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To fully understand transgender integration into LGBTQ+ culture, one must distinguish between gender identity and sexual orientation. Sexual orientation concerns whom a person is attracted to (e.g., lesbian, gay, bisexual). Gender identity concerns a person’s internal, deeply felt sense of being male, female, a blend of both, or neither (e.g., transgender, non-binary, agender).

Trans-led mutual aid funds and healthcare collectives continue the tradition of "chosen family," ensuring that the most vulnerable have access to housing and gender-affirming care.

The "LGB vs. T" schism is a media-driven phenomenon, but it has real-world consequences. Anti-trans legislation often begins with the premise of "protecting women and children," a trope historically used against gay men and lesbians. Because trans women are often the most visible target, the defense of trans rights has become the central human rights issue of the 2020s.

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