By JEFFREY STANLEY and JULIE DREWSEN | Updated June 25, 2020 11:57:25It is a lonely fight.
Transgender people who live in rural states have little access to health care and have no access to the kind of care needed by their more affluent counterparts.
In New Hampshire, which has a population of more than one million, there are nearly a dozen transgender health clinics and one of the few statewide clinics of its kind.
But this small town has one big advantage: The federal government is willing to cover the cost.
The American Health Care Act, the Republican health care bill that passed Congress in May, would eliminate funding for transgender care in many states and eliminate the federal option for transgender people to receive medical care.
“It is extremely frustrating to be the one to stand up and say, ‘We’re not going to help you,'” said Kristina McNeil, executive director of the Massachusetts Transgender Health Association, which is among the groups that have fought the Republican bill.
McNeil has been lobbying lawmakers to include transgender people in their health care bills for more than a decade, and the fight for transgender health has been on her mind as the state of Massachusetts faces the prospect of losing its health care option.
For decades, transgender people have been denied health care services and protections from discrimination in the workplace and housing.
The federal law has created a loophole for transgender Americans, and it has created even more uncertainty for those who are seeking the necessary care for gender dysphoria.
The American Medical Association has been urging lawmakers to make it easier for transgender adults to receive health care since the beginning.
Transgender Americans are now the majority of the population, and their numbers are growing rapidly, McNeil said.
The Affordable Care Act was designed to make health care more accessible and affordable for transgender individuals.
The bill would repeal the “don’t ask, don’t tell” policy, and provide tax credits to help pay for health insurance, the group said.
McNeil was among the first transgender people who signed onto the ACA and became eligible for subsidies.
The ACA provides financial assistance to help transgender Americans afford health insurance.
It also provides health insurance subsidies for transgender residents, including transgender women.
The Obama administration had hoped the Trump administration would be a model for federal health care policy, but McNeil and other transgender advocates say the new administration has left them to battle alone.
The Republican health bill includes a provision that would prohibit transgender people from using the government’s preferred pronoun for medical care, and would prohibit state and local governments from banning transgender people based on their gender identity.
McNeill said transgender people are often told they cannot use their preferred pronouns, but they’re not given a choice.
In addition, they are often discriminated against in employment and housing based on gender identity, and they often find themselves living in the wrong gender.
“They’ve been treated differently in their lives,” McNeil explained.
McNicholas and other trans advocates say that transgender people often don’t have access to transgender-specific health care facilities because of the lack of access to healthcare in rural areas.
In New Hampshire and other states, transgender health facilities are often far away, often only accessible via public transportation.
Transgender people in rural parts of the country have few options for health care because the health care system is largely left up to local governments and the federal government.
There are only a few health care providers in the state, and many are in rural counties.
Trans people living in rural communities are even more isolated because they don’t even have the option to seek healthcare at a community health center, which can be expensive and time-consuming.
For McNeil’s family, it meant she needed to take the long way around to the nearest clinic.
When they found a clinic in their community, they were thrilled.
“We were very thankful for the service,” she said.
“We didn’t have a car, so we went to the closest one and had it picked up.
That’s how it happened.
We were very grateful for that.”
The state of New Hampshire has been working to get transgender people covered under Medicaid, which provides health coverage to low-income Americans.
The state currently has more than 1.4 million Medicaid recipients, and nearly 100,000 of them are transgender people.
But the Affordable Care Bill would eliminate the ACA option for those with pre-existing conditions and could also hurt transgender people because of their ability to access health insurance through the ACA.
McNeal said that if the ACA is repealed, transgender women would lose access to their health insurance options.
The state has had to find a way to cover transgender people on its own.
Health care is one of New England’s most underfunded programs, and a large portion of the funding is provided through Medicaid.
The bill would also eliminate the Medicaid option for people who have pre-existing conditions, meaning transgender people with gender dysphoric disorder would lose that option.
The ACA allowed transgender people