Opinions
LGBTQIA disparities amid COVID-19
Pandemic has disproportionately impacted vulnerable groups
The COVID-19 pandemic has highlighted the importance of meeting the needs of diverse communities and minorities when facing emergencies such as COVID-19. But more importantly, it highlighted their vulnerability, since they are considered much more prone populations. COVID-19 has made it even more evident the disproportionate burden vulnerable populations bear and the weakness of our health system.
Minorities who are members of racial/ethnic groups are disproportionately affected and often exposed to higher illness rates and have substantially higher mortality and morbidity rates than the general population. For example, people vulnerable to HIV infection usually belong to socially, economically disadvantaged and discriminated groups. The Human Rights Campaign presented an investigative report on how the community faces unique challenges due to their economic situations and access to healthcare. According to HRC, LGBTQIA Americans are more likely than the general population to live in poverty and lack access to adequate health care, paid sick leave and basic needs during the pandemic. The Centers for Disease Control and Prevention states in one of its reports that the LGBTQIA community experiences stigma and discrimination in their lives that “… can increase vulnerabilities to illness and limit the means to achieving optimal health and well-being…” For example, discrimination and violence against LGBTQIA persons have been associated with high rates of psychiatric disorders, substance abuse, suicide and have long-lasting effects on the individuals. Furthermore, LGBTQIA mental health and personal safety are also affected when they go through the process of personal, family and social acceptance of their sexual orientation, gender identity and gender expression.
According to the Williams Institute, the leading research center on rights based on sexual orientation and gender identity, one in 10 LGBTQIA people is unemployed and more likely to live in poverty than heterosexual people, so they cannot always pay for proper medical care or preventive health measures. Also, approximately one in five LGBTQ + adults in the United States (22 percent) lives below the poverty line, compared to an estimated 16 percent poverty rate among heterosexuals. This data is much worse when we look closely at the trans population with 29 percent and LGBTQIA Latinos with 45 percent. These disparities are even more evident when we see that 17 percent of LGBTQIA adults do not have any medical health coverage compared to the 12 percent of the heterosexual population. That 17 percent increases with the LGBTQIA Black adults with 23 percent, trans adults with 22 percent, and trans Black adults with 32 percent who do not have any health coverage, compared to 12 percent of the heterosexual population that does not possess health coverage. The Office of Disease Prevention and Health Promotion statistics reflect that the LGBTQIA community is more likely to attempt suicide, be overweight or obese, have mental health problems, and less likely to receive cancer treatment.
According to several health organizations led by the National LGBT Cancer Network, the LGBTQIA population still faces great social and economic disparities compared to the heterosexual community, so they are more likely to get infected by COVID-19. The report summarizes how COVID-19 negatively affects the lives and livelihoods of the LGBTQIA community at disproportionate levels. The older generations of LGBTQIA encounter additional health barriers in the face of COVID-19 due to isolation, discrimination in the provision of services, and the lack of competent social services. The LGBTQIA community uses tobacco at rates that are 50 percent higher than the general population, and COVID-19 is a respiratory illness that has proven particularly harmful to smokers. In addition, the LGBTQIA population has higher rates of HIV and cancer, which means a more significant number may have compromised immune systems, leaving us more vulnerable to COVID-19 infections. LGBTQIA communities also face additional risks related to conditions that are often associated with complications from COVID-19. One in five LGBTQIA adults aged 50 and above has diabetes, a factor that raises the risk of complications for individuals diagnosed with COVID-19.
A Kaiser Family Foundation research finds that a larger share of LGBTQIA adults has experienced COVID-19 era job loss than heterosexuals adults (56 percent vs. 44 percent). Furthermore, the limited anti-discrimination protections from the LGBTQIA community also make them more vulnerable to joblessness due to an economic downturn resulting from COVID-19’s spread. Since February 2020, 56 percent of LGBTQIA people report that they or another adult in their household have lost a job, been placed on furloughs, or had their income or hours reduced because of the coronavirus outbreak, compared to 44 percent of non-LGBTQIA people.
In addition, recent data show that LGBTQIA respondents were more likely than non-LGBTQIA respondents to be laid off (12.4 percent vs. 7.8 percent) or furloughed from their jobs (14.1 percent vs. 9.7 percent), report problems affording essential household goods (23.5 percent vs. 16.8 percent), and report having problems paying their rent or mortgage (19.9 percent v. 11.7 percent). The research also shows that three-fourths of LGBTQIA people (74 percent) say worry and stress from the pandemic have had a negative impact on their mental health, compared to 49 percent of those, not LGBTQIA. A recent study from the William Institute also found that LGBTQIA people of color were twice as likely as white non-LGBTQIA people to test positive for COVID-19. According to the Williams Institute, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) represented a direct benefit for the LGBTQIA community amid the pandemic. However, LGBT people have still experienced the COVID-19 pandemic differently than heterosexuals, including being harder hit in some areas. The challenges presented by COVID-19 have exacerbated the stigma and discrimination to access to healthcare, social services, and basic legal protections for the LGBTQIA community. It is not the first time the LGBTQIA confronts the stigma and discrimination amid a pandemic. Since the HIV/AIDS pandemic from the 80s until now, the LGBTQIA community has developed an extraordinary resilience over decades, and pushing back against stigma and making claims for basic human dignity and equality
The World Health Organization recognizes that “vulnerable and marginalized groups in societies often have to bear an excessive share of health problems and are less likely to enjoy the right to health…” For this reason, the WHO recognizes the need for more aggressive regulations and laws that promote equality in services for these vulnerable groups to eliminate those current statutes that aggravate marginalization and hinder gradually, and even more so, access to health services, prevention, and care. National policies and state regulations must address the needs of LGBTQIA populations, with particular attention to black LGBTQIA and the absence of standardized protections against discrimination by healthcare providers. Although there have been substantial advances for the LGBTQIA population over the last decade, legal protections remain uneven, including those jurisdictions that do not expressly prohibit discrimination based on sexual orientation, gender identity, or/and gender expression. Eliminating LGBTQIA health disparities and enhancing efforts to improve their health are necessary to reduce disparities and increase longevity. Furthermore, under the context of COVID-19, researchers have found that the intersection of race with sexual orientation and gender identity is essential to understand pandemic’s impact. For example, data collection efforts related to COVID-19 must immediately add sexual orientation and gender identity questions. Collecting sexual orientation and gender identity data will improve knowledge about disparities from sexual minorities, enhance cultural competence among health providers, help implement anti-bullying policies, and reduce suicide and homelessness among youth, among others.
Opinions
Reflecting on six years on the CAMP Rehoboth board
Purpose, people, and the power of community
Some people let life happen; I prefer to plan it—meticulously, intentionally, and yes, sometimes overboard. After losing many loved ones and navigating my own setbacks, I learned not to let life drift by; instead, I live it with intention—curating the people, commitments, and actions that bring joy and meaning, even if others mistake that intentionality for control.
True to form, I close each year with an annual life audit reflecting to see if my personal goals were achieved and, if not, why did I fall short. This habit reflects a simple philosophy: fulfillment doesn’t happen by accident. It comes from daring to imagine the life you want and living deliberately at work, in service to others, and in the everyday moments that make life meaningful.
This year’s assessment is a bit more complicated because on Dec. 31 I will conclude six years on the board of CAMP Rehoboth Community Center — two full three-year terms, including three years as board president. When putting pen to paper, I quickly realized the lessons from the last 12 months were six years in the making.
For those who may not know, CAMP Rehoboth (CAMP is an acronym for Create A More Positive) is widely recognized as the leading provider of life-affirming programs and services in support of LGBTQ people in Rehoboth Beach, Del., and the greater Sussex County area. Since its founding 34 years ago, CAMP’s work has enabled LGBTQ people to thrive. In fact, it is the reason my husband Greg and I (along with thousands of other LGBTQ people) decided to make this part of Delaware our home.
If the past few years have taught me anything, it is that leadership is not a position—it is a practice. It is a daily decision to show up with clarity, steadiness, and a willingness to hold space for others as we navigate change together.
Purpose is the compass. Purpose gives direction when circumstances shift, resources tighten, and competing demands threaten to pull us off course. At CAMP Rehoboth, our purpose has always been to ensure LGBTQ people have access to life-affirming programs, culturally competent services, and a place where they feel seen, valued, and supported. Purpose guided our leadership transition and executive director search, reminding us that the leader our community deserves must bring experience, emotional intelligence, and a deep understanding of what belonging means.
Values are the guardrails. They keep us aligned when opportunities, distractions, or pressures arise. Our values show up in our strategic planning, financial stewardship, and insistence that inclusion is a practice, not a slogan. They ensure that when challenges—political hostility, funding uncertainty, changing community needs—emerge, we respond with integrity instead of reaction.
People are the engine. Organizations don’t create impact — people do. Staff, volunteers, board members, donors, and community members together make the mission real. Investing in their capacity, wellness, and professional development ensures they can do their best work. When we take care of our people, they take care of the community.
I am a gay man who knows how obstacles can feel insurmountable and hope can falter having lived through the AIDS epidemic and fought for civil rights like the legalization of same-sex marriage. In those moments, I chose to focus on what I could control rather than what I could not. Getting involved gave me purpose and proved that fulfillment comes from taking action to make a difference—for yourself and for the broader community.
Gratitude is the culture.
As I close this chapter, what I feel most is gratitude. Gratitude honors those who built the foundation, celebrates those who carry the work forward, and reminds us that progress is a collective effort. Thank you to our staff, especially Executive Director Kim Leisey, who serve with skill and heart; to our volunteers like former board member Chris Beagle and current board president Leslie Ledogar, who give more than anyone will ever know; to our donors, who invest in possibility; and to the community that trusts us to be there in moments of celebration, struggle, and change. Finally, none of this would have been possible without the steadfast love of my husband and the unwavering support of close friends who lifted me in the moments I needed it most.
Reflection, planning, and intentionality do not guarantee perfection — but they make fulfillment possible. Life is too short to leave it to chance. By daring to dream, acting deliberately, and giving generously, we can create lives that are both meaningful and impactful — not just for ourselves, but for the communities we touch.
Wes Combs is an outgoing board member of CAMP Rehoboth.
Trump saw the writing on the wall with regard to releasing the Epstein files. He tried to get ahead of the parade by asking Republicans to vote for release, instead of facing his biggest embarrassment when they were going to anyway. Then there were the major Republican losses in the last election. Now House Armed Services Committee Chair Mike Rogers (R-Ala.), and Senate Armed Services Committee Chair Roger Wicker (R-Miss.), and their Democratic ranking members, are investigating the Pentagon after it was reported Secretary of Defense Pete Hegseth potentially committed a war crime with regard to the bombing of boats suspected of running drugs. It really seems we are seeing the beginning of the fall of Trump.
That’s not to say the felon doesn’t continue to have the power to screw the country, and the world. He does. Those around him like Vought at OMB, and his personal Goebbels, Stephen Miller, will push him harder to advance Project 2025 before the mid-term elections. There are so many things in that 900-page document that have yet to be perpetrated on the American people. I am sure the felon doesn’t know half of them, as one can be quite confident, he never read it. Each day we wake to some new outrage by the grifter in the White House. His family cutting deals with the Saudis, upping and lowering tariffs as the mood strikes. Not in a rational way because they have already proven to be a disaster for the American people. Then the continuing destruction of our healthcare system by RFK Jr.
Then the felon threatens Venezuela, and illegally declares the airspace around it closed. The felon threatens Indiana Republican legislators who don’t go along with his request for redistricting, with primaries. A judge in Texas rules their redistricting is illegal, though the Trump Supreme Court did overrule that. He calls Marjorie Taylor Green a traitor, then his MAGA cult threatens her life. She resigns. He does the same to Democratic legislators who made a video telling the military they do not have to obey unconstitutional orders. The felon called that “SEDITIOUS BEHAVIOR, punishable by DEATH!” He went further and reposted a Truth Social post that read “HANG THEM GEORGE WASHINGTON WOULD !!” This now has his MAGA base threatening their lives. They are not resigning. All of this adding to the feeling his acts, and statements, clearly reek of desperation.
He continues to blame Biden, nearly a year after taking office, for his own failures. He blames Biden for not vetting the Afghani immigrant who shot the two National Guard members from West Virginia patrolling D.C. This, while it was his administration, that granted him asylum without any vetting, in April.
I find it incomprehensible there are still some people, who can’t, or don’t, want to understand attacking Democrats for what is going on today, makes no sense, when the felon controls the White House, Congress, and the Supreme Court. Staying home, or voting for third party candidates, with no chance of winning, is like voting for the Republican. In the recent elections we began to see those who don’t like what is happening, wake up. They realize only a vote for a Democrat will make a difference. We saw that across New York, New Jersey, Pennsylvania, Virginia, and Georgia.
As we approach the midterm elections, I plead with those who are not there yet, look at history, count how many independents were ever elected to Congress. In our system that rarely happens. Wishful thinking doesn’t win elections. Yes, I want Congress to look younger. I am happy Nancy Pelosi (D-Calif.), and Jerald Nadler (D-N.Y.), among others, have retired, allowing for primaries in their districts. I could name a few more in safe Democratic seats who I hope do the same. While not in office, young people should appreciate those who retire, might still have some wisdom from their years of service to share.
The young aren’t compelled to listen, yet someone like Pelosi, with her vast experience, could help a new person as they run to win, and then navigate the halls of Congress. If you look at all the demonstrations against the felon, and his administration, the age of the people demonstrating often skews older. Those like me have the time to demonstrate, and we do. We want to see the felon fall, and will work hard to make it happen. While too old to run for office, I will continue to voice my opinions. I will even endorse candidates I like. I suggest to all candidates it is important to do more than talk in generalities. You need an issues section on your website. Tell voters what you will do when elected. What bills will you introduce, which ones will you support. That may be old-fashioned, but it’s still important. And definitely be clear which party you will support if elected. I know, another old-fashioned idea.
As the felon continues to lose the support of the American people, I see young people begin to move to the Democratic Party, realizing if they step up to be counted, it will make a difference for their future. If this trend continues, I believe we are headed toward a better time in America.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Opinions
Tammy Bruce, Trump’s lesbian nominee for deputy UN ambassador. Just say no!
Senate Foreign Affairs Committee advanced former State Department spokesperson’s nomination this week
One evening In the late 1990’s, I drove over to the home of my late friend, Jim Hormel, to review a number of countries to which he was being considered by the Clinton administration to serve as our country’s first openly gay ambassador. It was a very big deal. Secretary Madeleine Albright would eventually swear him in during a teary-eyed ceremony, but only after a recess appointment in order to avoid an ugly, partisan fight in the Senate over Jim’s sexuality.
Fast-forward to today, and our country has had over 30 openly gay male ambassadors — both career diplomats and political appointees — and one, single lesbian at an ambassador-ranked position at the Asian Development Bank, Chantale Wong. (Ambassador Wong is also one of only two people of color among the openly gay or lesbian ambassadors.) I am very proud to have helped convince Amb. Wong to come out of retirement to take on that important role, because the time was right for someone with her passion, experience, and commitment to push for inclusive development policies at a major international financial institution. In fact, she had occupied the position once before as acting executive director of the ADB under the George W. Bush administration, and used that expertise to successfully champion an inclusive development policy that explicitly names sexual orientation and gender identity as a non-discrimination category, as well as other programs that benefit community members. But getting through the Senate confirmation process was not an easy task before this second Trump administration, especially for those without the resources or connections to deploy their own personal lobbyists, even when the candidate was superbly qualified.
So, a few months ago, when I read that Tammy Bruce was nominated by President Trump to be one of our ambassadors to the United Nations, I choked on my coffee. I couldn’t believe that our second ever openly lesbian ambassador would be a far-right, anti-trans, anti-Muslim, Trump loyalist. But, maybe the choice was not so surprising after all, which then says a lot about the Biden administration’s priorities. Trump was also the president who made good on the Human Rights Campaign’s longtime push for an openly gay G7 ambassador, with the appointment of another far right, anti-Muslim, gay ambassador, Richard Grenell to Germany. These two people alone should convince any sane human why identity-politics alone has severe limits.
After 16 years of submitting short lists of qualified lesbian-identified and trans-identified candidates to the White House Office of Personnel Management to be considered for appointed ambassador positions, and also simultaneously trying to support senior, career diplomats who are lesbian or trans to advance in their careers, I was particularly frustrated and enraged. While I believe it’s time to move beyond identity politics, I also deeply believe that diverse representation matters. Not tokenization (and not donor-purchased ambassadorships) but exceptionally well-qualified, diverse American people, who represent the actual plurality of our nation, which makes us stronger. The foreign affairs arena, in particular, is overly white and male dominated. Think what you may about “DEI,” but a diplomatic corps that doesn’t reflect the diversity of our nation doesn’t make our country stronger — it actually makes us less globally relevant and decreases our understanding of this rapidly changing, multi-polar world.
The 34:1 ratio of gay men to lesbians among our nation’s openly queer ambassadors that exists today is infuriating to me as a woman, a feminist, a lesbian, and as a human rights leader. And yet, the nomination of Tammy Bruce, infuriates me even more. She is an extremist ideologue who uses her platform for hate.
Bruce’s hate centers on her anti-Muslim extremism. According to CNN’s Andrew Kaczynski and Em Steck, “Trump’s pick for deputy UN job questioned [the] loyalty of American Muslims … (Bruce) for years promoted inflammatory, anti-Muslim and conspiratorial claims, including suggesting that former President Barack Obama was a secret Muslim bent on harming America. A CNN KFile review of Bruce’s blog posts, social media posts, columns and radio commentaries starting in the early 2000s shows a pattern of demeaning language about Muslims, including suggesting that American Muslims needed to prove their loyalty after the Sept. 11, 2001, terrorist attacks … Bruce didn’t respond for comment.”
When nominating Bruce, Trump said, “after being a liberal activist in the 1990s, (Bruce) saw the lies and fraud of the Radical Left, and quickly became one of the strongest Conservative voices on Radio and Television.” Bruce wrote the book “The New Thought Police,” aiming to “expose the dangerous rise of left-wing McCarthyism.” In addition to poking fun at feminists, anti-racists, and progressives, she has particularly promoted misguided anti-trans ideology, such as championing the cause of Chloe Cole, a “detransitioner” who had top surgery at age 17. Bruce uses this outlier case to justify legislation to ban trans health care in the United States.
The extremist right loves to scapegoat trans people and their right to appropriate, life-saving health care. Confirming Ms. Bruce for this role as a U.S. representative at the United Nations, with all of her whacky and fringe ideology, is incredibly dangerous for U.S. citizens and for others throughout the world. The person who represents the United States at the United Nations must be able to talk to every other country representative, in order to be effective. Ms. Bruce will be viewed with suspicion and avoided because of her past statements and views. Again, such extremism has no place in our government or representing our country. In her confirmation hearing, Ms. Bruce called President Trump’s leadership at the United Nations “inspirational.” She refused to call the massacre in Sudan a genocide. She didn’t seem to understand what leverage the U.S. might have with the UAE to stop arming this genocide. She deferred multiple times to serving this President in whatever foreign policy aims he has. In this era of increasing authoritarianism, we do not need more obsequious servants to King Trump. Now that Ms. Bruce has been voted out of committee, this proud lesbian, respectfully requests all U.S. Senators to not confirm Ms. Bruce for U.S. Deputy Ambassador to the United Nations.
Julie Dorf is co-chair of the Council for Global Equality.
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