News
Obama renews PR push for health care law
Gay couple claims $5,200 in savings under Obamacare
John West (left) and Michael Lappin are set to save $5,200 a year under Obamacare. (Photo courtesy of Michael Lappin
For Michael Lappin and his spouse John West, the Affordable Care Act offered critical savings — more than $5,200 a year —thanks to the individual insurance policies they purchased on the Obamacare website.
Amid widespread media attention to the technical difficulties with the Healthcare.gov site, cancelled policies and loss of registration information for enrollment, the Atlanta couple represents one positive experience in accessing health care reform.
In a phone interview with the Washington Blade, Lappin said the couple, who co-founded their own business, STELLAR Mortgage Corp., was previously covered by plans that offered decent but expensive coverage.
“Under the Affordable Care Act, we’re getting new plans,” Lappin said. “We’re switching providers, keeping our same doctor, though, as our primary care physician, and between the two of us, we’re going to save over $5,200 a year on our health insurance.”
Even with the lower cost of the insurance, Lappin said the couple will enjoy lower co-pays, lower deductibles and lower out-of-pocket costs — all without help of any subsidies offered by the federal government under Obamacare.
Lappin, 44, and West, 49, married in D.C. in 2012, but applied for individual plans because they have yet to file a joint tax return. In the aftermath of the Supreme Court decision on the Defense of Marriage Act in June, Lappin said the couple intends to file jointly next year and may revisit the idea of family coverage.
“I believe the rates are the same if we buy individually or together, so it’s just sending two checks versus one check,” Lappin said. “But I will definitely revisit that once we have joint tax returns and make sure.”
The couple enjoys a positive outcome under health care reform as President Obama makes a renewed push for the law, saying problems with the enrollment website are fixed and healthcare.gov is now working for the vast majority of people.
During an event at the Eisenhower Executive Office Building on Tuesday, Obama touted his signature legislation in front of 19 people who also had positive experiences under health care reform.
“Now that we are getting the technology fixed — we need you to go back, take a look at what’s actually going on, because it can make a difference in your lives and the lives of your families,” Obama said. “And maybe it won’t make a difference right now if you’re feeling healthy, but I promise you, if somebody in your family — heaven forbid — gets sick, you’ll see the difference.”
As a result of the law, Obama projected that half a million people are poised to gain health care coverage through the health insurance exchanges and the Medicaid expansion beginning on Jan. 1 — some for the very first time.
Rea Carey, executive director of the National Gay & Lesbian Task Force, expressed solidarity with Obama in a statement the next day, saying his law is a “giant step” toward delivering health care to all Americans.
“We stand with the president in his unshakable commitment to this fundamental component of a transformed society,” Carey said. “We also encourage everyone to fully educate themselves on how to access the benefits of the Affordable Care Act.”
Upon the initial rollout of healthcare.gov, users reportedly faced numerous problems, including loading difficulties and error messages. Lappin said he and his partner initially had difficulties enrolling via the website, but eventually were able to apply.
“When I would get in, it was glitchy, but over the next probably two weeks or so, I continued to get better and I was able to get in, and get it figured out,” Lappin said.
As he’s gone back to healthcare.gov to make payments and obtain confirmation from HUMANA, his new insurance company, Lappin noticed an increase in the website’s functionality.
“I log back in now and the site seems to work,” Lappin said. “It’s much faster, much quicker, the buttons actually work and do things now. As somebody who’s started Oct. 1 through now, I can tell you, huge improvements to the site.”
Lappin said he and his spouse opted to apply for health insurance through healthcare.gov, the website for the federal exchange, because Georgia doesn’t offer its own state insurance exchange and has no website for enrollment.
LGBT advocates — and the Obama administration — have touted that health care reform provides non-discrimination protections for LGBT people in the health care system. Through regulation, the Obama administration has interpreted the gender protections under the law to apply to sexual orientation and gender identity.
Although he’s claiming significant savings under Obamacare, Lappin said he doesn’t think that’s because of discrimination faced under the previous system.
“We had individual plans, so I don’t think there was any way that anybody could have discriminated against us,” Lappin said. “It didn’t even come up in any kind of underwriting, anything that we know about.”
Mara Keisling, executive director of the National Center for Transgender Equality, praised the non-discrimination protections as essential for trans people seeking health coverage.
“An important message to get out is that trans people and people living with HIV/AIDS can no longer be denied as having pre-existing conditions,” Keisling said.
Keisling said her own organization has benefited under Obamacare, saving about $250 per staff person per month on health insurance costs, or about $15,000 total.
Despite the push to promote Obamacare, most Republicans remain opposed to the law and continue hammering the administration for problems that have emerged since the rollout.
Also in this camp is the Log Cabin Republicans, which previously joined with conservative groups in signing a letter calling health care reform “tyrannical.”
Gregory Angelo, executive director of Log Cabin Republicans, said he’s heard horror stories from members about their efforts at enrolling in healthcare.gov.
“Premiums are going up, some members have had no luck signing up on the website even after making repeated good faith efforts, people have been unable to change their information after it has been entered and connected with their Social Security number,” Angelo said.
Angelo said he couldn’t find a member willing to speak publicly about the problems.
For his part, Obama said during the White House event he’s open to ideas about changing the law, but won’t go back to the way things were before his health care reform was in place.
“I’ve always said I will work with anybody to implement and improve this law effectively,” Obama said. “If you’ve got good ideas, bring them to me. Let’s go. But we’re not repealing it as long as I’m president.”
Federal Government
Gay Venezuelan man ‘forcibly disappeared’ to El Salvador files claim against White House
Andry Hernández Romero had asked for asylum in US
A gay Venezuelan asylum seeker who the U.S. “forcibly disappeared” to El Salvador has filed a claim against the federal government.
Immigrant Defenders Law Center, who represents Andry Hernández Romero, on Friday announced their client and five other Venezuelans who the Trump-Vance administration “forcibly removed” to El Salvador under the Alien Enemies Act of 1798, filed “administrative claims” under the Federal Tort Claims Act.
The White House on Feb. 20, 2025, designated Tren de Aragua, a Venezuelan gang, as an “international terrorist organization.”
President Donald Trump less than a month later invoked the Alien Enemies Act of 1798, which the Associated Press notes allows the U.S. to deport “noncitizens without any legal recourse.” The White House then “forcibly removed” Hernández, who had been pursuing his asylum case in the U.S., and more than 250 other Venezuelans to El Salvador.
Immigrant Defenders Law Center disputed claims that Hernández is a Tren de Aragua member.
Hernández was held at El Salvador’s Terrorism Confinement Center, a maximum-security prison known by the Spanish acronym CECOT, until his release on July 18, 2025. Hernández, who is back in Venezuela, claims he suffered physical and sexual abuse while at CECOT.
“As a Venezuelan citizen with no criminal record anywhere in the world, I would like to tell not only the government of the United States but governments everywhere that no human being is illegal,” said Hernández in the Immigrant Defenders Law Center press release. “The practice of judging whole communities for the wrongdoing of a single individual must end. Governments should use their power to help every person in the nation become more aware and informed, to strengthen our cultures and build a stronger generation with principles and values — one that multiplies the positive instead of destroying unfulfilled dreams and opportunities.”
Immigrant Defenders Law Center filed claims on behalf of Hernández and the five other Venezuelans less than three months after American forces seized then-Venezuelan President Nicolás Maduro and his wife, Cilia Flores, at their home in Caracas, the Venezuelan capital.
Maduro and Flores have pleaded not guilty to federal drug charges. Delcy Rodríguez, who was Maduro’s vice president, is Venezuela’s acting president.
‘Due process and accountability cannot be optional’
Immigrant Defenders Law Center on Friday also made the following demands:
- The Trump administration must officially release the names of all people the United States sent to CECOT to ensure that everyone has been or will be released.
- The federal government must clear the names of the 252 men wrongfully labeled as criminal gang members of Tren de Aragua.
- DHS (Department of Homeland Security) must end the practice of outsourcing torture through third‑country removals, restore humanitarian parole, and rebuild a functioning, humane asylum system.
- DHS must reinstate Temporary Protected Status for all individuals who cannot safely return to their home countries, halt mass deportations and unlawful raids and arrests, and guarantee due process for everyone navigating the immigration system.
- Congress must pass the Neighbors Not Enemies Act, which would repeal the Alien Enemies Act.
“In all my years as an immigration attorney, I have never seen a client simply vanish in the middle of their case with no explanation,” said Immigration Defenders Legal Fund Legal Services Director Melissa Shepard. “In court, the government couldn’t even explain where he was — he had been disappeared.”
“When the government detains and transfers people in secrecy, without transparency or access to the courts, it tears at the basic protections a democracy is supposed to guarantee,” added Shepard. “What this experience makes painfully clear is that due process and accountability cannot be optional. They are the only safeguards standing between people and the kind of lawlessness our clients suffered. We must end third country transfers, restore the asylum system, and humanitarian parole, and reinstate temporary protective status so this nightmare never happens again.”
The White House
Trump proclamation targets trans rights as State Dept. shifts visa policy
Recent policy actions from the White House limit transgender rights in sports, immigration visas, and overarching federal policy.
In a proclamation issued by the Trump White House Thursday night, the president said he would, among other things, “restore public safety” and continue “upholding the rule of law,” while promoting policies that restrict the rights of transgender people.
“We are keeping men out of women’s sports, enforcing Title IX as it was originally written, and ensuring colleges preserve — and, where possible, expand — scholarships and roster opportunities for female athletes,” the proclamation reads. “At the same time, we are restoring public safety and upholding the rule of law in every city so women, children, and families can feel safe and secure.”
The statement comes amid a broader series of actions by the Trump administration targeting transgender people across multiple federal policy areas, including education, health care, and immigration. A nearly complete list of policies the current administration has put forward can be found on KFF.org.
One day before the proclamation was issued, the U.S. State Department announced changes to visa regulations that could impact transgender and gender-nonconforming people seeking entry into the United States.
The policy, published March 11 and scheduled to take effect April 10, introduces changes to the Diversity Immigrant Visa Program, commonly known as the “DV Program.” The rule is framed by the department as an effort to strengthen oversight and prevent fraud within the visa lottery system, which allocates a limited number of immigrant visas annually to applicants from countries with historically low rates of immigration to the United States.
However, the updated language also standardizes the use of the term “sex” in federal regulations in place of “gender,” a change that LGBTQ advocates say could create additional barriers for transgender and gender-diverse applicants.
The policy states: “The Department of State (‘Department’) is amending regulations governing the Diversity Immigrant Visa Program (‘DV Program’) to improve the integrity of, and combat fraud in, the program. These amendments require a petitioner to the DV Program to provide valid, unexpired passport information and to upload a scan of the biographic and signature page in the electronic entry form or otherwise indicate that he or she is exempt from this requirement. Additionally, the Department is standardizing and amending its regulations to add the word ‘shall’ to simplify guidance for consular officers; ensure the use of the term ‘sex’ in lieu of ‘gender’; and replace the term ‘age’ in the DV Program regulations with the phrase ‘date of birth’ to accurately reflect the information collected and maintained by the Department during the immigrant visa process.”
Advocates say the shift toward using “sex” rather than “gender” in federal immigration rules reflects a broader push by the administration to roll back recognition of transgender identities in federal policy.
According to the National Center for Transgender Equality, an estimated 15,000 to 50,000 undocumented transgender immigrants currently live in the United States, with many entering the country to seek refuge from persecution and hostile governments in their home countries.
Ecuador
Adolescentes trans en Ecuador podrán cambiar datos en su cédula, pero con condicionamientos
Pueden modificar el campo de género en su documento de identidad con requisitos
Por VICTOR H. CARREÑO | En una sentencia del 5 de febrero de 2026, la Corte Constitucional declaró inconstitucional el requisito legal de mayoría de edad para modificar el campo de sexo o género en la cédula de identidad y fija lineamientos para que adolescentes trans puedan cambiar estos datos.
El máximo organismo de control e interpretación constitucional incorpora dos requerimientos: que la persona adolescente se presente al procedimiento administrativo con sus padres y que informes psicosociales acrediten un grado de madurez.
El fallo resuelve una consulta de constitucionalidad de una unidad judicial que lleva una acción de protección contra el Registro Civil presentada por la familia de un adolescente trans que solicitó, en junio de 2023, modificar el campo de género en la cédula.
La institución se negó porque la Ley Orgánica de Gestión de la Identidad y Datos Civiles establece que la rectificación de sexo o género es un procedimiento para personas mayores de 18 años.
El adolescente, cuya identidad se protege en la sentencia, cuenta con el apoyo de sus padres en su transición, que inició en 2020. En una audiencia, su madre expuso que si bien en el ámbito familiar y en el sistema educativo se respeta la identidad de su hijo, fuera de estos hay situaciones, como en consultas médicas en el Seguro Social, en que debe presentar la cédula de él y quienes la reciben preguntan si es el documento equivocado.
En el desarrollo de la sentencia, la Corte expone por qué el requisito de tener mayoría de edad para acceder a la modificación de datos en la cédula es inconstitucional.
Entre varios motivos, explica que restringe los derechos al libre desarrollo de la personalidad e identidad, que la edad no puede exigirse como “criterio determinante y único” para determinar la madurez de un adolescente, y que la medida puede generar impactos negativos en el bienestar psicológico y emocional.
Por ello, indica que existen mecanismos alternativos como la evaluación individualizada, el acompañamiento técnico y la consideración del contexto familiar.
En ese sentido, la Corte dispone al Registro Civil que debe proceder al cambio de los datos de adolescentes trans cuando acudan acompañades de sus representantes legales y con el respaldo de informes psicosociales.
Estos informes, agrega la sentencia, deben ser de profesionales acreditados o de órganos técnicos públicos competentes que sean considerados por el Registro Civil.
El fallo tiene efectos para este caso y otros similares. A diferencia de otras sentencias, la Corte no ordena una reforma a la legislación.
La organización Silueta X, que difundió el caso en un comunicado el 11 de marzo, calificó el fallo como histórico y explicó que este crea jurisprudencia de cumplimiento obligatorio.
🏳️⚧️🌈Un chico trans de 15 años le dijo al Estado ecuatoriano “yo sé quién soy”. Y la Corte Constitucional le dio la razón. 🏛️✊
Este fallo es nuestro. Es tuyo.
🔗 Lee la comunicado completa en nuestra bio.#DerechosTransEcuador #SiluetaX #CorteConstitucional #AdolescentesTrans pic.twitter.com/aXE4FU9VeS
— Asociación SILUETA 'X' (@SiluetaX) March 11, 2026
Sin embargo, otras organizaciones cuestionan los requisitos. Fundación Pakta indica que si bien la sentencia derriba la barrera etaria de la mayoría de edad, la inclusión de informes psicosociales contradice la tendencia global y regional hacia la despatologización.
Pakta menciona, por ejemplo, la Opinión Consultiva 24/17 de la Corte Interamericana de Derechos Humanos, instrumento que reconoce la identidad autopercebida de las personas y los derechos patrimoniales de parejas del mismo sexo.
El documento, recuerda Pakta en un comunicado, establece que para el reconocimiento de la identidad de género no se debe exigir certificados médicos ni psicológicos. Además, que la Organización Mundial de la Salud reconoció que la identidad trans no es una patología psiquiátrica.
Mientras que la activista Nua Fuentes, de Proyecto Transgénero, considera que los requisitos impuestos por la Corte pueden ser problemáticos. Menciona que frente al desconocimiento y prejuicios, profesionales de salud patologizan la identidad trans.
La Sentencia 4-24-CN/26 sobre la inconstitucionalidad de negar a adolescentes trans cambio de su sexo o género en la cédula es un acto que entreabre la puerta para los derechos, pero también sostiene algunas barreras y es problemático para adolescentes trans #Ecuador
Abro hilo🧵 pic.twitter.com/aKBUlmnU1A— Nua Elizabeth Fuentes Aguirre (@NuaEliz) March 11, 2026
Además, señala que puede haber casos de que la familia y psicólogos expresen rechazo a la identidad trans y limiten los derechos de adolescentes trans. O también menciona casos de abandono de niñes y adolescentes trans y pregunta cómo reconocer su identidad si no cumplen con el requisito de acudir sin representantes legales.
Los condicionamientos para el cambio del campo de sexo o género en la cédula para adolescentes trans marcan también una diferencia con el procedimiento en personas trans de más de 18 años, pues estas —desde las reformas vigentes en 2024— no deben presentar requisitos. Solo su declaración expresa de ser una persona trans que desea que los datos de su cédula estén conformes a su identidad de género.
La madurez de niñeces y adolescencias ha sido un tema abordado en convenciones o instrumentos internacionales. La Convención sobre los Derechos del Niño de la ONU del 2009 es contundente al reconocerles como seres autónomos y capaces de formar sus propias opiniones a través de la experiencia, el entorno, las expectativas sociales y culturales.
Esta convención es mencionada en una sentencia de la Corte Constitucional en que reconoció la identidad de infancias y adolescencias trans en el sistema educativo.
En las Observaciones Generales del Comité de los Derechos del Niño, documentos de interpretación para los alcances de la mencionada Convención, se explica que la madurez es “la capacidad de comprender y evaluar las consecuencias de un asunto determinado”, lo cual debe considerarse en relación con su capacidad individual, contextos, entornos, experiencias de vida y familiar, desarrollo psicológico y no únicamente con su edad biológica.
Además, que la edad cronológica no determina la evolución de las capacidades de las niñeces y adolescencias porque estas crecen a lo largo del tiempo.
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