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While LGB individuals historically fought for HIV/AIDS funding and mental health access, the trans community fights for basic transition-related care . Gender-affirming surgery, hormone replacement therapy (HRT), and voice therapy are often deemed "cosmetic" by insurers. The result is that trans individuals have disproportionately high rates of suicide attempts (41% according to the US Transgender Survey) not because they are trans, but because of rejection —specifically, family rejection and lack of medical access. hairy peeing shemale

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