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| Area | Key Issues | |------|-------------| | | Lack of knowledgeable providers; insurance exclusions for gender-affirming care (hormones, surgery); high rates of mental health distress due to dysphoria and discrimination | | Legal recognition | Barriers to changing name/gender on IDs; bathroom bills; military bans in some countries | | Violence | Disproportionate rates of homicide, especially against trans women of color | | Employment/housing | Higher poverty and homelessness; legal protections vary by jurisdiction | | Social stigma | Misgendering, deadnaming, family rejection |

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