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Transgender individuals often face severe barriers to accessing gender-affirming care, which major medical organizations recognize as life-saving and necessary.

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Historically, the lines separating gender identity from sexual orientation were blurry, if not invisible. In the mid-20th century, figures like Christine Jorgensen, a transgender woman who publicly transitioned in 1952, were often sensationalized as “sex changes” within a generalized framework of sexual deviancy. Early homophile organizations, such as the Mattachine Society, often sidelined transgender people, viewing them as too controversial or as liabilities to the goal of presenting homosexuals as “respectable.” Yet, transgender people were present at the most pivotal moments of queer resistance. The Stonewall Riots of 1969, the symbolic birth of the modern LGBTQ+ rights movement, were led by marginalized figures: street queens, trans women of color like Marsha P. Johnson and Sylvia Rivera, and gender-nonconforming drag queens. Despite this, the subsequent mainstream gay rights movement of the 1970s and 80s often pushed trans issues aside, prioritizing gay and lesbian legal equality over the more stigmatized needs of transgender people. This created a foundational wound: a sense that transgender people were the foot soldiers in battles for which gay leaders claimed victory. If you share with third parties, their policies apply