My opinion

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Effects of racial, ethnic and language concordance on patient-physician encounters have been investigated [1-12]. Correspondingly, it may be time to investigate spectral concordance as pertaining to species identity, gender identity and sexual orientation of patients and their physicians. When presuming each other’s characteristics as self-evident, both patients and their physicians can be deemed guilty of their unconscious presumptuousness because race, ethnicity, language, species identity, gender identity and sexual orientation are components of self-identity [13-16] and thus may have to be self-disclosed by both patients and their physicians wherein by beginning their encounters with self-disclosures, they intend to potentially dilute/attenuate the effects if any of spectral concordance unless the self-disclosures themselves may potentially concentrate/accentuate those effects if any of spectral concordance.

 

Before taking this discussion beyond patient-physician encounters and into the realms of education, research and advocacy, the society has to understand that every component of self-identity may be spread over a spectrum with some colors in the spectrum becoming more abundant and thus more prominent than other colors in the spectrum due to natural selection during evolution. However, it does not mean that less abundant and thus less prominent colors in the spectrum can be presumed to be non-existent even when they have yet not been self-disclosed by those whose self-identities they may represent. In my limited understanding, the spectrum of species identity may span from and around privileged majority cis-species to and around marginalized minority trans-species; the spectrum of gender identity may span from and around privileged majority cis-gender to and around marginalized minority trans-gender; and the spectrum of sexual orientation may span from and around privileged majority trans-orientation to and around marginalized minority cis-orientation with sexual attraction therein overlapping within the span of androphilia-gynephilia to and around andro-gynephilia/gyno-androphilia. Some may say that although cis-trans nomenclature [17] may homogenize color identities across the three spectrums, confusion may arise as use of trans-prefix is currently limited to gender identity’s spectrum [18-22].

 

For our current discussion, we may neither explore why some became privileged and others got marginalized by natural selection during evolution of species identity, gender identity and sexual orientation [23-26] nor explore why the marginalized remained underrecognized until now unless population dynamics was awaiting ecological stability with current and futuristic technological advancements [27-39] to evolve while analogously and metaphorically [40-49] overcoming oddity, dilution and confusion effects on their outlasting survival. Hereafter, those who became privileged must try to understand the aftermath of marginalization on those who got marginalized during evolution. However, the question is whether the privileged ones will ever be able to complete understand [50] and accept the marginalized ones unless and until reversal of fortune happens and the privileged ones begin evolving as the marginalized ones but by then the marginalized ones may have become the privileged ones in the zero-sum game [51-52]. Some may question how self-identity can be zero-sum game when self-identity is private and personal; however, our existence is social and communal with achieved, acquired and accrued privileges limited by availability and accessibility to finite and dwindling resources flailing in fulfilling our needs which are outgrowing over and above our growing global population.

 

The existential question to investigate is whether spectral concordance for the sake of diversity, equitability and inclusivity among educators, researchers and advocates may be needed to educate population better with personal knowhow, innovate science with faster turnover time and advocate issues closer to their hearts as pertaining to marginalized populations. However, for achieving spectral concordance that may first need sufficient numbers so as to reach significant levels in effect, some among the privileged populations may have to first jump ship metaphorically with enhanced understanding and expedited acceptance about the whole spectrums of species identity, gender identity and sexual orientation which have remained hidden in broad daylight thus often bringing their very real and natural existence into question even when the fluidity of species identity, gender identity and sexual orientation may potentially evolve to futuristically span on a much wider spectrum of colors among our descendants [53] as compared to what has been historically presumed and potentially mistakenly assumed among our forebears.

Reference(s)

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31. 'A lot of trauma': Trans parents say medical system isn't set up for their pregnancies Meet the birth workers helping transgender parents bring babies into the world and break stigmas.https://www.today.com/health/trans-parents-say-medical-system-isn-t-set-their-pregnancies-t2 18691
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Source(s) of Funding

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NOT APPLICABLE

Competing Interests

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NOT APPLICABLE