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: More than one-quarter of transgender adults (29%) have been refused medical care by a provider because of their identity [11].

Internal debates rage. There is tension between binary trans people (trans men and women who live relatively traditional gendered lives) and non-binary people (who reject the gender binary entirely). Furthermore, some gay and lesbian elders express discomfort with the rapid shift in language—pronouns, neopronouns, and the increasing focus on gender identity over sexual orientation. chubby shemale tube link