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Whitman-Walker takes stand against HHS’ denial of care rule

Patient’s needs must come first — not the personal beliefs of health care workers

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Affordable Care Act, gay news, Washington Blade

The community’s health and well-being are under constant assault by the Trump administration. Efforts to repeal the Affordable Care Act, or to undercut it with regulatory actions, are still underway. Section 1557 of the Affordable Care Act – which provides important protections to the community from discrimination in health care and health insurance – is in the process of being reinterpreted in a way that tries to eliminate protections for LGBT people, women, and persons not proficient in English. And on May 21, the administration issued its so-called “conscience protection rule,” which will undoubtedly increase discriminatory practices in medicine, mental health, and substance use treatment. As your partner in health, Whitman-Walker stands firmly with you in the face of this hostility. That stance is why we were compelled to act against this rule with litigation. 

The so-called “conscience protection rule,” which the Department of Health and Human Services (HHS) issued on May 21, declares anyone employed at any health care provider that receives federal funding through Medicare and Medicaid reimbursement, or any number of federal grants, or even anyone volunteering at such a health care facility, may deny care to anyone, based only on their personal religious or moral views. The rule is written so broadly that it seems that every employee – from the customer service representative handling appointment check-ins to the doctor delivering direct care – will be able to deny any type of assistance to an individual if the employee objects to the person seeking care or to the type of care they are seeking, based on the employee’s personal beliefs. Non-compliant health care facilities, those who insist that all patients get the care that they need, will be at risk of losing federal funding. This is true of schools, health departments, hospitals, community health clinics – and health centers like Whitman-Walker. 

We believe that this is unlawful and discriminatory, and it threatens serious harm to the health and well being of the communities we serve. We challenged this unlawfulness, together with Sarah Henn, our Chief Health Officer, and Randy Pumphrey, our Senior Director of Behavioral Health, through a lawsuit filed May 28, 2019 against HHS. Like much of the fight against this administration, we are in good company. Our co-plaintiffs are fellow LGBTQ health care providers, reproductive rights organizations, medical professional organizations and Santa Clara County. Our lawyers in the case are among the best in the nation: Lambda Legal, Americans United for Separation of Church and State, the Center for Reproductive Rights, and the law firm Mayer Brown.

We and our fellow plaintiffs maintain that the rule is unlawful and threatens enormous harm, and we are asking the court to overturn it. The lawsuit argues that the rule is unconstitutional because it advances specific religious beliefs in violation of the First Amendment; violates patients’ rights to privacy, liberty and equal dignity as guaranteed by the Fifth Amendment; and mutes patients’ speech and expression in violation of the First Amendment, all to the detriment of patients’ health and well-being. The lawsuit also asserts that HHS violated the federal Administrative Procedure Act in creating the rule by failing to consider the rule’s impact on patients, health care providers and institutions; by misinterpreting the federal statutes that HHS claims to be enforcing; and by violating a number of other federal laws. This is not a matter of one person’s religious views being more important, or invalid, compared with another person’s views. This is a matter of supporting a pluralistic society in which dignity and mutual respect are central tenets, requiring us to treat all people equally. Moreover, in health care the patient’s needs must always come first – not the personal beliefs of the health care worker. 

Opposing this misguided, unlawful and harmful rule is not a new position for Whitman-Walker. This rule is, in fact, the kind of discrimination in health care that led to our founding. Since our beginning in the 1970s, Whitman-Walker has always stood for dignity, affirmation and respect in health care. We stand for providing the right level of care for our patients, as directed by the needs that they report to us. We stand for the evidence based and ethically driven guidelines that are the foundation of our work. The vague and far-reaching language of this rule left us with only one clear option, and that was to advocate for access to health care. Through this action and in many other ways, we will continue to fight for you, and for a healthy, inclusive and just society.

Naseema Shafi is CEO at Whitman-Walker Health.

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Pentagon says hormones make trans troops unfit but gives them to men

A man who needs a screening program to feel like a warrior is telling on himself

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(Photo by bernardchantal/Bigstock)

Last week, the Secretary of Defense posted a video to announce what he called the “High-T Department of War.” In it, Pete Hegseth ordered annual testosterone screening for every service member over 30 and offered testosterone therapy to those who want it, all in the name of keeping American warriors, in his words, on the “leading edge of lethality.” A hormone, he explained, is part of “the biological foundation required to sustain the fight.”

I have spent years writing about masculinity, so I know a performance when I see one. But this one is different, because at the exact moment Hegseth is prescribing testosterone to the men, his department is throwing other Americans out of uniform for taking it.

Here is the contradiction, and I promise I am not the one straining to find it. Since early 2025, the administration has worked to remove transgender troops from the military. One of its stated reasons, laid out in the executive order and in the government’s own court filings, is that these service members require ongoing medical treatment the military cannot easily sustain. Hormone therapy, the argument goes, means cost, monitoring, lab work, and stretches of non-deployability. A soldier who needs a standing prescription, the logic runs, is a burden the force cannot carry.

Then the same department launched a program to put a standing hormone prescription in the pocket of any man over 30 who wants one.

You do not have to take my word for the hypocrisy. A federal judge has already put it on the record. Last Wednesday, in the case challenging the transgender ban, Judge Ana Reyes took formal notice of the new testosterone program and ordered the government to explain how the very same class of treatment can be readiness-enhancing for one group of troops and disqualifying for another. It is the question at the center of the case now. Reyes has been skeptical of the medical argument from the start. Last year she pointed out that the military spent roughly $41 million on Viagra in a single year, and called transgender care, by comparison, “not even a rounding error.”

That is the tell. It was never really about the medicine. Testosterone is testosterone. The prescriptions, the monitoring, the lab work, the deployability questions are identical whether the person filling the vial is a trans man or a cisgender colonel chasing his youth. The only thing that changes is who is holding it. When the man taking the hormone fits the picture of a warrior, the treatment becomes “lethality.” When the man taking it is transgender, the identical treatment becomes a fatal risk to readiness. The medicine did not change. The identity did.

I want to be fair, because the argument only works if it is honest. The government has other claims in the case that a court has not yet resolved, about surgeries, about facilities, about unit cohesion, and it insists that cisgender men on testosterone and transgender men are simply “not similarly situated.” Those arguments can be debated on their merits. But the medical one, the claim that hormone therapy itself is too much for the military to manage, is the one Hegseth’s own policy just detonated. You cannot brand testosterone a warrior’s birthright on Monday and a disqualifying liability on Tuesday and expect a judge, or the rest of us, not to notice.

And notice what the whole spectacle is actually selling. A “Department of War” rebrand. A hormone reframed as a weapon. A Secretary who mocks “dudes in dresses” while rolling out mandatory bloodwork so the men can optimize their manhood by the milligram. This is not a medical policy. It is a theory of masculinity, the same tired one, that a man is a number on a lab report and a posture for the camera. It arrives, not coincidentally, as the administration moves to loosen testosterone prescribing across the country, turning manhood into a supplement you can top off.

I have known a lot of strong men. My father crossed an ocean as a laborer to build a life; the strongest men I was raised by never once measured themselves in a vial. Real strength was never a hormone level, and the men who most need to announce their lethality are, with remarkable consistency, the ones least sure of it.

The House declined last week to write the transgender ban into law, so it still rests on nothing sturdier than executive will and a medical excuse. That excuse just ran out of testosterone. A man who needs a screening program and a war-department rebrand to feel like a warrior is telling on himself. The rest of us should say so out loud.


Dimitrios Aletras is a queer, first-generation Greek-American writer and survivor-advocate, with work published in Salon, The Advocate, and the Reading Eagle.

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Trump tries to scare Americans into not voting

Will he deploy military to the polls in November?

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President Donald Trump (Washington Blade photo by Michael Key)

By saying we cannot trust our elections, the sick, old, demented, felon, in the White House is trying to scare Americans into not voting. He, and his faithful fascist appointees, dragged out old documents, already proven to be false, to scare people. He revisited claims that threats, and interference from China and Venezuela, impacted our elections in 2020, all of which have already been shown were not implemented effectively in any way. 

Even a few Republicans are saying this is nonsense, reminding people the felon is making claims the only elections we can’t trust, are the ones that he lost. Those Republicans who dare to speak up, and are running for office, have said he is making it harder for them by focusing on this BS, and doing nothing about the future. We must remember the only election he lost, was when he was president during the election. He won when Democrats were in office in 2016 under Obama, and in 2024 when Biden was president. 

We can only hope if he moves further with this, which some think he will, the courts will tell him no. There are some who believe he will try to call a ‘national emergency’ and deploy the military to the polls.

The only effective response to his lies is very clear. Democrats and independents must come out in huge numbers in November, and vote for Democrats, up and down the ballot. By doing this they say to the felon, we believe our elections are fair, we trust the process, and we will win big enough so there is no question about the results.

All anyone has to do to hear the felon lie, is to watch his mouth move. Every time he opens it, another lie comes out. He promised the nation, among other things, he would lower gas prices, lower grocery prices, lower rent prices, lower inflation, and even more important to the world, he promised the United States would not go to war. So, what we got instead, from him and his fascist cohorts, and sycophants in Congress, are higher gas prices, higher grocery prices, higher rents, higher inflation, and an expensive, in terms of both money, and human life and suffering, an illegal war with no end in sight. Even his own Secretary of State recently said, “the initial U.S. operation in Iran, Epic Fury, is over. The U.S. was now focused on Project Freedom. This is the name of the operation to get ships moving through the Strait of Hormuz again.” Something that was the case before Trump began this absurd and illegal war.

I applaud those media outlets that didn’t give Trump free air time to lie to the American people, despite the threats he made to have the FCC punish them for it. Kudos to those who had the guts to say we will not be a party to this, and went further, debunking the lies he told in the speech. The felon can continue to threaten those who call him out, but I believe they will win in the end, because the American people will not let him silence all the ‘free’ press. His fellow billionaires might take over some of it, like has been done with CBS, but the truth will come out. 

In his continuing efforts to control elections, Trump has ousted members of a bipartisan federal election commission, the Election Assistance Commission, that resisted his efforts to require would-be voters to have extra documentation of their U.S. citizenship before registering. The commission distributes federal grants to states, oversees the testing of voting systems, and maintains the national voter registration form. He did this to get the Congress to pass his ‘Save Act’ which would make it harder for legal voters to vote. But congress once again voted against this after his speech, and there aren’t the votes to pass it. But the felon has shown fairness is not in his quiver when he plays any game.  He cheats, and screws, as many people as possible in his business dealings, as long as he can make money. He is now doing the same to the American people. 

Again, it is my belief in the end, the American people will win. Trump will be shown to be the loser he is, and our democracy will survive. 


Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

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No Pride without Disability Pride

Anti-ableism must become part of the foundations of queer activism

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Disability pride flag (Image by LENNAMATS/Bigstock)

On Saturday, June 20, Capital Pride hosted the Pride Parade through the heart of Washington, D.C. I broke my foot just a couple days before and couldn’t attend, but beyond my mobility, Pride celebrations have always been difficult as a multiply disabled, queer person. As someone who is autistic with heat and sensory sensitivities, and autoimmune conditions, I also want to be part of Pride celebrations, to feel part of and be in community with others, but it is rare that Pride celebrations — not just Pride marches — are accessible to me. 

Back in 2022, I wrote a piece for The Unwritten issuing a call to action: “it’s time to make all queer spaces accessible” after a woman in a wheelchair was denied entry to my favorite — and one of the few remaining — lesbian bars A League Of Her Own. Back in 2022 when I had just moved to Washington, D.C. for graduate school, the bar became my queer safe space where I watched Willow Pill’s win on season 14 of “RuPaul’s Drag Race.” Pill, who openly discussed having cystinosis, a rare genetic disorder that causes the build-up of the amino acid cystine on the show, was the first person who openly discussed how being disabled affected the way she was able to share and experience her queerness. Because of her disability, she admitted that she would have to quit performing drag much sooner than her fellow queens. 

Yet four years after I published the piece, little has changed. Many Pride celebrations remain inaccessible to people who use mobility aids, have sensory or heat sensitivities, or require ASL interpretation or audio description to participate. When queer, disabled people ask for these services, ask for events that include everyone, we are met with excuses about expense and convenience, about serving the majority of community members rather than all — and invitations to future events that never end up planned or taking place.

For many queer, disabled people like me, this sends a very clear message about whose presence is valued and prioritized at Pride celebrations and it is part of larger systems of racism, ableism, and transphobia that are solidified when people participating in Pride forget the event’s roots. While many people pointed out that corporations and cities cancelled their participation and events this year, it’s important to recognize that Pride was never about pinkwashing, was never about getting free rainbow fans in the street or catering events to a socio-political status quo. Pride began as a protest against police brutality. 

When we remember that history, it becomes clearer than ever that events focused on our visibility must be accessible. In the United States today, Immigration and Customs Enforcement agents have hurt and even killed disabled people during the arrest and detention of immigrants and people of color. Autistic and individuals with cognitive disabilities, especially neurodivergent people of color, are at much higher risk of being hurt or even killed by the police, and disabled people are increasingly at risk for sexual violence in institutions and when living in their communities. Pride began as a fight against state-sanctioned violence. 

If people want Pride to remain true to its roots and honor the people who paved the way like Marsha P. Johnson who herself was disabled, we need Pride to be accessible. 

While I can recommend that people who are set to host Pride celebrations next year arrange shaded and cool space for people to sit, rest and recover, provide water and food for people to sip and snack on to keep their energy and blood sugar up, offer sensory support including earplugs and headphones, and access services like ASL interpretation, audio description, and captioning for events, this is not enough. 

It can’t just be about tacking on accessible services to an already planned event, it has to involve electing disabled queer people to Pride leadership boards, thinking about accessibility from the very beginning when we envision events for the LGBTQ+ community, and incorporating anti-ableist action into queer protesting. Anti-ableism (and anti-racism and xenophobia) has to become part of the very foundations of our queer activism before we can make changes that push for our collective liberation. And queer people’s and disabled people’s liberations are inextricably linked—both are rooted in bodily autonomy, access to healthcare, and right to love and marry as we chose (today, many disabled people are denied access to marriage without losing lifesaving medical care). 

And it’s not just disabled queer folxs who benefit from accessible events. Everyone can benefit from events that focus on preserving and protecting our bodies and energy. 

How many people use captions when they watch a show, or could use a shaded, cool, sensory-friendly space at Pride amid all the sounds and smells of the parades and festivals? How many people could use access to food, water, and chairs to sit or mobility aids so that they are not hurting the following day? How many more people would show up, would lend their voices to the fight for gender-affirming care, for trans rights, if the protests we organized and participated in were accessible? And how would the visible inclusion of disabled queer and trans people change our collective perceptions and goals of intersectional activism–knowing that not everyone can access gender affirming care because of their disabilities?

Making events accessible isn’t just about including disabled folxs, it’s about crafting spaces that serve and uplift everybody and all bodies in our fight for liberation. For disabled people who have long been infantalized and desexualized (while at the same time being fetishized and facing increased sexual violence), making Pride accessible is about affirming that disabled people are whole people who also have rich, diverse sexualities and gender expressions. 

And let’s be clear, it’s not up to disabled queer folx to do this work for the community. For too long, disabled people are asked to educate their peers and superiors on accommodations and accessibility services, on what anti-ableist action looks like. It’s the responsibility of a community that itself has long been marginalized to recognize the ways in which ableism is interwoven into the very power systems that disenfranchise and deny the rights of queer and trans people and educate themselves. Along with creating pathways to leadership uplifting queer disabled folxs and planning events that are accessible by design, this is about queer and trans people educating themselves in and committing to anti-abelist action. 

If Pride is truly about protesting state-sanctioned violence against us, against all marginalized communities, it cannot involve events that are inaccessible, events that routinely exclude a part of the community. There’s a reason that Disability Pride Month is scheduled the month after Pride month in the U.S. — it should be a continuation of protests fighting for the liberation of all bodies, rather than some. 


Emma Cieslik is a D.C.-based museum worker and public historian.

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