Transgender people in rural America struggle to find care
For Tammy Rainey, finding a health care provider who knows about gender-affirming care has been a challenge in the rural northern Mississippi town where she lives.
As a transgender woman, Rainey needs the hormone estrogen, which allows her to physically transition by developing more feminine features. But when she asked her doctor for an estrogen prescription, he said he couldn’t provide it.

Courtesy of UAB Office of Standardized Patient Education/KHN
Elaine Stephens is examined by a medical student in University of Alabama-Birmingham's standardized patient program. In the early years of this program, Stephens says, some students' bedside manner would change once she revealed she was transgender. “Sometimes they would immediately start asking about sexual activity,” Stephens said. Since UAB launched its program, students’ reactions have improved significantly, she said.
“He’s generally a good guy and doesn’t act prejudiced. He gets my name and pronouns right,” Rainey said. “But when I asked him about hormones, he said, ‘I just don’t feel like I know enough about that. I don’t want to get involved in that.’”
So Rainey drives about 170 miles round trip every six months to get a supply of estrogen from a clinic in Memphis, Tennessee.
The obstacles Rainey overcomes to access care illustrate a type of medical inequity that transgender people in the rural U.S. often face: a general lack of education about trans-related care among small-town health professionals who might also be reluctant to learn.
“Medical communities across the country are seeing clearly that there is a knowledge gap in the provision of gender-affirming care,” said Dr. Morissa Ladinsky, a pediatrician who co-leads the Youth Multidisciplinary Gender Team at the University of Alabama-Birmingham.
The Movement Advancement Project, a nonprofit organization that advocates for LGBTQ+ issues, used 2014-17 Centers for Disease Control and Prevention data from selected ZIP codes in 35 states to estimate that roughly 1 in 6 transgender adults in the U.S. live in a rural area. When that report was released in 2019, there were an estimated 1.4 million transgender people age 13 and older nationwide. That number is now at least 1.6 million, according to the Williams Institute, a nonprofit think tank at the UCLA School of Law.
One in 3 trans people in rural areas experienced discrimination by a health care provider in the year leading up to the 2015 U.S. Transgender Survey Report, according to an analysis by MAP. A third of all trans individuals report having to teach their doctor about their health care needs to receive appropriate care, and 62% worry about being negatively judged by a health care provider because of their sexual orientation or gender identity, according to data collected by the Williams Institute and other organizations.
A lack of local rural providers knowledgeable in trans care can mean long drives to gender-affirming clinics in metropolitan areas. Rural transgender people are three times as likely as all trans adults to travel 25 to 49 miles for routine care.
In Colorado, for example, many trans people outside Denver struggle to find proper care. Those who do have a trans-inclusive provider are more likely to receive wellness exams, less likely to delay care due to discrimination, and less likely to attempt suicide, according to results from the Colorado Transgender Health Survey published in 2018.
Much of the lack of care experienced by trans people is linked to insufficient education on LGBTQ+ health in medical schools across the country. In 2014, the Association of American Medical Colleges, which represents 170 accredited medical schools in the United States and Canada, released its first curriculum guidelines on caring for LGBTQ+ patients. As of 2018, 76% of medical schools included LGBTQ health themes in their curriculum, with half providing three or fewer classes on this topic.
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Trans kids’ treatment can start younger, new guidelines sayMassimo Valicchia // NurPhoto via Getty Images
At the forefront of the movement for gay rights are transgender people, serving as the most fervent activists for the rights of queer people around the world. For the past few decades, transgender people have demonstrated their skills and passions in various fields and industries. By excelling at what they do, they have broken barriers, helping to progress social norms and attitudes toward queerness. And by using their profile and social status, these trans celebrities have acted as guiding lights to young queer people all over the world.
To that end, Stacker compiled a list of 25 prolific transgender celebrities, covering not only their individual backgrounds and bodies of work but also detailing any famous firsts they accomplished through their work and activism, if applicable. There are no politicians on this list.
These figures are actors, musicians, models, athletes, artists, and influencers. They are prominent not only for being transgender individuals in their fields but for also contributing to and advancing their fields overall. Whether they have been out their entire life or only came out in the middle of their career, they have served as inspirations to many.
Through the hardships and obstacles they faced from their peers and society, these figures have emerged in the mainstream, paving the way for more queer and trans people to follow. Read on to see which of these celebrities you recognize and whose work you have followed.
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Massimo Valicchia // NurPhoto via Getty ImagesAt the forefront of the movement for gay rights are transgender people, serving as the most fervent activists for the rights of queer people around the world. For the past few decades, transgender people have demonstrated their skills and passions in various fields and industries. By excelling at what they do, they have broken barriers, helping to progress social norms and attitudes toward queerness. And by using their profile and social status, these trans celebrities have acted as guiding lights to young queer people all over the world.
To that end, Stacker compiled a list of 25 prolific transgender celebrities, covering not only their individual backgrounds and bodies of work but also detailing any famous firsts they accomplished through their work and activism, if applicable. There are no politicians on this list.
These figures are actors, musicians, models, athletes, artists, and influencers. They are prominent not only for being transgender individuals in their fields but for also contributing to and advancing their fields overall. Whether they have been out their entire life or only came out in the middle of their career, they have served as inspirations to many.
Through the hardships and obstacles they faced from their peers and society, these figures have emerged in the mainstream, paving the way for more queer and trans people to follow. Read on to see which of these celebrities you recognize and whose work you have followed.
You may also like: Most famous celebrities from the year you were born

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Trans kids’ treatment can start younger, new guidelines sayStefania D’Alessandro/WireImage // Getty Images
Hailing from present-day Bosnia-Herzegovina, Andreja Pejić has modeled for both women’s and men’s clothing. Pejić has been featured on the covers of Elle, Marie Claire, and GQ, and became the first transgender model profiled by Vogue in 2015. In addition to becoming one of the most prolific transgender models in the world, Pejić has appeared as a guest judge on “Britain’s Next Top Model” and acted in 2018’s “The Girl in the Spider’s Web.”
Stefania D’Alessandro/WireImage // Getty ImagesHailing from present-day Bosnia-Herzegovina, Andreja Pejić has modeled for both women’s and men’s clothing. Pejić has been featured on the covers of Elle, Marie Claire, and GQ, and became the first transgender model profiled by Vogue in 2015. In addition to becoming one of the most prolific transgender models in the world, Pejić has appeared as a guest judge on “Britain’s Next Top Model” and acted in 2018’s “The Girl in the Spider’s Web.”
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Trans kids’ treatment can start younger, new guidelines sayAxelle/Bauer-Griffin/FilmMagic // Getty Images
Actor Asia Kate Dillon is the first nonbinary performer to portray a major role in an American television show, playing the character of Taylor Mason in “Billions.” They have been nominated for several Critics’ Choice Television Awards and co-starred in “John Wick: Chapter 3 - Parabellum.” Their presence in film and television has helped observers learn about the nonbinary experience and the use of singular they/them pronouns, resulting in such awards ceremonies as the MTV Awards making some of their categories gender-neutral and inclusive.
Axelle/Bauer-Griffin/FilmMagic // Getty ImagesActor Asia Kate Dillon is the first nonbinary performer to portray a major role in an American television show, playing the character of Taylor Mason in “Billions.” They have been nominated for several Critics’ Choice Television Awards and co-starred in “John Wick: Chapter 3 - Parabellum.” Their presence in film and television has helped observers learn about the nonbinary experience and the use of singular they/them pronouns, resulting in such awards ceremonies as the MTV Awards making some of their categories gender-neutral and inclusive.
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Trans kids’ treatment can start younger, new guidelines sayMichael Ochs Archives // Getty Images
For several decades in the 20th century, Billy Tipton was one of the most accomplished jazz musicians of his time. As a bandleader and a pianist, Tipton toured the country and released several successful albums. Tipton, assigned female at birth, changed his gender presentation in the early 1930s to fit the “jazz band image” at the time; his status as a trans man was unknown until after his death and was a surprise to even his closest friends and family.
Michael Ochs Archives // Getty ImagesFor several decades in the 20th century, Billy Tipton was one of the most accomplished jazz musicians of his time. As a bandleader and a pianist, Tipton toured the country and released several successful albums. Tipton, assigned female at birth, changed his gender presentation in the early 1930s to fit the “jazz band image” at the time; his status as a trans man was unknown until after his death and was a surprise to even his closest friends and family.
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Trans kids’ treatment can start younger, new guidelines saySarah Morris // Getty Images
One of the most prolific coming-out moments from a celebrity in the modern era was that of Caitlyn Jenner, who is a long-retired gold medalist decathlete. Jenner’s transition sparked publicity and wide discussions about the transgender experience, and she would win accolades such as the Arthur Ashe Courage Award at the ESPY Awards for sharing that of her own.
Sarah Morris // Getty ImagesOne of the most prolific coming-out moments from a celebrity in the modern era was that of Caitlyn Jenner, who is a long-retired gold medalist decathlete. Jenner’s transition sparked publicity and wide discussions about the transgender experience, and she would win accolades such as the Arthur Ashe Courage Award at the ESPY Awards for sharing that of her own.
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Trans kids’ treatment can start younger, new guidelines sayJohn Lamparski/WireImage // Getty Images
Before her successful acting career, Candis Cayne performed as a drag queen in the early 1990s. She then began to appear in film and television, including some projects by RuPaul. By 2007, Cayne had a spot on the television show “Dirty Sexy Money,” becoming the first transgender actress to portray a recurring role as a transgender character on prime time television.
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John Lamparski/WireImage // Getty ImagesBefore her successful acting career, Candis Cayne performed as a drag queen in the early 1990s. She then began to appear in film and television, including some projects by RuPaul. By 2007, Cayne had a spot on the television show “Dirty Sexy Money,” becoming the first transgender actress to portray a recurring role as a transgender character on prime time television.
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Trans kids’ treatment can start younger, new guidelines sayBrendan Monks/Mirrorpix // Getty Images
After the release of the 1981 James Bond film “For Your Eyes Only,” in which model Caroline Cossey appeared as an extra, British tabloids outed Cossey as a transgender woman. While the incident severely upset her, Cossey continued her modeling career and fought for trans rights in the U.K., with her efforts reaching all the way to the European Court of Human Rights.
Brendan Monks/Mirrorpix // Getty ImagesAfter the release of the 1981 James Bond film “For Your Eyes Only,” in which model Caroline Cossey appeared as an extra, British tabloids outed Cossey as a transgender woman. While the incident severely upset her, Cossey continued her modeling career and fought for trans rights in the U.K., with her efforts reaching all the way to the European Court of Human Rights.
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Trans kids’ treatment can start younger, new guidelines sayAxelle/Bauer-Griffin/FilmMagic // Getty Images
As the child of Sonny Bono and Cher, Chaz Bono has received media attention since early in life. Before his transition, tabloids outed him as a lesbian, and his transition to a male began in earnest during the late 2000s. Chaz has since been a prominent LGBTQ+ activist and advocate. He proceeded to share his story in a 2011 documentary film and later competed on “Dancing with the Stars,” both of which helped to spur conversation about transgender people.
Axelle/Bauer-Griffin/FilmMagic // Getty ImagesAs the child of Sonny Bono and Cher, Chaz Bono has received media attention since early in life. Before his transition, tabloids outed him as a lesbian, and his transition to a male began in earnest during the late 2000s. Chaz has since been a prominent LGBTQ+ activist and advocate. He proceeded to share his story in a 2011 documentary film and later competed on “Dancing with the Stars,” both of which helped to spur conversation about transgender people.
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Trans kids’ treatment can start younger, new guidelines saySlaven Vlasic/Getty Images for Tribeca Film Festival // Getty Images
Transgender athletes have always faced difficult battles within their fields due to the gender-separated nature of many events, but triathlete Chris Mosier has instigated change in sports. Through Mosier’s challenging the International Olympic Committee policy, he was able to participate in the Duathlon Age Group World Championship Race and many events afterward. Mosier was the first transgender man to compete in Olympic trials with other men, and he was the first transgender athlete to participate in the “Body Issue” of ESPN Magazine.
Slaven Vlasic/Getty Images for Tribeca Film Festival // Getty ImagesTransgender athletes have always faced difficult battles within their fields due to the gender-separated nature of many events, but triathlete Chris Mosier has instigated change in sports. Through Mosier’s challenging the International Olympic Committee policy, he was able to participate in the Duathlon Age Group World Championship Race and many events afterward. Mosier was the first transgender man to compete in Olympic trials with other men, and he was the first transgender athlete to participate in the “Body Issue” of ESPN Magazine.
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Trans kids’ treatment can start younger, new guidelines sayMichael Ochs Archives // Getty Images
In the 1950s, Christine Jorgensen was the first known person to undergo sex reassignment surgery, identifying as a woman some years after her service in World War II. With her wit and cadence, Jorgensen became profiled in the news and became an advocate for transgender people while also working as an actress and a performer. As a spokesperson for transgender people, Jorgensen has remained an influential figure even decades after her death.
Michael Ochs Archives // Getty ImagesIn the 1950s, Christine Jorgensen was the first known person to undergo sex reassignment surgery, identifying as a woman some years after her service in World War II. With her wit and cadence, Jorgensen became profiled in the news and became an advocate for transgender people while also working as an actress and a performer. As a spokesperson for transgender people, Jorgensen has remained an influential figure even decades after her death.
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Trans kids’ treatment can start younger, new guidelines sayCindy Ord // Getty Images
Now-retired MMA fighter Fallon Fox struggled with her gender identity for most of her early life, eventually receiving reassignment surgery. After becoming an MMA fighter in the women’s division, Fox came out as transgender, which led to controversy and debate over whether or not she would be allowed to compete against other women. While her career has ended, outlets like Outsports deemed Fox the “bravest athlete in history.”
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Cindy Ord // Getty ImagesNow-retired MMA fighter Fallon Fox struggled with her gender identity for most of her early life, eventually receiving reassignment surgery. After becoming an MMA fighter in the women’s division, Fox came out as transgender, which led to controversy and debate over whether or not she would be allowed to compete against other women. While her career has ended, outlets like Outsports deemed Fox the “bravest athlete in history.”
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Trans kids’ treatment can start younger, new guidelines saySarah Morris // Getty Images
Gigi Loren Lazzarato Getty, known professionally as Gigi Gorgeous, was one of the earlier makeup artists building a following on YouTube in the late 2000s. Initially identifying as a gay man, Gigi Gorgeous came out as a transgender woman in 2013. In August 2016, she was unfortunately detained at the Dubai International Airport due to her transgender status and social norms in the United Arab Emirates, which sparked calls for equal protection and reform in anti-transgender laws.
Sarah Morris // Getty ImagesGigi Loren Lazzarato Getty, known professionally as Gigi Gorgeous, was one of the earlier makeup artists building a following on YouTube in the late 2000s. Initially identifying as a gay man, Gigi Gorgeous came out as a transgender woman in 2013. In August 2016, she was unfortunately detained at the Dubai International Airport due to her transgender status and social norms in the United Arab Emirates, which sparked calls for equal protection and reform in anti-transgender laws.
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Trans kids’ treatment can start younger, new guidelines sayJeff Kravitz/FilmMagic // Getty Images
As the first transgender person to appear on the cover of a major British magazine, Hari Nef has used her modeling and acting career to speak out about trans issues. Along with her work in fashion and modeling, Nef is also a writer; her work has appeared in publications like Vice as well as a sex advice column. Her most familiar work in film and television includes appearances on the TV show “Transparent” and the film “Assassination Nation.”
Jeff Kravitz/FilmMagic // Getty ImagesAs the first transgender person to appear on the cover of a major British magazine, Hari Nef has used her modeling and acting career to speak out about trans issues. Along with her work in fashion and modeling, Nef is also a writer; her work has appeared in publications like Vice as well as a sex advice column. Her most familiar work in film and television includes appearances on the TV show “Transparent” and the film “Assassination Nation.”
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Trans kids’ treatment can start younger, new guidelines sayCindy Ord/Getty Images for SCAD aTVfest 2020
Model Hunter Schafer has modeled for several prominent labels, including Tommy Hilfiger and Coach. In 2019, Schafer captivated audiences with her role in HBO’s “Euphoria,” in which she co-stars as the love interest of Zendaya’s protagonist. Her role was praised by viewers and critics alike, and Schafer crafted her character’s backstory with showrunner Sam Levinson for a sense of authenticity. With “Euphoria” bringing her to fame, Schafer has been a prominent queer activist.
Cindy Ord/Getty Images for SCAD aTVfest 2020Model Hunter Schafer has modeled for several prominent labels, including Tommy Hilfiger and Coach. In 2019, Schafer captivated audiences with her role in HBO’s “Euphoria,” in which she co-stars as the love interest of Zendaya’s protagonist. Her role was praised by viewers and critics alike, and Schafer crafted her character’s backstory with showrunner Sam Levinson for a sense of authenticity. With “Euphoria” bringing her to fame, Schafer has been a prominent queer activist.
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Trans kids’ treatment can start younger, new guidelines sayLeon Bennett/WireImage // Getty Images
Actress and model Jamie Clayton found herself drawn to the Netflix show “Sense8,” as it featured a transgender woman character written by transgender writers. Clayton portrayed the character of Nomi Marks in the series, and would go on to appear in shows, films, and video games, including “The Snowman,” “The Neon Demon,” “Designated Survivor,” and “Mass Effect: Andromeda.” In the docuseries “Equal,” Clayton even portrayed transgender icon Christine Jorgensen.
Leon Bennett/WireImage // Getty ImagesActress and model Jamie Clayton found herself drawn to the Netflix show “Sense8,” as it featured a transgender woman character written by transgender writers. Clayton portrayed the character of Nomi Marks in the series, and would go on to appear in shows, films, and video games, including “The Snowman,” “The Neon Demon,” “Designated Survivor,” and “Mass Effect: Andromeda.” In the docuseries “Equal,” Clayton even portrayed transgender icon Christine Jorgensen.
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Trans kids’ treatment can start younger, new guidelines sayRoy Rochlin // Getty Images
Seeing a significantly young and prominent trans person in the media is important for other trans children who may be going through a difficult time, and Jazz Jennings was able to offer that representation. Jennings was diagnosed with gender dysphoria at the early age of 5, and since transitioning, she has made multiple media appearances to speak about her challenges on shows like “20/20” as well as on the Oprah Winfrey Network. Since then, Jennings has launched a number of initiatives and charities supporting transgender children.
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Roy Rochlin // Getty ImagesSeeing a significantly young and prominent trans person in the media is important for other trans children who may be going through a difficult time, and Jazz Jennings was able to offer that representation. Jennings was diagnosed with gender dysphoria at the early age of 5, and since transitioning, she has made multiple media appearances to speak about her challenges on shows like “20/20” as well as on the Oprah Winfrey Network. Since then, Jennings has launched a number of initiatives and charities supporting transgender children.
You may also like: From Stonewall to today: 50+ years of modern LGBTQ+ history
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Trans kids’ treatment can start younger, new guidelines sayRich Fury/Getty Images for GLAAD
Born in 2001, Josie Totah is one of the youngest out transgender performers in the entertainment industry. After appearing in the Disney Channel show “Jessie,” Totah would go on to receive praise for her performance in the 2016 film “Other People.” It wasn’t until 2018 that she came out as a transgender woman. She’s since gone on to appear in projects like Peacock’s “Saved by the Bell” reboot as a cheerleader.
Rich Fury/Getty Images for GLAADBorn in 2001, Josie Totah is one of the youngest out transgender performers in the entertainment industry. After appearing in the Disney Channel show “Jessie,” Totah would go on to receive praise for her performance in the 2016 film “Other People.” It wasn’t until 2018 that she came out as a transgender woman. She’s since gone on to appear in projects like Peacock’s “Saved by the Bell” reboot as a cheerleader.
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Trans kids’ treatment can start younger, new guidelines sayJohn Lamparski/WireImage // Getty Images
During his time at George Washington University, Kye Allums was part of the university’s women’s basketball team. While playing on the team, he came out as a trans man and later left the team. After graduating, Allums traveled the country and acted as a public speaker, sharing his own experiences and advice on how to handle bullying toward trans youth.
John Lamparski/WireImage // Getty ImagesDuring his time at George Washington University, Kye Allums was part of the university’s women’s basketball team. While playing on the team, he came out as a trans man and later left the team. After graduating, Allums traveled the country and acted as a public speaker, sharing his own experiences and advice on how to handle bullying toward trans youth.
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Trans kids’ treatment can start younger, new guidelines sayTimothy Hiatt // Getty Images
Best known for writing and directing “The Matrix” films, Lana and Lilly Wachowski both came out as trans women in 2010 and 2016, respectively. “The Matrix” films have been pointed out for containing trans allegories, and the duo has continued to be inclusive in their works, especially with their Netflix series “Sense8.” Lana and Lilly also directed “Speed Racer,” “Cloud Atlas,” and “Jupiter Ascending.”
Timothy Hiatt // Getty ImagesBest known for writing and directing “The Matrix” films, Lana and Lilly Wachowski both came out as trans women in 2010 and 2016, respectively. “The Matrix” films have been pointed out for containing trans allegories, and the duo has continued to be inclusive in their works, especially with their Netflix series “Sense8.” Lana and Lilly also directed “Speed Racer,” “Cloud Atlas,” and “Jupiter Ascending.”
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Trans kids’ treatment can start younger, new guidelines sayBurak Cingi/Redferns // Getty Images
Punk rock star Laura Jane Grace is the founder, lead singer, and guitarist of the band Against Me! She is one of the few openly transgender punk rock artists in the industry, coming out as a trans woman in the latter half of her band’s career in 2012. To reflect on her identity, Against Me! independently released a well-received concept album entitled “Transgender Dysphoria Blues” in 2014.
Burak Cingi/Redferns // Getty ImagesPunk rock star Laura Jane Grace is the founder, lead singer, and guitarist of the band Against Me! She is one of the few openly transgender punk rock artists in the industry, coming out as a trans woman in the latter half of her band’s career in 2012. To reflect on her identity, Against Me! independently released a well-received concept album entitled “Transgender Dysphoria Blues” in 2014.
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Trans kids’ treatment can start younger, new guidelines saySarah Morris // Getty Images
Quite possibly the most famous trans celebrity is actress and activist Laverne Cox, who is primarily known for her role in the Netflix series “Orange Is the New Black.” Cox has the distinction of being the first transgender performer nominated for an Emmy in an acting category. She went on to be the first transgender actress with a series regular role on a broadcast network for her work on CBS’ “Doubt.” As an activist, Cox is credited with having a large role in the national discussion about transgender people in the United States.
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Sarah Morris // Getty ImagesQuite possibly the most famous trans celebrity is actress and activist Laverne Cox, who is primarily known for her role in the Netflix series “Orange Is the New Black.” Cox has the distinction of being the first transgender performer nominated for an Emmy in an acting category. She went on to be the first transgender actress with a series regular role on a broadcast network for her work on CBS’ “Doubt.” As an activist, Cox is credited with having a large role in the national discussion about transgender people in the United States.
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Trans kids’ treatment can start younger, new guidelines sayCharles Rogers // Wikimedia Commons
As a computer scientist and engineer, Lynn Conway was fired from her job in 1968 when she revealed her intention to transition to a woman. Still, her work has been credited for a number of technological and computer innovations, specifically with microchip design. Near retirement, Conway became a trans rights activist, specifically concerning employees in the tech industry.
Charles Rogers // Wikimedia CommonsAs a computer scientist and engineer, Lynn Conway was fired from her job in 1968 when she revealed her intention to transition to a woman. Still, her work has been credited for a number of technological and computer innovations, specifically with microchip design. Near retirement, Conway became a trans rights activist, specifically concerning employees in the tech industry.
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Trans kids’ treatment can start younger, new guidelines sayRachel Murray/Getty Images for MAKERS
Best known for her role in FX’s “Pose,” Michaela Jaé Rodriguez is the lead actress in what is the largest transgender and queer cast in a television show to date. In 2021, Rodriguez became the first transgender woman to take home the Emmy for Outstanding Lead Actress in a Drama Series. The following year, Rodriguez made another meaningful leap for trans representation in the entertainment industry by claiming the Best Actress trophy at the Golden Globe Awards, making her the first trans actress to win the honor in the history of the awards.
Rachel Murray/Getty Images for MAKERSBest known for her role in FX’s “Pose,” Michaela Jaé Rodriguez is the lead actress in what is the largest transgender and queer cast in a television show to date. In 2021, Rodriguez became the first transgender woman to take home the Emmy for Outstanding Lead Actress in a Drama Series. The following year, Rodriguez made another meaningful leap for trans representation in the entertainment industry by claiming the Best Actress trophy at the Golden Globe Awards, making her the first trans actress to win the honor in the history of the awards.
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Trans kids’ treatment can start younger, new guidelines sayLeft at London
Better known by the stage name Left at London, Nat Puff is a singer-songwriter and internet personality. She is best known for her viral Vines and her parodies of musicians and comedians, while also being an accomplished musician in her own right, with her “Transgender Street Legend” albums. Since her social media presence has grown, she frequently shares fundraising campaigns for a number of struggling transgender individuals.
Left at LondonBetter known by the stage name Left at London, Nat Puff is a singer-songwriter and internet personality. She is best known for her viral Vines and her parodies of musicians and comedians, while also being an accomplished musician in her own right, with her “Transgender Street Legend” albums. Since her social media presence has grown, she frequently shares fundraising campaigns for a number of struggling transgender individuals.
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Trans kids’ treatment can start younger, new guidelines sayNatalie Wynn Parrott // Wikimedia Commons
In response to the increasing number of right-wing video essays on YouTube, Natalie Wynn, best known by her online name ContraPoints, began producing elaborate counterargument video essays on the platform. Her videos are known for their detail in terms of both her nuanced arguments and her intricate production and costume design. She remains one of the most-followed leftist YouTubers, alongside Hbomberguy and Philosophy Tube, both of whom have campaigned for trans equality.
Natalie Wynn Parrott // Wikimedia CommonsIn response to the increasing number of right-wing video essays on YouTube, Natalie Wynn, best known by her online name ContraPoints, began producing elaborate counterargument video essays on the platform. Her videos are known for their detail in terms of both her nuanced arguments and her intricate production and costume design. She remains one of the most-followed leftist YouTubers, alongside Hbomberguy and Philosophy Tube, both of whom have campaigned for trans equality.
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Trans kids’ treatment can start younger, new guidelines sayDave Kotinsky/Getty Images for Shorty Awards
Popularly known as NikkieTutorials online, Nikkie de Jager is an online influencer and makeup artist with over one billion views on YouTube. She has received accolades from Forbes and the Teen Choice Awards for her work, and she came out as transgender early in 2020. Later that same year, she had the distinction of serving as the online host of “Eurovision: Europe Shine a Light,” which replaced the traditional Eurovision Song Contest due to the COVID-19 pandemic.
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Dave Kotinsky/Getty Images for Shorty AwardsPopularly known as NikkieTutorials online, Nikkie de Jager is an online influencer and makeup artist with over one billion views on YouTube. She has received accolades from Forbes and the Teen Choice Awards for her work, and she came out as transgender early in 2020. Later that same year, she had the distinction of serving as the online host of “Eurovision: Europe Shine a Light,” which replaced the traditional Eurovision Song Contest due to the COVID-19 pandemic.
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Perhaps because of this, almost 77% of students from 10 medical schools in New England felt “not competent” or “somewhat not competent” in treating gender minority patients, according to a 2018 pilot study. A paper published last year found that even clinicians who work in trans-friendly clinics lack knowledge about hormones, gender-affirming surgical options and how to use appropriate pronouns and trans-inclusive language.
Some practicing doctors don’t take the time to teach themselves about trans people, said Kathie Moehlig, founder of TransFamily Support Services, a nonprofit organization that offers services to transgender people and their families. They are very well intentioned yet uneducated when it comes to transgender care, she said.
Some medical schools, like the one at UAB, have pushed for change. Since 2017, Ladinsky and her colleagues have worked to include trans people in their standardized patient program, which gives medical students hands-on experience and feedback by interacting with “patients” in simulated clinical environments.
This progress is being replicated by other medical schools, Moehlig said. “But it’s a slow start, and these are large institutions that take a long time to move forward.”
Advocates also are working outside medical schools to improve care in rural areas. In Colorado, the nonprofit Extension for Community Health Outcomes offered monthly virtual classes on gender-affirming care to rural providers since 2020. The classes became so popular, the organization created a four-week boot camp in 2021 for providers to learn about hormone therapy management, proper terminologies, surgical options and supporting patients’ mental health.