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Unlike LGB identities, which are decoupled from medical gatekeeping, the transgender community is still fighting a battle against the medical establishment. Historically, being trans was classified as a mental disorder (Gender Identity Disorder in the DSM). Under pressure from trans activists, it was changed to —a condition of distress, not an identity disorder.

This has created a divergence in experience. For many cisgender gay men and lesbians, the biggest problem might be finding a decent brunch spot after Pride. For trans people, the problem is existential: access to healthcare, risk of homelessness (40% of homeless youth identify as LGBTQ, and a disproportionate number are trans), and the epidemic of violence against Black and Latina trans women. hot tube shemale hot