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While the mainstream gay rights movement of the 2000s focused on legalizing same-sex marriage, the transgender community was fighting for the very right to exist in a doctor’s office. Transgender healthcare—including hormone replacement therapy (HRT) and gender-affirming surgeries—remains under constant legislative attack. In many regions, insurance companies classify transition-related care as "cosmetic," while simultaneously, state laws criminalize gender-affirming care for minors.

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