I can only hope that NORMAL people would change their doctor to one who isn't so confused
I see my doctor once a year, for a checkup. I spend all of about 10 minutes with him. If next year 'he' turned out to be a 'she', I probably wouldn't even notice, or care.
I think political appointees can be hired and fired for any reason. This is just the board of the DC Metro, a part time job. If this was a 'real' state job then it would probably be different.
In MD you can't get fired from a state job unless you call your boss a (n word).
You can sleep on the job, drink, do drugs, never show up and be fine.