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International Trans-Inclusive Healthcare: India

By Jeremiah Ancheta

Two weeks ago, Cloud Dancers published a blog post overviewing the experiences of transgender people with the American health care system. In that post, we shared that, in the United States, it is currently prohibited by law for health care providers to discriminate against transgender people due to their transgender identity.

In this week’s post, we want to share more news on transgender health care access in other countries. Recently, India has taken multiple steps in making health care access for transgender people easier and more adequate. 

According to a piece by Fenway Health, The Fenway Institute in collaboration with the John Hopkins University School of Medicine established the ACCELERATE Program, an initiative that “aims to ensure comprehensive health services for transgender communities in India in a safe environment, free from stigma.” Through this program, two clinics were established that attend to the specific medical needs of transgender people. The Mitr Clinic launched in Hyderabad, India in January 2021, with a second clinic opening in the same city in July 2021.

With the first two clinics launched so far, the ACCELERATE Program hopes that more sites will open up throughout all of India that are particularly designed to attend to the medical needs of the transgender community.

Furthermore, July 2021 saw the launch of “TransCare: MedEd” in India that aims “to promote trans-inclusive healthcare and to educate healthcare professionals on transgender health,” as reported by The Times of India. This project comes after the passing of the Transgender Persons (Protection of Rights) Act in India in 2019, “which mandates governments to take measures for ‘review of medical curriculum and research for doctors to address their [transgender] specific health issues.’” In response to the passing of this Act, Sangath, a public health research NGO, launched this initiative in collaboration with Kasturba Medical College and was funded by the University of Chicago.

This is a huge step for the transgender community in India, who have previously voiced their concerns with the inadequacy of the Indian health care system. For instance, this piece by Al Jazeera in 2014 noted issues with the system such as “transphobia in India’s healthcare system” and health care professionals being familiar only with the traditional gender binary. 

But that’s not all! On October 6, 2021, The Economic Times reported that the Ayushman Bharat, the national public health insurance scheme in the Indian Government that is free for low-income earners, “will now provide medical cover to transgenders and support medical intervention like sex change operations.” Those covered by Ayushman Bharat receive “free treatment at all public and empanelled private hospitals.” What this means is that with the inclusion of the aforementioned services, transgender people will receive free health care servics, including sex change operations, if they are covered by Ayushman Bharat.

With the establishment of medical facilities specifically designed for transgender people, further education for health care providers on transgender health and being trans-inclusive, as well as a national reform of Indian health insurance that provides free health care services for transgender people, India has seen a lot of progress in advancing transgender rights. Cloud Dancers hopes that other countries will take notice of India’s intervention in transgender health care and follow along in providing adequate and stigma-free health care for the community.

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Magdalene Amelia’s Story on The Importance of Coming Out

By Meghan Serceki 

October 11 marks the 33rd anniversary of National Coming Out Day. Each year, this is an opportunity for LGBTQ+ individuals and their allies to celebrate the courage it takes to share one’s whole, true self with the world. One of the people I would like to recognize is my friend, Magdalene Amelia. I have known her most of my life, but did not know she was a woman until she came out to herself and then, gradually, to the world within the past year.

Magdalene and I grew up together in a small town in Waukesha County, Wisconsin. While I moved at the end of middle school, she stayed and graduated high school there. There were about 700 students in her class, and out of that only one person was openly queer. In this environment, she says, “The people are so conservative that almost no one felt safe coming out. It definitely kept me in a nice little — not even walk-in closet, more like those little wardrobes built into the wall.”

She recalls early indications of her transness: looking in the mirror at age 10 and hoping that the doctors had missed something and that she would go through “girl puberty” instead, wondering if taking her mom’s birth control would cause her to develop a chest. These thoughts persisted and grew as my friends and I did a makeover on her and she saw herself presenting as femme, yet she kept them safely tucked away and written off in her own mind. She didn’t realize questioning her gender was even an option because, for her, “at the time, it really wasn’t.”

It wasn’t until moving to Los Angeles for college and living there a few years that she allowed herself to truly give credibility to her own feelings. She was done up by friends for a showing of The Rocky Horror Picture Show, and when she got home she realized how much she loved looking like that, how she didn’t want to take it off. For the first time, she allowed the thought to live in her mind, to take up room and to feel real. 

When the pandemic hit, she was left alone with these thoughts and spent a lot of time discovering the aspects to who she is that she had kept hidden from everyone, including herself. The final factor was seeing a trans woman’s tweet about how much she wished she had accepted herself while in college, and deciding that she would not have the same regret. National Coming Out Day 2021 will be exactly one year and two days since she accepted that she’s trans.

Coming out to her friends, she grew increasingly comfortable being her fully authentic self. She started  by telling her close friends, then slowly opened up to more people in her day-to-day life. She controlled who she expressed it to and when, easing herself into the process. When coming out to people in her own generation and in her college setting, she says “it’s kind of comically easy because I think we have less of the negative preconceived notions.”

However, when she felt it was time to tell her parents she felt a lot of fear — not because she didn’t think they’d be accepting but because she didn’t want them to be disappointed or feel like they no longer knew her. It was a long process explaining it to her parents and getting them to understand what she feels and why transitioning is important to her, but now that she has she feels she no longer has to hide herself. 

Since then, she has legally changed her name, presents femme all the time, and is transitioning. Being out, she claims, “feels weird to call freeing, but I finally can interact with the world as myself.”

Coming out is always daunting, and it is never the same for any two people. There is no guidebook, but by sharing our stories we might find support in one another or similarities among us. Being open about our own experiences is one of the most important things we can do not only for ourselves but also for others. We never know who in our lives might be questioning their gender or sexuality, or even dealing with other difficult situations in general. By creating a safe space and opening that line of communication, we can build a support system for everyone and work towards a more accepting future.

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Cultivating a Trans-Inclusive Work Environment

By Cornelia Waldrum

Humans spend more collective time working than any other activity in their lives, outside of sleeping. The average human spends over 13 years of their life at work, and that doesn’t account for overtime. As a result, people’s work environment has the potential to significantly affect the overall quality of their lives. 

Work is often a point of stress for all of us, but there are added stressors for transgender people struggling with stigma and discrimination because their gender identity doesn’t conform to societal expectations of gender expression. 

Many transgender people feel the need to hide their true identity in the workplace or face pressures to conform to traditional gender roles. Such experiences can negatively impact people’s mental and emotional wellbeing, job satisfaction and desire to stay with a company. 

“The consequences of opening up about your trans identity at work is that you open yourself up to the potential of a lot of discrimination,” Katina Sawyer, assistant professor of management at George Washington University, said. “There’s a real risk in people being authentic if their coworkers are not going to be accepting.”

The good news is that in recent years there have been notable gains in LGBTQ+ protections and support in the workplace. According to the Human Rights Council 2021 Corporate Equality Index, 71 percent of Fortune 500 companies now provide trans-inclusive health insurance coverage compared to only 34 percent in 2015. Major companies have also made public gestures of support for the LGBTQ+ community such as establishing inclusive company guidelines, donating to LGBTQ+ organizations and supporting policies like the Equality Act.

Though it is important to celebrate progress, it is equally as important to recognize that outward gestures of support must also be translated inwards to the workplace itself. There are still vast inequalities in hiring and representation of transgender employees and high reports of discrimination at work. 

What does the trans work experience look like?

Representation of transgender people in the workplace is significantly lacking compared to the percentage of transgender people in the population. According to a survey by the National Center for Transgender Equality, the trans unemployment rate is three times that of the national average. This underrepresentation increases the likelihood of a sense of “onlyness” and isolation for employees who may be the only one on a team of their gender identity or sexual orientation. 

Kris Posthuma currently works as a supervisor at a public health hospital and has made many decisions about where to work based on his transgender identity. He emphasized that because he is white and presents as masculine, he’s had more opportunities than femme-presenting trans and BIPOC are afforded. Even so, he has faced a variety of challenges navigating his trans identity at work. 

All but one of Posthuma’s previous jobs have had no avenue through the application or interview process to disclose his transgender identity. There were no policies in any of the employee handbooks addressing how the organization would support transgender people who worked there, so he assumed if any issue were to arise he would be on his own. 

When Posthuma first started taking testosterone, he decided to work alone overnight in order to limit his interactions with other staff. This meant that he could avoid any potential issues at work, but also meant he didn’t have any support. He chose to work in isolation in part because he had no way of letting the organization know his gender identity in the onboarding process. 

During his time with a different organization, Posthuma was asked to provide services at a prison. Only one or two of his coworkers knew he was transgender at the time, and while he would have loved to work with incarcerated individuals, he experienced severe anxiety at the thought of the invasive searches and questioning that prison visits would entail. When Posthuma raised his concerns with the HR department and disclosed that he was transgender, he was met with a lot of questions and his concerns were dismissed. 

“At some point [the woman in HR] asked if I ever flew, and I responded that I only flew when I absolutely had to for the same reasons I was hesitant to take any job where I would have an invasive search,” Posthuma said. “She told me that if I could fly, I could do this assignment.” 

After some thought, Posthuma decided that even if it cost him his job, he would decline to work at the prison. The woman in HR continued to dismiss his fears and question his reasoning. Eventually Posthuma was excused from the assignment, but his relationship with the company was never the same afterwards and he resigned shortly after. 

A survey performed in 2020 found that of the LGBTQ+ people who experienced discrimination in the past year, three in five were transgender people. Over 25 percent of transgender people reported being not hired, fired or denied a promotion because of their gender identity. Rates of discrimination are even higher for those who are at the intersection of more than one marginalized groups such as transgender people of color. 

Katina Sawyer has been an activist and ally of the LGTBQ+ community for years. She has a PhD in women’s and gender studies as well as psychology and conducts research at George Washington University where she also teaches. Before proposing workplace changes, Sawyer and her team interview trans people to understand firsthand their desires and needs. 

Sawyer’s research reveals that about half of transgender respondents experience discriminatory behavior due to their trans identity on a daily basis. Such behavior includes hearing transphobic remarks or feeling pressure to hide their trans identity in order to avoid being mistreated. 

“I think a theme that keeps emerging in some of my experiences is silence, and feeling like I had to navigate tricky circumstances on my own,” Posthuma said. “There have been many times in my career when I could not have afforded to lose a job, so often silence was the path I chose to ensure that I would stay employed. For me, there was always the added anxiety and level of loneliness that I think can come with hiding something about yourself.”

Such experiences impact trans people’s ability to work effectively. Sawyer’s studies show experiences of discrimination lead people to feel emotionally exhausted at work and on guard around others. It creates barriers between coworkers and decreases the connectedness people feel within their workplaces. 

“Things that are exhausting tend to decrease the energy you have to put toward your job,” Sawyer said. “Hiding who you are is very exhausting, feeling rejected is very exhausting. That depletes energy that you could have otherwise put towards performing your job well.”

There is a significant price to pay for ignoring these issues. A study from the Center of American Progress found that companies in the United States lose around $64 billion annually replacing employees that have left their jobs due to discrimination. Many of these workers are members of the LGBTQ+ community. 

According to Sawyer, when people feel like they’re working in a place that actually cares about their employees and treats people fairly, job satisfaction increases for all workers. Trans inclusion heightens job attitudes and performance, energy and generativity. Better company culture also helps attract and retain better people.

What Does a Trans-Inclusive Work Environment Look Like?

To start, Sawyer emphasizes the importance of a top down approach to cultivating an inclusive work environment. It is difficult to create an inclusive workspace if leaders are not on board. Posthuma experienced this when working at a LGBTQ+ specific organization. His colleagues knew he was transgender, but the organization’s director was not inclusive of trans and non-binary people. At one point the director asked Posthuma why he felt like transgender people such as himself were part of the LGBTQ+ community at all. 

“My bigger frustration at this job was that the organization did not have or try to have insurance that would have alleviated the cost of transition-related health care,” Posthuma said. “As one of the only LGBTQ+ organizations in the state, I was dumbfounded that demonstrating how to support LGBTQ+ people organizationally and systemically was not a priority. I felt that the executive director’s personal feelings about transgender and non-binary people steered the organization away from prioritizing these types of decisions.”

Leaders should participate in education and awareness in the office and become comfortable talking about topics surrounding gender identity and expression. When approaching these topics as an ally, it is important to come to the table willing to work with people in the trans community, to listen and receive direction rather than assume to know what is needed. 

Sometimes it’s not desirable for trans people to constantly be placed in the role of educating, though it’s also not desirable to always be spoken for. Sometimes it’s not desirable for a cisgender ally to publicly chastise transphobic remarks, but it’s important to not passively tolerate discrimination either. Navigating these situations requires conversation and active engagement with trans colleagues to understand how to address each unique scenario. 

“When cisgender people demonstrate oppositional courage to disrupt the status quo and stand up for trans rights, this creates positive work attitudes in trans populations,” Sawyer said. “But we add some nuance to that with more recent data which is–when it’s done with a dose of humility.” 

It’s okay to enter these spaces and conversations without knowing everything. When employers are transparent about the fact that they are still learning and are open to feedback, it allows room for open and honest dialogue that leads to growth. 

Policy development within the company lays the foundation for a trans inclusive workplace. A good place to start is incorporating explicit non discrimination and harrassment policies into training and onboarding to set the tone for current and future employees’ behavior in the workplace. There are many trans led consulting organizations that work with companies on making their spaces more trans inclusive.

Posthuma also recommends that companies review their current hiring practices and assess if they are truly equitable. 

“There are a myriad of complex, systemic reasons why a transgender or non-binary person may have had contact with the law enforcement system, or have not followed a traditional educational path – even more so if they are also BIPOC,” Posthuma said. “There are so many resources that will help organizations adjust their hiring processes to create a better and more equitable approach to bringing on and supporting talented people that they are missing by creating meaningless barriers.”

Company training and education initiatives are crucial to increasing employees’ understanding and acceptance of their trans colleagues. One simple way to embrace gender nonconformity at work is to require all employees to include their preferred pronouns in their email signature. This normalizes gender inclusive pronouns and encourages coworkers to not assume each other’s gender and automatically attach pronouns to one another. 

Appropriate bathroom access is another important issue that should be incorporated into company policy. Allowing transgender people to use the restroom corresponding to the gender with which they identify is an act of acceptance and lessens their sense of otherness. Co-workers who have an issue with sharing a restroom with trans employees should be advised to use separate facilities. An alternate approach is to offer private bathrooms for everyone to use, regardless of if they’re transgender. 

Companies should also reimagine dress code policies to create a more accepting work environment. Gender neutral dress codes that allow for employees to choose from a range of options can help destigmatize varying expressions of gender. 

Studies have shown that diversity and equity policies exhibited in the workplace positively impacts trans employees’ openness about their identities at work, decreases experiences of discrimination and increases the productivity of all employees. Inclusive policies let trans employees know they are valued members of an organization.

A trans friendly workspace cannot be created through company policies alone, but also by demonstrating a clear commitment to inclusivity through actions and behavior. For example, working directly with people who are transitioning and ensuring their transition at work unfolds in a way they are comfortable with. 

“There are ways that people can put formal structures in place, and then there are ways that people can create informal climates that actually create that inclusive environment which then makes the policy a guardrail, but doesn’t treat the policy like it’s the ceiling of how inclusive we can be,” Sawyer said.

Having a safe, inclusive space in which to work is a basic human right that everyone should have access to, regardless of gender identity and expression. Since so much of people’s time is spent at work, it has the potential to greatly impact life outside of the workplace and how much energy people have to give to their communities and families. As a result, companies have a huge part to play in creating thriving populations of people all around the globe. 

Helpful guides for employers and trans employees : 

Employee training resources

Interview tips, legal support and suggestions for coming out in the workplace 

Transitioning in the workplace 

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Transgender Healthcare in America

By Jeremiah Ancheta

Transgender people have a long history of discrimination with the American health care system. How has this issue been addressed in more recent years? This post will survey the experiences of Transgender people with the American health care system, as well as the laws and policies that have been put in place throughout the years dealing with this issue.

Prior to 2016, no federal policies were in place that made discrimination against transgender people by virtue of being transgender impermissible in health care settings. As such, a number of transgender people have faced discrimination by health care providers on the basis of their gender identity. In 1997, a Philadelphia study revealed that 26% of respondents were denied health care. In 2006, a Virginia study found that 27% of respondents have experienced discrimination by a physician or were denied health care. Both studies stated that the respondents’ issues in health care were due to being transgender. According to the 2015 U.S. Transgender Survey, 33% of transgender people had reported at least one negative experience with a health care provider by virtue of being transgender. The survey reported that such negative experiences involve verbal harassment, physical or sexual assault, or even outright denial of health care services due to their gender identity.

So what has been done in response to decades of this problem? The laws and policies concerning transgender discrimination in health care facilities have centered around Section 1557 of the Affordable Care Act (ACA), a federal statute signed in 2010 that significantly overhauled the United State’s health care system. This particular section of the ACA states the prohibition of discrimination based on race, color, national origin, age, disability, and sex. Let’s take a look at how this federal policy has affected the permissibility of transgender discrimination in health care settings throughout the years.

Despite the prohibition of discrimination based on sex as stated in the ACA, transgender discrimination in health care environments was not federally recognized until 2016. A solution to this issue was provided by the Health and Human Services’ Office of Civil Rights in May of 2016, which ruled that the Affordable Care Act’s prohibition of discrimination on the basis of sex is to include discrimination based on gender identity.

However, on June 2020, Health and Human Services (HHS), under the Trump administration, overturned the 2016 ruling of protection from transgender discrimination. The was done by appealing to “the government’s interpretation of sex discrimination according to the plain meaning of the word ‘sex’ as male or female and as determined by biology.” By reinterpreting sex in such a way, transgender discrimination by health care providers was no longer recognized by federal law. 

Ultimately, Health and Human Services (HHS) Secretary Xavier Becerra announced on May 2021 that the Biden Administration reversed the policies put in place by the Trump Administration, restoring the rights of transgender people to not be discriminated in health care settings on the basis of being transgender. In doing so, the Biden Administration cited the June 2020 Supreme Court decision in Bostock v. Clayton County, interpreting and enforcing “sex discrimination” from Section 1557 of the Affordable Care Act to reinclude discrimination based on gender identity.

With this recent decision by the Biden Administration, it is now prohibited by law for health care providers to discriminate against transgender people due to their gender identity. This is a necessary and important step to take in fighting for LGBTQ+ rights, and Cloud Dancers hopes that this policy will continue to stay in place. 

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Supporting Trans Loved Ones During Suicide Prevention Month

By Cornelia Waldrum

Loree Cooke-Daniels

After 11 years as a lesbian couple, Loree Cooke-Daniels’s former partner decided to transition from female to male. It was the early 90s and almost no one in the lesbian community talked about transgender issues. The couple was kicked out of the lesbian support groups they had previously been dedicated members of and Daniels’s claimed identity as a lesbian was questioned and often dismissed.

“For me it was the sense of flying off the cliff,” she laughed. “Like I had no idea where I was going to land. What I did end up taking with me is my activism. And that was the stream of continuity. I moved from being a lesbian activist to being an activist in the trans community.”

Daniels is now the policy and program director for FORGE, the nation’s oldest transgender anti-violence organization as well as the founder of Transgender Aging Network and ElderTG. She uses her knowledge of the issues transgender people face to educate others on how to be allies to the transgender community. 

What puts aging transgender people at a higher risk of suicide?

It wasn’t until the 1970s that being transgender was no longer considered a mental illness. Until 2013 being transgender was still labeled as “gender identity disorder” by the American Psychiatric Association. The discriminatory nature of the language used to describe transgender people is a reflection of the decades of inequity and stigma older transgender people have faced.

Though there has been a surge of awareness and support of the LGBTQ+ community in recent years, an array of unique challenges face the aging transgender community. While very limited, existing research on transgender people reveals that many are aging in isolation with barriers to knowledgeable health care providers and proper support from their community. 

Older transgender adults have lower levels of social support than non-transgender adults and many are survivors of sexual, physical and/or domestic abuse. They often face discrimination in health care access, employment, housing and more. 

A policy brief published by the Services and Advocacy for GLBT Elders (SAGE) writes that, “many transgender elders routinely encounter both a health care system and a national aging network that are ill-prepared to provide culturally competent care and services and create residential environments that affirm the gender identities and expressions of transgender older people.”

According to Irene Tsikitas, Director of Care Management Services at SAGE, when there is mistreatment in the medical field such as misgendering or incorrect use of pronouns, there is less of a chance an individual will go to a medical provider for treatment and support. This can result in depressive symptoms and mental health not being properly treated. 

Such high rates of mistreatment and isolation has a significant impact on the physical and mental well-being of transgender people and is compounded with the inherent challenges of aging. According the the Aging and Health Report, more than half of older transgender respondants had experienced suicidal ideation at some point in their life, and more than one in four of them had attempted suicide. 

The age 50 and older population as a whole is expected to increase in the next few decades, and as a result the number of self-identified LGBTQ+ older adults is estimated to double by 2030. This calls for increased social support of transgender people to ensure their well being now and as they age. 

September is National Suicide Prevention Month and it is important to empower and inform ourselves of how we can be allies and support the well-being of transgender family, friends and community members in our own lives. 

For friends and family members …

Educating yourself and being supportive are the first steps in caring for your transgender loved one. Something as simple as using their chosen name and pronouns makes them feel affirmed, seen and accepted. If you don’t know what pronouns they prefer, share your own and politely ask what pronouns they prefer to use. 

Be careful about the questions you ask, some topics are not appropriate to ask about and a transgender person may not feel comfortable sharing intimate details about themselves. For example, asking about surgeries, what hormones they may be taking, or their sexual relationships, may not be appropriate. 

It is also important to remember that someone’s transgender identity is personal information for them alone to share or not share. Just because they have told you about their identity doesn’t mean they are ready to share that information with everyone in their life. 

If you are having conversations with someone who you believe might be suicidal there can be a tendency to want to connect them with the police or a hospital. According to Cooke-Daniels, from experience, if the at-risk individual is transgender, going straight to the police or even a hospital is not always the best course of action, however, each case is different. 

“Particularly for trans people, hospitals and police are not necessarily good choices,” she says. “There’s a lot of transphobia out there. In Milwaukee we’ve had four trans people commit suicide while in a psychiatric facility.” 

Instead, she emphasizes the importance of simply listening rather than trying to problem solve. “Let the person emote and work out their feelings, but not try to solve it because their brain is not online when they’re that upset,” she says.

Support groups including Suicide Prevention Lifeline and Trans Lifeline are excellent resources if you are concerned about a trans loved one.

For community members…

In order to increase social support and help reduce isolation of transgender people in the community, actively engage in outreach that promotes an affirming attitude towards transgender people of all ages. 

Faith communities should make efforts to increase awareness and inclusion of transgender people. This has the potential to start conversations about gender identity and faith within a congregation, encouraging open mindedness and acceptance. Resources such as transACTION, which is a transgender curriculum, can be utilized by churches and religious institutes to guide education and conversation. 

Senior volunteer programs and events can also increase awareness of being inclusive of transgender adults so that people feel welcomed in those spaces and find connection in their community. 

As people age and start to look at alternative housing options, it’s important that the facilities where they choose to live are affirming and supportive. The SAGE advocacy group offers cultural competency training for long term care facilities to learn how to best care for LGBTQ+ elders. 

For change to truly take root, it is also vital to support legislation that ensures equality for transgender people in the United States. Currently there are no explicit federal anti-discrimination protections for LGBTQ+ people according to Tsikitas. 

“Without those federal level protections, older LGBTQ+ people in 29 states can legally be denied access to comprehensive care because of how they identify,” Tsikitas said. Without those federal protections, it’s very important to establish and support non-discriminatory policy in your state and to support the Equality Act at the federal level. 


More resources can be found below:

How to be a Good Ally

How to be an Ally to Transgender Older Adults

Improving the Lives of Older Transgender Adults — Includes Policy Suggestions

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An Interview with Dru Levasseur: Trans Attorney and Advocate

Dru Levasseur

By Gretchen Feil

In 2012, our late founder Robina Asti, 92 at the time, googled “LGBT rights” online when she faced discrimination from the Social Security Administration. Asti had been in the closet for 30 years, but promptly “marched” into the Lambda Legal offices in New York City to seek legal counsel in order to “come out to fight for herself, and for a larger community,” Dru Levasseur told us in a recent interview. 

We met with Dru Levasseur to discuss his experiences as a renowned transgender activist and lawyer, and he recounted this unforgettable introduction to Robina. Despite being treated as “suspect” and being denied her rights to survivor benefits from the Social Security Administration when her husband Norwood Patton passed away, Levasseur said that Robina acted as a “powerful activist.” Asti was denied her survivor benefits on the basis that her and Patton’s marriage was invalid because the Social Security Administration claimed that she wasn’t legally a woman at the time of her marriage, even though Asti had “taken every step possible” to change her identity documents, and had lived in the world as a woman for decades before her marriage. 

With the help of individuals like Dru Levasseur at Lambda Legal, Asti was able to make an appeal for her case, and won. On Valentine’s Day the following year, Asti’s survivor benefits finally appeared in her bank account. Asti said that “I felt like it was my husband’s Valentine’s Day gift to me.” Levassuer explained that this wasn’t just a victory for Robina, it was an “impact litigation. . .it was the kind of impact case where it affected every trans person who would be applying for survivor benefits with Social Security. They had to adjust their policy.” 

Dru And Robina
Dru Levasseur and Robina Asti marching together at an LGBTQ+ Pride parade.

In a over two decades as activist, Dru Levasseur has worked on countless other legal cases and transgender rights campaigns that have made important strides for for the transgender and greater LGBTQ+ community. We spoke with Levasseur about his experiences working with trans plaintiffs, and he said that it was “meaningful” both for him and his plaintiffs to be able to connect on the basis of their gender identities, especially considering the circumstances that many clients were forced to go through when going public with their cases. 

Prior to going public with a case, Levasseur explains to plaintiffs that it is unlikely that they will ever be able to fully go back into the closet, that they could face extreme amounts of backlash due to a lack of understanding and blatant prejudice that members of the transgender community face. Despite this, Levasseur told us that he is also able to reassure individuals that he would do his best to keep them “safe and anonymous.” Moreover, as a trans attorney, being able to tell “another trans person: what you’re going to do is so important, it would be such a gift, to tell your story, to put yourself out there in court papers,” was extremely impactful. Levasseur continued “we have to keep the power where the pain is. . .We are the experts on our own lives, and I firmly believe that with any marginalized population,” those are “the people who need to be leading the work, and that’s not easy.” However, “I never had somebody say ‘well then I don’t want to do it.’ They always said yes.” 

In addition to supporting plaintiffs throughout their court cases, Levasseur makes a point to mentor the next generation of activists. He told us “I’ve done public interest my whole career. That was what I aimed to do, and that’s what I’ve done, so I’m very passionate about mentoring the next generation of people. As I shared, my own path was very challenging, and I felt very alone, it was very difficult for me to find mentorship.” 

For that reason, Levasseur vowed to always make himself available, “to always invest in other people, particularly trans people of color, who are not represented, particularly in the legal profession.” Levasseur’s work and values “have been around making that space [for mentorship], and then also moving out of the way, which I think not a lot of people talk about,” because, “at some point, you have to say that you’re taking up this space, and you have to move on.”

Currently, Levasseur works at the National LGBTQ+ Bar Association, where he is the Director of Diversity, Equity, and Inclusion. There, he says, “I get to do coaching and mentorship for associates, attorneys, firms, people in workplaces, and law students. So that’s already embedded in part of the work that I’m doing.” Additionally, for the 2021 – 2022 school year, Levasseur will serve as the Wasserstein Public Interest Fellow at Harvard Law School, which is an important step for transgender representation at such an influential institution. There, he will meet with and mentor law students, hoping to inspire the next generation of legal professionals. 

When asked who Dru looks to when he needs motivation, he said he seeks out “family members, partners, people who were there at critical moments when I felt like I had nobody else rooting for me and who really saw me. . .I think [something] shared by a lot of trans people is the need to feel seen. I think all human beings need to feel seen, but especially trans people, when you are aware of who you are, but the world isn’t seeing you that way yet, or maybe they never will. . .It’s so incredibly painful, because you feel invisible. . .So the people who have seen me, and reminded me when I forgot who I was in those moments, that’s who I think I lean on when I have those moments of ‘Can I do it?’”

Levasseur also told us that “one of the things I didn’t see coming with this career and path was that I was going to have to bury a lot of people, especially in the trans community. . .So I think about that, when you ask me ‘Who keeps me going?’ I try to bring [them into] the room, when I’m afraid to speak, or when I have to say something that’s not going to be popular with the cis people in the room. What gives me the courage is that I try to channel, almost like an army of all of the lost people. . .That gives me courage – they’re not here to say this, but. . .those are the people I still have to be fighting for.” 

Looking towards the future, Levasseur told us that “my hope is that it gets easier for people to come out, and to accept themselves. . .My hope is that there’s going to be deeper community connections and opportunities.” Levasseur believes he shares similar fears with other trans people: “to be in the hands of a world that doesn’t understand you and thinks there’s something wrong with you.” For this reason, Levasseur explains that “it’s really important to feel safe in oneself, and to feel lovable, so that you are open to allowing people’s love in. I think that is something that’s really critical for people to believe: that they deserve love. I want to be a force for trans people particularly, where they feel like they are worthy and deserving of love in their life, and whether they are alone or not, they are going to be okay.”

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New Hungarian Legislation Sparks Protests and International Condemnation

By Skyler Brown

Image Source: Anna Szilagyi/AP

A law passed 157 to one in June by the Hungarian parliament has banned the circulation of content “deemed to promote homosexuality and gender change” in schools and to individuals under 18-years-old went into effect in early July, sparking domestic upheaval and international criticism (France 24). Despite discrimination against sexual orientation and gender identity being banned in 2004 and civil partnerships between same-sex individuals becoming recognized in 2009, Hungarian PM Viktor Orbán and the Fidesz conservative party have been steadily encroaching on marginalized communities since coming to power in 2010 (NBC News). Other legislation passed in the last year has amended the constitution to ban same-sex partners from adoption and sought to prevent intersex and transgender individuals from changing their gender markers on official documents.

This latest anti-LGBTQ+ measure does more than limit comprehensive sex education and informed discussions on gender identity, however. Sharing any information on these topics with those under 18 is outlawed, including advertisements and other forms of media, so long as the government believes it could be directed toward that demographic. According to those who have studied it, “the law means that TV shows and films featuring gay characters, or even a rainbow flag, would be permitted only after the watershed” (The Guardian). The bill also incorporates harsher punishments for pedophiles, conflating non-heterosexual and non-cisgender identities with pedophilia.

EU leaders and human rights activists have condemned these actions and the Venice Commission, one of the leading human rights institutions in the region, has found that it makes “the legal recognition of gender of trans and intersex people unconstitutional and therefore impossible,” with it being “incompatible with international human rights standards” (France 24). It marks a more sinister development in recent Hungarian politics, as the Fidesz party continues to target marginalized communities to strengthen its bid on power. It is no coincidence that Orbán, who campaigned on anti-immigrant policies and anti-Roma sentiment, has placed mounting pressure on the LGBTQ+ community with new elections around the corner in 2022.

These trends not only negatively impact the queer community, as it promotes further stigmatization and discrimination, but undermines democracy as a whole through fear tactics. Growing attacks on the civil liberties and freedom of expression of one group mean the process can be repeated. By expressing support for LGBTQ+ individuals and their identities, international actors provide validity for domestic protesters and those that oppose the new law. International backing means that Hungarians who speak out will be more protected from abuse by their government, as any mistreatment could result in more tangible penalties such as sanctions.

Because of this, the Budapest Pride Festival, which started in late June and concluded last Sunday, received backing from more than 40 embassies and foreign cultural institutions in Hungary. Protest and Pride came together on July 24th as thousands marched in the streets for the annual Pride parade.    As a 16-year-old, Mira Nagy is the exact demographic the government seeks to “protect” through this legislation. She also just so happens to be a part of the LGBTQ+ community, and she made a point of attending Pride in Budapest. When speaking with NBC News, she highlighted the seriousness of this year: “[It] is much more significant, because now there are real stakes.”

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Laurel Hubbard, Transgender Participation in Sports, and IOC Bias

By Skyler Brown 

Laurel Hubbard’s participation in these upcoming games will make her the first transgender Olympian in history. She became eligible for competition following the rule change in 2015 made by the International Olympics Committee (IOC). Hubbard was nominated by New Zealand Olympic Committee after placing 15th in the world for her performance in the 87-kilogram (192 pounds) weightlifting category. Having come out in 2013, the 43-year-old was granted IOC backing due to her meeting requirements for the female category. 

Unfortunately, her participation has not been without controversy, both in regard to what some believe is the disadvantage allowing trans women to compete creates for cisgender women in sport, as well as the inherent issues in how the IOC qualifies what a woman in sports must be. As reported by CNN, Hubbard’s inclusion in the upcoming games “has generated a fierce debate on gender, sexism and sport.” According to the specifications set by the 2015 ruling, trans women must have been out for at least four years and be able to prove that their testosterone levels remained below 10 nanomoles per liter (nmol/L) for at least a year in order to qualify. Meanwhile, a transgender man would have no set restrictions to compete. Previous rules known as the Stockholm Consensus required transgender individuals to undergo sufficient hormone therapy and surgery to fit their gender expression, including the removal of their ovaries or testes, among other things. 

Some argue that these regulations that Hubbard’s – and other trans women’s – participation in sports are still unfair to cisgender women. The argument is that trans women who transition after going through male puberty will still benefit from increased muscle and bone density even if they fall under the threshold set for testosterone level. The reality, however, is less clear. Very few studies have actually been conducted on the effect that transitioning has on athletes, especially when they participate on the elite level. A study conducted by Joanna Harper, a marathon runner who has competed as a trans woman for the past 17 years, was one of the first studies on transgender women in sport, and it was only done in 2015. It found that of the eight non-professional trans women runners had “significantly slower races after transitioning” and performed at “approximately the same level against their female peers as they had against their male peers prior to their transition” (CNN). It is also important to highlight that even though the Olympics and Paralympics have been open to trans athletes since 2004, Hubbard is the first to qualify. Of the 54,000 Olympians and Paralympians who have competed in the span of 17 years, only one has been transgender.

On the other hand, some say that the restrictions set by the IOC when it comes to testosterone levels has also policed the bodies of cisgender women, primarily women of color. Five women in particular have been banned from the upcoming Tokyo Olympics due to naturally higher testosterone levels. World Athletics (the international trand and field association) regulates cisgender women’s natural testosterone levels, too, in order to maintain “fair competition.” Those who have testosterone levels exceeding 5 nmol/L cannot compete in several events unless they take medication to reduce their testosterone levels. It is because of this that Namibian sprinters Beatrice Masilingi and Christine Mboma, Francine Niyonsaba of Burundi, and Margaret Wambui of Kenya are prohibited from participating in Tokyo. Even two-time Olympian Caster Semenya of South Africa is banned from competing. It leaves activists such as Zoé Samudzi begging the question, “At what point does a naturally occurring biological phenomenon become an ‘unfair advantage,’ rather is it a matter of ‘for whom’?”

So while, yes, milestones are being reached for transgender participation in sports, there is much more that needs to be done. Rights activists argue that these fights especially need to be addressed on a non-elite/professional level. Biases and systemic forms of oppression must be replaced. As of June 22nd this year, 25 states have introduced bills seeking to limit or outright ban trans girls and women from participating in sports on teams that align with their identities in the past legislative year. Eight states have completely forbidden them from taking part in girls’ and women’s sports teams in public secondary schools and colleges. Representation such as the Olympics is important. With more than half of transgender and nonbinary teens and adults worried to participate in sports due to their identities, the choices of the IOC and state legislature have the potential to further alienate a group that already suffers from higher rates of suicidal ideation. As Jamie Veale, President of the Professional Association for Transgender Health Aotearoa, states: “It feels like this is a dream of these young people that we can either nurture or we can shatter” (CNN).

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“Let us show you the beauty of what our gender encompasses:” International Non-binary People’s Day

By Gretchen Feil

Last week, we wrote about some of the brief histories behind non-binary identities across different cultures and time periods. In honor of International Non-binary People’s Day todayThe Cloud Dancers Foundation highlights contemporary non-binary and gender nonconforming individuals who are working for positive change in their communities. 

International Non-binary People’s Day has been celebrated since 2012, falling on July 14. This date was chosen because it is the midpoint between International Women’s Day and International Men’s Day, a clever nod at what it means to be non-binary. Non-binary individuals reject the dichotomy of gender that is present in many cultures today, recognizing that gender is a spectrum, not an opposing binary. Non-binary individuals do not identify as men or women, and find themselves somewhere in the in-between of the spectrum that is gender. Many non-binary individuals use they/them/theirs pronouns to properly reflect their gender, and many others may also use a combination of pronouns such as she/they, they/he, neopronouns such as ze/zir, or even feel that any pronoun is appropriate for their gender. 

The following non-binary and gender nonconforming advocates, many of them proud trans adults and elders, are only a few individuals working hard to make important strides in their communities today:


Dana Zzyym, 63, they/them/theirs

Dana Zzyym

63, they/them/theirs


Dana Zzyym, a Navy Veteran and non-binary as well as intersex advocate, has been working towards equity for intersex and trans communities. Over six years ago, Zzyym filed a case against the State Department with the support of Lambda Legal (the same organization that helped our late founder, Robina Asti, win her case to receive Social Security Benefits as a transgender woman), in order to finally recieve a passport that properly reflects their gender as an intersex and non-binary person. Zzyym’s lack of a passport has prevented them from traveling to international conferences, where they have been invited to present on intersex issues. 

However, on June 30th 2021, the State Department gave the news that non-binary, intersex, and gender nonconforming individuals will now be able to use an “X” gender marker on their passports. The State Department has not provided a date by which this new policy will be put into action, but Lambda Legal stated, “The update to the State Department’s policy has been a long time coming and is prompted in large part by three separate court rulings in Dana’s favor.”

Dana currently works as an associate director for Intersex Campaign for Equality, and has said that the new policy is a relief: “We don’t have to lie to get our passports. We can just be ourselves.”


Ser Anzoategui, 41, they/them/theirs

Ser Anzoategui

41, they/them/theirs


Most known for playing the role of Eddy, a queer widow in the show Vida (2018-2020), Ser Anzoategui has been paving the way for non-binary actors in television, film, and media. Vida addresses themes such as gentrification, colorism in the Latinx community, and the experiences of queer people of color, among others. The show provides much needed representation of members of the queer Latinx community, and has recieved many accolades.

Anzoategui’s outstanding performances have made them eligible for both the Golden Globes and the Screen Actors Guild awards. They were also nominated for the Imagen Awards in 2019, which aim to “[recognize] and [encourage] the entertainment industry to portray the Latino community in a positive and accurate manner.” These nominations and eligible statuses, however, came at a cost: there is no non-binary award category. This forces non-binary actors to choose between two genders, man and woman, which do not properly reflect their gender identities. This erasure of non-binary identities and experiences only serves to shrink the little representation that non-binary people have in the media, and Anzoategui writes of the dysphoria it can cause as well.

However, Anzoategui has used their spotlight as a non-binary Latinx performer to advocate for change in the industry. In February this year, Anzoategui penned an article describing why there needs to be non-binary performance categories at award shows, which will help prevent only one of the “painful” and “unacceptable” experiences that non-binary performers have to go through in the industry.
Anzoategui writes that “this advocacy for the non-binary category is bigger than our industry; it contributes to normalizing our bodies. It gives us value and worth on the streets we walk daily where sometimes safe spaces do not exist for us. . .Let us show you the beauty of what our gender encompasses. Stop limiting us from the endless ways in which we embody our gender. Embrace us. All of us.”


Mauree Turner, 27, they/them/theirs

Mauree Turner

27, they/them/theirs


Representative Mauree Turner (D) became the first out non-binary official to be elected to a state legislature when they won the 2020 race for District 88 of Oklahoma. Rep. Turner is also the first Muslim legislator to be elected in Oklahoma, demonstrating a very important step for Muslim and LGBTQ+ Americans in Oklahoma and the United States at large, especially for those that find themselves at the intersections of these communities. 

Representative Turner achieved their election victory by a landslide, winning 71 percent of the vote over Republican opponent Kelly Barlean. Rep. Turner credits this victory to their constituents and the capacity of self advocacy, saying that, “We ran a campaign based on a lot of things and deep community power is one of those. . .We ran a campaign based off of the idea that we don’t always need to have allies advocate for us but we can advocate for ourselves. That was a message a lot of people could get behind. . .I had to put faith in my community to catch me when I jumped, and they did.”

The platform that Rep. Turner promotes is a progressive one, and their campaign website makes this clear: “Their life’s work is geared towards fighting for and maintaining the civil rights and liberties for all who enter America.” Rep. Turner mentions criminal justice reform, better public education, living wages, an integrated healthcare system, and visibility as well as accurate representation in the government as some of their key issues to be addressed while in office. 

Mauree Turner, Ser Anzoategui, and Dana Zzyym are only a few of the many non-binary and gender nonconforming individuals who are advocating for LGBTQ+ communities today. They are certainly not the only inspiring individuals to recognize this International Non-binary People’s Day, but their efforts undeniably shine through as we at The Cloud Dancers Foundation celebrate all non-binary people today and every day. 

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A Brief History of Nonbinary Gender: From Ancient Times to the Early Modern Period

By Skyler Brown

Image Source: Skyler Forrester Brown/Canva

Despite some claiming the contrary, the concepts of a tertiary gender identity or an identity outside of the gender binary is not new. While it is certain that people on average have become much more aware of the existence of these identities, they have been recorded for millennia. In fact, they are mentioned in some of the earliest written records of human civilization. To understand gender as we know it today, it is important to see how it was viewed yesterday and beyond, as it shows that a variance in identities is a part of humanity.

Mesopotamian myths, which contain religious beliefs of the earliest human civilization, featured many references to individuals that were neither male nor female or were not what we would know today to be cisgender. One of the most powerful deities was known as Inanna (and later on as Ishtar) and had a particularly strong relationship with gender. Inanna was the goddess of sex, war, and justice as well as the queen of heaven. It was believed that she had the power to change a person’s gender, something noted by a follower as early as the 23rd century BCE. Thus, individuals with nonbinary identities were often involved in religious practices surrounding her, with “her cult members and priests were known for their androgyny and blurring or destroying the gender binary” (Academus).

One such group referred to its members as pilipili, or individuals who played roles in celebratory festivals honoring Inanna. The pilipili were originally raised in society as women (ki-sikil) but were then blessed by Inanna, who handed them a spear “as if she were a man” and renamed them (Academus). It is debated whether the handing of a spear is literal, with the pilipili becoming warriors and as a result defying traditional binary roles or if the spear refers to a physical transformation of the individual.

Another segment of Inanna’s followers was the gala or her priests. Priests were recorded to have been cisgender women, married or unwed, or women with children, but there were gala that were biologically male as well. In these cases, these individuals adopted women’s names and became women “for all intents and purposes” (Academus). They even sang in a Sumerian dialect known as eme-sal, a pattern of speech solely reserved for women to deliver the words of goddesses.

Other relics have been found showing the existence of individuals who were outside the gender binary, suggesting that it is possible that ancient Sumer recognized these identities in ordinary society and not in just religious spheres. Of course, this is speculative because the Sumerian language did not use gendered pronouns, but it is a common interpretation of these ancient texts and remaining art.

Another gender variant recorded all of the way back to before the common era (BCE) was that of hijras in the Indian subcontinent. These individuals were noted in the Kama Sutra and other ancient Hindu texts, and the term included eunuchs, intersex people, and transgender people. Despite attempts to wipe out this identity by the British following their passing of the Criminal Tribes Act in India in 1871, hijras are still present today and are legally recognized as a part of a third gender category by the state. Sadly, the efforts of the British during colonization have had an impact on society’s view of hijras, being the beginning “of a mainstream discomfort… [with] transgender people and hijras” (New York Times).

Around the same time of the Kama Sutra, approximately 385-380 BCE, Aristophanes detailed a creation myth revolving three sexes or genders. Males were believed to be “born of the sun”, while females were “born of the earth” (Diogenes). A tertiary category, androgynos (now translated to androgynous), was believed to have been born from the moon and androgynos individuals had combined male and female traits. Aristophanes claimed that androgynos no longer existed. Today, it is often suggested that Aristophanes was solely referring to intersex individuals, explaining the different physical and biological traits of males and females existing in one person, but it is interesting to speculate on the potential for the features to represent the individual’s understanding of the gender expression as well.

Finally, it is necessary to highlight the history of the two-spirit identity in different Native cultures. More than 150 Native American tribes recognized third genders in their communities prior to colonization, with many of these identities having unique names and cultural significance. Most tribes considered two-spirit individuals a third gender, being neither men nor women, and the same terminology was used in reference to them. Other tribes, however, had a distinct word for two-spirit females, making them a fourth gender variant. What is apparent, however, is that the concept of gender had much more fluidity in Native American society than its European counterpart.

Two-spirit people in some tribes held special roles in their communities, sometimes as healers or religious leaders. Unfortunately, many traditions in Native communities have been lost due to colonization, and “two-spirit roles, in particular, were singled out for condemnation, interference, and many times violence” (U.S. Department of Health and Human Services). Much of what is known has survived by being passed down orally through generations.

All of these examples scratch the surface of what is known in regard to gender expression prior to the early modern period. It is difficult to truly measure the scale because the further back one goes, the harder it is to find a wide array of text and relics from the period. What can be said for certain, however, is that individuals who identified outside of the gender binary have been a part of civilization since its infancy and have played valuable roles in a wide array of societies. This knowledge should help bring understanding that overall, human gender is quite fluid, and being aware and accepting this is part of long-practiced human traditions.