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“At the first trans health conference I ever attended, a parent asked about long-term health risks for people taking hormones. The doctor gave a full assessment of issues that trans men face; many of them mimic the risks that would be inherited from father to son if they'd been born male, now that testosterone is a factor. "What about trans women?" another parent asked. The doctor took a deep breath. "Those outcomes are murkier. Because trans women are so discriminated against, they're at far greater risk for issues like alcoholism, poverty, homelessness, and lack of access to good healthcare. All of these issues impact their overall health so much that it's hard to gather data on what their health outcomes would be if these issues weren't present." This was stunning-a group of people is treated so badly by our culture that we can't clearly study their health. The burden of this abuse is that substantial and pervasive. Your generation will be healthier. The signs are already there.” — Carolyn Hays