If they demand so much leeway in the definition of a woman then it’s completely up to each person to define what a woman is. If they want to make that claim, they can’t demand that I follow THEIR definition. If I perceive it differently than they do, they can’t demand that I see it their way.
I think it means that "two spirits" is a Native American identity that includes both genders. I'm not an expert on NA issues but I've read some of this in my history classes and the only place I've heard this is online. Most NA tribes that I've studied were VERY clear on the distinction between male and female.
How about "ABS" meaning "anything but straight"? That seems to be the easiest.
Also, I think the "+" comes from computer programming. In regular expressions, a + means anything after what's been found ahead of something.
As you said, this was 13 years ago (the case actually started 8 prior, so really we're talking 21 years ago) AND the law didn't prevent them it was one particular doctor. Second, the courts ruled against religious beliefs here. Finally, this was an optional treatment (fertility), this wasn't anything that prevented someone from sickness.
"Don't call us groomers!"