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Transgender and gender-diverse people have existed for centuries across various cultures. Cultural Competence in the Care of LGBTQ Patients - NCBI

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The term "transgender" is an umbrella for people whose gender identity differs from the sex they were assigned at birth. However, the journey toward unity has not been seamless

However, the journey toward unity has not been seamless. As the gay and lesbian mainstream movement gained political traction in the late 20th and early 21st centuries, it often pursued a strategy of "respectability politics"—seeking acceptance by emphasizing that homosexuals were "just like" heterosexuals, save for their partner's gender. This strategy implicitly sidelined the transgender community, whose very existence challenges the immutable nature of the male/female binary. The push for marriage equality, while a monumental victory for same-sex couples, often centered on a vision of traditional, cisgender-normative family structures. In this context, transgender people were sometimes seen as a liability; their more radical challenge to biological essentialism was deemed too controversial for mainstream acceptance. This led to painful moments of erasure, such as the exclusion of transgender people from the Employment Non-Discrimination Act (ENDA) in the 1990s and 2000s, a strategic sacrifice that many in the gay and lesbian establishment endorsed. This history has left a lingering distrust, a feeling among some trans individuals that they are tolerated as part of the "LGBT" umbrella only when convenient. The push for marriage equality, while a monumental