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While gay and lesbian cisgender people may face discrimination in reproductive health, transgender individuals face outright denial of care. Many insurance plans still exclude gender-affirming surgeries. Moreover, the and subsequent state-level bans on gender-affirming care for minors have made accessing puberty blockers or hormones a legal battleground. Within LGBTQ organizations, trans health has often been underfunded, leading to the rise of trans-led mutual aid networks.

The transgender community and LGBTQ culture are not the same, but they are inseparable. A rainbow flag without the trans chevron (the light blue, pink, and white stripes added by activist Monica Helms in 1999) is incomplete. A Pride parade without trans women of color leading the march is a parade, not a protest. fine shemale ass