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Discrimination or prejudice against “non-binary” people, people who do not identify as exclusively male or female, may occur in social, legal, or medical contexts. Both cisgender and binary transgender people (men and women), including members of the lesbian, gay, and bisexual communities, can display such prejudice.[unreliable source]
Social discrimination in the context of discrimination against non-binary and gender non-conforming people includes hate-motivated violence and excusing of such. According to a 2016 study from The Journal of Sex Research, one of the most common themes of discrimination for genderqueer people is the incorrect use of preferred gender pronouns. The study labeled this as 'nonaffirmation', and it occurs when others do not affirm one's sense of gender identity. Participants within this study also reported experiencing gender policing. An article from the book Violence and Gender, states that this experienced violence and discrimination leads to high levels of stress. This article stated that non-binary participants are less likely to experience hate speech (24.4% vs. 50%) compared to trans men and equally as likely (24.4% vs. 24.4%) as trans women, yet genderqueer/nonbinary participants, along with trans women are more likely than trans men individuals to be concerned about the safety of themselves and others.
Of the approximately 6,450 transgender and gender-nonconforming respondents to the National Transgender Discrimination Survey, conducted by the National Center for Transgender Equality and National Gay and Lesbian Task Force in 2008–2009,:12–15, 50 864 (13%) chose the write-in option for gender identity, "A gender not listed here (please specify)".:16 (The other options were "Male/man", "Female/women", and "Part time as one gender, part time as another".):16 Responses from these participants were analysed in the 2011 journal article "A Gender Not Listed Here: Genderqueers, Gender Rebels, and Otherwise in the National Transgender Discrimination Survey". The "a gender not listed here" (Q3GNL) individuals reported higher rates of physical (32% vs. 25%) and sexual (15% vs 9%) assault due to bias than other NTDS respondents.:23
According to the NTDS, almost all non-binary persons had experienced discrimination in the workplace. Their findings show that being out as a non-binary person negatively affects that person's employment outcomes. Though non-binary persons have higher unemployment rates than those who identify with a specified gender, masculine non-binary persons who still appear male, or are not "passing as female" generally have a harder time in the work environment. 19% of Q3GNL respondents to the NTDS reported job loss due to anti-transgender bias, a smaller proportion than for other respondents (27%).:8
Not only does discrimination against transgender people in the workplace affect transgender employees, but it also affects the entire workplace team, distracting the victim and the perpetrator from the job itself. Transgender individuals in the U.S. often face workplace discrimination like conflicts related to their bathroom usage, backlash over transitioning genders and being “misgendered” by coworkers. The Center of American Progress in 2012 also found that there is also a substantial amount of public ignorance towards transgender communities, in comparison to LGB community peers. Because of that, negative psychological consequences occur as a result like mental health disparities, higher rates in attempted suicide, and paranoid thinking in public spaces.
A survey conducted among rural U.S. LGBT populations suggested that transgender and non-binary patients were three times more likely to find health care providers that have other LGBT patients. They were also three times more likely to drive over an hour out of the way to visit their health care provider due "to the fact that in the last year, one in ten had visited an LGBT-specific health care clinic, which are often located in urban areas." With that being said, non-binary individuals, and members of the LGBTQ community are very tentative when sharing their sexual identities to health care providers in fear of receiving inadequate/unfair treatment.
20.4% of transgender and gender-nonconforming respondents to the NTDS reported having experienced discrimination when trying to access doctors and hospitals, 11.9% when attempting to access emergency rooms, and 4.6% when attempting to access the service of an ambulance.
In the UK, non-binary individuals also experience health discrimination. Under the law of the United Kingdom, individuals are considered by the state to be either male or female, the sex that is stated on their birth certificate. This means that non-binary gender is not recognized in UK law. A 2015 survey conducted by the Scottish Trans Alliance examined experiences of medical services among 224 non-binary individuals who had attended a gender identity clinic (GIC) in the preceding two years. When asked if they had experienced "problems getting the assistance they needed" because of their non-binary identity, 28% chose "yes", 28% "maybe", and 44% "no". Denial of treatment was reported by 13 respondents (6%), delay of treatment by 12 (5%), and lack of knowledge or understanding about their identities by 10 (5%). When asked if they had been pressured by the GIC, 43% chose "yes", 12% "unsure", and 46% "no". Respondents reported having been pressured to appear more binary (36 individuals, 17%), to change their names (19, 9%), to socially transition to fulfill the real-life experience requirement (13, 6%), or to pursue medical transition (13, 6%).
Despite being more likely to achieve higher levels of education when compared to the general public,:11 90% of non-binary individuals face discrimination, often in the form of harassment in the workplace. Nineteen percent of genderqueer individuals report job loss as a result of their identities. Anti-discrimination laws that prohibit discrimination specifically against non-binary individuals do not exist. However, Title VII and the current proposed version of the federal Employment Non-Discrimination Act use such terms as "gender identity" and "gender expression", categories under which non-binary individuals fall due to the fact that their gender expression cannot be defined as male or female.
In 2004, Jimmie Smith was terminated from the fire department in Salem, Ohio after revealing their diagnosis with Gender Identity Disorder and intentions to undergo a male to female transition. The district court determined the reason for termination was because of their "transsexuality" and not their gender non-conformity. The case was appealed to the Sixth Circuit, which overturned that decision and clarified to courts that under Title VII, sex discrimination was to be considered broader than only the traditional assumptions of sex.
Twelve states currently have legislation which bars discrimination based on gender identity. Despite these efforts, non-binary individuals are subject to higher rates of physical and sexual assault and police harassment than those who identify as men or women, likely due to their gender expression or presentation.
According to the Transgender Law Center, 70% of transgender people are not able to update their identity documents and one-third of have been harassed, assaulted or turned away when seeking basic services, and one third are not able to update their documents post-transition. 
In 2016, the U.S. State Department was sued for denying a passport to Dana Zzyym, who is a veteran, an intersex person and then also identified as a non-binary person. Zzyym wrote "intersex" on their passport form instead of male or female, which were the only two available gender fields on the form. Zzyym was denied the passport, which led to LGBTQ advocacy organizations filing a lawsuit against the U.S. State Department on Zzyym's behalf. The advocacy group Lambda Legal argued for gender-neutral terms and a third option on U.S. passports, arguing that the existing passport fields violated the Due Process Clause and Equal Protection Clause of the U.S. Constitution. The State Department argued that adding additional gender fields to the passport form would prevent the agency's efforts to combat identity theft and passport fraud. The Tenth Circuit Court ruled in favor of Zzyym, the first time in U.S. history that the federal government recognized non-binary people.
California, the District of Columbia, New York City, New York State, Iowa, Vermont, Oregon and Washington State have currently removed the surgical requirement to complete a change on a birth certificate. In these states, to change the gender on a birth certificate, one must fill out a standardized form but legal or medical approvals are not required. In Washington D.C., the applicant fills out the top half of the form and a health or social service professional must fill out the bottom half. A person may face obstacles obtaining a court order in order to make a change to documents in other states. Tennessee is the only state that has a specific statute that forbids altering the gender designation on a birth certificate due to gender surgery, while Idaho and Ohio have the same prohibition, but via court decision rather than by statute; and in Puerto Rico, a U.S. territory, a court ruled that gender markers could not be changed on identity documents under any circumstances.
In California, the Gender Recognition Act of 2017 was introduced in the State Senate in Sacramento in January 2017 and signed into law by governor Jerry Brown on October 19. The law recognizes a third gender option known as "non-binary" which may be used on state-issued documents such as driver's licenses to more accurately reflect a person's gender. Senate bill SB179 was originally drafted by State Senators Toni Atkins and Scott Wiener. The law also makes it easier for existing documents to be changed, by removing requirements for sworn statements by physicians and replacing it with a sworn attestation by the person seeking to make the change to their documents. The Executive Director of Equality California commented, "It is up to an individual—not a judge or even a doctor—to define a person's gender identity."
The first two U.S. citizens to receive a court decreed non-binary gender were in Oregon and California. In Oregon, Jamie Shupe was able to obtain a non-binary designation in June 2016 after a brief legal battle. Following in Shupe's footsteps, California resident Sarah Kelly Keenan was also able to legally change her gender marker to non-binary in September 2016. After both Shupe and Keenan had success with their cases, more people have been inspired to take on the legal battle of changing their gender to a non-binary marker. With the help of organizations such as Intersex & Genderqueer Recognition Project dozens of these petitions have been granted and additional states have changed regulations to provide a third gender option on state ID, birth certificates, and/or court orders.
Non-binary is not recognized as a legal gender in the United Kingdom. The Gender Recognition Act 2004 allowed people to apply to the Gender Recognition Panel for a change of gender after living as the gender they wished to show on all their legal documents and being given a diagnosis of gender dysphoria by at least two health professionals. However, this change of gender only allowed for a change from male to female or vice versa.
In 2006 the Identity Cards Act 2006 was introduced, which issued documents with binary gender markers to UK residents and linked them back to the National Identity Register database. The Identity Documents Act 2010 made all these cards invalid and called for their immediate destruction.
In 2002, the Northwest Territories was the first of Canada’s provinces to explicitly include gender identity as a protected group from discrimination under the law, followed by Manitoba in 2012. By 2015, every Canadian province and territory had included similar changes to their discrimination laws.
In 2017, Canada passed Bill C-16 which formally recognized non-binary gender people and granted them protection under the law towards discrimination on the grounds of “gender identity” and “gender expression.”
The Sex Discrimination Act of 1984 did not explicitly protect non-binary persons from discrimination until the Sex Discrimination Amendment (Sexual Orientation, Gender Identity and Intersex Status) Act of 2013, which prohibited any discrimination on the grounds of "gender identity" and "intersex status". This amendment also removed the use of "other" and "opposite sex" in exchange for broader terms like "different sex".
In 2014, the Australian High Court legally recognized non-binary as a category for people to identify with on legal documents. After Norrie May-Welby made a request for a third gender identity on legal documents and was eventually denied, Norrie chose to take the matter up with Australia's Human Rights Commission and their Court of Appeal. After a four-year long legal battle beginning in 2010, Norrie finally won the case. From this and the legalizing of the matter in New South Wales, the Australian Capital Territory made the decision to pass a law that recognized non-binary identities. Several other states and territories followed suit afterward.