Commentary
Defunding equality: How the US betrayed LGBTQ communities worldwide
American aid freeze will cost lives
Just two weeks ago, the director of a Ugandan LGBT+ crisis center watched helplessly as their last reserves ran out following the U.S. aid freeze. With no emergency funding in sight, they were forced to turn away desperate individuals seeking shelter from life-threatening violence. In Peru, a trans womenās shelter that provided food, medical care, and legal support shut its doors overnight, leaving residents with nowhere to go. In CĆ“te dāIvoire, a life-saving HIV prevention program collapsed, putting thousands at immediate risk. These are just a handful of the stories we heard in All Out’s global partner survey, a rapid assessment of the damage being done by the Trump regime’s reckless and cruel decision to freeze all U.S. foreign aid.
The U.S. action stems from Trumpās Executive Order 14169, titled Reevaluating and Realigning United States Foreign Aid, which mandates a 90-day pause on all U.S. foreign development assistance programs. The order claims that the U.S. foreign aid system is “not aligned with American interests and in many cases antithetical to American values.” But what values does the United States government truly believe in when a policy decision leaves thousands of marginalized people without shelter, healthcare, or even a chance at survival? The aid freeze has not safeguarded American interests ā it has simply endangered the lives of some of the worldās most vulnerable communities.
For years, the U.S. has played a critical role in supporting LGBT+ organizations worldwide, bridging the financial and political void left by foreign governments that fail to safeguard the rights of their LGBT+ citizens. But in one stroke of a pen, that support has disappeared. The results have been catastrophic.
According to the Global Philanthropy Project, the total amount of LGBT+ aid likely to be cut by the U.S. and the Netherlands alone is estimated at $105 million ā one in every four dollars of government funding for LGBT+ causes worldwide. The impact is immediate and devastating: our partner survey reveals that 75 percent are reporting increased risks to life, health, or safety of community members as a direct result of the aid freeze. More than two-thirds have already had to shut down programs or lay off staff. Nearly a third are on the brink of closure.
The consequences are particularly dire in places where LGBT+ people already face criminalization, violence, and social exclusion. Shelters for LGBT+ refugees and survivors of homophobic and transphobic violence have been shuttered across multiple countries. One of our Ukrainian partners shared, “Many LGBT+ individuals are now without a safe place to go, and we are seeing an increase in homelessness and violence.” In Sudan, activists who provided emergency aid to LGBT+ people fleeing war and persecution are now unable to help. In Colombia, a program offering economic inclusion programs for trans migrant women has had to close, forcing many into dangerous and exploitative conditions just to meet their basic needs.
The Trump regime justified the aid freeze as a 90-day review of spending priorities. But for LGBT+ people on the frontlines, 90 days without funding can be a death sentence. And while Trump’s spokespeople have tried to dismiss the freeze as temporary, organizations have already begun receiving termination notices. The intent is clear: This is part of a broader rollback of human rights commitments. And the vacuum left by U.S. disengagement is already being filled by authoritarian regimes that weaponize homophobia and transphobia for political gain.
But while the U.S. government is abandoning its commitments, the rest of the world cannot afford to do the same. Governments that claim to champion LGBT+ rights must now step up at pace to fill the funding gap. Private donors, including corporations that have long benefited from rainbow capitalism, must also act.
For years, LGBT+ activists have built movements on shoestring budgets, navigating impossible conditions with resilience and determination. But resilience is not a funding model and our communities deserve better. If we do nothing, decades of progress could unravel in months. And make no mistake: More lives will be lost.
Governments, philanthropists, and the broader international community must act now. This is not just a political decision ā it is a moral one. The brave partners we spoke to in our survey are running out of options. The question is whether the world will stand with them ā or turn away as they are left to suffer and die.
Matthew Beard is the executive director of All Out, a global LGBT+ non-profit that works towards a world in which nobody has to sacrifice their family, freedom, safety or dignity because of who they are or who they love. Before joining All Out in 2016, Matthew was the Global Director of Fundraising and Communications at Action Aid, an international non-profit focussing on womenās rights and anti-poverty. For 10 years, Matthew also served in various senior communications and fundraising roles in the UK, Germany, Australia, and Canada for Amnesty International.
Commentary
Protecting the trans community is not optional for elected allies and candidates
One of oldest political tactics is blaming vulnerable group for societal woes
Being an ally to the trans community is not a conditional position for me, nor should it be for any candidate. My allyship doesnāt hinge on polling, focus groups, or whether courage feels politically convenient. At a time when trans people, especially trans youth of color, are under coordinated attack, elected officials and candidates must do more than offer quiet support. We must take a public and solid stand.
History shows us how these moments begin. One of the oldest political tactics is to single out the most vulnerable and blame them for societyās anxieties ā not because they are responsible, but because they are easier to blame than those with power and protection. In Nazi Germany, Jewish people were primarily targeted, but they were not the only demographic who suffered elimination. LGBTQ people, disabled people, Romani communities, political dissidents, and others were also rounded up, imprisoned, and killed. Among the earliest acts of fascistic repression was the destruction of Berlinās Institute for Sexual Science, a pioneering center for gender-affirming care and LGBTQ research. These books and medical records were among the first to be confiscated and burned. It is not a coincidence that these same communities are now the first to suffer under this regime, they are our canaries in the coal mine signaling whatās to come.
Congress, emboldened by the rhetoric of the Donald Trump campaign, recently passed HR 3492 to criminalize healthcare workers who provide gender-affirming healthcare with fines and imprisonment. This bill, sponsored by celebrity politicians like Marjorie Taylor Greene, puts politics and headlines over people and health outcomes. Healthcare that a number of cis-gendered people also benefit from byway of hair regeneration and surgery, male and female breast augmentation, hormone replacement therapy etc. Even when these bills targeting this care do not pass, they do real damage. They create fear among patients, legal uncertainty for providers, and instability for clinics that serve the most marginalized people in our communities.
Here in D.C., organizations like Planned Parenthood and Whitman-Walker Health are lifelines for many communities. They provide gender-affirming care alongside primary care, mental health services, HIV treatment, and preventative medicine. When healthcare is politicized or criminalized, people donāt wait for court rulings ā they delay care, ration medication, or disappear from the system entirely.
As a pharmacist, I know exactly what that means. These are life-saving medications. Continuity of care matters. Criminalizing and politicizing healthcare does not protect children or families ā it puts lives at risk.
Instead of centering these realities, political discourse has been deliberately diverted toward a manufactured panic about trans women in sports. Let me be clear: trans women deserve to be protected and allowed to compete just like anyone else. Athletics have always included people with different bodies, strengths, and abilities. Girls and women will always encounter competitors who are stronger or faster ā that is not a gender or sports crisis, it is the nature of competition.
Sports are meant to teach fairness, mutual respect, and the shared spirit of competition ā not suspicion or exclusion. We should not police young peopleās bodies, and we should reject attempts to single out trans youth as a political distraction. Families and doctors should be the authority on sex and gender identity.
This narrative has been cynically amplified by the right, but too often Democrats have allowed it to take hold rather than forcefully rejecting it. It is imperative to pay attention to what is happening ā and to push back against every attempt to dehumanize anyone for political gain.
Trans people have always been part of our communities and our democracy. Protecting the most vulnerable is not radical ā it is the foundation of a just society. My work is grounded in that commitment, and I will not waver from it. I’m proud to have hired trans political team Down Ballot to lead my campaign for DC Council At Large. We need more ally leaders of all stages to stand up for the LGBTQ+ community. We must let elected detractors know that when they come for them, then they come for all of us. We cannot allow Fox News and social media trolls to create a narrative that scares us away from protecting marginalized populations. We must stand up and do what’s right.
Anything less is not leadership.
Rep. Oye Owolewa is running for an at-large seat on the D.C. Council.
Commentary
America is going in the wrong direction for intersex children
Lawmakers are criminalizing care for trans youth, while permitting irreversible harm to intersex babies
I live with the consequences of what America is willing to condone in the name of āprotecting children.ā
When I was young, doctors and adults made irreversible decisions about my body without my informed consent. They werenāt responding to an emergency. They were responding to discomfort with innate physical differences and the social and medical pressure to make a childās body conform to a rigid female-male binary. Thatās the part people like to skip over when they talk about āchild welfareā: the harm didnāt begin with my identity. It started with adults deciding my healthy body needed fixing.
Thatās why the hypocrisy unfolding right now from statehouses to Capitol Hill feels so familiar, and so dangerous.
While harmful medical practices on intersex children, the nearly 2 percent born with differences in one or more of their physical sex characteristics, have been ongoing in the U.S. for decades, until recently, there was no law specifically condoning it.
This month, House Republicans passed one of the most extreme anti-trans bills in modern American history, advancing legislation that would criminalize gender-affirming medical care for transgender youth and threaten doctors with severe penalties for providing evidence-based treatment. The bill is framed as a measure to āprotect children,ā but in reality, it weaponizes the criminal legal system against families and providers who are trying to support young people in surviving adolescence.
At the same time, the administration has proposed hospital and insurance policies designed to choke off access to affirming care for trans youth nationwide by making providers fear loss of federal funding, regulatory retaliation, or prosecution. This is a familiar strategy: donāt just ban care outright; instead, make it so risky that hospitals stop providing it altogether. The result is the same everywhere. Young people lose access to care that major medical associations agree can be lifesaving.
All of this is happening under the banner of preventing āirreversible harm.ā
But if America were genuinely concerned about irreversible harm to minors, the first thing lawmakers would address is the medically unnecessary, nonconsensual surgeries still performed on intersex infants and young children, procedures that permanently alter healthy tissue, often without urgent medical need, and long before a child can meaningfully participate in the decision. Human rights organizations have documented for years how these interventions are justified not by medical necessity, but by social pressure to make bodies appear more typically āfemaleā or āmale.ā
Here is the uncomfortable truth: all of the state laws now banning gender-affirming care for transgender youth explicitly include exceptions that allow nonconsensual and harmful intersex surgeries to continue.
A recent JAMA Health Forum analysis found that 28 states have enacted bans on gender-affirming care for minors that carve out intersex exceptions, preserving doctorsā ability to perform irreversible ānormalizingā procedures on intersex children even while prohibiting affirming care for trans adolescents.
This contradiction is not accidental. It reveals the real priority behind these laws.
If the goal were truly to protect children from irreversible medical interventions, intersex kids would be protected first. Instead, these policies target one group of children, transgender youth, while continuing to permit permanent interventions on another group whose bodies challenge the same rigid sex and gender binary that lawmakers are trying to enforce.
Intersex people are routinely erased from American policy debates, except when our bodies are invoked to justify harmful laws, warning that intersex children are being used as legal loopholes rather than protected as human beings. This āprotect the childrenā rhetoric is routinely deployed to justify state control over bodies, while preserving medical practices that stripped intersex children like me of autonomy, good health, and choice. Those harms are not theoretical. They are lifelong.
What makes this moment even more jarring is that the federal government had finally begun to recognize intersex people and attempt to address the harms suffered.
In 2024, at the very end of his term, the Biden administration released the first-ever intersex health equity report ā a landmark admission that intersex people have been harmed by the U.S. health care system. Issued by the Department of Health and Human Services, the report documents medically unnecessary interventions, lack of informed consent, and systemic erasure and recommends delaying irreversible procedures until individuals can meaningfully participate in decisions about their own bodies.
This should have been a turning point. Instead, America is moving in the opposite direction.
On day one, President Trump issued an executive order defining āsexā in a way attempting to delegitimize the existence of transgender Americans that also erased the existence of many intersex people.
When medicine is used to erase difference, it is called protection, while care that supports self-understanding is treated as a threat. This is not about medicine. It is about control.
You cannot claim to oppose irreversible harm to children while legally permitting surgeries that intersex adults and human rights experts have condemned for decades. You cannot claim to respect bodily autonomy while denying it selectively, based on whose bodies make lawmakers uncomfortable.
Protecting children means protecting all children, transgender, intersex, and cisgender alike. It means delaying irreversible interventions when they are not medically necessary. It means trusting and supporting young people and families over politicians chasing culture-war victories.
America can continue down the path of criminalizing care for some children while sanctioning harm to others, or it can finally listen to the people who have lived the consequences.
Intersex children deserve laws that protect their bodies, not politics that hurt and erase them.
Kimberly Zieselman is a human rights advocate and the author of “XOXY: A Memoir”. The author is a co-author of the JAMA Health Forum article cited, which examined state laws restricting gender-affirming care.
Today, on World AIDS Day, we honor the resilience, courage, and dignity of people living with HIV everywhere especially refugees, asylum seekers, and queer displaced communities across East Africa and the world.
For many, living with HIV is not just a health journey it is a journey of navigating stigma, borders, laws, discrimination, and survival.
Yet even in the face of displacement, uncertainty, and exclusion, queer people living with HIV continue to rise, thrive, advocate, and build community against all odds.
To every displaced person living with HIV:
⢠Your strength inspires us.
⢠Your story matters.
⢠You are worthy of safety, compassion, and the full right to health.
⢠You deserve a world where borders do not determine access to treatment, where identity does not determine dignity, and where your existence is celebrated not criminalized.
Let today be a reminder that:
⢠HIV is not a crime.
⢠Queer identity is not a crime.
⢠Seeking safety is not a crime.
⢠Stigma has no place in our communities.
⢠Access to treatment, care, and protection is a human right.
As we reflect, we must recommit ourselves to building systems that protect not punish displaced queer people living with HIV. We must amplify their voices, invest in inclusive healthcare, and fight the inequalities that fuel vulnerability.
Hope is stronger when we build it together.
Letās continue to uplift, empower, and walk alongside those whose journeys are too often unheard.
Today we remember.
Today we stand together.
Today we renew hope.
Abraham Junior lives in the Gorom Refugee Settlement in South Sudan.
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