The Future of Transgender Healthcare Is Online

Almost a quarter of rural Americans surveyed by NPR had used a telehealth service in the past few years. While new technologies are allowing remote patients to gain new access to healthcare, lack of broadband service and outdated insurance policies are making it hard for more widespread adoption.

LGBTQ asylum seekers face a unique set of problems coming to the United States, often from places where gender expression and sexuality are strictly regulated. Four organizations across the US, Mexico, and Canada are filling this unique niche. For example, AsylumConnect created an app of resources on how to apply for asylum and a catalogue of LGBTQ-friendly services and organizations in the US for them to learn about. All four aim to validate LGBTQ asylum seekers and keep them safe.

The United Kingdom's health-care system – which has been lauded as one of the most equitable models for care – is built around a government agency that decides "which treatments are worth covering, and for whom." Although the measures used to determine these recommendations are controversial and the agency doesn't always sustain public trust in their decisions, the overall outcome has increased both social solidarity and life expectancy.

The Ajo Center for Sustainable Agriculture has helped the town of Ajo in Arizona distribute affordable and nutrient-dense food to the community after the coronavirus pandemic created a significant financial strain on many families. Additional support has come from the town's participation in the Environmental Protection Agency's program Local Food, Local Places which "provides technical support and expertise to help towns leverage food systems to boost economic development."

Fearing that consistent homophobic street harassment by a resource center for queer youth was detrimental to their mental health and safety, activists set up a weekly counter protest to drown out the harmful messages. The counter-protest grew from a single person to the Pride Corner on Whyte movement with several hundred social media followers. Over time, the participation of dozens of unhoused and housed queer and trans youth provided opportunities for social service outreach, including a mentorship program that paired youth with older queer and trans participants who offer friendship and emotional support.

Following the overturn of Roe v. Wade, access to safe, legal abortion in the U.S. is scarce. While several states have banned mifepristone and misoprostol — the two drugs that makeup abortion pills — misoprostol, which has been found to be the more effective of the two, can still be accessed at some pharmacies and through nonprofits in the U.S. and overseas like Plan C and Aid Access.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.

To increase awareness of cervical cancer and the cancer-preventing HPV vaccine, Al-Ansar radio shares information about the disease, the vaccine and works to dispel speculation and misinformation about vaccines in general to those in underserved and hard-to-reach areas, as they’re often hardest to get vaccinated.

Several community organizations and municipalities like the Office of Transgender Initiatives (OTI) have come together to decrease homelessness rates among the transgender population. OTI formed a Trans Advisory Committee which focused on budget and policy advocacy based on input from the transgender community to address homelessness and partnered with efforts like the Transgender District. All in all, these combined efforts have decreased transgender homelessness by 15% since 2019.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.