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Within LGBTQ culture, the trans community faces unique challenges regarding aging. While a gay man might worry about losing his looks, a trans elder worries about finding a nursing home that won't refuse their hormone medication or misgender them. Consequently, trans activists have pushed the broader LGBTQ culture to focus less on nightlife and more on long-term care, homelessness (40% of homeless youth are LGBTQ, and a disproportionate number of those are trans), and employment discrimination.

The culture we see today—the flags, the parades, the Pride Month celebrations—didn't appear overnight. It was built by people who had everything to lose. Marsha P. Johnson Sylvia Rivera