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LGBTQIA disparities amid COVID-19

Pandemic has disproportionately impacted vulnerable groups

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COVID-19 vaccine, gay news, Washington Blade

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.

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Botswana

The rule of law, not the rule of religion

Bonolo Selelo and Tsholofelo Kumile are challenging the Botswana Marriage Act

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(Bigstock photo)

Botswana was in a whole frenzy as religious and traditional fundamentalists kept mixing religion and constitutional law as if it were harmless. It is not. One is a private matter of belief between you and God, while the other is the framework that protects and governs us all. When these two systems get fused, the result is rarely justice. It results in discrimination. 

The ongoing case brought by Bonolo Selelo and Tsholofelo Kumile challenging provisions of the Botswana Marriage Act has reignited a familiar debate in Botswana. Some commentators insist that marriage equality violates religious values and therefore should not be recognized by law. It is a predictable argument. It is also fundamentally incompatible with constitutional governance.

Botswana is not a Christian state. It is a constitutional democracy governed by the Constitution of Botswana. That distinction matters. In a constitutional democracy, laws are interpreted in accordance with constitutional principles such as equality, dignity, protection, inclusion and the rule of law, rather than the doctrinal beliefs of any particular religion.

Religion has no place in constitutional law and democracy

The central problem with religious arguments in constitutional disputes is simple in that they divide, they other, they contest equality and they are personal. Constitutional law by contrast, must apply equally to everyone.

Botswana’s Constitution guarantees fundamental rights and freedoms under Sections 3 and 15, including protection from discrimination and the right to equal protection of the law. These provisions are not conditional on religious approval. They exist precisely to protect minorities from the preferences or prejudices of the majority.

Legal experts, such as Anneke Meerkotter, in her policy brief in Defense of Constitutional Morality, point out that constitutional rights function as a safeguard against majoritarian morality. If rights depended on whether the majority approved of a minority’s identity or relationships, they would not be rights at all. They would merely be privileges.

This principle has already been affirmed in Botswana’s jurisprudence. In the landmark decision of Letsweletse Motshidiemang v Attorney General, the High Court held that criminalizing consensual same-sex relations violated constitutional protections of liberty, dignity, privacy, and equality. This judgment noted that constitutional interpretation must evolve with society and must be guided by human dignity and equality. The court emphasized that the Constitution protects all citizens, including those whose identities, expressions or relationships may be unpopular. That ruling was later upheld by the Court of Appeal of Botswana in 2021, reinforcing the principle that constitutional rights cannot be restricted on grounds of moral disapproval alone. These decisions were not theological pronouncements. They were legal determinations grounded in constitutional principles.

The danger of religious majoritarianism

When religion is used to justify legal restrictions, the result is what constitutional scholars call “majoritarian moralism.” It allows the dominant religious interpretation in society to dictate the rights of everyone else. That approach is fundamentally incompatible with constitutional democracy. Botswana is religiously diverse. While Christianity is the majority faith, there are also Muslims, Hindus, traditional spiritual communities, Sikh and people who practice no religion at all. If the law were to follow the doctrines of one religious group, which interpretation would it adopt? Christianity alone contains dozens of denominations with different views on love, equality, marriage, sexuality, and gender. The moment the state begins to legislate on the basis of religious doctrine, it implicitly privileges one belief system over others. That undermines both religious freedom and constitutional equality. Ironically, keeping religion separate from constitutional law is what protects religious freedom in the first place.

Judicial independence is the cornerstone of Botswana’s governance system

The current case involving Bonolo Selelo and Tsholofelo Kumile is before the judiciary, where it belongs. Courts exist to interpret the Constitution and determine whether legislation complies with constitutional rights. Political and religious lobbying, as well as public outrage, must not influence that process.

Judicial independence is the cornerstone of Botswana’s governance system. According to the International Commission of Jurists, judicial independence ensures that courts can make decisions based on law and evidence rather than political or social pressure.

When governments, political, religious, or traditional actors attempt to interfere in constitutional litigation, they weaken the rule of law. Botswana has historically prided itself on having one of the most stable constitutional systems in Africa. The judiciary has played a critical role in safeguarding rights and maintaining legal certainty. The decriminalization case demonstrated this. Despite strong public debate and political sensitivity, the courts assessed the law according to constitutional principles rather than moral panic. The same standard must apply in the current marriage equality case.

This article was first published in the Botswana Gazette, Midweek Sun, and Botswana Guardian newspapers and has been edited for the Washington Blade. 

Bradley Fortuin is a consultant at the Southern Africa Litigation Center and a social justice activist.

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Opinions

Meet the Scandals, D.C.’s LGBT rugby team

Informational event set for March 21

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My strawberry muumuu was about the ugliest thing I could have picked for our muumuu-themed movie night. 

Really, it’s just an excuse to cross-dress while the sun’s still up; these themed movie nights are concocted by a teammate of mine on the Washington Scandals, D.C.’s LGBT and mens-plus rugby club. 

The team is hosting an informational event on Saturday, March 21st, for those interested in testing the waters on inclusive rugby. We have a lot of fun with a lot of balls, and then we head out for a drink at Kiki. 

Events like these Rugby “101s” are a blast because the joys of queer camaraderie are on full display – no experience is necessary. If you’re interested in learning more, check out our socials for more info in our bio. Back to the muumuu night, because someone will make a good point that bears repeating. 

After settling in with some pizza and homemade cream puffs, I asked my friend and teammate, Theo, on my left, what it’s been like in a rugby club. 

“Flooded with love,” he told me, him wearing a thin-striped but soft cotton muumuu.  Theo often prioritizes comfort in clothing, always dressed for the weather. Eyes as soft and fuzzy as a warm bunny, he recounted his journey here to LGBT rugby as the life of the party shifted from food to entertainment. 

Theo and I both prefer the quiet to the crowd, which is odd, given our shared passion for rugby — famously loud, infamously tough on the body.

The details are irrelevant, here; it’s Theo’s passion that caught my eye. Passion, I thought; it wasn’t particularly familiar to me, especially in sport. Profession, yes, but social pursuits?  Passion seemed so foreign to me there. 

That’s because it’s nurtured through culture, not inherited as a personality trait. This is a familiar place for much of D.C.’s LGBT culture and community; ‘chosen’ or ‘found’ family is the common phrase, but this is too simplistic, is it not?  It makes it sound like you washed ashore and stumbled effortlessly into family. It’s not like that, not in real life. 

It’s work and work requires passion to keep showing up. 

Adult friendships are hard, Mary. It’s not light and airy, like when we were kids. It’s hard enough in adulthood, and to carve a space out for men’s-plus LGBT rugby in a city literally built on compromise is an act of defiance in itself. 

Taking a chance on LGBT rugby is not for the casual observer – it’s a tough sport (but safer than football) with some big personalities. But as Theo pointed out, when I asked him about the magnetic draw between the LGBT community and rugby, that all body types are welcome in the sport; anyone can imagine themselves wearing a jersey and still fit in. 

If you are to take anything from this, dear reader, it’s that when you show up for rugby, you belong. 

The team’s hosting an informational Rugby 101 on Saturday, March 21, at Harry Thomas Rec Center, at 2 p.m. Our home match the next Saturday, March 28, is also at Harry Thomas, at 1 p.m. 

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Opinions

Protecting D.C.’s promise: why Kenyan McDuffie deserves our support 

Former Council member is longtime ally

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Former D.C. Council member Kenyan McDuffie in 2023. (Washington Blade photo by Michael Key)

For generations, LGBTQ+ people have come to DC searching for something simple: the freedom to love who they love. I was one of them.

Washington, D.C., is the gayest city in the world. This didn’t happen by accident; It’s the result of generations of organizing, advocacy, and leadership from elected officials who championed the movement for equality, a movement that drew people like me to this city in search of safety and acceptance.

Now, as we approach the June 16 mayoral primary, the LGBTQ+ community will play a decisive role in shaping the city’s future. I believe the candidate our community should rally behind is Kenyan McDuffie, a longtime ally with a proven track record.

Kenyan’s relationship with the LGBTQ+ community began long before it was politically fashionable. In 2012, when he ran for the Ward 5 D.C. Council seat, he sought and earned the support of the Gertrude Stein Democratic Club, the city’s largest LGBTQ+ political organization. At a time before marriage equality was the law of the land, Kenyan stood with us and went on to support the banning of conversion therapy.

But what has always stood out to me about Kenyan’s leadership is his willingness to tackle issues head-on that deeply impact queer families and young people. 

As someone who was recently engaged and is currently navigating pathways to parenthood, I was moved by Kenyan’s leadership to modernize D.C.’s outdated surrogacy laws. For more than two decades, the District criminalized surrogacy agreements, threatening families with fines of up to $10,000 and even jail time. Kenyan helped lead the effort to repeal that law, opening a legal pathway for LGBTQ+ couples and others to build families through surrogacy. Thanks to advances in medicine and policy changes like this one, more LGBTQ+ families are now able to pursue parenthood.

Kenyan has also been a champion for some of the most vulnerable members of our community: LGBTQ+ young people experiencing homelessness. In DC, LGBTQ+ youth represent nearly 40 percent of the city’s homeless youth population. Early in his time on the Council, Kenyan worked with fellow members to dedicate housing beds for LGBTQ+ youth and to strengthen the capacity of the Mayor’s Office of LGBTQ+ Affairs to support community programs. Those investments helped ensure that young people facing rejection or instability had a safer place to turn.

Leadership like this matters, especially as our city faces unprecedented challenges. In addition to being a champion for our community, the next mayor will need to navigate threats from the federal government, a massive reduction of the federal workforce of over 20,000 jobs, an unprecedented wave of restaurant closures, and year-after-year billion-dollar budget shortfalls. 

Today, our city needs a leader whose values never waver and who has delivered real results for all our neighbors. Kenyan McDuffie has shown that kind of leadership throughout his public service career.

D.C. has always been a safe haven for the queer and trans community seeking opportunity, safety, and belonging. That promise is worth protecting and ensuring the next generation can find the same refuge and opportunity we have.

As voters prepare to make an important choice about the city’s future, I believe Kenyan McDuffie is the leader best prepared to carry that promise forward.

That’s why I’m proud to join him and countless others in launching the Out for Kenyan coalition this Thursday, March 26, at Number Nine.

Cesar Toledo is a first-generation queer Latino and an Out Magazine Out100 honoree who has spent over a decade advancing LGBTQ+ equality, equity, and social justice.

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