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- Violence: The Human Rights Campaign tracks dozens of fatal attacks on trans people annually, most against Black and Latina trans women.
- Healthcare: Many face insurance exclusions for transition-related care, and gender-affirming care for youth is increasingly criminalized in several U.S. states.
- Legal discrimination: Over 20 U.S. states have passed laws restricting trans youth from school sports or bathroom access consistent with their gender.
- Economic precarity: Trans people experience unemployment at three times the national average; homelessness rates are high due to family rejection.
Challenges and Controversies