Commentary
Social inclusion key to equity in the Americas
Betilde Muñoz-Pogassian of OAS underscores need for intersectionality

Dr. Betilde Muñoz-Pogossian is the director of the Organization of American States’ Department of Social Inclusion of the Secretariat for Access to Rights and Responsibilities. (Photo courtesy of Geovanny Vicente Romero)
Editor’s note: Geovanny Vicente Romero is the Washington Blade’s newest contributor who seeks to highlight the LGBT rights movement in Latin America and efforts to extend rights to these communities.
Women’s empowerment, eradicating hunger and poverty and promoting the inclusion of people who are vulnerable. Many of those who are often treated as second-class citizens — such as people of African descent, indigenous people and members of the LGBTI community — do not have equal access to basic benefits and services as well as the protection human rights in general. These issues are part of the life and works of Dr. Betilde Muñoz-Pogossian, director of the Organization of American States’ Department of Social Inclusion of the Secretariat for Access to Rights and Equity.
Muñoz-Pogossian is Venezuelan with a PhD in political science from Florida International University in Miami and a master’s degree in international relations from the University of South Florida in Tampa, Fla.
Her more recent publications include the volume “Equity and Social Inclusion: Overcoming Inequalities Towards More Inclusive Societies” in 2016; and “Women, Politics and Democracy in Latin America” in 2017 from the “Crossing Boundaries of Gender and Politics in the Global South” series. Following her tenure of more than a decade as the OAS’ political-electoral secretariat of the OAS, in 2015, Muñoz-Pogossian assumed the leadership of working on social inclusion issues at the OAS General Secretariat.
She recently spoke with the Washington Blade in D.C. about the progress made and the main challenges regarding the equity agenda in the Americas.
BLADE: What is equity? What are the key issues in the equity agenda in the Americas?
Muñoz-Pogossian: All human beings, from the time we were kids, understand how situations of inequity feel; those situations in which due to gender, race, age, migration status, ethnicity, sexual orientation or identity, a person cannot enjoy their rights and cannot have access to all goods and services in a society. We are all equal before the law. That is a basic obligation of democratic governments. But equity is something else. Equity makes evident the differences amongst all individuals, of their life trajectories that often impede equal access to opportunities. It seeks to generate conditions to level the playing field so that all can effectively have access to education, health, housing, social protection, jobs, to the benefits of economic growth and development throughout their life cycle, and ultimately, to all their human rights. Because the Americas continues to be the most unequal region in the world, the General Secretariat of the OAS has decided to prioritize its efforts to promote more equity in the region, and to contribute to ensuring more rights for more people.
Apart from eradicating poverty and extreme poverty, the regional equity agenda must be focused on the social inclusion of populations in situations of vulnerability. The emphasis should be placed on promoting and ensuring the enjoyment of the rights of children and youth, people of African descent and indigenous peoples, LGTBI people, people with disabilities, and to continue moving forward with the gender equity agenda. This is where we have had the most progress, but where there is still much to be done.
This work needs to focus, on one hand, on generating conditions of real democracy where these populations can, on a comparable basis as the rest of the members of society, enjoy their civil and political rights, namely, to elect and be elected, to have influence in decision-making processes, and to have incidence in the political agenda. On the other hand, the equity regional agenda must refine the series of public policies that have been implemented so far to ensure a more equal distribution of the benefits of economic growth and development. But we must also move one step further regarding economic and social rights. More political will is needed to ensure the full socio-productive inclusion of these populations, and to ensure a life free of discrimination for all. This, in the end, has everything to do with their capacity to exercise their civil and political rights. Which person who has to provide for his or her basic needs regarding food, housing or health can effectively enter the political arena and compete for public office? The discussion regarding what to prioritize is a national one. The fact is, however, that the continued existence of socioeconomic inequities that are replicated in the power asymmetries in the political sphere have a negative impact for the stability of our democracies, and on the levels of citizens’ trust in political institutions. This is something that should concern us all.
BLADE: Which progress should we celebrate? Which challenges should we prioritize?
Muñoz-Pogossian: One of the most important achievements in the last few years has been to have moved the scale in favor of the gender equity agenda. Women’s right to vote is today the norm in all countries of the Americas, and legal frameworks guarantee their right to be elected. According to data from ECLAC (Economic Commission for Latin America and the Caribbean), the average number of national female legislators went up from 9 to 25 percent between 1990-2015. Today practically all countries of the region have implemented quota or parity reforms, and some have even legislated in favor of targeted political financing for female candidacies. This has been manifested in greater representation of women in national legislatures, in ministerial cabinets, and although in 2018 we will only have one woman directing her country’s future in Trinidad and Tobago, we have had a number of women as heads of state in a few Latin American countries.
The challenge that we must prioritize is actually a historic debt that we have as a region. We have about 200 million Afro-descendants and 50 million indigenous people in the region. These populations are generally in the most vulnerable situations: 90 percent of these populations in the countries of the region live in poverty or extreme poverty, and in many cases, do not enjoy universal access to health, education, housing and potable water. This perpetuates a situation of political underrepresentation. At the same time, this translates into the formulation of public policies that do not consider the ethnic specificities of these populations, which again affects the representativeness of the decisions that emerge from the political system, and people’s trust in democracy.
BLADE: What is the OAS doing to promote the equity agenda in the region?
Muñoz-Pogossian: At the OAS Secretariat for Access to Rights and Equity for its Department of Social Inclusion, we strive to give our support to member states in their efforts to address inequality in all its forms using an integral, inclusive and sustainable approach. We base our work in the commitments established in the OAS Charter, the Social Charter of the Americas, the Inter-American Democratic Charter, the Protocol of San Salvador, and the numerous inter-American juridical instruments on human rights. The OAS work on the equity agenda is organized along three key strategic lines:
1. Supporting intersectoral dialogue processes at the highest level to capitalize national capacities, both human and institutional, as well as to promote the exchange of lessons and solutions that contribute to the full exercise of all human rights by the people of the Americas.
2. Promoting and strengthening efficient cooperation strategies and the generation of alliances amongst countries of the region to promote social inclusion and the exercise of economic, social, and cultural rights, to contribute to the eradication of poverty and extreme poverty in particular, and to revert situations of inequity and discrimination.
3.Accompanying countries of the region to fulfill obligations contained in the inter-American normative frameworks regarding development, social inclusion and no discrimination of groups in vulnerable situations, to ensure the effective protection of their human rights.
We at the OAS understand equity as the goal, and social inclusion as the process to achieve it. Promoting more rights for more people is our strategy to tip the scales in favor of equity in the region.
At the end of the conversation with Muñoz-Pogossian, it is clear that, although there is much to do, there has been important progress made in our region to ensure more social and political equity. It is also clear that we have the tools to do it. Via legislation, administrative measures and public policies with a rights-based perspective, we can reverse situations of inequity. The work is monumental, urgent and difficult because we are dealing with people who are in highly vulnerable situations. The work, however, is worth it because it brings us closer to having better democracies and better societies.
Commentary
Protecting the trans community is not optional for elected allies and candidates
One of oldest political tactics is blaming vulnerable group for societal woes
Being an ally to the trans community is not a conditional position for me, nor should it be for any candidate. My allyship doesn’t hinge on polling, focus groups, or whether courage feels politically convenient. At a time when trans people, especially trans youth of color, are under coordinated attack, elected officials and candidates must do more than offer quiet support. We must take a public and solid stand.
History shows us how these moments begin. One of the oldest political tactics is to single out the most vulnerable and blame them for society’s anxieties — not because they are responsible, but because they are easier to blame than those with power and protection. In Nazi Germany, Jewish people were primarily targeted, but they were not the only demographic who suffered elimination. LGBTQ people, disabled people, Romani communities, political dissidents, and others were also rounded up, imprisoned, and killed. Among the earliest acts of fascistic repression was the destruction of Berlin’s Institute for Sexual Science, a pioneering center for gender-affirming care and LGBTQ research. These books and medical records were among the first to be confiscated and burned. It is not a coincidence that these same communities are now the first to suffer under this regime, they are our canaries in the coal mine signaling what’s to come.
Congress, emboldened by the rhetoric of the Donald Trump campaign, recently passed HR 3492 to criminalize healthcare workers who provide gender-affirming healthcare with fines and imprisonment. This bill, sponsored by celebrity politicians like Marjorie Taylor Greene, puts politics and headlines over people and health outcomes. Healthcare that a number of cis-gendered people also benefit from byway of hair regeneration and surgery, male and female breast augmentation, hormone replacement therapy etc. Even when these bills targeting this care do not pass, they do real damage. They create fear among patients, legal uncertainty for providers, and instability for clinics that serve the most marginalized people in our communities.
Here in D.C., organizations like Planned Parenthood and Whitman-Walker Health are lifelines for many communities. They provide gender-affirming care alongside primary care, mental health services, HIV treatment, and preventative medicine. When healthcare is politicized or criminalized, people don’t wait for court rulings — they delay care, ration medication, or disappear from the system entirely.
As a pharmacist, I know exactly what that means. These are life-saving medications. Continuity of care matters. Criminalizing and politicizing healthcare does not protect children or families — it puts lives at risk.
Instead of centering these realities, political discourse has been deliberately diverted toward a manufactured panic about trans women in sports. Let me be clear: trans women deserve to be protected and allowed to compete just like anyone else. Athletics have always included people with different bodies, strengths, and abilities. Girls and women will always encounter competitors who are stronger or faster — that is not a gender or sports crisis, it is the nature of competition.
Sports are meant to teach fairness, mutual respect, and the shared spirit of competition — not suspicion or exclusion. We should not police young people’s bodies, and we should reject attempts to single out trans youth as a political distraction. Families and doctors should be the authority on sex and gender identity.
This narrative has been cynically amplified by the right, but too often Democrats have allowed it to take hold rather than forcefully rejecting it. It is imperative to pay attention to what is happening — and to push back against every attempt to dehumanize anyone for political gain.
Trans people have always been part of our communities and our democracy. Protecting the most vulnerable is not radical — it is the foundation of a just society. My work is grounded in that commitment, and I will not waver from it. I’m proud to have hired trans political team Down Ballot to lead my campaign for DC Council At Large. We need more ally leaders of all stages to stand up for the LGBTQ+ community. We must let elected detractors know that when they come for them, then they come for all of us. We cannot allow Fox News and social media trolls to create a narrative that scares us away from protecting marginalized populations. We must stand up and do what’s right.
Anything less is not leadership.
Rep. Oye Owolewa is running for an at-large seat on the D.C. Council.
Commentary
America is going in the wrong direction for intersex children
Lawmakers are criminalizing care for trans youth, while permitting irreversible harm to intersex babies
I live with the consequences of what America is willing to condone in the name of “protecting children.”
When I was young, doctors and adults made irreversible decisions about my body without my informed consent. They weren’t responding to an emergency. They were responding to discomfort with innate physical differences and the social and medical pressure to make a child’s body conform to a rigid female-male binary. That’s the part people like to skip over when they talk about “child welfare”: the harm didn’t begin with my identity. It started with adults deciding my healthy body needed fixing.
That’s why the hypocrisy unfolding right now from statehouses to Capitol Hill feels so familiar, and so dangerous.
While harmful medical practices on intersex children, the nearly 2 percent born with differences in one or more of their physical sex characteristics, have been ongoing in the U.S. for decades, until recently, there was no law specifically condoning it.
This month, House Republicans passed one of the most extreme anti-trans bills in modern American history, advancing legislation that would criminalize gender-affirming medical care for transgender youth and threaten doctors with severe penalties for providing evidence-based treatment. The bill is framed as a measure to “protect children,” but in reality, it weaponizes the criminal legal system against families and providers who are trying to support young people in surviving adolescence.
At the same time, the administration has proposed hospital and insurance policies designed to choke off access to affirming care for trans youth nationwide by making providers fear loss of federal funding, regulatory retaliation, or prosecution. This is a familiar strategy: don’t just ban care outright; instead, make it so risky that hospitals stop providing it altogether. The result is the same everywhere. Young people lose access to care that major medical associations agree can be lifesaving.
All of this is happening under the banner of preventing “irreversible harm.”
But if America were genuinely concerned about irreversible harm to minors, the first thing lawmakers would address is the medically unnecessary, nonconsensual surgeries still performed on intersex infants and young children, procedures that permanently alter healthy tissue, often without urgent medical need, and long before a child can meaningfully participate in the decision. Human rights organizations have documented for years how these interventions are justified not by medical necessity, but by social pressure to make bodies appear more typically “female” or “male.”
Here is the uncomfortable truth: all of the state laws now banning gender-affirming care for transgender youth explicitly include exceptions that allow nonconsensual and harmful intersex surgeries to continue.
A recent JAMA Health Forum analysis found that 28 states have enacted bans on gender-affirming care for minors that carve out intersex exceptions, preserving doctors’ ability to perform irreversible “normalizing” procedures on intersex children even while prohibiting affirming care for trans adolescents.
This contradiction is not accidental. It reveals the real priority behind these laws.
If the goal were truly to protect children from irreversible medical interventions, intersex kids would be protected first. Instead, these policies target one group of children, transgender youth, while continuing to permit permanent interventions on another group whose bodies challenge the same rigid sex and gender binary that lawmakers are trying to enforce.
Intersex people are routinely erased from American policy debates, except when our bodies are invoked to justify harmful laws, warning that intersex children are being used as legal loopholes rather than protected as human beings. This “protect the children” rhetoric is routinely deployed to justify state control over bodies, while preserving medical practices that stripped intersex children like me of autonomy, good health, and choice. Those harms are not theoretical. They are lifelong.
What makes this moment even more jarring is that the federal government had finally begun to recognize intersex people and attempt to address the harms suffered.
In 2024, at the very end of his term, the Biden administration released the first-ever intersex health equity report — a landmark admission that intersex people have been harmed by the U.S. health care system. Issued by the Department of Health and Human Services, the report documents medically unnecessary interventions, lack of informed consent, and systemic erasure and recommends delaying irreversible procedures until individuals can meaningfully participate in decisions about their own bodies.
This should have been a turning point. Instead, America is moving in the opposite direction.
On day one, President Trump issued an executive order defining “sex” in a way attempting to delegitimize the existence of transgender Americans that also erased the existence of many intersex people.
When medicine is used to erase difference, it is called protection, while care that supports self-understanding is treated as a threat. This is not about medicine. It is about control.
You cannot claim to oppose irreversible harm to children while legally permitting surgeries that intersex adults and human rights experts have condemned for decades. You cannot claim to respect bodily autonomy while denying it selectively, based on whose bodies make lawmakers uncomfortable.
Protecting children means protecting all children, transgender, intersex, and cisgender alike. It means delaying irreversible interventions when they are not medically necessary. It means trusting and supporting young people and families over politicians chasing culture-war victories.
America can continue down the path of criminalizing care for some children while sanctioning harm to others, or it can finally listen to the people who have lived the consequences.
Intersex children deserve laws that protect their bodies, not politics that hurt and erase them.
Kimberly Zieselman is a human rights advocate and the author of “XOXY: A Memoir”. The author is a co-author of the JAMA Health Forum article cited, which examined state laws restricting gender-affirming care.
Today, on World AIDS Day, we honor the resilience, courage, and dignity of people living with HIV everywhere especially refugees, asylum seekers, and queer displaced communities across East Africa and the world.
For many, living with HIV is not just a health journey it is a journey of navigating stigma, borders, laws, discrimination, and survival.
Yet even in the face of displacement, uncertainty, and exclusion, queer people living with HIV continue to rise, thrive, advocate, and build community against all odds.
To every displaced person living with HIV:
• Your strength inspires us.
• Your story matters.
• You are worthy of safety, compassion, and the full right to health.
• You deserve a world where borders do not determine access to treatment, where identity does not determine dignity, and where your existence is celebrated not criminalized.
Let today be a reminder that:
• HIV is not a crime.
• Queer identity is not a crime.
• Seeking safety is not a crime.
• Stigma has no place in our communities.
• Access to treatment, care, and protection is a human right.
As we reflect, we must recommit ourselves to building systems that protect not punish displaced queer people living with HIV. We must amplify their voices, invest in inclusive healthcare, and fight the inequalities that fuel vulnerability.
Hope is stronger when we build it together.
Let’s continue to uplift, empower, and walk alongside those whose journeys are too often unheard.
Today we remember.
Today we stand together.
Today we renew hope.
Abraham Junior lives in the Gorom Refugee Settlement in South Sudan.
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