Opinions
The LGBTQ+ community, telehealth, and rural broadband access
Congress must act to preserve lifeline of remote healthcare
The LGBTQ+ community has come to rely more and more on remote general and specialized healthcare as the pandemic continues to limit access to in-person services. This lifeline is in danger of going away unless Congress acts, delivering a serious blow to the diverse community of people who struggle to access care in-person in their communities.
Telehealth allows doctors and other providers to provide care without an in-person visit. More specifically, telehealth refers to the health care services accessible through telecommunications services, including via audio and video (either real time or asynchronous). These services are best delivered via high-speed broadband services. Medical care appointments, consultations, prescriptions, follow-up visits, and more can be done safely and virtually.
Telehealth is a modern necessity made even more relevant due to the ongoing COVID-19 pandemic, and demand for these resources is growing. The LGBTQ+ community in particular is experiencing a significant need for improved telehealth provisions and access. Recent relaxations of telehealth regulations have expanded the reach of telehealth and positively impacted marginalized communities including the LGBTQ+ community, especially in rural and remote areas. Effective and reliable broadband access is instrumental for telehealth services and as telehealth expands, advancements to universal broadband access will be critical to reach these communities.
Telehealth and the LGBTQ+ community
More than 18 million Americans identify as lesbian, gay, bisexual, transgender, queer, questioning, or intersex (LGBTQ+), and more younger Americans than ever before are identifying as LGBTQ+. The health concerns of these individuals deserve utmost respect and care, demonstrable through high-quality health care both in person and online. Telehealth plays an important role in connecting the LGBTQ+ community with competent and affirming health care providers and services. The LGBTQ+ community has always been more heavily reliant on internet connectivity, and healthcare is no different, with 81% of LGBTQ+ youth reportedly using the internet to search for health information.
LGBTQ+ communities face many of the same healthcare concerts as non-LGBTQ+ communities, though there are differences in rates of some chronic conditions including cancer, diabetes, obesity, HIV/AIDS and other sexually transmitted infections (STIs), and tobacco-related health conditions. LGBTQ+ individuals have higher rates of mental and physical disability, and the impact of loneliness on health quality is experienced at higher rates by LGBTQ+ individuals in both urban and rural settings. Routine healthcare for these conditions improves quality of life, but LGBTQ+ individuals often report high cost as a deterrent from going to the doctor. Telehealth provides an affordable avenue to routine health care.
Many individuals in the LGBTQ+ community report a history of medical trauma as a barrier to receiving healthcare. Gender-affirming health care is one major motivator for telehealth access in the LGBTQ+ community. Nearly one-fifth of transgender individuals have been refused healthcare due to their gender identity. Online servers such as Folx Health, Plume, and QueerDoc provide gender-affirming care including hormone therapy, mental health, and documents for gender marker change. Telehealth allows users to bypass the barrier of proximity to medical care and to access providers who are informed on medical concerns and considerations that uniquely impact the LGBTQ+ community.
Regulations that previously restricted the delivery of telehealth have been eased since the onset of the COVID-19 pandemic. Specifically, rules previously limited telehealth to rural areas received in a clinical setting. The new rules allow urban and suburban patients to access telehealth from their home or other convenient setting. This makes sense as many urban areas lack convenient access to physicians and other providers. Individuals across America have benefitted from the ability to access basic health services at home, but those whose care has been most significantly enhanced are poor, elderly, members of marginalized communities such as the LGBTQ+ community, and/or those who live in remote areas of the country. For example, the total number of telehealth visits in Medicare increased from less than 1 million to more than 50 million during COVID.
There are currently hundreds of proposals pending before state and federal legislatures that address extending or expanding telehealth beyond the pandemic’s public health emergency. Current changes to telehealth regulations include loosened restrictions around telephone-based check-ins and the allowance for telehealth visits between providers and persons across state borders. Before the pandemic, patients filled a prescription after first meeting with a doctor in-person, but telehealth expansion has eliminated the required in-person appointment. Telehealth treatment for addiction is also on the rise, with addiction-specific treatments available online. General mental health resources are also increasingly accessible virtually and by phone. Now that these practices are commonplace, regulators are looking to pass legislation that will maintain this ease of service.
The expansion of telehealth has proven especially effective for the LGBTQ+ community. Easing accessibility of telehealth and prescriptions reduces the cost of care for routine medicines and check-ups for conditions that disproportionately affect the LGBTQ+ community, such as HIV. Increased availability of telehealth mental resources is critical for all youth, but especially for those in the marginalized LGBTQ+ community. Through online resources, transgender adults can safely and reliably access gender-affirming healthcare including hormone replacement therapy and counseling with specialized professionals. Additionally, telehealth access can reduce or eliminate the stigma and discrimination that LGBTQ+ individuals face daily when selecting providers, especially in remote or rural areas where there may be few providers to choose from and even fewer knowledgeable about and sympathetic to the special health care needs of LGBTQ+ individuals. Making permanent the COVID-19 exemptions currently in place that regulate telehealth services will have far-reaching, positive impacts for the LGBTQ+ community.
Rural need for telehealth
An estimated 2.9 to 3.8 million Americans living in rural and remote parts of the country identify as LGBTQ+ and deserve high-quality and informed healthcare. Accessing a healthcare provider is, in general, more challenging in rural areas. Consider, for example, costs associated with distance. To add insult to injury, where providers are available in rural communities, the potential for discrimination against LGBTQ+ individuals and misdiagnosis of medical conditions is prevalent. Lack of access to sympathetic providers or specialized providers makes telehealth a crucial tool for the rural LGBTQ+ community.
Given the need for broadband access to ensure quality telehealth services (to access video consultations, for example), the quality of an individual’s access to broadband services will directly affect their health care experience. Rural Americans are routinely left behind in broadband deployment, contributing to the digital divide, or the gap in use of online resources. Improvements to broadband access is key for expanding the reach of telehealth services across the country, especially in rural America. The recently enacted infrastructure law includes $65 billion in new broadband funding. It must be rolled out quickly to ensure marginalized communities in rural areas gain from improvements to broadband access and the telehealth resources that come along with it.
Telehealth has become a critical tool to expand access for all patients, but especially the LGBTQ+ community. Marginalized individuals benefit the most from increased telehealth access and those living in rural areas may be the most significantly impacted. Telehealth offers a number of benefits including facilitating community health and social wellness, the delivery of gender-affirming medical care, accessible mental health care, and ease of prescription access.
Recently relaxed regulations around telehealth delivery have increased the reach of these services and provided healthcare to individuals who may have gone without care. Rural and remote marginalized communities, such as the LGBTQ+ community, will experience an especially positive impact from telehealth, and increasing rural broadband access is critical to expanding high-quality, informed healthcare to LGBTQ+ individuals across America. Crucially, Congress can permanently expand telehealth services and capitalize on the recent infrastructure law to roll out high-speed broadband that facilitates telehealth in areas with limited internet access. Without congressional action, many of the benefits marginalized communities have experienced from telehealth services will expire thereby reducing or eliminating supportive and specialized care options for these communities.
For more information visit www.LGBTQ+tech.org/telehealth.
Carlos Gutierrez is deputy director and general counsel for the LGBT Technology Partnership & Institute, which works to improve access, increase inclusion, ensure safety and empower entrepreneurship for LGBTQ+ communities around technology.
Opinions
Gun reform is an LGBTQ rights issue
‘I am sick of Congress refusing to lift a finger to protect our communities’
Earlier this month, 44-year-old Ousman Ceesay allegedly shot two people in the parking lot of Venture-N, a well-known gay bar in Tucson, Ariz. Both victims — Vincent Anthony Siquerioes and Cameron Davis Capara — died at the scene. Police discovered a list of several LGBTQ businesses on Ceesay’s person, and evidence points to how Ceesay confronted Siquerios and Capara in the bar’s parking lot before killing them. According to a news release, police are investigating the incident as a hate crime.
The event was reminiscent of the 2022 Club Q shooting and the Pulse nightclub shooting, where Omar Mateen shot and killed 49 people and wounded more than 50 more at the gay nightclub in Orlando. Survivors and the wider queer community recognized the 10th anniversary of the shooting this past June 12. As the queer community grieved another shooting targeting LGBTQ safe spaces this month, some members of the LGBTQ community are raising the call for gun reform as a key step to protect LGBTQ rights.
Gun violence is a major issue for the LGBTQ community. LGBTQ people are more than twice as likely to be the victims of violent crime than straight and cisgender people, with one in five hate crimes in the United States motivated by queer phobia. This means that LGBTQ folks are more likely to be violently attacked by a stranger compared to their cisgender, straight counterparts. In school settings, 29% of transgender youth and 16% of gay and lesbian youth have been threatened or injured with a weapon, compared to 7% of cisgender youth.
There is an ongoing epidemic of gun violence injuring and killing trans women of color in the United States today. One study by the nonprofit Everytown for Gun Safety identified that the number of trans people who were murdered in the U.S. doubled between 2017 and 2021, increasing 93% in that time period. Everytown for Gun Safety recognizes that these aren’t even the actual numbers as many trans people are misgendered or deadnamed by the police, media, or their families so their deaths are not incorporated into these numbers and tied to systemic gun violence against the wider LGBTQ community.
As a community with higher rates of self harm and suicide, easy access to firearms increases the risk that a suicide attempt will end in death. This does not mean that LGBTQ people are mentally ill, a popular far right talking point. LGBTQ people are not more likely to experience suicidal ideations and die by suicide not because they are LGBTQ but because of the stigma surrounding their identities. LGBTQ young people are more than four times likely than their non-LGBTQ peers to attempt suicide, and the Trevor Project estimates that 1.8 million LGBTQ people between the ages of 13 and 24 consider suicide in the United States.
As the Williams Institute shows, this makes gun violence a serious public health concern for the queer community. As Dr. David Hemenway, co-author of a 2016 study published in the American Journal of Medicine said, “differences in overall suicide rates across cities, states, and regions in the United States are best explained not by differences in mental health, suicide ideation, or even suicide attempts, but by availability of firearms.”
Gun violence is also a major queer issue given that trans and gender expansive individuals are at greater risk of experiencing intimate partner violence. Compared to the 35% of straight women who experience intimate partner violence, 44% of lesbian and 61% of bisexual women report experiencing rape, physical violence, or stalking by an intimate partner. This number is also higher for bisexual men (37% of whom experience intimate partner violence compared to 29% of straight men). This number is much higher for trans folks; more than half of people surveyed reported some form of intimate partner violence, according to a 2015 survey.
During the second Trump administration, ongoing legal attacks on LGBTQ rights, executive orders that deny the existence and protections of trans, nonbinary, and gender expansive individuals, and virulent opposition to and disbanding and defunding of DEI initiatives, LGBTQ employee resource groups, queer history collections, exhibitions, and education, LGBTQ representation in libraries and school settings, and the firing of federal workers allegedly because they are queer — realizing a new Lavender Scare — have emboldened violent homophobes.
After the Club Q shooting, Rodrigo Heng-Lehtinen, executive director of the National Center for Transgender Equality, explained that “the rhetoric and the legislative attempts to erase transgender people sends a signal that violence toward us is tolerated.” This has become even more dire after a 2025 White House memo prioritized identifying “radically pro-transgender” groups as national security threats, in line with the Heritage Foundation’s plan to designate trans people terrorists. In response, Congresswoman Suzanne Bonamici shared, “the Trump administration’s endorsement and proliferation of hateful and violent rhetoric against the trans community is putting lives at risk,” particularly the push to label trans people and their allies as terrorists.
As Congresswoman Adelita Grijalva said on the House Floor following this latest tragedy, “when that [anti-LGBTQ+] hate is combined with easy access to firearms, the consequences can be deadly. I am sick and tired of Congress refusing to lift a finger to protect our communities while, every day, dozens of people are shot and killed across the country.”
A 2018 survey shows that the wider LGBTQ community supports gun reform — with 93% of lesbian, gay, and bisexual adults supporting background checks and 72% opposing legislation and procedural changes that make it easier to obtain concealed weapon permits. This is not to say that the wider LGBTQ community opposes gun ownership. In fact, a growing cohort of LGBTQ individuals and other members of minority and marginalized groups are investigating gun training and ownership to protect themselves. Part of their motivation is not just protecting themselves against perpetrators of hate-motivated gun violence but also against state and federal agents that are increasingly attacking the LGBTQ community.
After the shooting, Tucson police increased their presence at other LGBTQ businesses in the city, but locals expressed concern that this would alienate some LGBTQ patrons, especially queer and trans patrons of color, and might also lead to further violence knowing that police continue to be instigators in and perpetrators of queer phobic violence. A Williams Institute study published this past year highlighted how LGBTQ people, especially queer people of color, LGBTQ youth, and trans and gender expansive individuals experience higher rates of profiling, discrimination, harassment, and entrapment from law enforcement.
This is one of the reasons that police presence at Pride events continue to be controversial, as community members remember how the police were the major antagonists at the Stonewall and Compton’s Cafeteria riots. The LGBTQ rights movement came to be largely because queer and trans people of color fought back against violent police harassment and abuse.
As someone who was traumatized by active shooter drills in elementary, middle, and high school, I am exhausted and heartbroken by continued gun violence and politicians’ refusal to consider and take action through gun reform legislation. Whether intentional or not, their hesitation to discuss and address this issue publicly and to use their political power to prevent future shootings communicates to LGBTQ+ people that they do not care about us. With gun violence disproportionately affecting our community, their silence and inaction is a form of queer phobic violence itself allowing tragedies like Tucson to continue happening.
(If you or someone you know is in crisis, call or text 988 to reach the Suicide and Crisis Lifeline. You can also text HOME to 741741 or visit SpeakingOfSuicide.com/resources for additional resources. You are not alone.)
Emma Cieslik is a D.C.-based museum worker and public historian.
Opinions
Trump’s Cabinet: Dumb, dumber, dumbest, and evil
Corrupt officials working to undo 250 years of progress
Dumb, dumber, dumbest, and evil. Any of the felon’s Cabinet and close aides could fit these terms depending on the discussion.
You have Commerce Secretary Lutnick saying “no American military were killed in Iran war.” Then it was reported our venal Vice President JD Vance said, “The current hostilities shouldn’t even be called a war, since ‘active combat operations’ ended months ago. Right now, there is no active shooting, Vance insisted. This despite the U.S. and Iran still currently exchanging fire, including around the Strait of Hormuz.
Then the fool-in-chief, the felon in the White House, said about Vance’s comments, “U.S. strikes on Iran are now “intermittent” and a lot of people don’t call it a war. I can understand what he’s saying. I call it a military conflict because it’s small potatoes for us. It’s not a big thing.” All this even though this so called “conflict” has cost U.S. taxpayers more than $37.5 billion and left 18 U.S. service members dead, hundreds injured.
All this after Secretary of State Marco Rubio said, “the Trump administration’s objective in the conflict surrounding the Strait of Hormuz is to restore shipping conditions to what they were before the war with Iran began.” Then self-hating, gay, Secretary of the Treasury, Scott Bessent, chimed in, after two days of meetings with finance ministers from around the world, blaming Ukraine for high oil prices citing “Ukraine’s attacks on Russia’s oil infrastructure as part of the reason for the global energy shock.” These people all belong in an asylum, or jail.
When not talking about the war, as he is losing it badly, the felon-in-chief talks BS at a rally in Texas. Then he talks about redesigning Washington. Lutnick, speaking at a judicial hearing on whether Trump can put his name on the National Monument honoring JFK, said, “Donald Trump is the most credible person in the world” while arguing that the Kennedy Center should bear his name because he’s vowed to raise the funds to renovate it. That, even though the funds were approved by Congress and not raised by Trump. Then Trump’s tariff war on the world, now focused on Canada, which is screwing the American people, and his believing an Executive Order can get the world to call bodies of water like the Gulf of Mexico, and Lake Ontario, by different names. Or that he can change the name of the Department of Defense, to the Department of War, which only Congress can do. With the help of the fascist sycophants around him, he creates chaos in the world.
He has torn down part of the White House, and tries to build an arch. Spent millions and caused the destruction of the reflecting pool. Some of these things will be undone, others will remain, but his name will go down in history, not on buildings, as the worst president ever. People will laugh at him as they move to remove his name from everything they can, just as New Yorkers did when he was first elected, embarrassed to be associated with him.
Now for any sane person looking at, and listening to, this chaos, it is abundantly clear how embarrassing all this is for the country. It is clear he is moving the nation backwards when it comes to the equality and equity we have fought so hard to accomplish. Our country began with us killing, and taking land, from Native Americans. The founders of our nation 250 years ago only recognized white men. They left out women and Black men. We have spent the past 250 years trying to move forward from that beginning. Trying to live up to the statement in the Declaration of Independence that said, “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.”
We have come a long way, but still have not been able to add women’s equality to our Constitution. But Trump, along with his fascist aides and sycophants in Congress, is trying his best to undo all we have accomplished in those 250 years. Trying either to take away the right to vote, or make it harder to do. They took away the right of women to control their own healthcare, and are making it harder for Black people and the LGBTQ community, to live their lives fully, with dignity and safety. They will accomplish all this, and more, if not enough people come out on Nov. 3 and say, NO MORE. However, if enough decent people vote, we can take back our country, and our future.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Opinions
Gloria Steinem’s life of substance and consequence
Iconic activist never stopped working to make life better for women
Gloria Steinem was an icon, a feminist, a woman of substance and consequence. A rare person who made a difference her entire life; sometimes quietly, sometimes by making noise. She was an incredibly beautiful woman, inside and out.
I heard of Gloria Steinem and admired her for all she was doing. But that was from a distance. I read about her, and saw her on TV. It was 1963 when Steinem wrote and published her undercover Playboy Bunny exposé, “A Bunny’s Tale,” about her going undercover at New York’s Playboy Club. Her account revealed the physical toll, exploitative conditions, and pervasive sexism faced by the women employed there, challenging the magazine’s image of empowerment.
It was 1972 when I first met her in person. That first meeting happened while I was campaigning for Bella Abzug (D-N.Y.) at a street rally. I said “Hello, Ms. Steinem,” and she said “It’s OK to call me Gloria.” I was honored to do so.
Gloria was there to support her friend. Bella had been through a grueling primary against Bill Ryan, after being redistricted out of her seat. She lost, but then Bill died of cancer before the election, and Bella was named the Democratic candidate in the general election for New York’s 20th congressional district. When Bella won that race, I went to work for her full time. It gave me the chance to meet Gloria again a number of times after that, once even with Bella at her apartment. While she was one of the many famous people I met while working for Bella, she was different. She wasn’t Hollywood. She began her career as a reporter, and worked hard for all she believed in. She was a true activist. That was what she saw herself as. She could say she came by the activism gene from her paternal grandmother, Pauline Perlmutter Steinem who Wikipedia reported, “chaired the educational committee of the National Woman Suffrage Association and was a delegate to the 1908 International Council of Women. Also, the first woman to be elected to the Toledo Board of Education and a leader in the movement for vocational education. She helped rescue many members of her family from the Holocaust.”
So yes, in many ways, activism was in Gloria’s genes. She was the one who told me it was OK to call myself a ‘feminist’. That it isn’t only women who can call themselves that, but also men who believed and fought for full social, economic, and political equality of the sexes. She helped me to understand I was brought up by a feminist. My mom, though she never called herself that, was one by dint of how she lived her life, and fought for others.
Gloria never stopped working to make life better for women, and to make sure other women joined her in her activism. In 1969, she co-founded Ms. Magazine. Then in 1971, with Bella Abzug, Betty Friedan and Shirley Chisholm, she founded the National Women’s Political Caucus, which provided training and support for women seeking elected and appointed office. Then in the same year she co-founded the Women’s Action Alliance, which until 1997 supported a network of feminist activists and worked to advance feminist causes and legislation.
Gloria would hold other women to task if they didn’t speak out, even at difficult times, but always with love. In 1986, Bella’s husband Martin died at the young age of 69. We were at the funeral home the night before the funeral, and Bella was sitting with some of us, and saying she didn’t know what she would do without Martin. It had been a true love affair. She was saying things like she didn’t even know where the checkbook was, what their rent was, etc., because Martin handled all that. Well Gloria overheard this and came over and said to Bella, “Don’t you dare say that in public, women look up to you as a feminist, as independent, you can’t say that.” And we all laughed, even Bella, as did Gloria, but she was serious.
Then in the 1990s Gloria helped to establish what she called ‘Take Our Daughters to Work Day.’ She did this to try to have young girls learn about future career opportunities. But her work wasn’t done and in 2005, along with Jane Fonda and Robin Morgan, she co-founded the Women’s Media Center. It is an organization that “works to make women visible and powerful in the media.”
The last time I saw Gloria was at the opening night of “Gloria: A Life,” at Theatre J in D.C. She was 88, as beautiful, and sharp as ever, having just come back from a speaking engagement in some far-off country.
Gloria, the world will miss you, RIP.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
