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Gender-affirming care (hormones, puberty blockers, surgeries) is time-sensitive, expensive, and often excluded from insurance. Trans people face "gatekeeping," where therapists and doctors have the power to deny life-saving care. According to the National Center for Transgender Equality, nearly one in five trans respondents have been refused medical care simply because of their identity.
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Another significant challenge is the prevalence of transphobia within the LGBTQ community itself. Trans individuals have reported experiencing transphobic language, behavior, and exclusion from LGBTQ events and spaces. Gender-affirming care (hormones
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