Commentary
Making mental health parity a priority
Protecting benefits whether for a sprained ankle or for opioid use
Mental health is health – period.
When someone gets the flu, or sprains an ankle, there’s no question about whether care is needed. If that person has health insurance, they can go to their doctor, or nearest urgent care or hospital. It’s often a commonplace, run-of-the-mill experience. You go in, you pay a copayment, you see the health care professional, and you’re on your way home.
Unfortunately, the experience for someone with a mental health condition or in need of treatment for substance use disorder is usually very different. Often, people feel apprehensive about seeking treatment in the first place. They think, “What will my friends think?” or “I probably shouldn’t tell my job that I need time off to see a psychologist.” Trust me: I had similar thoughts when I needed help dealing with alcoholism in my twenties. I knew something was wrong, but it was so hard to take that first step. I’m so grateful that as a union member I had access to the care I needed, because once I did ask for help, my life started to change for the better.
But for many, once they reach a point where they’re ready to seek care, getting care can be an even bigger challenge. From identifying professionals who will take your insurance to figuring out what requirements you need to meet for treatment to be covered by your plan, the process can be incredibly difficult to navigate. Not only is this frustrating for those who need critical services — in many cases, it’s illegal.
The Mental Health Parity and Addiction Equity Act, passed in 2008 aims to improve access to treatment for mental health conditions and substance use disorders. At its core, the law is designed to make sure insurance companies and health plans cover mental health and substance use disorder benefits the same way they cover physical benefits. Whether you’re seeking care for a sprained ankle or for opioid use, your benefits are protected by the law.
And with more adults seeking care for mental illness and substance use disorders following the pandemic, ensuring that everyone gets the care they deserve is more important than ever. Receiving the care that you need, and are entitled to, shouldn’t be a struggle.
That’s why I’m working with our Employee Benefits Security Administration to prioritize action to ensure equal access to treatment for mental health conditions and substance use disorders for more than 136.5 million people and to remove the stigma for seeking help in the first place. This is a priority for the Biden-Harris administration, for the department, and for me personally.
Last week, we released a report to Congress that highlights where insurance companies and health plans are falling short when it comes to providing parity in care, and how we’re ramping up our enforcement of the law. We hope this report and our ongoing efforts show health plans that we take this issue seriously — and provide more opportunities for people to get the care they deserve under the law.
Marty Walsh is the U.S. Secretary of Labor. Follow him on Twitter and Instagram at @SecMartyWalsh.
Commentary
Defunding LGBTQ groups is a warning sign for democracy
Global movement since January 2025 has lost more than $125 million in funding
In over 60 countries, same-sex relations are criminal. In many more, LGBTIQ people are discriminated against, harassed, or even persecuted. Yet, in most parts of the world, if you are an LGBTIQ person, there is an organization quietly working to keep people like you safe: a lawyer fighting an arrest, a shelter offering refuge from violence, a hotline answering a midnight call. Many of those organizations have now lost so much funding that they may be forced to close.
One year ago this week, the U.S. government froze foreign assistance to organizations working on human rights, democracy, and development worldwide. The effects were immediate. For LGBTIQ communities, the impact has been severe and far-reaching.
For 35 years, Outright International has helped build and sustain the global movement for the rights of LGBTIQ people, working with local partners in more than 75 countries. Many of those partners are now facing sudden closure.
Since January 2025, more than $125 million has been stripped from efforts advancing the human rights of lesbian, gay, bisexual, transgender, intersex, and queer people globally. That figure represents at least 30 percent of yearly international funding for this work. Organizations that ran emergency shelters, legal defense programs, and HIV prevention services have been forced to close or drastically scale back operations. At Outright alone, we lost funding for 120 grants across nearly 50 countries. We estimate that, without intervention, 20 to 25 percent of our grantee partners risk shutting down entirely.
But this is not only a story about one community. It is a story about how authoritarianism works, and what it costs when we fail to recognize the pattern.
The playbook is not subtle
Researchers at Outright and partners across human rights and democracy movements have documented the same sequence playing out across sectors worldwide: governments defund organizations before passing restrictive legislation, eliminating the groups most likely to document abuses before abuses occur.
In December, CIVICUS downgraded its assessment of U.S. civic freedoms from “narrowed” to “obstructed,” citing what it called a “rapid authoritarian shift.” The message was unmistakable: independent organizations that hold power to account are under growing pressure, in the United States and around the world.
And the effects have cascaded globally. When one of the world’s largest funders of democracy support and human rights work withdraws, it doesn’t just leave a funding gap. It sends a signal to authoritarians everywhere: the coast is clear.
The timing is not coincidental. In the super election year of 2024, 85 percent of countries with national elections featured anti-LGBTIQ rhetoric in campaigns. Across the 15 countries we tracked, governments proposed or enacted laws restricting gender-affirming care, rolling back legal gender recognition, and censoring LGBTIQ expression. The defunding often came first. Governments know that if they can starve the movement, there will be no one left to document what comes next.
Why US readers should care
It may be tempting to see this as a distant crisis, especially at a moment when LGBTIQ rights in the United States are under real pressure. But this story is closer to home than it appears. American funding decisions often help determine whether organizations protecting LGBTIQ people abroad can keep their doors open. And when independent organizations are weakened, no matter where they are, the consequences do not stay contained. The same political networks driving anti-LGBTIQ legislation in the United States share strategies and resources with movements abroad. Global repression and domestic rollback are not separate stories. They are the same story, unfolding in different places.
LGBTIQ organizations are often the first target, but never the last
Why target LGBTIQ communities first? Because we are politically easier to isolate. The same playbook — foreign funding restrictions, bureaucratic harassment, banking access denial — is now being deployed against environmental groups, independent media, women’s rights organizations, and election monitors. When one part of our community is silenced, all of us become more vulnerable. What happens to us is a preview of what happens to everyone.
This is not speculation. It is documented history. In Hungary, the government restricted foreign funding for civil society before passing its “anti-LGBTQ propaganda” law. In Russia, “foreign agent” designations preceded the criminalization of LGBTIQ identity. In Uganda, funding restrictions on human rights organizations came before the Anti-Homosexuality Act. The pattern repeats because it works.
And yet, even as these attacks intensify, victories continue. In 2025, Saint Lucia struck down a colonial-era law criminalizing consensual same-sex intimacy after a decade of regional planning and coalition-building. Courts in India, Japan, and Hong Kong upheld trans people’s rights. Budapest Pride became the largest in Hungarian history — and one of the country’s biggest public demonstrations — despite a government ban. In Thailand, years of patient advocacy culminated in marriage equality becoming law in 2025, the first such victory in Southeast Asia.
These wins happened because our movement built the capacity to survive hostility. Legal defense funds. Documented evidence. Regional coalitions. Emergency response networks. The organizations behind these victories are precisely the ones now facing drastic funding cuts and even closure.
What we are doing and what we need
On Jan. 20, 2026, Outright International publicly launched Funding Our Freedom, a $10 million emergency campaign running through June 30, 2026. We have already secured over $5 million in pledges from more than 150 donors. But the gap remains enormous.
The campaign supports two priorities that must move together. Half of the funds go directly to frontline LGBTIQ organizations facing sudden shortfalls: keeping staff paid, maintaining safe spaces, securing legal support, and continuing essential services. The other half supports Outright’s global work: documenting abuses, training activists, and advocating for LGBTIQ inclusion at the United Nations and other international forums. This is how LGBTIQ people remain seen, heard, and defended, even when governments attempt to erase them.
We structured Funding Our Freedom this way because frontline support without protection is fragile, and global advocacy without frontline truth is hollow. Both must survive.
Funding Our Freedom is not charity. It is how we keep the global LGBTIQ movement alive when governments try to erase it.
A call to those who believe in equality and democracy
If you are part of the LGBTIQ community, this moment is personal. Whether you give, share this work, host a small fundraiser, or bring others into the effort, you become part of what keeps our global community connected and protected.
If you are an ally or simply someone who believes in fairness, free expression, and accountable government, this fight is yours too. The defunding of LGBTIQ organizations is not an isolated decision. It is a test case. If it succeeds, the same tactics will be used against every group that challenges power and defends vulnerable people.
We are not asking for sympathy. We are asking for commitment. The organizations now being forced to close are the ones that document abuses, provide legal defense, support people in crisis, and show up when no one else will. If they disappear, we lose more than services. We lose the ability to know what is happening and to respond.
Authoritarians understand this. That is why they target us first.
The question is whether the rest of us understand it in time.
Maria Sjödin is the executive director of Outright International, where they has worked for over two decades advocating for LGBTIQ human rights worldwide. Learn more at outrightinternational.org/funding-our-freedom.
January arrives with optimism. New year energy. Fresh possibilities. A belief that this could finally be the year things change. And every January, I watch people respond to that optimism the same way. By adding.
More workouts. More structure. More goals. More commitments. More pressure to transform. We add healthier meals. We add more family time. We add more career focus. We add more boundaries. We add more growth. Somewhere along the way, transformation becomes a list instead of a direction.
But what no one talks about enough is this: You can only receive what you actually have space for. You don’t have unlimited energy. You have 100 percent. That’s it. Not 120. Not 200. Not grind harder and magically find more.
Your body knows this even if your calendar ignores it. Your nervous system knows it even if your ambition doesn’t want to admit it. When you try to pour more into a cup that’s already full, something spills. Usually it’s your peace. Or your consistency. Or your health.
What I’ve learned over time is that most people don’t need more motivation. They need clarity. Not more goals, but priority. Not more opportunity, but discernment.
So this January, instead of asking what you’re going to add, I want to offer something different. What if this year becomes a season of no.
No to things that drain you. No to things that distract you. No to things that look good on paper but don’t feel right in your body. And to make this real, here’s how you actually do it.
Identify your one true priority and protect it
Most people struggle with saying no because they haven’t clearly said yes to anything first. When everything matters, nothing actually does. Pick one priority for this season. Not 10. One. Once you identify it, everything else gets filtered through that lens. Does this support my priority, or does it compete with it?
Earlier this year, I had two leases in my hands. One for Shaw and one for National Landing in Virginia. From the outside, the move felt obvious. Growth is celebrated. Expansion is rewarded. More locations look like success. But my gut and my nervous system told me I couldn’t do both.
Saying no felt like failure at first. It felt like I was slowing down when I was supposed to be speeding up. But what I was really doing was choosing alignment over optics.
I knew what I was capable of thriving in. I knew my limits. I knew my personal life mattered. My boyfriend mattered. My family mattered. My physical health mattered. My mental health mattered. Looking back now, saying no was one of the best decisions I could have made for myself and for my team.
If something feels forced, rushed, or misaligned, trust that signal. If it’s meant for you, it will come back when the timing is right.
Look inside before you look outside
So many of us are chasing who we think we’re supposed to be— who the city needs us to be. Who social media rewards. Who our resume says we should become next. But clarity doesn’t come from noise. It comes from stillness. Moments of silence. Moments of gratitude. Moments where your nervous system can settle. Your body already knows who you are long before your ego tries to upgrade you.
One of the most powerful phrases I ever practiced was simple: You are enough.
I said it for years before I believed it. And when I finally did, everything shifted. I stopped chasing growth just to prove something. I stopped adding just to feel worthy. I could maintain. I could breathe. I could be OK where I was.
Gerard from Baltimore was enough. Anything else I added became extra.
Turning 40 made this clearer than ever. My twenties were about finding myself. My thirties were about proving myself. My forties are about being myself.
I wish I knew then what I know now. I hope the 20 year olds catch it early. I hope the 30 year olds don’t wait as long as I did.
Because the only way to truly say yes to yourself is by saying no first.
Remove more than you add
Before you write your resolutions, try this. If you plan to add three things this year, identify six things you’re willing to remove. Habits. Distractions. Commitments. Energy leaks.
Maybe growth doesn’t look like expansion for you this year. Maybe it looks like focus. Maybe it looks like honoring your limits. January isn’t asking you to become superhuman. It’s asking you to become intentional. And sometimes the most powerful word you can say for your future is no.
With love always, Coach G.
Gerard Burley, also known as Coach G, is founder and CEO of Sweat DC.
Commentary
Honoring 50 queer, trans women with inaugural ‘Carrying Change’ awards
Naming the people who carry our movements forward
Dear friends, partners, and community:
We write to you as two proud Black and Brown queer women who have dedicated our lives to building safer, bolder, and more just communities as leaders, organizers, policy advocates, and storytellers.
We are June Crenshaw and Heidi Ellis.
June has spent almost 10 years guiding the Wanda Alston Foundation with deep compassion and unwavering purpose, ensuring LGBTQ+ youth experiencing homelessness have access to stability, safety, and a path forward. Her leadership has expanded housing and support services, strengthened community partnerships, and helped shift how Washington, D.C. understands and responds to the needs of queer and trans young people. In her current role with Capital Pride Alliance, June advances this work at a broader scale by strengthening community infrastructure, refining organizational policies, and expanding inclusive community representation.
Heidi is the founder of HME Consulting & Advocacy, a D.C.–based firm that builds coalitions and advances policy and strategy at the intersection of LGBTQ+ justice and racial equity. Her work spans public service, nonprofit leadership, and strategic consulting to strengthen community-driven solutions.
We’re writing because we believe in intentional recognition — naming the people who carry our movements forward, who make room for those who come next, and who remind us that change is both generational and generative. Too often, these leaders do this work quietly and consistently, without adequate public acknowledgment or what one might call “fanfare,” often in the face of resistance and imposed solitude — whether within their respective spaces or industries.
Today, we are proud to introduce the Torchbearers: “Carrying Change” Awards, an annual celebration honoring 50 unstoppable Queer and Trans Women, and Non-Binary People whose leadership has shaped, and continues to shape, our communities.
This inaugural list will recognize:
- 25 Legends — long-standing leaders whose decades of care, advocacy, and institution-building created the foundations we now stand upon; and
- 25 Illuminators — rising and emerging leaders whose courage, creativity, and innovation are lighting new paths forward.
Why these names matter: Movement memory keeps us honest. Strategy keeps us effective. Recognition keeps us connected. By celebrating both Legends and Illuminators side by side, we are intentionally bridging histories and futures — honoring elders, uplifting survivors, and spotlighting those whose work and brilliance deserve broader support, protection and visibility.
Who will be included: The Torchbearers will represent leaders across a diverse range of sectors, including community organizing, public service, sports, government, entertainment, business, education, legal industry, health, and the arts — reflecting the breadth and depth of queer leadership today. They include organizers providing direct service late into the night; policy experts shaping budgets and laws; artists and culture workers changing hearts and language; healers and mutual-aid leaders; and those doing the quiet, essential work that sustains us all.
Intersectionality is our core commitment: identity in its fullness matters, and honorees must reflect the depth, diversity, and nuance of queer leadership today.
How you can engage: Nominate, amplify, sponsor, and attend. Use your platforms to uplift these leaders, bring your organization’s resources to sustain their work, and help ensure that recognition translates into real support — funding, capacity, visibility, and protection.
We are excited, humbled, and energized to stand alongside the women and non-binary leaders who have carried us, and those who will carry this work forward. If history teaches us anything, it’s that the boldest change happens when we shine light on one another, and then pass the flame.
YOU CAN MAKE A NOMINATION HERE
June Crenshaw serves as deputy director of the Capital Pride Alliance. Heidi Ellis is founder of HME Consulting & Advocacy.
-
Real Estate4 days agoConvert rent check into an automatic investment, Marjorie!
-
Theater4 days agoSwing actor Thomas Netter covers five principal parts in ‘Clue’
-
District of Columbia4 days agoEleanor Holmes Norton ends 2026 reelection campaign
-
Honduras4 days agoCorte IDH reconoce a Thalía Rodríguez como familia social de Leonela Zelaya
