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Gender, and other factors that aren't as "medically relevant", may help the staff pick between two treatment options. The patient's comfort and happiness can affect their overall wellbeing.
Say someone grows up in a culture where their gender (or some cultural group the person can belong to) usually has long hair. A particular treatment may have two options:
Knowing what gender (or other group) the person belongs to might inform their decision.
Note, this is about why medical staff might want to know about gender identity and not the original question of how many legal genders we should have.
For your shaving the head example I would argue that if the person is incapacitated and needing urgent care the solution with the most chance of success should be preferred regardless of gender norms. If both are equally likely the one that doesn't remove hair should be preferred. You might be a man with attachment to your long hair even in a society where that's uncommon, gender does not dictate anything of the sort. So I still don't see a reason why gender is relevant medically.
As a guy with long hair i can tell you i would be pissed if they shaved my head while an alternative was available.
The alternative: Death
That's fair, and it was a poor example on my part.
If one treatment is much better, then yes that one would be preferred. Generally when there are two treatments being weighed, both will have consequences (else one would obviously be better).
My point was that knowing things about a person, outside of their physical biology, can get better outcomes. It should never be REQUIRED for the patient to share it, but we should educate medical staff about their community so that they can use that information when it is helpful.
Some other examples, that aren't specific to gender
At the same time, the person shouldn't be making assumptions based on someone falling into a particular group, and they should confirm whatever it is they are checking for.
IMO, knowing about gender is less important in places where it doesn't carry as much cultural weight. As another example, if someone identifies as a woman in a culture where they don't want to be alone with a male figure, knowing their identity might remind the staff to bring someone else who identifies as a woman into the exam room.
We need to finish naming all 12,000 mushroom genders before we can make laws about them