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HRC, Sebelius unveil report on medical facilities

Evaluating LGBT-friendliness of hospitals, other providers

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HRC President Chad Griffin unveils Healthcare Equality Index (Blade photo by Chris Johnson)

Human Rights Campaign President Chad Griffin and Secretary of Health & Human Services Kathleen Sebelius unveiled HRC’s annual report evaluating the LGBT friendliness of medical facilities throughout the country at a media appearance Tuesday.

The two appeared together at a news conference at Howard University Medical Center ā€” a facility that received a perfect score in the new report ā€” to talk about the findings in HRC’s 2012 Healthcare Equality Index, which is the fifth such report from the organization.

Griffin said during the news conference that medical facilities shouldn’t deny a patient the ability to see a loved one ā€” whether it’s a same-sex or opposite-sex partner ā€” while visiting a hospital.

“At no time are we more vulnerable than when we’re lying on an emergency room gurney or in a hospital bed,” Griffin said. “It’s a scary time; not a time to be alone, and we desperately need our loved one by our side. And of course, that’s exactly where they want to be, not sitting in a waiting room feeling scared or helpless, or even worse, in a car racing home to find legal papers that prove our relationships while critical medical decisions are being made without us.”

Sebelius noted the Obama administration’s work on improving LGBT health, mentioning accomplishments such as the hospital visitation memorandum and a move to bar insurers from discriminating on the basis of LGBT status.

“A lot of these improvement don’t get the biggest press headlines, but they reflect how every day in dozens of small ways every agency and division in our department is working to make things better for LGBT individuals and families we serve,” Sebelius said.

This year’s index includes 407 respondents that volunteered to fill out a survey on key aspects of treatment of LGBT patients and staff, including patient non-discrimination policies, visitation polices, employment non-discrimination policies and training in LGBT patient-centered care.

The report saw a 40 percent increase in participating respondents from last year. Additionally, there were 237 facilities ā€” a 162 percent increase ā€” in facilities that received a perfect score and were dubbed a “Leader in LGBT Healthcare Equality.”

Wayne Frederick, Howard University provostĀ and chief academic officer, said Howard University Hospital was “delighted” to be included among the facilities that received a perfect score in the index.

“Patient-centered care is a universal standard and is expected of all health care providers and health care institutions,”Ā Frederick said. “It is a standard that is deserved by all people regardless of race, nationality, gender, sexual orientation or gender identity.”

The D.C.-based Whitman-Walker Health also received a perfect score in the index and is the only non-hospital organization in the district to receive a perfect score in the report.

Don Blanchon, Whitman-Walker’s executive director, said he’s “excited and honored” his organization’s work has been recognized by HRC.

ā€œWhitman-Walker was founded more than 30 years ago to offer high quality and affirming health care for metropolitan D.C.ā€™s LGBT community at a time when that was almost non-existent,” Blanchon said. “We are very proud to not only be recognized but to join the company of other health care groups around the nation who are working to ensure equal access to high quality care.ā€

Although more facilities than ever volunteered to fill out the survey, 18 states aren’t represented: Alaska, Idaho, Montana, Wyoming, Colorado, New Mexico, Oklahoma, Kansas, Nebraska, North Dakota, South Dakota, Arkansas, Louisiana, Mississippi, Alabama, West Virginia, Vermont and Connecticut.

On the same day that HRC issued its report, the Department of Health & Human Services issued its own annual report identifying seven key LGBT accomplishments in the past year as well as goals moving forward. Among them are the National Institutes of Health issuing a report identifying LGBT health gaps and opportunities; the Centers for Disease Control issuingĀ data on domestic violence for LGBT couples; andĀ the Centers for Medicare & Medicaid Services making a training video about LGBT elder Americans.

Griffin emphasized the importance of health care equity by narrating his own story about making his first visit to the doctor after coming out as gay while living in Los Angeles and wanting to correct his patient record by saying he had previously incorrectly identified as straight.

“My doctor didn’t make me feel comfortable,” Griffin said. “He didn’t sort of have the answers to the questions and I didn’t feel comfortable, which is what I expected with my doctor. So, I left and I immediately changed doctors and got a doctor that was referred by friends, and I was very comfortable with being honest with that doctor and asking every question I had as a young person struggling to come out of the closet. That was so important and so helpful.”

CORRECTION: An earlier version of this article said Whitman-Walker was the only non-hospital organization to receive a perfect score in the Healthcare Equality Index. It’s the only non-hospital organization in D.C., not the country. The Blade regrets the error.

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Trans Lifeline CEO apologizes for botched online lottery to recruit hotline operators

Applicants compare debacle to ā€˜Hunger Games,ā€™ and Ticketmaster

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The CEO of Trans Lifeline ā€” kai alviar horton ā€” admitted on social media that their organization was not prepared for the number of applications it received.

Job hunters by the thousands expressed disappointment, frustration, and anger Wednesday over the process to submit online applications for three lucrative but challenging positions as remote telephone operators for the nationā€™s only transgender-led crisis hotline, Trans Lifeline. One applicant complained on Instagram that their experience was akin to ā€œThe Hunger Games.ā€Ā 

But it turns out, the odds were never in their favor. 

The CEO of the San Francisco-based nonprofit ā€” kai alviar horton, who joined Trans Lifeline in July 2024 and does not capitalize any letters in his name ā€” admitted on social media late Wednesday that their organization was not prepared for the sheer number of applications, which he said was anticipated to number 100, over 48 hours. 

ā€œWe know now that our impact has caused so many of you hurt and further distrust in us,ā€ horton wrote in the letter posted on Instagram, acknowledging that Trans Lifeline had endured ā€œmany storms of instability and harm.ā€Ā 

ā€œThe process we strived towards landed in ways that did not build accessibility,ā€ they wrote. ā€œThis process hurt you, and we are genuinely sorry. We are committed to learning to do better.ā€ 

The job posting still appears online at a portal called levels.fyi offering an annual salary of $63,000, ā€œgenerous paid time-off benefitsā€ and ā€œ100% employer-paid health care premiumsā€ as well as retirement benefits and more. Given that studies by the Williams Institute have shown the significant challenges trans people face in the workplace, from discrimination to harassment, especially in comparison to cisgender employees and candidates, Trans Lifelineā€™s offer was a beacon in the darkness to many.Ā 

ā€œYou know better than most how hard it is for trans people to get work, especially with decent pay,ā€ wrote @terfhunter420. ā€œI hope youā€™re reading the impact this application process has had on people here and consider making some big changes for your next batch of hiring. Something less like trying to score concert tickets on the radio.ā€

ā€œTo our surprise,ā€ horton wrote, ā€œwe received over 2,500 applications before the submission window even opened,ā€ which was at 1 p.m. EDT Wednesday. He said his team then ā€œdid our best to reach out to every single applicant to let them know to submit again within the window we outlined in the job posting.ā€ 

But when that window opened at 10 oā€™clock in San Francisco Wednesday, horton said his team was suddenly flooded with more than 1,200 submissions, ā€œin just the first five minutes.ā€

The instructions to apply noted that in addition to a resume, candidates had to also submit a five-minute long, detailed self-made video, in lieu of a cover letter. The site indicates this was intended to ā€œsimplify the process.ā€ But many frustrated candidates noted in their comments online that this particular requirement added a significant extra burden of time and energy, ā€œonly to have it all go to waste due to technical failures,ā€ wrote @astoldbyjae.Ā 

Adding insult to injury is that untold thousands of potential candidates are left to wonder if their submissions were even received or would ever be seen, given that the portal was set up to be limited to accepting no more than 100 submissions on the first day; When hit with more than ten times that many applications, many job hunters reported getting error messages, and shared the pain of that experience in the comments on hortonā€™s post. 

ā€œIā€™m heartsick myself right now,ā€ wrote @zorro_nova. ā€œI tried in that first minute only to get my own error message.ā€ Another wrote: ā€œI won’t lie I was definitely surprised to see how the hiring process was handled, it was almost like watching a Ticketmaster sale of a Taylor Swift concert more than a job listing.ā€ @mistersister2024 added: ā€œAs someone who made the 5-minute video, carefully edited it, and then didnā€™t even get to submit it, this process was very frustrating.ā€

ā€œWe were devastated,ā€ wrote @jennakjirsten. ā€œI think it was hard not even being able to submit the form, even if it had been one of a thousand. We also worry that by only accepting the quickest to apply, you may have missed out on some very qualified applicants.ā€

As of press time, horton has not responded to an inquiry by the Blade about what if anything they will do for candidates who received error messages, or exactly how many applications they have on hand. 

But in his online letter, horton did announce that so many submissions were received that to process them all, Trans Lifeline has postponed selection of candidates to be invited to interview for the three open positions until April 7, instead of March 24. 

He also revealed the org has just two employees dedicated to reviewing all the applications received on Wednesday.

ā€œShout out to the two trans people in hiring who have to read 3,000 applications individually or else they get canceled,ā€ wrote @jaki_riot. ā€œY’all some MVPs because the response to this situation feels a bit unreasonable.ā€

Several commenters praised horton for his apology and for their transparency. 

ā€œImo, Trans lifeline has done SO much to earn that benefit of the doubt,ā€ wrote @kingofyarn. ā€œAnd seeing the backlash made me sad, because it’s as if yā€™all haven’t worked incredibly hard to earn that trust. I love this heartfelt apology and of course, transparency with a strong moral code.ā€

As horton acknowledged in his letter, Trans Lifeline has survived crises before now. Founded in 2014, the nonprofitā€™s two founders left the organization two years later amid accusations of corruption. An internal investigation found ā€œthere had been significant spending of Trans Lifeline funds outside the scope of the current budgetā€ that ā€œran afoul of Trans Lifelineā€™s obligations to the 501(c)(3) tax laws.ā€ A report in December 2023 by PBS indicated a downturn in donations forced the nonprofit to reduce the number of hours the hotline was available and slash its budget.Ā 

At that time, PBS reported the organization employed as many as 45 people, with around 200 volunteers who help, according to Adam Callahan, director for the hotline program. Every hotline operator identifies as either trans or nonbinary. 

As of press time, the careers page on the Trans Lifeline site indicated ā€œStaff Hotline Operator applications are closed.ā€Ā 

ā€œWe are so grateful for the overwhelming interest in our Hotline Operator positionsā€”1,000 applications within the first two minutes! Thank you to each person who took the time to apply. Weā€™ve received a fantastic pool of candidates and have now closed the application process. We are working diligently to review the first 100 complete applications received and aim to notify everyone of their status by Friday, March 21st. If you have not heard from us, be assured we are still actively considering your application. Please keep an eye on your inbox for our email. We will respond to everyone who has applied. We appreciate your understanding and enthusiasm.ā€

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State Department

US withdraws from OAS LGBTI Core Group

Decision ‘in line with the president’s recent executive orders’

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The U.S. Embassy in El Salvador in 2023 hung and flew the Progress Pride flag. The U.S. has withdrawn from the Organization of American States' LGBTI Core Group. (Photo courtesy of the U.S. Embassy of El Salvador's Facebook page.)

A State Department spokesperson on Tuesday confirmed the U.S. has withdrawn from the Organization of American States’ LGBTI Core Group.

The U.S., along with Argentina, Brazil, Canada, Chile, Colombia, Mexico, and Uruguay, co-founded the Core Group in 2016 during that year’s OAS General Assembly that took place in the Dominican Republic.

“We look forward to deepening our collaboration at the OAS on issues impacting LGBTI persons so as to enhance dialogue, cooperation, and the sharing of best practices at regional and multilateral levels, recognizing also the various efforts and developments undertaken by and in member states,” reads a joint statement the countries issued on June 15, 2016. “Furthermore, we encourage and welcome the participation of other interested OAS member states in the membership and activities of the Core Group.”

“We also look forward to collaborating with civil society organizations and other social actors as we seek to further shared goals,” it adds. “Our commitment in these areas is firm and will remain so.”

President Donald Trump since he took office on Jan. 20 has signed a number of executive orders that have specifically targeted the LGBTQ and intersex community. These include the ā€œDefending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Governmentā€ directive that, among other things, bans the State Department from issuing passports with ā€œXā€ gender markers.

A directive that Secretary of State Marco Rubio issued bans embassies and other U.S. diplomatic institutions from flying the Pride flag. (Former President Joe Biden in March 2024Ā signedĀ a government spending bill with a provision that banned Pride flags from flying over U.S. embassies.)

“In line with the presidentā€™s recent executive orders, we have withdrawn from the OAS LGBTI Core Group,” the State Department spokesperson told the Washington Blade.

The U.S. last month withdrew from the U.N. LGBTI Core Group, a group of U.N. member states that have pledged to support LGBTQ and intersex rights.

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State Department

Rubio: 83 percent of USAID contracts have been cancelled

State Department will administer remaining programs

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Secretary of State Marco Rubio during his confirmation hearing on Jan. 15, 2025. (Washington Blade photo by Michael Key)

Secretary of State Marco Rubio on Monday said 83 percent of U.S. Agency for International Development contracts have been cancelled.

“The 5,200 contracts that are now cancelled spent tens of billions of dollars in ways that did not serve, (and in some cases even harmed), the core national interests of the United States,” said Rubio on X.

Rubio added “the remaining 18 percent of programs we are keeping (approximately 1,000)” will “now be administered more effectively under the State Department.”

Rubio on Jan. 24Ā directedĀ State Department personnel to stop nearly all U.S. foreign aid spending for 90 days in response toĀ an executive orderĀ that President Donald Trump signed after his inauguration. The Washington Blade has previously reported programs in Kenya and other countries the President’s Emergency Plan for AIDS Relief funds have been forced to suspend services and even shut down because of a lack of U.S. funding, even though Rubio issued a waiver that allowed PEPFAR and other ā€œlife-saving humanitarian assistanceā€ programs to continue to operate during the freeze.

The Trump-Vance administration also moved to dismantle USAID.

A statement the White House issued on Feb. 3 said the organization ā€œhas been unaccountable to taxpayers as it funnels massive sums of money to the ridiculous ā€” and, in many cases, malicious ā€” pet projects of entrenched bureaucrats, with next-to-no oversight.ā€ The statement also contains examples of what it described as “waste and abuse” that included $2 million for “sex changes and ‘LGBT activism'” in Guatemala, $1.5 million to “advance diversity, equity and inclusion in Serbia’s workplaces and business communities,” and $47,000 for a “transgender opera” in Colombia.”

LGBTQ+ Victory Institute Executive Director Elliot Imse told the Blade last month his organization has lost around $600,000, which is two-thirds of its entire global program budget. Imse said the global LGBTQ rights movement is set to lose more than $50 million because of the suspension of U.S. aid.

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