In the meantime, the Obama Administration continues to pressurise US cities and businesses to establish unisex restrooms and make intimate facilities wide open to all genders. Major cities such as New York and Seattle have already caved in, and are now implementing this practice - by executive fiats of the Mayors. In the ongoing culture war by Transgender activists to eliminate natural male/female gender designations from society, the U.S. Department of Health and Human Services has come up with a proposal that could lead to doctors being punished, if they choose to believe that there are only two genders, rooted in biological sex. That would constitute discrimination against those claiming to be of other gender apart from those two, intolerable under the Obama Care bill! Currently, Facebook has 58 possible gender identifications, while The Living Rede lists at least 63 gender combinations.