On Monday, activists gathered at the Oklahoma State Capitol building in Oklahoma City to protest two bills that would dramatically restrict access to gender-affirming care in the state.
Around 150 protesters gathered outside the Capitol, according to OU Daily, before entering the building, chanting “trans lives matter” and holding signs that read “Save Trans Lives” and “Stop Healthcare Bans on Trans.”
The protest took place the same day as the start of the legislative session and Gov. Kevin Stitt’s (R-OK) State of the State address. At issue were two bills introduced by Republican state senators: Senate Bill 129 would ban gender-affirming care for Oklahomans under 26, and Senate Bill 252 would restrict access to gender-affirming care for minors.
One protester who identified herself as Laine told OU Daily she wanted lawmakers to base legislation on interactions with actual trans people rather than anti-trans misinformation. “It would really help if these people got to know us, and weren’t just living off of these unfounded claims,” she said.
“Working to ban HRT and other trans healthcare is active genocide. People will not survive to 26 to get that,” Benjamin Patterson, a trans man, said of S.B. 129. “For a lot of us, it is one of the only things that can help us feel at home in our body.”
The Trevor Project’s 2022 National Survey on LGBTQ Youth Mental Health survey found that 22 percent of young trans men, 12 percent of young trans women, and 19 percent of nonbinary youth attempted suicide in the past year. Meanwhile, a recent study from The New England Journal of Medicine pointed to growing evidence that access to gender-affirming hormone therapy improves the mental health of transgender youth.
State Rep. Mauree Turner (D), Oklahoma’s only out trans legislator, spoke to demonstrators in the Capitol. “I live and I work in a body where I could come to work on a Monday morning and get a death threat just for showing up as Black, trans, Muslim and gender diverse in Oklahoma,” said Turner. “That is the reality, right? That’s the reality that so many of the people in the rotunda face.”
During his address on Monday, Stitts encouraged the state’s lawmakers to pass S.B 252. “We shouldn’t let a minor get a permanent gender altering surgery in Oklahoma,” he said. “That’s why I’m calling for the legislature to send me a bill that bans all gender transition surgeries and hormone therapies on minors in the state of Oklahoma.” Stitts had previously called for such a ban last October and signed into law a bill that bans the Children’s Hospital at Oklahoma University Hospital from using funds from the American Rescue Plan Act for gender-affirming care for minors.
Following reports of Monday’s protest, which was peaceful and took place without incident or police involvement, some on right-wing social media began comparing it to the January 6 attack on the U.S. Capitol.
“Trans Lives Matter stormed and occupied the Oklahoma capital today,” tweeted alt-right activist Jack Posobiec, along with video captured by KFOR reporter Nick Camper.
“Oklahoma came under attack today by a group of insurrectionists,” anti-trans activist Chaya Raichik tweeted via her Libs of TikTok account. “I’m sure the FBI is already on it and will use every available resource to identify all these domestic terrorists.”
But as Newsweek notes, protesters at the Oklahoma Capitol gathered peacefully, did not clash with police, and reportedly caused no damage.
“No glass was broken, no bear spray deployed, no police injured or killed, they didn’t bring zip ties or a noose,” one user commented. “They came and clapped. Learn the difference.”
“No beatings of police officers with American flags. No bear spray. No broken windows,” another tweeted in response to Posobiec. “I think stormed is not the appropriate adjective. They likely walked in peacefully into a public building and petitioned their govt for a redress of their grievances.”
“It was quite peaceful,” another user tweeted. “No one built a scaffold or demanded that certain leaders be brought out for hanging. No one broke windows. No one chased anyone. Boring basic citizen redress just as the constitution intended.”
“They are not trying to overturn an election, they are not armed, they are not breaking stuff, attacking and killing police officers,” This is not an insurrection. It’s freedom of assembly.”
Editor’s note: This article mentions suicide. If you need to talk to someone now, call the Trans Lifeline at 1-877-565-8860. It’s staffed by trans people, for trans people. The Trevor Project provides a safe, judgement-free place to talk for LGBTQ youth at 1-866-488-7386. You can also call the National Suicide Prevention Lifeline at 1-800-273-8255.
Tennessee’s recent decision to reject over $8 million in federal funds to combat HIV was motivated, at least in part, by right-wing provocateurs stoking anti-LGBTQ sentiment, according to four sources within the state Health Department.
The move by Republican Gov. Bill Lee will hamstring, if not cripple, efforts to combat one of the country’s most poorly controlled epidemics of the virus, HIV advocates said.
The announcement followed a political crisis in Tennessee that began in September when conservative media personalities, including Matt Walsh and Ben Shapiro, launched attacks on Vanderbilt University Medical Center over its care of transgender minors, which they alleged was barbaric.
Gov. Bill Lee delivers his inaugural address in the Legislative Plaza in Nashville, Tenn., on Jan. 21, 2023.John Amis / AP file
In October, the pressure wound its way to the unit that combats HIV, sexually transmitted infections and viral hepatitis at the Tennessee Health Department.
On Oct. 24, the unit’s director, Dr. Pamela Talley, told employees that because of the social media firestorm over Vanderbilt, information about the Tennessee Transgender Task Force — a volunteer team the unit established in 2018 to focus on trans health and HIV prevention — and other trans resources had been scrubbedfrom the department’s website. That is according to two staffers present, who, like two of their colleagues, spoke anonymously because they were not authorized to speak to the media.
Then, on Nov. 7, Talley told the unit that federal HIV funding from the Centers for Disease Control and Prevention for both the task force and Planned Parenthood in Tennessee would terminate at the end of the year, according to three staffers at the meeting, which took place in person and on a conference call.
“There were at least three different levels of leadership on the call,” a staffer said. “It was discussed that there had been media attention around the Vanderbilt trans health clinic, which led those reporters to learn about the trans task force, and that they were funded by [the state Health Department] HIV prevention program and that all HIV prevention contracts were being reviewed.”
People walk outside Vanderbilt University Medical Center in Nashville, Tenn., on July 16, 2013.Mark Humphrey / AP file
In mid-January, the Lee administration announced it would pull the plug not just on federal HIV-prevention funds for Planned Parenthood and the task force, which total $235,000, but on all $8.3 million from a pair of CDC grants for HIV prevention, treatment and monitoring in the state. The move shocked HIV experts and advocates.
In addition, the Lee administration, which has said it will replace the federal funds with state dollars, has pledged a shift in funding priorities that would effectively steerHIV prevention efforts away from groups at substantial risk of contracting the virus, including gay men and people who inject drugs.
“All of this is willful ignorance on the part of the state government,” said Greg Millett, the director of public policy at amfAR, The Foundation for AIDS Research. “People at risk for HIV are going to suffer because of these decisions.”
Right-wing media pile-on
A leading voice in the right’s opposition to the treatment of gender dysphoria in minors, Matt Walsh, a columnist for the conservative media outlet Daily Wire, published a series of widely read tweets on Sept. 20 targeting Vanderbilt University Medical Center’s treatment of minors at its Transgender Health Clinic. “They now castrate, sterilize, and mutilate minors as well as adults,” Walsh said.
The next day, Walsh appeared on Tucker Carlson’s Fox News show to publicize his investigation, and Ben Shapiro, a conservative commentator who co-founded Daily Wire, further amplified Walsh’s attacks on Vanderbilt on his YouTube channel and podcast, decrying the “nonsense garbage that a boy can be a girl and a girl can be a boy.”
Matt Walsh speaks about firm traditional gender roles and definitions in Phoenix on Dec. 18. 2022.John Rudoff / Sipa USA via AP file
The same day, Lee issued a statement calling for a “thorough investigation.”
“We should not allow permanent, life-altering decisions that hurt children or policies that suppress religious liberties, all for the purpose of financial gain,” he said. “We have to protect Tennessee children.”
Walsh, Shapiro, Daily Wire and Fox News did not respond to requests for comment, and the Lee administration did not respond to questions about the impact right-wing media personalities had on the state’s rejection of federal HIV funds.
Ray Holloman.Emily April Allen
A Daily Wire article published on Oct. 20, which denounced the Tennessee Transgender Task Force as an “extreme” activist group, appears to have drawn the Lee administration’s attention. The task force, according to its chair, Ray Holloman, is staffed by trans-identified volunteers and focuses on providing HIV educational resources, sharing health insurance information and connecting people to supportive health providers — including those at Vanderbilt.
The article took a victory lap, saying that the Lee administration and the state Health Department denounced the task force “in response to a Daily Wire inquiry” and that information about the task force on the department’s website was “only removed after the Daily Wire asked about it.”
Around the same time, two Health Department supervisors told staffers in private conversations that critical media coverage provoked the Lee administration to scrutinize the source of the task force’s $10,000 in annual funding — a $6.2 million CDC HIV prevention and surveillance grant — two Health Department employees said.
Also under new scrutiny after the article was published, fouremployees said, was Tennessee’s Planned Parenthood program, which received $225,000 a year from the CDC grant, largely for condom distribution.
In a Nov. 7 email that was among a collection of correspondence shared with NBC News by Ashley Coffield, the CEO of Planned Parenthood of Tennessee and Northern Mississippi, Talley informed Coffield that the Health Department’s separate arrangement to supply Planned Parenthood with about 500 HIV test kits a year would be canceled. Talley subsequently wrote to Coffield, “I want to thank you for your statewide efforts in HIV testing and reassure you that this discontinuation was not based on performance concerns.”
Ashley Coffield is the CEO of Planned Parenthood of Tennessee and Northern Mississippi.Planned Parenthood
Three days later, Coffield said, she got a call from a director at the United Way of Greater Nashville, which distributes the CDC grant funds to dozens of community-based organizations in Tennessee, including Planned Parenthood. The director, Niki Easley, said Planned Parenthood would lose its $225,000 in CDC HIV prevention grant funds at year’s end. Coffield said Easley told her that politics were behind the funding cut. “I think you should fight back,” Coffield recalled Easley’s saying.
But there was a wrinkle in the state’s plan:Because of a 2013 legal injunction, the Lee administration could not legally block HIV-related federal funds specifically for Planned Parenthood.
In the collection of emails and letters Planned Parenthood provided to NBC News, the nonprofit’s attorneys threatened to sue. In an emailed response, the Health Department’s attorney, Mary Katherine Bratton, denied having tried to disqualify the organization for the funds but said the department was “currently reviewing all” CDC grants.
Several officials at the Health Department, including Talley, Bratton and communications staffers, did not respond to requests for comment.
After it contacted Easley and several of her colleagues at the United Way of Greater Nashville, NBC News heard from a spokesperson, who said the group “is working closely with the Tennessee Department of Health to understand the changes being made to this grant funding,” adding that “the details of the changes and how our partner agencies will be affected are still developing” and that “all funding decisions are made by” the Health Department.
‘The nuclear option’
Ultimately, instead of focusing on cutting funds for Planned Parenthood and the Tennessee Transgender Task Force, the Lee administration decided to pull the plug on the entire $8.3 million in CDC grants for HIV prevention, surveillance and treatment.
On Jan. 17, Health Department officials held an 8 a.m. meeting with HIV prevention staffers and informed them of the decision to end all CDC HIV grant funding effective June 1, according to two employees who were present.
“People have been crying all week,” a staffer said in a Jan. 21 interview.
Coffield said “it felt like they were punching me in the gut” when she found out the state was abandoning the grants.
“I couldn’t believe that the governor would take the nuclear option,” she said, adding that she views the decision as the culmination of a “political vendetta against abortion rights groups and transgender people.”
Tennessee Department of Health in Nashville, Tenn.Google Maps
The rejected grants consist of the $6.2 million for HIV prevention and surveillance and $2.1 million for Shelby County, home to Memphis. The latter sum comes from a national plan focused, in part, on improving treatment and prevention of HIV in 50 local hot spots that account for about half of new HIV diagnoses nationally — a plan President Donald Trump endorsed in his 2020 State of the Union address.
Friends for Life, a nonprofit Memphis group that provides services to those living with and at risk for HIV, will lose about $500,000 a year, chief programs officer Mia Cotton said. The imminent lack of any federal grants will also render the organization’s health clinic ineligible for pharmaceutical rebates through a separate federal program that last year brought in $1.2 million to an overall operating budget of $8.5 million, Cotton said.
Molly Quinn, the executive director of OUTMemphis, Tennessee’s largest LGBTQ nonprofit group, said her organization would lose $120,000 a year, or 10% of its operating budget, compromising efforts to provide HIV testing, help clients access the HIV prevention pill, PrEP, and give financial assistance to people with the virus.
‘A fictitious epidemic’
The Lee administration says it will replace the $8.3 million in CDC grants with state funds, giving it freedom to target such resources as it sees fit.
“We think we can do that better than the strings attached with the federal dollars that came our way, and that’s why we made that decision,” Lee said Jan. 20.
Currently, the priority populations for the CDC grant for Shelby County, for example, include LGBTQ people, sex workers and those who inject drugs, are unhoused or are formerly incarcerated.
Lee’s press officer, Jade Byers, said in an email that the administration “is committed to maintaining the same level of funding, while more efficiently and effectively serving vulnerable populations, such as victims of human trafficking, mothers and children, and first responders.”
Those priorities, HIV prevention experts said, are in egregious conflict with the actual demographics of the people most at risk of the virus.
“Tennessee is preferring to fight a fictitious epidemic rather than their very real HIV epidemic,” said Millett, of amfAR. “First responders are just not at risk for HIV anywhere in the United States. Sexual trafficking is awful, but it’s not a major contributor for HIV cases in Tennessee or elsewhere.”
Women comprised 9% of HIV diagnoses in Tennessee in 2019, down from 14% in 2016, and only 1 to 6 babies were born with HIV in the state annually from 2016 to 2020.
More than half of new diagnoses in Tennessee were in men who have sex with men in 2019, according to the state Health Department’s surveillance reports. And in 2016, the CDC released a report warning that 220 of the country’s counties, including 41 in Tennessee, were at high risk of HIV and hepatitis C outbreaks among people who inject drugs (that population accounted for 5% of new Tennessee HIV diagnoses in 2019).
New U.S. HIV cases, the CDC estimates, declined by 8% from 2015 to 2019, but that masks considerable progress in some states and either stagnancy or increases in most Southern states, where the bulk of transmissions occur. Even as HIV has steadily declined in, for example, New York and California, where liberal governments have invested heavily in evidence-based HIV treatment and prevention programs, the CDC estimates that Tennessee’s transmissions increased slightly from 2017 to 2019.
While Lee announced Jan. 20 that the state would forgo the federal HIV dollars, a CDC spokesperson said Thursday that the agency had received no word from Tennessee that it intends to block the $8.3 million in grants.
The political climate has become increasingly toxic for LGBTQ people in Tennessee, advocates in the state say.
Since he took office in 2019, Lee has signed several bills that target transgender youths, including one that bars trans students from joining sports teams that align with their gender identities. And so far this year, conservative Tennessee lawmakers have filed at least 11 bills targeting LGBTQ people, including one, which Lee said he supports, that would ban gender-affirming medical care for all minors.
Nationally, lawmakersin at least 21 states have proposed bills to ban or restrict gender-affirming care for minors this year. Trump released a video Tuesday on Truth Social pledging to “stop” such care, which he described as “child sexual mutilation.”
Pope Francis, the head of the Anglican Communion and top Presbyterian minister together denounced the criminalization of homosexuality on Sunday and said gay people should be welcomed by their churches.
The three Christian leaders spoke out on LGBTQ rights during an unprecedented joint airborne news conference returning home from South Sudan, where they took part in a three-day ecumenical pilgrimage to try to nudge the young country’s peace process forward.
They were asked about Francis’ recent comments to The Associated Press, in which he declared that laws that criminalize gay people were “unjust” and that “being homosexual is not a crime.”
South Sudan is one of 67 countries that criminalizes homosexuality, 11 of them with the death penalty. LGBTQ advocates say even where such laws are not applied, they contribute to a climate of harassment, discrimination and violence.
Francis referred his Jan. 24 comments to the AP and repeated that such laws are “unjust.” He also repeated previous comments that parents should never throw their gay children out of the house.
“To condemn someone like this is a sin,” he said. “Criminalizing people with homosexual tendencies is an injustice.”
“People with homosexual tendencies are children of God. God Loves them. God accompanies them,” he added.
The Archbishop of Canterbury, Justin Welby, recalled that LGBTQ rights were very much on the current agenda of the Church of England, and said he would quote the pope’s own words when the issue is discussed at the church’s upcoming General Synod.
“I wish I had spoken as eloquently and clearly as the pope. I entirely agree with every word he said,” Welby said.
Recently, the Church of England decided to allow blessings for same-sex civil marriages but said same-sex couples could not marry in its churches. The Vatican forbids both gay marriage and blessings for same-sex unions.
Welby told reporters that the issue of criminalization had been taken up at two previous Lambeth Conferences of the broader Anglican Communion, which includes churches in Africa and the Middle East where such anti-gay laws are most common and often enjoy support by conservative bishops.
The broader Lambeth Conference has come out twice opposing criminalization, “But it has not really changed many people’s minds,” Welby said.
The Rt. Rev. Iain Greenshields, the Presbyterian moderator of the Church of Scotland who also participated in the pilgrimage and news conference, offered an observation.
“There is nowhere in my reading of the four Gospels where I see Jesus turning anyone away,” he said. “There is nowhere in the four Gospels where I see anything other than Jesus expressing love to whomever he meets.
“And as Christians, that is the only expression that we can possibly give to any human being, in any circumstance.”
The Church of Scotland allows same-sex marriages. Catholic teaching holds that gay people must be treated with dignity and respect, but that homosexual acts are “intrinsically disordered.”
A new study by the Williams Institute at UCLA finds older LGBTQ+ Americans were affected more negatively by the COVID-19 pandemic than their straight peers.
Using data from the U.S. Census Household Pulse Survey, the report examined the demographics, health, and economic experiences of LGBTQ+ adults aged 50 and older during the COVID-19 pandemic.
The study was led by Research Data Analyst Lauren J.A. Bouton, with Amanda M. Brush and Ilan H. Meyer, Distinguished Senior Scholar of Public Policy.
Among the findings:
Almost all LGBTQ+ people over 50 received the COVID-19 vaccine, a higher percentage than their straight peers.
More people aged 50–64 identified as lesbian, gay, bisexual, or transgender than those 65 years of age and older.
More men than women over 50 identified as LGBTQ+, the opposite of younger age groups, where women predominate.
Similar proportions among all LGBTQ+ ethnic groups reported relying on credit cards or loans and savings or retirement to supplement their incomes during the pandemic.
More White LGBTQ+ people reported using the same income sources they used before the pandemic to meet their spending needs.
Reported anxiety and depression numbers during the pandemic were higher among LGBTQ+ individuals than their straight counterparts.
LGBTQ Nation spoke with the study’s lead author to find out what the data reveals and how it can be used to improve the quality of life for a vulnerable population.
LGBTQ NATION: What’s your top-line takeaway from the report?
LAUREN J.A. BOUTON: LGBTQ+ older people, especially older LGBTQ+ people of color, are particularly vulnerable to financial insecurity (food insecurity and housing instability) and health issues such as anxiety and depression symptoms. The vulnerability is compounded by the fact that they don’t have the support many non-LGBTQ+ people have in their lives. For example, they are more likely to live alone, not have children or other supportive family members, and lack LGBTQ+-affirming health care and other services for older people.
LGBTQ NATION: The report states: “Precarity is not new for LGBTQ+ older adults, and COVID-19 may be viewed as part of a continuum of disruptive events that impact the aging experiences of LGBT older adults.” What are some of the other disruptive events that impact aging experiences for older LGBTQ+ adults?
LB: LGBTQ+ older people have had a lifetime of discrimination and stressful events associated with their sexual orientation and gender identity, which research attributes to adverse outcomes. The pandemic is another mechanism by which inequality is perpetuated against the most vulnerable in our society, such as LGBTQ+ older people. Think about how a person with a low income, few resources, and a lack of supportive people around them were facing the pandemic compared with someone who has resources.
LGBTQ NATION: While vaccination rates were higher among LGBTQ+ older adults vs. their straight counterparts, so were mental health issues. Is that a paradox like it sounds? Shouldn’t a vaccination provide peace of mind in addition to protection from the virus?
LB: We don’t know from this report whether vaccination rates and mental health issues are connected. The mental health measures we used were general depression and anxiety symptoms; they did not specifically refer to the pandemic. What we do know is that LGBTQ+ people of all ages experience higher rates of mental health issues, and that was true even before the pandemic. But LGBTQ+ older people also seek mental health treatments, such as prescriptions and therapy, at higher rates, as well. It is plausible that a higher proportion of people getting vaccinated is related to this behavior of being proactive about seeking medical care.
LGBTQ NATION: The report finds a higher percentage of LGBTQ+ older adults reported anxiety and depression symptoms than straight older folks. Is that partly a greater willingness among LGBTQ+ people to speak candidly about mental health than their straight counterparts have? In other words, could you generalize that LGBTQ+ people are more in touch with their feelings?
LB: Minority stress research has demonstrated that people who are discriminated against systemically or individually experience more stress and that stress is related to higher rates of anxiety and depression symptoms, among other health issues. More LGBTQ+ than straight/cisgender people access mental health treatments, which may mean they are more open and honest about their mental health experiences, but we did not test this hypothesis and cannot say to what extent that may be a part of the explanation of the finding about depression and anxiety symptoms.
LGBTQ NATION: The report used the first U.S. Census Bureau data that included questions about sexual orientation and gender identity. How would you describe the impact that had on your study and will have on future LGBTQ+ research?
LB: We applaud the U.S. Census Bureau for including questions that allow us to identify LGBTQ+ people in the dataset. The Household Pulse Survey allows us to make stronger assessments about the experiences of LGBTQ+ people across the nation. The study makes us better able to understand their experiences with food and housing insecurity and we are able to compare these findings to what we’ve already seen in smaller studies. We are hopeful that the Census will continue to add these questions to other surveys such as the American Community Survey, Current Population Survey, and the Decennial Census so we may continue to make progress in understanding the lives and needs of LGBTQ+ people.
The Name Change Microgrant application cycle reopens today, February 1st, 2023. The application is open every month from the 1st (9am ET / 6am PT) through the 14th (11:59 ET / 8:59 PT).
You will not be under any time pressure to complete the application, other than submitting it before it closes on the 14th. We will send another reminder email the day before it closes. Please read our FAQs for more information about the new and improved application process.
Here’s what you can expect while navigating the name change application:Lottery system: In the past we’ve used a “first-come, first-serve” approach to our applications, today we use a lottery system to make it possible for a wider range of people to apply for a microgrant. This makes it possible for folks to complete the application at a pace and time that makes sense for them instead of favoring users with access to fast and reliable internet.Visual accessibility: The application is accessible to low-vision users, screen readers, and color-blind users.Compatible with most devices: Access to a computer is not required to fill out an application—you can apply from your phone, tablet, and most other small-screen devices.These are just the beginning steps toward our long-term vision of greater disability justice for our users and applicants. We will never stop asking how our systems can be improved to better serve ALL trans communities.
We are so excited to be back in the swing of things. Thanks for all your continued support!
To be trans in the U.S. is to know fear. It is a companion that travels with us constantly: from the moment we realize we are trans, to coming out, to transitioning, and now into our lives long past the point where we should have faded away into anonymity in days past.
We are in the midst of a second Lavender Scare, and in many ways this is far more dangerous: even Christine Jorgensen wasn’t barred from receiving hormones or being within 2,500 feet of children simply for being transgender.
I have been called a doomsayer who profits from prognosticating an inevitable end. This is not precisely true: there is hope, if precious little of it. We can all clearly see the situation deteriorating rapidly in red states, with (at best) spotty resistance from the Democratic Party as a whole. We can see the effects of this deterioration as transgender people not only ask how to flee, but actively do so now. But most in a poverty-stricken community, however, lack the money or resources to flee.
There’s an eerie similarity to 1933, when people sold everything they owned, with no job waiting for them, just to get away from what they saw happening and coming. Others look at what it will take to get to another country, even as those countries are not yet ready to grant trans people asylum or refugee status. Most can only tell you that it’s getting bad, and that they’re afraid of what their government is preparing to do to them, even if they don’t know exactly what that will be. However, with nowhere to go, and no country particularly wanting transgender people, I find myself dreading another S.S. St. Louis moment in history.
There’s an authoritarian party in permanent power in half of the U.S. They’re making it clear that they intend to seize permanent federal control and bring their vision of a shiny, godly America to the rest of the country by any means necessary. They’re ready to destroy the Union and our democracy to save it from “wokeness.” And they have sold their base on the idea that the No. 1 threat that the country must be saved from is transgender people.
State level anti-transgender bills are becoming both more numerous and draconian year after year. The Overton Window of anti-trans legislation keeps shifting further and further to the right. For example, first they wanted to ban transition-related health care for everyone under the age of 18. Then the bills started putting the age at 21. Then, this year, we saw Oklahoma propose banning it for anyone under 26. Texas followed by passing a resolution condemning it for people of all ages.
Now Oklahoma has proposed a law that would ban providers who take state or federal money of money of any sort (e.g. Medicare or Medicaid) from providing transition-related care to anyone of any age. This means thousands of people who transitioned years ago will no longer be able to refill their prescriptions. Access to medical care will become a right that exists in theory but not in practice, like suffrage in the Jim Crow South.
It’s not just medical care. It’s sports, bathrooms, birth certificates, driver’s licenses, bans on “drag”, required misgendering, and forced outing. The creativity of this performative cruelty seems endless. Of these though, the “drag” bans are the most devastating. These laws are deliberately written as to be so vague and overly broad that a symphony orchestra with a transgender 2nd clarinet, or a family with a trans child doing a sing-along in the car would be considered obscene. In West Virginia, SB252 and 278 single out transgender people (and not just drag performers) to declare that their mere presence in public is obscene.
Not only are the scope of laws increasing; the sheer number is growing exponentially. In 2018, there were 19 anti-trans bills proposed in state legislatures. By 2020 it was 60. Last year it was 155. Now, in 2023, we surpassed the 2022 total by the middle of January and are well on our way to more than 200. Even so, these numbers don’t tell the full tale.
In years past, only perhaps 10% of these bills would pass, usually after opposition and debate. Now, we’re seeing bills introduced, sent to committee, debated, and sent to the floor in 24 hours. There is simply so much happening so fast that trans people cannot put together opposition in time to speak against these bills, whereas conservative legislators coordinating with religious legal groups always have “experts” lined up and ready, since they know exactly when and where the bills will be heard ahead of time. The result is that in a year where a record number of anti-transgender bills are introduced, a record percentage, and a record total, will be passed.
Trans people are not doomed, but we’re clearly on an accelerating trajectory to the end of the community in at least half of the U.S. Reversing these trends, and preventing a nationwide destruction of the community, requires numerous highly improbable things to happen. This includes Republicans moving on from the moral panic about trans people, deciding that they’ve gone far enough already with their oppression at the state level, or the courts overturning anti-trans laws. None of these seems likely.
Additionally, there remains the fear that even states with sanctuary laws, like California, will not remain safe forever. Republicans in Congress have made it clear that should they take power in 2024, they intend to pass nationwide laws similar to those at the state level. The odds of the GOP taking full control are frighteningly high: the Senate map in 2024 for Democrats is very bad, Biden’s net approval is where Trump’s was in 2020, and gerrymandering makes taking back the House difficult.
Masha Gessen’s rules for surviving autocracy state that “your institutions will not save you.” This is true for trans people now in several ways: neither courts, the Democratic Party, nor the media seem prepared to stand up for us as the situation goes from hostile to non-survivable. There’s the open question of whether the courts will uphold sanctuary laws. When Texas demands the arrest and extradition of trans people (or parents of trans youth) who have fled to a sanctuary state, it seems unlikely that the current Supreme Court will do anything but what their Christian nationalist masters tell them to. It’s also unknown whether a state like California would defy the courts and break the union over trans people or women seeking an abortion.
Then there’s the news media, the fifth estate that is supposed to be the light of truth shining on darkness. Instead, half of the media ecosystem is leading the charge to brand transgender people as an existential threat to women, children, and society. The other half, like Reuters, the New York Times, and The Atlantic, produce poorly thought out “both-sideism” and concern troll pieces that amplify and reinforce the narratives of the side that believes the ideal number of transgender people in the U.S. is zero.
Trans people have precious few people that they know will go to the mattresses for them. We’re already seeing who on the left and center is stepping aside, or even joining in, to let self-proclaimed Christian fascists like Matt Walsh have their way. Not only can it happen here, but it is happening now, at this very instant, to the sound of deafening silence from the people who swore without irony “never again.”
The American public, for their part, either doesn’t know or doesn’t care. It’s just happening to “those people.” Most trans people cannot enunciate all the factors that have them afraid, and why they form an interlocking system of failures that make recovery from the trajectory we’re on improbable. They just know that things are getting worse, and they don’t see how it will get better. Like animals before an earthquake, they know something is very wrong, even if they can’t explain why, or get anyone to listen.
All they know is that they cannot get out, the unstoppable power of the government is coming, and no one is coming to the rescue. For those who cannot flee, and cannot survive the laws about to be passed, the end comes soon. Drums, drums in the deep.
Brynn Tannehill is a senior analyst at a D.C-area think-tank and author of ‘American Fascism: How the GOP is Subverting Democracy.’
The International LGBTQ+ Travel Association Foundation is holding its first symposium to discuss expanding LGBTQ+ tourism in India this week. During the free event on 2 February, members of the IGLTA team and the association’s global network join thought leaders from India to network and conduct educational sessions in the welcoming environment of The LaLiT New Delhi, one of the newest hotel members of IGLTA.
As part of its ongoing efforts to support IGLTA’s global travel community, the IGLTA Foundation is enhancing its outreach in strategic emerging destinations. In 2020, the Foundation formed a task force comprised of travel professionals in India and those who promote travel to its many cities and cultural sites, which led to this educational symposium.
“Through IGLTA Foundation efforts like our India Initiative, we can increase understanding of global LGBTQ+ tourism,” said IGLTA President/CEO John Tanzella. “We are so excited to discuss the opportunities for LGBTQ+ travel to and from India, given the huge projections for the country’s tourism growth. It is essential that this growth values all travelers and makes them feel genuinely welcome.”
Topics of the symposium include best practices for LGBTQ+ tourism and practical advice for creating more inclusive hospitality offerings. Among the speakers are: IGLTA President/CEO John Tanzella and VP-Communications LoAnn Halden; Keshav Suri, Executive Director, The Lalit Suri Hospitality Group; Rudrani Chhetri, LGBTQIA+ Rights Activist and Founder, Mitr Trust;
Don Heflin , Minister Counselor for Consular Affairs, U.S. Embassy; Jonathan Heimer, Minister Counselor for Commercial Affairs, U.S. Embassy; Tom Kiely, President/CEO, Visit West Hollywood; Elliott Ferguson, President/CEO, Destination DC; Fred Dixon, President/CEO, NYC & Company; as well as representatives from Lemon Tree Hotels, Serene Journeys, and The Lalit Suri Hospitality Group.
“We are delighted to partner with IGLTA for this first-ever symposium on expanding LGBTQ+ tourism,” said Keshav Suri, Executive Director, The Lalit Suri Hospitality Group. “It is a great opportunity to engage and explore the potential of pink tourism. As per World Bank data, the inclusion of an able and talented workforce from the LGBTQIA + community and the ‘Power of Pink Money’ can contribute up to 1.7% to the growth of Indian GDP. In order to achieve an egalitarian society, we as individuals and organizations must become the catalysts. As India spearheads the G20 forum this year, the theme is a reflection of our commitment towards inclusion for all: One Earth, One Family, One Future. ”
A complete list of speakers and topics for the IGLTA Foundation LGBTQ+ Travel Symposium in India can be found here.
This event would not be possible without the generous support of Visit West Hollywood, Destination DC, NYC & Company, The Lalit Suri Hospitality Group and the Keshav Suri Foundation.
About IGLTA & the IGLTA Foundation
The International LGBTQ+ Travel Association is the global leader in advancing LGBTQ+ travel and a proud Affiliate Member of the United Nations World Tourism Organization. IGLTA’s mission is to provide information and resources for LGBTQ+ travelers and expand LGBTQ+ tourism globally by demonstrating its significant social and economic impact. IGLTA global network includes 12,000 LGBTQ+ and LGBTQ+ welcoming accommodations, destinations, service providers, travel agents, tour operators, events, and travel media in 80 countries. The philanthropic IGLTA Foundation empowers LGBTQ+ welcoming travel businesses globally through leadership, research, and education. For more information: iglta.org, igltaconvention.org or iglta.org/foundation and follow us on Facebook @IGLTA, @IGLTABusiness or @IGLTAFoundation, Twitter, LinkedIn, and Instagram @iglta.
The President’s Emergency Plan for AIDS Relief marks its 20th anniversary Saturday, marking the largest commitment by any nation to address a single disease in the world.
The initiative which was personally led and launched by former President George W. Bush in 2003, its funding has totaled more than $110 billion to date, including funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), to which the U.S. government is the largest donor.
PEPFAR is credited with saving millions of lives and helping to change the trajectory of the global HIV epidemic. The White House today released a statement by President Joe Biden marking the 20th anniversary:
“20 years ago today, President George W. Bush declared that preventing and treating HIV/AIDS was a foreign policy priority of the United States. At a time when nearly 30 million people were HIV positive, but very few were receiving life-saving medicines, the President’s Emergency Plan for AIDS Relief (PEPFAR) transformed the global AIDS response and laid a marker for America’s commitment to countries that were impacted the hardest by the AIDS epidemic. Helping lead the bipartisan effort in Congress to authorize PEPFAR is among my proudest achievements from my time in the Senate. To this day, PEPFAR remains a powerful example of America’s unmatched ability to drive progress and make life better for people around the world.
Since 2003, PEPFAR has saved more than 25 million lives and dramatically improved health outcomes in more than 55 partner countries. AIDS-related deaths have declined by 68 percent since their peak in 2004, and new HIV infections are down 42 percent. PEPFAR investments have ensured that 5.5 million babies have been born HIV-free. And two decades of investment in partner nations’ health systems played a critical role in countries’ ability to respond to other health crises such as COVID-19, Mpox, and Ebola.
Today, PEPFAR continues to support 20.1 million people around the world with HIV/AIDS treatment, and my administration is committed to continuing to lead the global HIV/AIDS response. We will build on our decades of progress to reach the Sustainable Development Goal of ending AIDS by 2030, work to eliminate the stigma and inequities that keep people from accessing care, and keep the voices of people living with HIV/AIDS at the center of our response. I look forward to working with Congress on PEPFAR’s reauthorization this year.”
PEPFAR is overseen by the U.S. Global AIDS Coordinator, who is appointed by the president, confirmed by the Senate, and reports directly to the secretary of state, as established through PEPFAR’s authorizing legislation.
PEPFAR’s original authorization established new structures and authorities, consolidating all U.S. bilateral and multilateral activities and funding for global HIV/AIDS. Several U.S. agencies, host country governments and other organizations are involved in implementation.
Dr. John Nkengasong, the current coordinator was sworn in on June 13, 2022, and holds the rank of ambassador leading the Office of the Global AIDS Coordinator at the State Department.
Nobel Prize winning scientist Harold Varmus, who served as director of the National Institutes of Health from 1993-1999 and currently the Lewis Thomas University Professor of Medicine at Weill Cornell Medicine in New York, wrote in an article honoring World Aids Day 2013:
[…] “the PEPFAR story must begin with George W. Bush and his wife, Laura, and their interests in AIDS, Africa, and what Bush termed “compassionate conservatism.” According to his 2010 memoir, “Decision Points,” the two of them developed a serious interest in improving the fate of the people of Africa after reading Alex Haley’s “Roots” and visiting the Gambia in 1990. In 1998, while pondering a run for the U.S. presidency, he discussed Africa with Condoleezza Rice, his future secretary of state; she said that, if elected, working more closely with countries on that continent should be a significant part of his foreign policy. She also told him that HIV/AIDS was a central problem in Africa but that the United States was spending only $500 million per year on global AIDS, with the money spread across six federal agencies, without a clear strategy for curbing the epidemic.”
Key Facts (As provided by Kaiser Health and Family Foundation)
Although the U.S. has been involved in efforts to address the global AIDS crisis since the mid-1980s, the creation of PEPFAR in 2003 marked a significant increase in funding and attention to the epidemic.
PEPFAR is the largest commitment by any nation to address a single disease in the world; to date, its funding has totaled more than $110 billion, including funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), to which the U.S. government is the largest donor. PEPFAR is credited with saving millions of lives and helping to change the trajectory of the global HIV epidemic.
U.S. funding for PEPFAR grew from $2.2 billion in FY 2004 to $7.0 billion in FY 2022; FY 2022 funding includes $5.4 billion provided for bilateral HIV efforts and $1.6 billion for multilateral efforts ($50 million for UNAIDS and $1.56 billion for the Global Fund.)
As the COVID-19 pandemic continues to have profound effects across the world, PEPFAR has acted to respond to COVID-19 in countries that receive support in order to minimize HIV service disruptions and leverage the program’s capabilities to address COVID-19 more broadly.
Looking ahead, PEPFAR faces several issues and challenges, including how best to: address the short- and long-term impacts of COVID-19 on PEPFAR and the HIV response; accelerate progress toward epidemic control in the context of flat funding; support and strengthen community-led responses and the sustainability of HIV programs; define its role in global health security and broader health systems strengthening efforts; and continue to coordinate with other key players in the HIV ecosystem, including the Global Fund.
Key Activities and Results(As provided by Kaiser Health and Family Foundation)
PEPFAR activities focus on expanding access to HIV prevention, treatment and care interventions. These include provision of antiretroviral treatment, pre-exposure prophylaxis (PrEP), voluntary male circumcision, condoms and other commodities related to HIV services. In addition, PEPFAR has launched specific initiatives in key strategic areas. For example, in 2015, PEPFAR launched DREAMS, a public-private partnership that aims to reduce HIV infections in adolescent girls and young women.
The latest results reported by PEPFAR indicate that it has:
Supported testing services for 63.4 million people in FY 2021;
Prevented 2.8 million babies from being born with HIV, who would have otherwise been infected;
Provided care for more than 7.1 million orphans and vulnerable children;
Supported training for nearly 300,000 new health care workers; and
Supported antiretroviral treatment for 18.96 million people.
In the 15 countries implementing the DREAMS initiative, new diagnoses among adolescent girls and young women have declined with most DREAMS areas (96 percent) experiencing declines greater than 25 percent and nearly two-thirds with declines greater than 40 percent.
The achievements of the PEPFAR program have been remarkable, well-documented by outside evaluators, and hugely applauded throughout the advocacy community and the developing world. In general, milestones have been met, the program has been enlarged (for instance, to include some research on implementation of medical assistance), the roster of PEPFAR countries has grown and spending plans have not been exceeded.
Trevor Leopold would have turned 22 on Jan. 30. Instead, he’s “forever 18,” his mother says.
When Greenbrae resident Michelle Leopold received the news that her 18-year-old son died in his Sonoma State University dorm room, she didn’t need to wait for the coroner’s report to know what had killed him.
Although it was November 2019, before most parents had heard of the fentanyl crisis, there was no doubt in Michelle Leopold’s mind that this powerful synthetic opioid was the culprit. Sadly, she was well aware of the dangerous drug because her son’s close friend had succumbed to a fentanyl overdose the previous year.
Indeed, toxicology results confirmed that Trevor Leopold died after ingesting a pill laced with fentanyl. One pill.
He thought he was taking the prescription drug oxycodone, Michelle Leopold said. As it turned out, the fentanyl-laced pill contained no oxycodone at all. Similarly, Trevor Leopold’s friend, who died of a fentanyl overdose in 2018, believed he was consuming Xanax, a prescription benzodiazepine.
“One of the scariest things about this is that so many who end up overdosing don’t know they’re taking something with fentanyl in it,” Dr. Matt Willis, Marin County’s public health director, said in an interview. “It’s kind of like drinking punch that’s been spiked at a party—hard to call it abuse when it’s unintentional. More like a poisoning.”
“There are naive users, who think they’re getting Vicodin or Percocet,” Struzzo said. “They’re not active users and have no tolerance built up for fentanyl. This group has a higher potential for overdose.”
Marin and Sonoma counties, like the rest of the United States, are experiencing a dramatic surge in drug overdoses. Grim statistics reveal the gravity of the crisis, driven by fentanyl.
Overdoses in Marin County have more than doubled since 2018, said Willis. Today, fentanyl is associated with over 50% of OD cases.
The number of fatal ODs in Marin has also increased significantly—more than 100% in the last three years. Every five days, someone dies of an overdose in the county. During 2021 and 2022, 60% of those deaths were linked to fentanyl.
Sonoma County is faring worse, with someone dying every two days from an overdose death, according to the Sonoma County Department of Health. Even more astounding is that deaths involving fentanyl increased by 2,550% from 2016 through 2021.
Exactly how did fentanyl, a powerful legal synthetic opioid developed in 1959, cause this nationwide crisis? Fentanyl, used as an analgesic during surgery and as a prescription drug to treat severe pain, is easily produced and affordable.
Unfortunately, fentanyl’s characteristics also make it attractive to the illicit drug market. In recent years, the supply of fentanyl has grown swiftly, with most of it manufactured outside of the United States. The drug’s effect is similar to heroin, and it’s extremely addictive.
“Fentanyl is up to 100 times more potent than morphine,” Struzzo said.
Drug dealers bank on fentanyl’s addictive quality to keep their customers coming back for more. But just two milligrams of fentanyl—a few grains—can kill a person, according to the Drug Enforcement Agency, which prompted the agency to issue a health alert: “One pill can kill.”
Without access to the sophisticated and expensive scientific weights and measures used by a pharmaceutical company, it’s almost impossible for dealers to calculate how much fentanyl they’re putting into a pill or powder.
And the guy or gal next door may be making those pills, with pill presses for all budgets just a few keystrokes away on Amazon. The presses allow dealers to pump out counterfeit pills that look almost identical to prescription drugs, such as Ritalin, Adderall and oxycodone.
“Fentanyl is now present in most illicit pills and powders,” Willis said. “People overdose from the presence of fentanyl in what’s sold on social media as prescription pills, cocaine or other powders.”
The opioid drug epidemic affects people of all ages, either through intentional or unintentional use. Even infants are brought to emergency rooms with fentanyl ODs.
The issue is daunting and complex; however, Marin and Sonoma have countywide collaboratives to attack the crisis from all sides.
OD Free Marin has five teams, including intervention, treatment and recovery; youth action; education and outreach; equity action; and the justice system. The Sonoma County Prevention Partnership works on drug policy and advocacy efforts.
Both counties agree that a harm reduction approach is beneficial. For example, many pharmacies in Marin and Sonoma sell Narcan, a medication that can reverse the effects of fentanyl, without a prescription. Schools have Narcan, and staff have been trained to administer it. Some experts recommend that every first aid kit contain the life-saving medication. Substance abuse programs are also key to addressing fentanyl use.
Law enforcement agencies are working on getting dealers off the streets, but it can be difficult when social media platforms make it easy for them to hide. For example, Snapchat, a messaging app, allows users to determine how long their messages remain visible. In addition, dealers use different emojis for each drug they have available, negating the need to write anything incriminating.
The illicit drug business, especially with inexpensive fentanyl readily available to dealers, is quite lucrative. There’s always a dealer ready to fill the void when another is arrested, according to Willis.
“Public health and law enforcement agree that we aren’t going to arrest our way out of this problem,” Willis said. “Instead, we partner with the justice system using all of the tools at our disposal, including diverting people with low level drug offenses to assessment and ensuring people who are incarcerated have access to addiction treatment.”
Willis, Struzzo and Michelle Leopold say it’s imperative that people understand the dangers of just one pill.
Leopold plans on educating as many people as possible about what happened to her son, with the goal of preventing fentanyl deaths. “People just don’t know,” she said.
Last year, Leopold and her husband hosted Narcan training sessions at the six Ace Hardware stores they own. Although Leopold admits it’s hard, she makes herself available to the media and speaks at numerous public forums.
“When we got the phone calls about Trevor, I turned to my husband and said, ‘We can’t be quiet about this,’” Leopold said. “There are a lot of us speaking out on behalf of our dead, poisoned children. Hopefully, it’s making a difference.”
Utah is the first state to ban gender-affirming medical care for transgender minors this year.
Gov. Spencer Cox, a Republican, signed a bill Saturday that bars minors from receiving gender-affirming surgeries and places an indefinite moratorium on their access to puberty blockers and hormone therapy.
The bill, which passed in the Utah State Legislature last week, is prospective, so minors who were diagnosed with gender dysphoria before the bill’s effective date, May 3, 2023, would still be able to receive care if they meet a list of requirements.
“Legislation that impacts our most vulnerable youth requires careful consideration and deliberation. While not a perfect bill, we are grateful for Sen. Kennedy’s more nuanced and thoughtful approach to this terribly divisive issue,” Cox said in a statement Saturday, referencing the bill’s sponsor, Republican State Sen. Michael Kennedy. “While we understand our words will be of little comfort to those who disagree with us, we sincerely hope that we can treat our transgender families with more love and respect as we work to better understand the science and consequences behind these procedures.”
In an emotional letter about his veto, Cox cited research about the high risk of suicide among trans youths and additional research that has found that acceptance reduces the risk of suicide.
“I don’t understand what they are going through or why they feel the way they do. But I want them to live,” he wrote. “And all the research shows that even a little acceptance and connection can reduce suicidality significantly.”
But Cox told local news station Fox 13 on Thursday, after the ban on gender-affirming care passed the House, that he did not plan to veto the bill. His office did not immediately return a request for additional comment.
State Sen. Kennedy, a family practice physician, told colleagues in a hearing this month that gender-affirming treatments “lack sufficient long-term research,” according to local radio station KUER.
“But still, our country is witnessing a radical and dangerous push for children to enter this version of health care,” he said.
State Sen. Daniel Thatcher, one of Kennedy’s Republican colleagues, disagreed and was the only Republican to speak out against a previous, though similar, version of the bill, KUER reported. He argued that though he and his colleagues might not understand gender-affirming care, “every credible medical organization on the planet says that that is the safest, best and most appropriate care to save those lives.”
Thatcher added that the bill could face legal challenges because it only prohibits the care for people who are transgender, but it does not prohibit the care for children who might need it for other reasons, KUER reported. The bill provides exemptions for intersex minors, for minors who experience early puberty and for those who have “medically necessary” reasons that don’t include treatment for gender dysphoria.
Thatcher, who is recovering from multiple strokes, was absent from the Senate vote Friday.
A crowd of protestors gathered outside the Utah Capitol on Tuesday ahead of a committee hearing on the bill, during which a number of transgender teens spoke out against it.
Bri Martin, the editor of the student newspaper at West High School, described gender-affirming care as “nothing short of life-saving,” the Salt Lake Tribune reported.
“Me and my family were saved from the arduous and painstaking task of adult transition,” Martin said. “I would like to make clear that no matter the opposition, transitioning was always the only option for me. I deserve a body to feel proud of.”
In addition to barring access to care for minors who don’t already receive it, the legislation also requires the state’s Division of Professional Licensing to create a certification for those who provide hormone treatment to minors. The certification process requires “at least 40 hours of education related to transgender health care for minors from an approved organization,” and providers must obtain this before they can continue to provide such treatment.
It also directs the state’s Department of Health and Human Services to conduct a systematic review of the medical evidence regarding hormonal transgender treatments and provide recommendations to the Legislature, but it does not require the Legislature to review the indefinite moratorium on care after the review is complete.
The measure also allows minors to sue medical providers for malpractice for gender-affirming medical care if the minor “later disaffirms consent” before they turn 25.
Cathryn Oakley, the state legislative director and senior counsel for the Human Rights Campaign, a national LGBTQ advocacy group, condemned the bill last week, just before Cox signed it.
“Utah legislators capitulated to extremism and fear-mongering, and by doing so, shamelessly put the lives and well-being of young Utahans at risk — young transgender folks who are simply trying to navigate life as their authentic selves,” Oakley said, in part, in a statement Friday. “Every parent wants and deserves access to the highest quality health care for our kids.”
