How dare she speak to him that way

It’s also a class thing.

Dr Upton, for those who have not been following the case, was born male and is at least 6ft tall. Make-up and discreet silver jewellery cannot mask the good doctor’s male physiology. As Sandie Peggie told the tribunal, she was not discomfited by Dr Upton being transgender, but by having to share female changing facilities with a male-bodied person, as indeed most women would be, especially when bleeding heavily.

She made her feelings clear, much to Upton’s distaste. As the solidly middle class doctor, still in his 20s, told the tribunal, “I’ve never been spoken to like that in my life.”

Oh really? That explains a lot.

The employment tribunal, which will continue into the summer because of NHS Fife’s inability to produce essential documents in time, has not only exposed the nebulous nature of gender identity theory – that a human being can change their sex through sheer will – but the ingrained class divide at the heart of the NHS that also characterises the debate around gender.

Gender identity theory is largely a middle-class pursuit, a fake radicalism which doesn’t bother its pretty little head with tackling the material causes of poverty and inequality. Instead, as feminist writer Sheila Jeffries argued in 2014, it is a social construct designed to maintain male dominance. And since its inception, the National Health Service has put the demands of the doctor class first before the needs of the largely working-class nursing and support staff.

Maybe if we all started pointing out how posh and twee and snobbish the whole thing is it would get through. It turns out men don’t mind being told how sexist their hot new opinion is, so maybe we should ding them in their street cred.

Former Labour MSP Jenny Marra, who attended the tribunal over several days, said the evidence reeked of class and entitlement. She observed: “Middle-class arrogant male doctor breaches nurse’s boundaries is not a new story. But this time the doctor is facing down the nurse with the backing of politicians and illegal guidelines drawn up by public sector officials who have been hoodwinked into betraying reality and the many working-class women at the frontline of our public services.”

In an ironic twist of fate, the UK’s largest union Unison held its national women’s conference in Edinburgh this week, and the first motion to be debated called for the Labour government to introduce self-ID, the process where someone can change their legal sex by filling in a form. “Trans women are women,” read the motion which also criticised women who campaign for female-only spaces as “reactionary”.

Unison’s robustly male president Steve North (pronouns he/him) crowed on social media that not one delegate had spoken against the motion but, as is often the case with carefully stage-managed political conferences, the reality was rather different to that described by President North. Women who were prepared to debate the issue were so intimidated by the hostile atmosphere that they left the meeting, unable to face being called bigots by the very noisy supporters of the motion.

Yeeeah, pesky women. Don’t they know that the working class is male? That workers are male? That women who work don’t count as workers? That women are reactionary by nature and have to be told what to say by the enlightened men?

It is not surprising that middle-class professionals, whether doctors, HR managers or even politicians, have found comfort in the simplistic politics of identity. How much easier it is to pin a trans ally badge on a set of scrubs or business suit than begin to tackle the centuries’ old structural issues that trap millions of women in low-paid jobs, poor housing and ill-health, often at risk of sexual violence and abuse.

There is much about the gender debate that has left women aghast in recent years, from placing male rapists in female prisons to the scandal of the NHS mutilating young women’s bodies in the name of progress.

But surely one of the greatest betrayals is a trade union whose membership is three-quarters female, ignoring the material reality of women’s lives in favour of a fanciful theory that sex can be cast off as easily as last season’s fashions.

Yes but it’s so much easier than going on strike.

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