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SPECIAL REPORT: ‘You can’t let adversity get you down’

Many LGBT elders struggling with economic insecurity

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Cedric Burgess, poverty, gay news, Washington Blade
Cedric Burgess, poverty, gay news, Washington Blade

Cedric Burgess says he lives ‘check to check’ while relying on government assistance to pay bills. Despite his struggles, he works to give back to the LGBT community. (Washington Blade photo by Michael Key)

Editor’s note: This is the first of a two-part look at how poverty affects elder members of the LGBT community and part of a yearlong Blade focus on poverty. To share your ideas or personal story, visit us on Facebook or email [email protected]. Click here to read previous installments.

 

“I did my dirt,” said Cedric Burgess, a black gay man and longtime Washington, D.C. resident who grew up in the District. “I was young and full of fun!”

Today, Burgess, 61, is a recovering alcoholic who suffers from depression. He’s been HIV positive for more than 30 years. “I live from check to check,” said Burgess, who receives Social Security disability benefits.

Before undergoing a hip replacement four years ago, he struggled to walk up to his second-story apartment.

“It is a wonder to be able to walk without my cane,” Burgess said. “No matter what pain pills I took, I couldn’t get to sleep. You don’t realize how much pain you’re in. You adapt. I couldn’t cross my legs. Steps weren’t an option.”

At 19, Burgess came out to his family.

“I was accepted by my family. I was taken in,” he said, “that was a blessing!”

For some years, he worked in a series of clerical jobs. In 1982, Burgess, then living and working as an administrative assistant in Atlanta, was hit by a drunk driver. The accident left him with back pain, nerve damage and sciatica. For two years, unable to work, he did physical therapy. In 1984, Burgess returned to work. After returning to D.C., he went back to doing clerical work.

During the AIDS epidemic, his family confronted Burgess.

“They said ‘you gotta get tested,’” he said. “In 1991, after I found out I was positive, I took a two-week vacation. I got HIV through a blood transfusion I received when I had my accident.  They weren’t screening transfusions for HIV then.”

In 2006, his back pain became so severe that Burgess left the workforce. He said he retired from the Green Door, a D.C. organization that helps people with mental challenges, where he worked as a program assistant.

“You can’t let adversity get you down, you have to have a positive attitude,” Burgess added.  Fortunately, he said, social safety net programs help him to make ends meet. In addition to his monthly disability check, Burgess receives food stamps. His health care is covered by Medicare and Medicaid.

“I receive energy assistance from Pepco and two-thirds of my rent, with funding from the Ryan White Act, is subsidized by the Washington, D.C. Housing Coalition,” Burgess said.

These programs are a lifeline for him. “Without the rental assistance and the Medicare and Medicaid, I wouldn’t be able to afford housing and health care,” Burgess said. “I couldn’t pay for my HIV medications and I couldn’t have had my hip replacement.”

Cedric Burgess, poverty, gay news, Washington Blade

Cedric Burgess says many elders don’t know their legal rights when it comes to housing and other issues. (Washington Blade photo by Michael Key)

Despite living with economic hardship, Burgess leads an active and full life. Committed to helping others, he has volunteered for groups serving everyone from homeless youth to elders.  “I’m a goodwill ambassador for the DC Center for the LGBT Community and for AARP,” Burgess said. “I help seniors learn about their rights in housing and in nursing homes. Many seniors don’t know their rights.”

“I believe in God’s healing,” he went on, “I go to church. I have no prejudice against any other religion. I’m a spiritually free person.”

Burgess’s situation is far from unique. Many LGBT older adults (aging Baby Boomers over 50) live with economic insecurity.

“Media and marketing stereotypes view the LGBT community as an affluent niche group filled with couples with double incomes,” said Matthew J. Corso, chief communications officer and board member of the DC Center for the LGBT Community. “The poverty rate among LGBT older adults is much higher than people would think from the marketing view. Older adults can often feel isolated.”

The DC Center’s Coffee and Conversation is a safe space where older adults can connect with others in the community and discuss issues related to living with economic insecurity, Corso said.

People rarely look at economic insecurity and aging, said Robert Espinoza, senior director of public policy and communications for Services and Advocacy for GLBT Elders (SAGE), “People studying poverty don’t look often enough at poverty among LGBT and older people.  On the other side, people studying LGBT issues aren’t looking often enough at aging and poverty.”

But studies that have been done show that poverty is high among elders and even higher among LGBT older adults, Espinoza said. Among the findings:

• One in six Americans aged 65 and older lives in poverty, according to a 2013 Congressional Research Service report.

• The poverty rate is as high or higher among lesbian, gay and bisexual people than for heterosexual people, and lesbian couples, 65 and older, are twice as likely to be poor as straight married couples, according to a 2009 Williams Institute Report.

• There are an estimated 1.5 million gay, lesbian and bisexual elders in the United States today. The number is expected to increase to nearly 3 million by 2030, according to “Improving the Lives of LGBT Older Adults” from SAGE, the Movement Advancement Program (MAP) and Center for American Progress.

• Because historically LGBT people have not been able to marry, many LGBT older adults face the economic insecurity and health issues that come with aging without the support from families that heterosexual older adults often receive. LGBT elders are twice as likely to be single and three to four times more likely to be without children as their straight peers, according to the MAP report.

• Transgender adults encounter profound discrimination, according to a SAGE and National Center for Transgender Equality 2012 report. They experience “striking disparities in … health care access … employment and more,” the report states, “with a growing older transgender population, there is an urgent need to understand the challenges that can threaten financial security, health and overall well-being.”

Several factors contribute to poverty among LGBT elders. “In the past, many faced employment discrimination because they were LGBT. LGBT people of color and lesbians faced even more severe discrimination,” Espinoza said. “Too many LGBT older adults have little, if any, retirement savings.”

• LGBT older adults face health disparities and 47 percent of LGBT people over 50 have a disability, said Imani Woody, Ph.D., chair of SAGE Metro D.C. “More than one in 10 LGBT people aged 50-plus have been denied health care or provided with inferior health care,” she said. “This can lead to economic insecurity, which can translate to poverty. If you don’t have access to health care, what do you have?”

Even older LGBT adults with moderate incomes, who wouldn’t think of themselves as facing poverty, can become impoverished if they become disabled or need long-term care, Espinoza said. “If you only have savings of, say, $60,000, it will go quickly.”

Lack of affordable housing and housing discrimination are key reasons why many LGBT older adults live in or near poverty. Same-sex older couples encounter discrimination when seeking housing in senior living facilities, according to a report, “Opening Doors: An Investigation of Barriers to Senior Housing for Same-Sex couples,” released last month by the Equal Rights Center, a civil rights organization in partnership with SAGE.

“We saw a number of adverse treatments with a high economic impact,” said Don Kahl, executive director, Equal Rights Center. “Sometimes they were charged for having an ‘extra person.’ At other times, they were told they’d have to take a more expensive two-bedroom apartment when they wanted a one-bedroom,” he said, “In other cases, they were treated in such a manner, that they wouldn’t accept the housing even if it was offered.”

It’s a misperception to think that as people age, they accumulate wealth and live out their days in comfort, said Peter Johnson, director of public relations for the Center on Halsted in Chicago. “It’s even more true for LGBT older adults. Before we began to experience marriage equality, LGBT seniors might have shared finances unevenly with their partners,” he said. “Without marriage, if one partner dies or the relationship ends, a huge financial burden is placed on the remaining partner.”

The Center on Halsted is working with the Heartland Alliance to provide LGBT older adults with affordable housing in the LakeView neighborhood of Chicago. “While not exclusively LGBT it will be LGBT focused and friendly,” Johnson said. “It will be 79 units of subsidized housing with the rent being no more than one-third of residents’ income.”

LGBT elders live in or near poverty nationwide — from rural to metropolitan areas, Johnson said. “We are fortunate to have Heartland [Alliance] dealing with us on these issues.”

      Next week: Meet elder members of the LGBT community coping with unemployment and economic insecurity.

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Federal Government

RFK Jr.’s HHS report pushes therapy, not medical interventions, for trans youth

‘Discredited junk science’ — GLAAD

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HHS Secretary Robert F. Kennedy Jr. (Washington Blade photo by Michael Key)

A 409-page report released Thursday by the U.S. Department of Health and Human Services challenges the ethics of medical interventions for youth experiencing gender dysphoria, the treatments that are often collectively called gender-affirming care, instead advocating for psychotherapy alone.

The document comes in response to President Donald Trump’s executive order barring the federal government from supporting gender transitions for anyone younger than 19.

“Our duty is to protect our nation’s children — not expose them to unproven and irreversible medical interventions,” National Institutes of Health Director Dr. Jay Bhattacharya said in a statement. “We must follow the gold standard of science, not activist agendas.”

While the report does not constitute clinical guidance, its findings nevertheless conflict with not just the recommendations of LGBTQ advocacy groups but also those issued by organizations with relevant expertise in science and medicine.

The American Medical Association, for instance, notes that “empirical evidence has demonstrated that trans and non-binary gender identities are normal variations of human identity and expression.”

Gender-affirming care for transgender youth under standards widely used in the U.S. includes supportive talk therapy along with — in some but not all cases — puberty blockers or hormone treatment.

“The suggestion that someone’s authentic self and who they are can be ‘changed’ is discredited junk science,” GLAAD President and CEO Sarah Kate Ellis said in a statement. “This so-called guidance is grossly misleading and in direct contrast to the recommendation of every leading health authority in the world. This report amounts to nothing more than forcing the same discredited idea of conversion therapy that ripped families apart and harmed gay, lesbian, and bisexual young people for decades.”

GLAAD further notes that the “government has not released the names of those involved in consulting or authoring this report.”

Janelle Perez, executive director of LPAC, said, “For decades, every major medical association–including the American Medical Association and the American Academy of Pediatrics–have affirmed that medical care is the only safe and effective treatment for transgender youth experiencing gender dysphoria.

“This report is simply promoting conversion therapy by a different name – and the American people know better. We know that conversion therapy isn’t actually therapy – it isolates and harms kids, scapegoats parents, and divides families through blame and rejection. These tactics have been used against gay kids for decades, and now the same people want to use them against transgender youth and their families.

“The end result here will be a devastating denial of essential health care for transgender youth, replaced by a dangerous practice that every major U.S. medical and mental health association agree promotes anxiety, depression, and increased risk of suicidal thoughts and attempts.

“Like being gay or lesbian, being transgender is not a choice, and no amount of pressure can force someone to change who they are. We also know that 98% of people who receive transition-related health care continue to receive that health care throughout their lifetime. Trans health care is health care.”

“Today’s report seeks to erase decades of research and learning, replacing it with propaganda. The claims in today’s report would rip health care away from kids and take decision-making out of the hands of parents,” said Shannon Minter, legal director of NCLR. “It promotes the same kind of conversion therapy long used to shame LGBTQ+ people into hating themselves for being unable to change something they can’t change.”

“Like being gay or lesbian, being transgender is not a choice—it’s rooted in biology and genetics,” Minter said. “No amount or talk or pressure will change that.” 

Human Rights Campaign Chief of Staff Jay Brown released a statement: “Trans people are who we are. We’re born this way. And we deserve to live our best lives and have a fair shot and equal opportunity at living a good life.

“This report misrepresents the science that has led all mainstream American medical and mental health professionals to declare healthcare for transgender youth to be best practice and instead follows a script predetermined not by experts but by Sec. Kennedy and anti-equality politicians.”




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The White House

Trump nominates Mike Waltz to become next UN ambassador

Former Fla. congressman had been national security advisor

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U.N. headquarters in New York (Washington Blade photo by Michael K. Lavers)

President Donald Trump on Thursday announced he will nominate Mike Waltz to become the next U.S. ambassador to the U.N.

Waltz, a former Florida congressman, had been the national security advisor.

Trump announced the nomination amid reports that Waltz and his deputy, Alex Wong, were going to leave the administration after Waltz in March added a journalist to a Signal chat in which he, Defense Secretary Pete Hegseth, and other officials discussed plans to attack Houthi rebels in Yemen.

“I am pleased to announce that I will be nominating Mike Waltz to be the next United States ambassador to the United Nations,” said Trump in a Truth Social post that announced Waltz’s nomination. “From his time in uniform on the battlefield, in Congress and, as my National Security Advisor, Mike Waltz has worked hard to put our nation’s Interests first. I know he will do the same in his new role.”

Trump said Secretary of State Marco Rubio will serve as interim national security advisor, “while continuing his strong leadership at the State Department.”

“Together, we will continue to fight tirelessly to make America, and the world, safe again,” said Trump.

Trump shortly after his election nominated U.S. Rep. Elise Stefanik (R-N.Y.) to become the next U.S. ambassador to the U.N. Trump in March withdrew her nomination in order to ensure Republicans maintained their narrow majority in the U.S. House of Representatives.

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U.S. Federal Courts

Second federal lawsuit filed against White House passport policy

Two of seven plaintiffs live in Md.

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Lambda Legal on April 25 filed a federal lawsuit on behalf of seven transgender and nonbinary people who are challenging the Trump-Vance administration’s passport policy.

The lawsuit, which Lambda Legal filed in U.S. District Court for the District of Maryland in Baltimore, alleges the policy that bans the State Department from issuing passports with “X” gender markers “has caused and is causing grave and immediate harm to transgender people like plaintiffs, in violation of their constitutional rights to equal protection.”

Two of the seven plaintiffs — Jill Tran and Peter Poe — live in Maryland. The State Department, Secretary of State Marco Rubio, and the federal government are defendants.

“The discriminatory passport policy exposes transgender U.S. citizens to harassment, abuse, and discrimination, in some cases endangering them abroad or preventing them from traveling, by forcing them to use identification documents that share private information against their wishes,” said Lambda Legal in a press release.

Zander Schlacter, a New York-based textile artist and designer, is the lead plaintiff.

The lawsuit notes he legally changed his name and gender in New York.

Schlacter less than a week before President Donald Trump’s inauguration “sent an expedited application to update his legal name on his passport, using form DS-5504.”

Trump once he took office signed an executive order that banned the State Department from issuing passports with “X” gender markers. The lawsuit notes Schlacter received his new passport in February.

“The passport has his correct legal name, but now has an incorrect sex marker of ‘F’ or ‘female,'” notes the lawsuit. “Mr. Schlacter also received a letter from the State Department notifying him that ‘the date of birth, place of birth, name, or sex was corrected on your passport application,’ with ‘sex’ circled in red. The stated reason was ‘to correct your information to show your biological sex at birth.'”

“I, like many transgender people, experience fear of harassment or violence when moving through public spaces, especially where a photo ID is required,” said Schlacter in the press release that announced the lawsuit. “My safety is further at risk because of my inaccurate passport. I am unwilling to subject myself and my family to the threat of harassment and discrimination at the hands of border officials or anyone who views my passport.”

Former Secretary of State Antony Blinken in June 2021 announced the State Department would begin to issue gender-neutral passports and documents for American citizens who were born overseas.

Dana Zzyym, an intersex U.S. Navy veteran who identifies as nonbinary, in 2015 filed a federal lawsuit against the State Department after it denied their application for a passport with an “X” gender marker. Zzyym in October 2021 received the first gender-neutral American passport.

Lambda Legal represented Zzyym.

The State Department policy took effect on April 11, 2022.

Trump signed his executive order shortly after he took office in January. Germany, Denmark, Finland, and the Netherlands are among the countries that have issued travel advisories for trans and nonbinary people who plan to visit the U.S.

A federal judge in Boston earlier this month issued a preliminary injunction against the executive order.  The American Civil Liberties Union filed the lawsuit on behalf of seven trans and nonbinary people.

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