judgmentalism is only a means to an end and not the end goal in itself for people that do this. people that do this are motivated by low self esteem. they are in need of a temporary power fix and are looking for unwilling victims to feed it. as a transsexual woman, i know how bad this can get. the same low self esteem mentality that drives people to harass others for smoking and other personal behaviors drives them to harass me. people like to call me a boy for the same reason people like to call a middle age african american man, a boy. it is a power trip. i don't put up with people's obnoxiousness. thankfully, with gender identity protections in many us jurisdictions, an employer is required by law to treat it as the same. harassment in the name of medical causes, moral causes, or any other cause is far more costly and damaging to society than even drug abuse. at least drug addicts turn their destructiveness mainly on themselves and the people foolish enough to be around them (except children who don't have a choice until the state intervenes). low self-esteem obnoxious people turn their destructiveness on other people. it is very contagious disease that undermines the mental health of a group or organization. the average american contributes $ 16.xx an hour to the economy compared to the average norwegian who contributes $ 32.xx an hour. it is not to say norwegians don't have self-righteous obnoxious people, i am sure they have plenty. the difference is they don't tolerate as much in the work place. a minimal effort to clamp down on it, enough to get workers to cooperate with each other better, doubles their output. the medical community should do more to treat people who feel the need to get a power trip off of someone else.