World
Out in the World: LGBTQ news from Europe and Asia
Marriage equality advances in Liechtenstein, Thailand
UNITED KINGDOM

BY ERIN REED | Following a recent decision in England by the National Health Service to stop prescribing puberty blockers for transgender youth, former U.K. Prime Minister Liz Truss introduced a bill that would outlaw gender-affirming care for trans youth. The bill would also eliminate any recognition of social transition and would define sex to exclude trans individuals in the Equality Act. Currently, trans youth can still access gender-affirming care through private clinics. However, Truss’ bill ran into trouble on Friday when, instead of being debated, MPs spent hours deliberating over ferrets and pet names, exhausting the available time and preventing the bill from being heard.
As of this week, the National Health Service in England has declared that it will no longer permit trans youth to receive puberty blockers for gender dysphoria. Although the announcement sparked significant public backlash, its practical impact was somewhat mitigated by the extreme waitlist for care, which exceeds five years. Only a hundred trans youth had been prescribed blockers of the thousands waiting for an appointment. Importantly, the decision does not affect care through clinical research trials and does not affect private clinics — a route many parents had already pursued due to the surging wait times at the limited number of NHS clinics providing care.
Truss introduced a bill aimed at curbing that latter route of obtaining care. The proposed legislation would criminalize the prescription of gender-affirming care to trans youth. It seeks to prevent “the recognition of gender inconsistency in children,” which is defined as “referring to a child with language that is inconsistent with their sex” and “treating a child in a manner that is inconsistent with their sex.” However, the bill does not specify how boys and girls should be treated in accordance with the law. Additionally, it proposes amendments to the Equality Act to define sex to exclude trans individuals and end protections in bathrooms and other similar spaces.
See these lines from the bill here:

However, when the time arrived to debate bills, MPs diverted their attention to hours of discussions about ferrets and pet animal names within the context of an animal welfare bill. In one notable interaction, Labour MP Sarah Champion addressed Labour MP Maria Eagle, remarking humorously on the frequent mentions of ferrets:
Champion: “I am very interested in my honorable friend’s, well, key mention of ferrets at every opportunity in this debate. I’d like to put on record that my brother had a ferret called Oscar.”
(Laughter)
Eagle: “Well she has that now on the record. I don’t know really what else to say about that except that I’m sure that Oscar brought her brother great joy, and that’s what pets do, and I’m sure there are many other ferret owners who might attest to the same thing.”
You can watch the exchange here:
In another exchange, even some conservatives appeared to be in on it, such as MP Mark Spencer, who spoke at length listing off of many pets that had been named and put on the record.
Spencer: “I am confident that Members of all parties will agree that animals have been of great support to individuals and families, particularly during COVID-19, when my pets were certainly of great support to me. Pets often help to keep people sane when they are under pressure in their everyday pursuits, so it would be remiss of me not to put on the record the names of my three dogs, Tessa, Barney and Maisie, and the name of my cat, Parsnip. There has been a proud tradition this morning of mentioning various pets, including: Harry, George, Henry, Bruce, Snowy, Maisie, Scamp, Becky 1, Becky 2, Tiny, Tilly, Pippin, Kenneth, Roger, Poppy, Juno, Lucky, Lulu, Brooke, Lucy, Marcus and Toby, who are the dogs; and not forgetting Perdita, Nala, Colin, who is sadly no longer with us, Frank, two Smudges, Attlee, Orna, Hetty, Stanley, Mia Cat, Sue, Sulekha, Cassio, Othello, Clapton, Tigger, who is sadly no longer with us, and Pixie, who are the cats.”
The lengthy exchanges on pet names and ferrets ran the time out, and as such, the bill targeting trans people could not be heard. The lengthy discussion, which has since been referred to as a filibuster, echoes filibusters that have occurred in the U.S. to kill similar legislation, including recently in West Virginia on a bill that also would have defined sex in an identical way.
The exchanges provided a ray of hope for trans residents in England, which has been beset by anti-trans politics in recent years. Likewise, it was a sign that the Labour Party, which has previously been seen as “backsliding” on trans rights, has not completely abandoned its transgender constituents. Though the bill is not officially dead, it has been placed at the bottom of the priority list for March 22, meaning it almost certainly will not be debated, with government sources calling the bill “unworkable.”
For those who advocate for trans rights, however, the ferret has become “an overnight symbol of trans resistance” and a sign that anti-trans politics may be reaching their limit even in the U.K.
IRELAND

BY ROB SALERNO | The Irish people delivered a major rebuke to the political establishment by voting overwhelmingly against a pair of constitutional referendums that had been endorsed by all parties which would have amended language in the constitution that says a woman’s place is in the home, and that families are based on marriage.
The government had held the referendum on International Women’s Day, March 8, in a symbolic move, and turnout was measured at 44.4 percent. Results were announced the following day.
Ireland’s gay prime minister, Leo Varadkar, accepted defeat Saturday.
“It was our responsibility to convince the majority of people to vote ‘yes’ and we clearly failed to do so,” Varadkar said.
The first question, which was defeated 67 percent to 33 percent, asked voters to add the words “whether founded on marriage or on other durable relationships,” to the constitution’s definition of “family,” in order to be more inclusive of diverse family types.
The second question, which was defeated by a similar margin, as voters to delete a clause that says “the State recognizes that by her life within the home, woman gives to the State a support without which the common good cannot be achieved. The State shall, therefore, endeavor to ensure that mothers shall not be obliged by economic necessity to engage in labor to the neglect of their duties in the home.”
Critics say the language promotes sexist gender stereotypes. The revised language would have used gender-neutral language to recognize “the provision of care, by members of a family to one another.”
Advocacy group LGBTQ Ireland had called for people to vote “yes” to both referendums, “so all children and families, including LGBTQ families, are recognized equally in the constitution.”
But a persuasive “no” campaign had arisen that alleged the revision would have struck women’s privileges and rights. Forces aligned against the referendum included some progressive and feminist groups that alleged the proposed language was unclear and lacked consultation.
Irish voters have in recent years approved a number of progressive reforms to their constitution, including streamlining the divorce process in 2019, legalizing abortion and decriminalizing blasphemy in 2018, and legalizing same-sex marriage in 2015.
LIECHTENSTEIN

BY ROB SALERNO | The tiny principality of Liechtenstein got one step closer to full equality for LGBTQ people as its parliament approved a bill to legalize same-sex marriage with a 24-1 vote, bringing a years-long process nearly to a close.
Local LGBTQ advocacy group FLAY expressed gratitude to members of Landtag, the Liechtenstein parliament, for advancing the law last week.
“Thank you for 24x ‘yes’ in the Landtag,” the group posted to its Facebook page.
“FLay the association for the queer community in Liechtenstein is very happy that 24 out of 25 deputies in parliament voted in favor on today’s first reading. Keeping in mind the completely blocked situation only 3 years ago, the denial of our government for participating any public discussion, we can be more than proud and happy on our successful steps towards the legitimation of the civil marriage for all,” Stefan Marxer, a FLay board member told the Washington Blade in an email.
The marriage bill is expected to pass second reading before the summer parliamentary break, and come into effect by Jan. 1, 2025, unless a referendum is called on the issue.
The tiny country of about 40,000 people, about the size of D.C., has made major progress on advancing LGBTQ rights in the last decade, though the International Gay and Lesbian Association-Europe ranked the country 38th among 49 European countries in its annual survey of LGBTQ rights on the continent last year.
Liechtenstein has allowed same-sex couples to form registered partnerships with limited rights since 2011. The registered partnership law was subject to a referendum after gay rights opponents collected more than 1,000 signatures demanding it. The law was approved by voters 69 percent to 31 percent.
A same-sex couple had sued the state seeking the right to marriage in 2017, but ultimately lost when the state court ruled that the ban on same-sex marriage was not unconstitutional. However, the court did find that the law banning same-sex couples from adopting was unconstitutional and ordered the country to amend the law. It eventually did so last year.
Discussion of marriage equality began in earnest in Liechtenstein after neighboring Switzerland passed its same-sex marriage law in its parliament in 2020.
One obstacle was the prince, who wields significant executive authority in Liechtenstein compared to other European monarchies. In 2021, Prince Hans-Adam II said that while he supported same-sex marriage, he would not support adoption rights. That obstacle seemed to disappear when the state court ordered the government to legalize full adoption rights. By 2022, Hans-Adam’s son Alois, who governs as regent, told a magazine that same-sex marriage was “not a problem.”
The Catholic Church had also intervened, with former Archbishop of Liechtenstein Wolfgang Haas leading a campaign against the bill and cancelling a traditional service at the opening of last year’s Parliament in protest. Haas retired last autumn.
Despite broad agreement among legislators, the same-sex marriage law has taken a slow path through Parliament. In November 2022, Parliament voted 23-2 asking the government to bring forward a same-sex marriage bill. The government held a three-month-long public consultation on same-sex marriage last year before putting the bill on the agenda for Parliament’s March 2024 meeting.
Under the marriage bill, the country will stop registering new partnerships, and people in partnerships will have the option of converting them to marriages or keeping them as they are. All other rights will be equalized.
Liechtenstein is the last German-speaking country to legalize same-sex marriage. Around the world, 37 countries have legalized same-sex marriage, including 21 countries in Europe. The most recent country to legalize same-sex marriage is Greece, and Thailand is expected to pass a same-sex marriage law later this year.
JAPAN

BY ROB SALERNO | Two courts ruled this past Thursday that Japan’s ban on same-sex marriage is unconstitutional, increasing pressure on the government to legalize it.
District courts have been weighing same-sex marriage since several coordinated cases were filed across the country in 2019. Along with Thursday’s ruling from the Tokyo District Court, five district courts have ruled that the ban on same-sex marriage was unconstitutional, while one court has upheld the ban. A seventh district court case was filed last month.
But on Thursday, the Sapporo High Court delivered the first ruling on same-sex marriage at the appellate level, and same-sex couples won there, too.
So far, all courts have dismissed claims for monetary compensation.
It’s likely that all of the cases will end up at the Supreme Court.
In a statement released after the ruling, the plaintiffs’ lawyers called on the government to act swiftly to protect their rights.
“I would like to reiterate that this shows that there is no time left for legal reform. The government should take seriously this judgment that found this provision to be unconstitutional … and promptly amend the law to allow marriage between same-sex couples,” the statement says.
Under Japan’s legal system, courts rarely invalidate or amend laws that are ruled unconstitutional, leaving that to the legislature.
But Japan’s national government has long been cold to LGBTQ rights. Last year, queer activists had hoped that the government would finally pass a long-demanded anti-discrimination bill, but by the time it was put before the legislature, it had been watered down to a bill that only calls on the government to promote understanding of LGBTQ people.
At the local level, queer activists have seen greater success. Twenty-nine of Japan’s 47 prefectures, as well as hundreds of municipalities, have enacted partnership registries for same-sex couples that at least afford some limited rights.
THAILAND

BY ROB SALERNO | Same-sex marriage could soon be a reality in the Southeast Asian country, as a bill to legalize cleared its first test in the legislature Thursday.
A committee set up by the House of Representatives to examine the bill approved it, setting it up for a final vote in the House on March 27. After that, it will need to be approved by the Senate, which is dominated by appointees of the former military junta that ruled the country until 2017. It is expected that the bill will pass into law by the end of the year.
The proposed bill gives same-sex couples equal rights to married heterosexual couples, including in inheritance, tax rights and adoption.
Same-sex marriage and LGBTQ rights generally have become a major political issue in Thailand in recent years, with queer people becoming increasingly visible and demanding greater equality.
Parties promising to legalize same-sex marriage and promote LGBTQ rights were the major victors of last year’s election, although the leading party was controversially disqualified from forming a government due to its support for reforming laws that penalize disparaging the monarchy, which was deemed unconstitutional. Nevertheless, the parties that formed government agreed to pass a same-sex marriage law, and last December, the house voted overwhelmingly to approve in principle a series of draft marriage bills.
The new government has also signaled that it will soon introduce a bill to facilitate legal gender change for trans people, and has begun a campaign to provide free HIV medication as an effort to eliminate HIV transmission by 2030.
Reporting by Erin Reed and Rob Salerno
New Zealand
New Zealand blood donation rules shift
One-size-fits-all assumptions about gay, bi, and takatāpui men to end
More gay, bi, and takatāpui men in Aotearoa may soon be able to donate blood, with New Zealand Blood Service changing its sexual activity screening rules in a move that shifts the focus away from sexuality and on to specific recent behavior.
For many queer people, the change represents a move away from treating all men who have sex with men as a single risk category. Instead, all donors will be asked the same questions about new or multiple sexual partners in the past three months, and whether they have had anal sex with those partners.
Under the new approach, donors who have had anal sex with a new or multiple partners in the past three months will still face a three-month deferral. But those who have not — and who meet all other eligibility criteria — will be able to donate. Donors will also be asked whether they have had gonorrhea or any other sexually transmitted infection in the past three months, with a three-month wait applying after treatment and recovery.
That change could open the door for some gay, bisexual, takatāpui and other men who have sex with men who were previously excluded from giving blood. In particular, men who have had anal sex with only one partner in the past three months, where that sexual contact has been ongoing for longer than three months, may now be eligible to donate, including those in long-term single-partner relationships.
For years, blood donation rules have been experienced not just as a public health measure, but as a blunt and often stigmatizing signal that queer men were viewed differently from everyone else. This change suggests a more nuanced approach, one that looks at what people do, rather than who they are, based on findings from the Sex and Prevention of Transmission Study (SPOTS) and international evidence supporting behavior-based screening.
New Zealand Blood Service says the new model will maintain the safety of the blood supply while making donation more inclusive.
Still, the new rules are not a complete removal of the restrictions, and some will see them as progress rather than full equity. The three-month deferral remains in place for donors who have had anal sex with a new or multiple partners, even if they are taking PrEP or using condoms. New Zealand Blood Service says that while PrEP is highly effective for HIV prevention, it can mask low levels of HIV during testing, and condoms are not considered completely fail-safe.
European Union
European Parliament backs EU-wide conversion therapy ban
More than 1.2 million people backed campaign
The European Parliament on Wednesday voted in favor of banning so-called conversion therapy across the European Union.
ACT (Against Conversion Therapy) LGBT in 2024 launched a campaign in support of the ban through the EU’s European Citizens Initiative framework. More than 1.2 million people ultimately signed it.
The proposed ban had the support of 405 MEPs. The European Commission is expected to formally respond to it by May 18.
Seven EU countries — Belgium, Cyprus, France, Malta, Norway, Portugal, and Spain — have banned conversion therapy outright.
Greece in 2022 banned the practice for minors. German lawmakers in 2020 passed a law that prohibits conversion therapy for minors and for adults who have not consented to undergoing the widely discredited practice.
Philippines
Filipino HIV/AIDS group questions US, Philippines health agreement
Country’s epidemic disproportionately impacts MSM, trans people
A new health agreement between the U.S. and the Philippines has raised questions among HIV/AIDS service providers.
A joint declaration signed by the U.S. and the Philippines on April 7 sets out a plan for closer health cooperation, aimed at transitioning the Philippines toward greater autonomy and “self-reliance” in its health systems, according to a State Department statement released.
In practice, “self-reliance” in health systems refers to a country’s ability to fund, manage, and deliver care without heavy dependence on external donors. In the Philippines, programs serving LGBTQ people — particularly those focused on HIV prevention, testing and treatment — have relied in part on international funding and technical support, including from the U.S., according to UNAIDS.
The Philippine Department of Health has led the national response to the pandemic.
The joint declaration of intent was signed under the Trump-Vance administration’s “America First Global Health Strategy.” The State Department said the agreement would involve co-funding of mutually agreed global health objectives under bilateral health cooperation between the U.S. and the Philippines in the near future.
The declaration also outlines areas of cooperation beyond financing: workforce development, health information systems, and emergency preparedness. The State Department said the framework is intended to strengthen coordination between U.S. and Philippine institutions while supporting the Philippines’ capacity to manage public health challenges independently over time. The statement does not specifically address LGBTQ health.
Similar agreements in other regions have drawn scrutiny from LGBTQ advocacy groups.
In Africa, community organizations have warned that a shift from donor-funded, community-led health programs to government-to-government frameworks could affect access for marginalized populations, including LGBTQ people. The Washington Blade found that such changes may reduce reliance on specialized clinics that have historically provided stigma-free care, raising concerns about discrimination, privacy, and continuity of services.
Desi Andrew Ching, president of HIV & AIDS Support House in the Philippines, said the partnership presents a significant opportunity, but added that, like any large-scale international agreement, its success for the LGBTQ community will depend on how it is implemented on the ground.
“On one hand, it’s a positive move. Increased cooperation on health systems can lead to better technical support and potentially more resources for HIV/AIDS prevention and mental health — areas that deeply impact our community,” Ching told the Blade. “If the government and civil society work closely together, we could see some real progress.”
Ching said community concerns often center on where those resources ultimately go. Ching added there is a risk funds could remain within “usual” government-aligned channels or traditional implementers that may not have the trust or reach of grassroots LGBTQ organizations.
The Philippines is facing one of the fastest-growing HIV epidemics in the Asia-Pacific region, with UNAIDS statistics indicating new infections increased by about 543 percent between 2010 and 2023.
The epidemic is concentrated among key populations, particularly men who have sex with men and transgender women who account for a vast majority of new infections. A 2023 analysis found that key populations represented about 92 percent of new HIV cases in the country, underscoring the disproportionate impact on LGBTQ communities. At the same time, stigma, limited access to testing and gaps in healthcare delivery continue to shape outcomes for these groups.
Ching said that for the partnership to be effective, support would need to be closely targeted to reach those most at risk, including individuals who often avoid government facilities because of stigma and fear of judgment.
“If the partnership prioritizes ‘community-led’ monitoring and direct support to local organizations, it will be a game-changer. If it stays at the top tier of administration, we might just see the same results as before,” Ching said.
Community-led organizations have been central to the Philippines’ HIV response, particularly in reaching LGBTQ populations often underserved by formal healthcare systems. UNAIDS notes groups such as LoveYourself have expanded testing and treatment access through community-based clinics and online outreach, including during the COVID-19 pandemic, when movement restrictions limited access to government facilities.
“To be honest, in these high-level agreements, ‘guarantees’ are hard to come by on paper. The real safeguards lie in the mechanics of implementation,” said Ching. “From the community’s perspective, we believe the best way to prevent services from being diluted is through direct involvement in the planning phase. We would like to see the funding groups and government stakeholders sitting at the same table as the community to game out the specific work plans. It should not be a top-down approach; it needs to be co-designed.”
Ching said oversight would be a critical layer of protection, adding that a dedicated point of contact, such as a U.S Agency for International Development technical lead or a similar monitor, would be needed to track how funds are used.
USAID officially shut down on July 1, 2025, after the Trump-Vance administration dismantled it.
Ching added community-led monitoring would also be necessary in addition to government oversight. He said safety and trust cannot be guaranteed by policy alone but must be built through experience, noting that community-led organizations have consistently reached the most marginalized populations.
“Safety and trust aren’t things you can just write into a policy; they have to be built through experience,” Ching said, adding that community-based sites are often seen as more accessible and safer because they are “for us, by us.”
He said the partnership should direct substantial support to grassroots organizations that have demonstrated an ability to overcome stigma, while strengthening coordination with government clinics. The most effective approach, he added, would combine government infrastructure with community-led delivery, allowing trusted local groups to serve as the primary point of access.
’We want a seat at the table’
According to a report by the World Health Organization on the Philippines, prevention efforts account for only about 6 percent of total HIV spending, despite a sharp rise in cases. The report said the gap has been compounded by a recent pause in U.S. funding, which has delayed the development and implementation of prevention programs and community-led responses.
Asked whether community-led LGBTQ organizations would be funded and included in implementation or sidelined under a government-led approach, Ching said that remained the central question for the community, adding that no detailed plan has yet been made public.
“But we have to be realistic about the politics — both within the government and even within civil society — that can sometimes slow things down,” said Ching. “A good baseline to look at is the UNAIDS 30-80-60 targets. These milestones are specifically designed to put community-led responses at the center of the HIV fight. If we’re being honest, as a country, we are still finding our footing in meeting those specific targets. There is a very real risk of being sidelined if the execution defaults to a standard ‘government-only’ approach.”
The UNAIDS set global targets to guide the HIV response, most notably the “95-95-95” goals for 2025.
The framework calls for 95 percent of people living with HIV to know their status, 95 percent of those diagnosed to receive sustained treatment and 95 percent of those on treatment to achieve viral suppression. The targets were designed to reduce transmission and improve health outcomes, while also highlighting gaps in access to testing, treatment, and prevention services.
“We view this new partnership with the U.S. as a chance to course-correct. If the intention is to end AIDS as a public health threat, the data shows it simply cannot be done without the community in the driver’s seat for service delivery,” said Ching. “Our hope is that the implementation isn’t just government-led, but government-enabled. We want a seat at the table not just for the sake of being there, but to ensure the resources are actually hitting the ground where they matter most. We’re looking for a partnership that honors those 2025 milestones by making community-led organizations formal, funded partners in this roadmap.”
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