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In the 1980s and 90s, as the AIDS crisis decimated gay communities, trans women (specifically trans women of color) were also dying at alarming rates, yet were often excluded from HIV research and healthcare. It became clear that the forces opposing homosexuality—conservatism, religious fundamentalism, and the medical establishment—were the same forces opposing transgender identity. The enemy was, and often remains, the same: the enforcement of a rigid, binary gender system.

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The transgender community is a vital and longstanding part of LGBTQ+ culture, serving as a diverse umbrella group for people whose gender identity or expression differs from the sex they were assigned at birth American Psychological Association (APA) Historical Foundations In the 1980s and 90s, as the AIDS