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However, progress has been met with fierce resistance. The United States has seen a dramatic escalation of anti-trans legislation. Since January 2025, the Trump Administration has made it a priority to make medically necessary gender-affirming care for young people inaccessible, issuing executive orders and proposed rules to block Medicaid and Medicare funding for such care. More than half of LGBTQ+ people in the United States report being less visible than they were a year ago, and nearly one-third say their health has worsened over the past year. dominant shemale tube

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