats of violence can never result in any potential jail time. Please correct your previous misstatements.
That's important. We're not discussing any people in California in any setting, we are talking about the rights of elderly and terminally ill people to protect their identity in the privacy of their own home.
Let's say you're walking down the street and you meet a stranger walking a dog down the street. You say, "Cool dog, what breed is he?" and the stranger replies "Oh, she is a mutt." Wouldn't you effortlessly change pronouns out of common courtesy? If you persisted in calling the dog he the stranger would assume you were suffering from some social deficit and move on quickly. The sick and elderly wish to be extended the same common courtesy in their own bedrooms that any ordinary person would extend a dog in the street. That's it. They don't wish to know what you or Jesus or Rush Limbaugh or anyone really thinks about their identity, they just want you to do your job politely and professionally.
Imagine you lived your whole adult life as a man until you have an accident and live in a comatose state for 10 years, during which your healthcare providers decide that you are woman in their books and so they dress you in skirts and apply rouge and lipstick to your helpless body. Wouldn't you consider that a humiliating violation?
Tyrrany is defined as a cruel, unreasonable, or arbitrary use of power. I would certainly apply that label to healthcare providers who use their position to taunt or harass the weak and disenfranchised. I would not apply that label to California's relatively moderate effort to mitigate that harm.