I would argue it’s use is a kind of semantic argument. “This causes harm” is a common refrain of online critiques of RPGs and, I believe, it has a lot more potency than it otherwise would because if the physical and serious connotations it has. If someone clarified, or doesn’t use That kind of phrasing, I tend to be less critical.
Whether or not you are less critical, the empirical, broadly observed behavior is that if the speaker uses soft wording... nothing happens. If people keep their tone such that you are not critical, then their words are dismissed as unimportant. To be blunt - folks don't get off their butts and do something about it until the language gets through their thick skulls. Until we collectively demonstrate that we will
actually act on softer wording, you are asking for them to allow the status quo to continue.
Systemic biases (racism, sexism, and others) are not built out of the single dramatic events that put you in the hospital. They are built out of the hundred little cuts. If you get to ignore your little cut as "insignificant", then everyone else gets to ignore the little cuts they make, and then... there's still a hundred little cuts and the
person still bleeds. Context matters - If you are not subject to this phenomenon, your idea of what is "significant" is not scaled to the situation. When we suffer one little cut, we can blow it off, because we are mostly whole. When you already have 99 cuts, that extra little cut becomes more significant.
So, it does cause harm. It might not cause harm
TO YOU, because you are in a better place. But the harm is there, and ought to be dealt with.