While the broader LGBTQ community struggled for HIV/AIDS recognition and same-sex partner benefits, trans individuals fight for basic gender-affirming care. Many health systems still categorize necessary treatments (hormone therapy, surgeries) as "elective" or "cosmetic." The result is a community plagued by high rates of depression, suicidality, and reliance on black-market hormones.
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: The "deep story" is global, from the Hijra of South Asia and Two-Spirit people in Indigenous North American cultures to the Waria of Indonesia, all of whom have held recognized, often ritualistic, roles for generations. The Evolution of the Movement