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On one hand, there is progress: children are learning about gender identity in schools, major corporations offer trans-inclusive health benefits, and trans actors (like Elliot Page, Hunter Schafer, and Michaela Jaé Rodriguez) are winning awards.

The fight for PrEP (HIV prevention) and HIV treatment in the gay community has dovetailed with the fight for gender-affirming surgery and puberty blockers. Both fights are about bodily autonomy and trusting the patient . Gay men see the current panic over trans youth as a direct echo of the AIDS crisis—when politicians ignored dying patients because they were deemed "deviant." shemale images tgp