Thank you

Even though it’s something that’s technically correct on a philosophical level for SOME outlier patients, and in an ideal world and ideal system we could implement it well, I don’t think our system is anywhere close right now. Working in the healthcare system I don’t know anyone who’s eager for this or who knows how we’re going to sort through the massive haystack of innappropriate requests this will trigger, to correctly identify the few " needles" that it’s actually ethical for.

Can you link that quote? Curious what the source is?

As you say in your first sentence, language is by consensus. And, the long-standing consensus among ichthyologists is to use exactly this terminology, and you’ll find it consistently across the scientific literature for generations now.