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Many LGBTQ+ people, especially those facing rejection from biological families, form "chosen families"—support networks of friends and peers.
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Within the broader LGBTQ culture, trans healthcare has become a rallying point. While a cisgender gay man does not need HRT, his struggle for HIV medication in the 1980s and 90s taught the community how to fight for medical access against a hostile system. The networks built to distribute AIDS medication are the same networks that now drive trans people across state lines to access puberty blockers. Many LGBTQ+ people, especially those facing rejection from




