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| Issue | Impact | |-------|--------| | | Gender-affirming care is often excluded from insurance; high rates of refusal by providers. | | Legal Identity | Changing name/gender on IDs requires surgery in some jurisdictions; bathroom bills. | | Violence | 2023 saw record murders of trans people, disproportionately Black trans women. | | Housing/Employment | Discrimination rates >30% for trans people vs. ~15% for LGB people. |