Dr. Rachel Levine, the U.S. Assistant Secretary of Health and the federal government’s highest-ranking transgender official, called on community leaders to join her in a campaign to promote vaccinations to curtail respiratory illness at a forum organized by the LGBTQ supportive medical center Whitman-Walker Health.

Levine, a pediatrician, was joined by four fellow physicians, three of whom are with Whitman-Walker, and an official with the LGBTQ seniors advocacy group SAGE, in a panel discussion called “Protecting Our Health In the New Year: A Conversation on Flu, COVID-19, and RSV Vaccines.”

Among other things, Levine talked about a vaccination promotion program she is involved with at the U.S. Department of Health and Human Services called “Risk Less and Do More.”

“I’m extremely passionate about vaccines and the role they play in preventing respiratory illness and keeping communities healthier,”  Levine told the gathering, held at Whitman-Walker’s Max Robinson Center.

“And the success of ‘Risk Less, Do More’ is rooted in partnerships with community leaders across America who have provided reliable information to community members so that they can make the best informed decisions about their health and access one of the best tools that we have to protect our health – vaccinations,” Levine said.

She noted that separate vaccines are now available for three  respiratory illnesses that can potentially be life-threatening – flu, COVID-19, and Respiratory Syncytial Virus known as RSV.

“While aiming to limit respiratory virus spread among all Americans, the ‘Risk Less, Do More’ campaign has placed particular focus on high-risk populations who are at the greatest risk for becoming seriously ill,” Levine said.

“This includes people who are not up to date on their vaccines, those who are 65 years and older, residents in long-term care facilities, pregnant people, those living in rural areas where healthcare access is limited, and racial and ethnic populations who are more at risk, including those in the Black and Hispanic community,” she said.

A “notable uptick” in the three respiratory illnesses she mentioned is now occurring across the country and in Washington, D.C., Levine added. 

The others who joined Levine in the discussion were Aaron Tax, an official with SAGE; Tasliyam Adams, Senior Manager of Medical Support at Whitman-Walker; Danny Jaek, Pharmacist at Whitman-Walker’s Max Robinson Center; and Dr. Kimberly Jeffries Leonard, Vice President of Administration, Black Women’s Agenda.

Also participating in the discussion were Whitman-Walker physicians Heather Aaron, Ann Bonham, and Kellan Baker.

At the conclusion of the forum Whitman-Walker officials presented Levine with a poster size, framed proclamation honoring her “For Distinguished Service and Leadership In Advancing Public Health and Health Equity.”

Levine, who will leave her job on Jan. 20 when president-elect Donald Trump takes office, was asked by the Washington Blade if she has any advice for her successor under the new administration.

“I really can’t comment on the new administration,” she said. “But what I can comment on is the importance of vaccinations, which again has been one of the victories of public health in the 20th and 21st centuries. And so, we are very proudly talking about our Risk Less, Do More campaign for this respiratory season.”

Naseema Shafi, Whitman-Walker’s CEO, said Whitman-Walker was honored that Levine participated in the vaccine forum.

“She has done so much to advance health in the community,” said Shafi, who added, “She’s been a fearless leader living authentically and we’re really proud of the opportunity to be able to spend time with her today.”

Javier Milei’s rise to power marked a sea change in Argentine politics that profoundly impacted the country’s LGBTQ community.

His first year in office has seen a combination of hostile rhetoric and concrete measures that have dismantled historic advances in human rights.

“Javier Milei’s administration is fighting a two-way battle,” Congressman Esteban Paulón, a long-time LGBTQ activist, pointed out to the Washington Blade. “On the one hand, symbolically, with an openly homo, lesbo and transodiant discourse, and on the other, in concrete facts, such as the closure of the Ministry of Women, Gender and Diversity, and INADI (the National Institute Against Discrimination, Xenophobia and Racism).”

The decision to eliminate these key institutions sent a clear message: Diversity policies are no longer a state priority. This dismantling left LGBTQ Argentines without national advocacy tools.

Some provinces have tried to fill this void, but many others have followed the national government’s lead. This trend, according to Paulón and other activists, has left LGBTQ Argentines even more vulnerable.

“What we are seeing is not only a setback in public policies, but also a direct attack on the dignity of thousands of people who, until recently, felt the support of the state,” said Paulón. 

One of Milei administration’s first acts was to close the Women, Gender and Diversity Ministry and INADI. These decisions, which Milei said was necessary to reduce “unnecessary public spending,” eliminated agencies that played an essential role in the promotion of human rights and the fight against discrimination.

“Without these institutions, the LGBTQ community has been left unprotected against violence and prejudice. Now, discrimination cases that used to be handled by INADI end up shelved or without follow-up,” Paulón warned. “The message this sends is that our lives don’t matter to this government.”

Paulón and other activists say one of the Milei government’s most alarming decisions is to allow employers to fire employees without legal consequences.

“Today, a person can be fired because of their sexual orientation or gender identity, without the possibility of recovering their job,” warned Paulón. 

The new policy has left many employees — especially transgender people — without legal recourse. Advocacy groups say companies have taken advantage of this regulation to carry out selective firings. The freezing of a trans-specific labor quota has deepened employment discrepancies for one of the country’s most vulnerable communities.

Paulón told the Blade that anti-LGBTQ rhetoric from Milei and several of his ministers has also had an effect on Argentine society.

“Today, anyone feels they can say anything without consequences,” said Paulón, who noted that ultraconservative and religious sectors view Milei’s government as an ally. 

This rhetoric, according to Paulón, has yet to translate into widespread violence.

“We are not yet in a situation of systematic violence as in other countries, but the risk is there,” he said. “Every word of hate from power legitimizes violent actions.”

Congress, civil society leads resistance

In the face of this adverse scenario, resistance has taken various forms.

Paulón and other opposition lawmakers have worked on bills to protect LGBTQ rights and reverse regressive measures.

“We will not stand idly by. We put forward concrete proposals to guarantee access to health care, inclusive education and labor protections,” said Paulón.

Activists have strengthened alliances with their counterparts in neighboring countries, such as Brazil and Chile, and Mexico. They are also working with international organizations that have expressed concern about the situation in Argentina.

Although the outlook is bleak, Paulón said he remains hopeful. 

“Milei is going to pass, like all processes in democracy,” he said. 

Paulón stressed that marriage equality and the transgender rights law are deeply rooted in Argentine society, and act as barriers to stop further setbacks. The challenge now, he says, is to maintain resistance, organize the community, and strengthen international ties.

“We have an organized movement, tools to defend ourselves and a mostly plural and diverse society. This process will also come to an end,” said Paulón. “In this context, the struggle for LGBTQ rights in Argentina is a reminder that social conquests are never definitive and that resistance is vital to preserve the achievements made.” 

Parties in Doe v. Ladapo, a case challenging Florida’s ban on healthcare for transgender youth and restrictions on the medical interventions available to trans adults, presented oral arguments on Wednesday before the U.S. Court of Appeals for the 11th Circuit in Atlanta.

The case was appealed by defendants representing the Sunshine State following a decision in June 2024 by Judge Robert Hinkle of the U.S. District Court for the Northern District of Florida, who found “the law and rules unconstitutional and unenforceable on equal protection grounds,” according to a press release from the National Center for Lesbian Rights, which is involved in the litigation on behalf of the plaintiffs.

The district court additionally found the Florida healthcare ban unconstitutional on the grounds that it was “motivated by purposeful discrimination against transgender people,” though the ban and restrictions will remain in effect pending a decision by the appellate court.

Joining NCLR in the lawsuit are attorneys from GLAD Law, the Human Rights Campaign, Southern Legal Counsel, and the law firms Lowenstein Sandler and Jenner and Block.

“As a mother who simply wants to protect and love my child for who she is, I pray that the Eleventh Circuit will affirm the district court’s thoughtful and powerful order, restoring access to critical healthcare for all transgender Floridians,” plaintiff Jane Doe said. “No one should have to go through what my family has experienced.”

“As a transgender adult just trying to live my life and care for my family, it is so demeaning that the state of Florida thinks it’s their place to dictate my healthcare decisions,” said plaintiff Lucien Hamel.

“Members of the legislature have referred to the high quality healthcare I have received, which has allowed me to live authentically as myself, as ‘mutilation’ and ‘an abomination’ and have called the providers of this care ‘evil,’” Hamel added. “We hope the appellate court sees these rules and laws for what truly are: cruel.” 

“Transgender adults don’t need state officials looking over their shoulders, and families of transgender youth don’t need the government dictating how to raise their children,” said Shannon Minter, legal director of NCLR. “The district court heard the evidence and found that these restrictions are based on bias, not science. The court of appeals should affirm that judgment.” 

Noting Hinkle’s conclusion that the ban and restrictions were “motivated by animus, not science or evidence,” Simone Chris, who leads Southern Legal Counsel’s Transgender Rights Initiative, said, “The state has loudly and proudly enacted bans on transgender people accessing healthcare, using bathrooms, transgender teachers using their pronouns and titles, and a slough of other actions making it nearly impossible for transgender individuals to live in this state.”

Lowenstein Sandler Partner Thomas Redburn said, “The defendants have offered nothing on appeal that could serve as a valid basis for overturning that finding” by the district court.

 “Not only does this dangerous law take away parents’ freedom to make responsible medical decisions for their child, it inserts the government into private health care matters that should be between adults and their providers,” said Jennifer Levi, senior director of transgender and queer rights at GLAD Law.