Who cares if the person is gender confused, trans gendered, trapped in the wrong physical body, or whatever. The fact is the person did it, and should be held responsible, maybe even criminally, for their negligence.
__________________
"The Federation needs men like you, doctor. Men of conscience. Men of principle.
Men who can sleep at night... You're also the reason Section Thirty-one exists --
someone has to protect men like you from a universe that doesn't share your
sense of right and wrong."
-Sloan, Section Thirty-One
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