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During the assimilationist pushes of the 1970s, 1980s, and 1990s, mainstream gay rights organizations occasionally sidelined or explicitly excluded transgender individuals. The goal was often to appear more palatable to conservative lawmakers, a strategy that left trans people vulnerable and erased their contributions to the movement.
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Trans patients often encounter a lack of cultural competence and may even have to educate their own doctors on their specific needs. During the assimilationist pushes of the 1970s, 1980s,


