Trump Administration Is Now Providing PrEP Abroad, But Not for LGBTQ+ People

The goal is to erase gay people because super Christian Rubio agrees with the hateful that LGBTQ+ need to die or go away.  They are not human people like good straight cis people are.   So lets protect the straight people and hope the icky gays get the aids virus.  That is their view, not mine, yours, or real Christians who follow Jesus’s command to love and care for people.   Hugs

But Rubio’s waiver itself stated that “gender or DEI ideology programs” and “transgender surgeries” — e.g., any overseas programs or organizations that support trans people — should not receive aid during the “pause,” and that any programs not specifically named in the waiver “may not be resumed without express approval.”

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The President’s Emergency Plan for AIDS Relief (PEPFAR) is still barred from providing PrEP to LGBTQ+ people around the world, according to recent State Department documents, placing millions of people at elevated risk of HIV exposure.

Shortly after President Donald Trump and Secretary of State Marco Rubio ordered a 90-day freeze on foreign aid in January, Rubio issued an additional “emergency humanitarian waiver” on February 6 which appeared to allow HIV medications to be distributed abroad during that time. That waiver ostensibly meant that pre-exposure prophylaxis, or PrEP — the antiretroviral drug that prevents the transmission of HIV — would be distributed through PEPFAR. But Rubio’s waiver itself stated that “gender or DEI ideology programs” and “transgender surgeries” — e.g., any overseas programs or organizations that support trans people — should not receive aid during the “pause,” and that any programs not specifically named in the waiver “may not be resumed without express approval.”

Now, a new State Department document, dated February 6 and published online by the Joint United Nations Programme on HIV/AIDS (UNAIDS) confirms that PrEP “should be offered only to pregnant and breastfeeding women,” whereas anyone else “who may be at high risk of HIV infection or were previously initiated on a PrEP option can not be offered PEPFAR-funded PrEP” (emphases in original) during the aid freeze.

Among the “high risk” populations currently blocked from receiving PrEP through PEPFAR is LGBTQ+ people — particularly men who have sex with men (MSM) and trans people, two demographics with an increased risk of exposure to HIV. UNAIDS estimated this week that more than 3,000 new HIV infections have occurred worldwide as a result of the Trump administration’s aid freeze.

Founded in 2003 to combat the international spread of HIV, PEPFAR reported distributing antiretroviral treatments to over 20 million people worldwide in 2024, including 2.5 million new PrEP users. In 2022, PEPFAR spent 8.9% of its budget, or approximately $20.1 million, on services for MSM and trans people, according to an analysis by the health policy research organization KFF. A further $28 million went to provide HIV prevention and treatment services for sex workers.

Trump and Rubio’s aid freeze has also already resulted in PEPFAR-assisted programs shutting their doors. The Kenyan “Fahari ya Jamii” initiative, a five-year HIV prevention project founded in 2022, shut down more than 150 clinics and placed more than 700 workers on unpaid leave following the freeze last month, as the Washington Blade reported February 5.

The freeze is part of Trump’s larger war against the United States Agency for International Development, or USAID, the federal agency which distributes civilian foreign aid and partially funds PEPFAR. Amid the administration’s purge of “woke” terminology — including the terms “gender” and “LGBTQ” — from government websites, the USAID site was still entirely offline at time of writing. The agency was also the subject of a House committee hearing on February 5, during which Rep. Nancy Mace repeatedly used a transphobic slur to denigrate U.S. support for LGBTQ+ programs abroad.

Global health organizations have condemned the Trump aid freeze particularly as it relates to HIV prevention, warning of dire consequences already taking place. The international watchdog group Human Rights Watch wrote this week that even a temporary pause on PEPFAR programs “could be devastating” for countless people around the world. The AIDS Vaccine Advocacy Coalition (AVAC) and Journalism Development Network, Inc. filed a joint lawsuit against Trump, Rubio, and Office of Management and Budget director Russell Vought on February 10, alleging the administration’s aid freeze is illegal and unconstitutional. On February 11, a group of USAID contractors and non-governmental organizations filed another such lawsuit, alleging that the freeze had already caused “irreparable damage.” The administration is already fighting a third lawsuit brought by a group of USAID employees last week, which led a federal judge to issue an injunction against the furloughing of USAID workers on February 7.

“[W]ith this new guidance, the Trump Administration is choosing politics over science, discrimination over compassion, and ultimately, death over life,” AVAC representatives wrote in a statement last week. “The February 6th guidance […] is not only a dangerous deviation from sound public health policy — it is a death sentence for thousands of people at risk of HIV globally,” the organization wrote, adding, “This decision appears to be less about public health and more about an ideological agenda that seeks to police morality rather than protect lives.”

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This is not why people use they/them pronouns

Let’s talk about Trump’s losing streak in court….

Trans People Are Real and Detransitioning Isn’t That Common – SOME MORE NEWS

Ok the first few minutes are sort of campy and over the top, it is the guy’s style thing I guess.  But then he settles down and delivers the facts and debunks a lot of stuff by showing the actual studies the right wrong claim back them up, but he shows how the studies say the opposite of that the trans haters claimed.  Great info on trans people and the made up faked outrage caused by a small group of trans haters who are making big money off of pushing lies about trans kids and trans issues.  Hugs

Hi. Right-wing politicians, lawyers, and grifters (and some liberals) want to convince you that trans youth are the victims of a social contagion and that the majority of those who transition will detransition. This is a lie that puts all trans people at risk. Get the world’s news at https://ground.news/SMN to compare coverage and see through biased coverage. Subscribe for 40% off unlimited access through our link.

Some Essence of Thought videos on trans issues.

I love Ethel who is a grand young woman.   I have watched her transition from an awkward teenager online who did not understand how to express what she felt inside and watched her blossom as she realized and started living openly as who she was.  She is a wonderful resource for how to combat trans hate and misinformation.  If she gives a stat or makes a claim you can take it to the bank that it is correct as she not only does meticulous research she also documents it all for others to see and read for themselves.  Trans women are simply women, and trans men are simply men.   I look forward to the day we can all drop the word trans, just we need to stop saying same sex marriage and simply say marriage.   Hugs and loves.  

Trump order aims to end federal support for gender transitions for those under 19

https://apnews.com/article/trump-transgender-transition-executive-order-301e4130233b411311978f66f455f1c4

So much for rights for adults to make their own medical decisions.  I guess it is fine for cis adults to have boob jobs and cis adult men can do what they want with their penises but not transitioning people.  Well not women either.  Seems only straight cis males can have control over their bodies and sex organs.

But what I think this is about is how trans people passing for the gender they are upsets fundamentalist men.  It screws with their idea that god created men and women and that is just how it has to be, what you are assigned at birth.  Right now people who do not suffer going through the wrong puberty don’t get the wrong secondary sex characteristics. Look at the changes in boys when puberty hit.  Most boys facial features change and broaden, shoulders get wider, they develop deeper voices, and of course their bodies grow hair along with increasing the size of the sex organs.  All things trans girls do not want their bodies to look like and will fight all their lives trying to change and make go away.  It will be much harder for them to pass as the women they identify as.  It will make them look much less of the idea most people have of how women should normally look.   Much easier for them to be singled out.  Some changes will never be able to mask or make go away.

Same with trans men.  They will be forced to go through female puberty.  They will grow boobs they hate, wider hips, along with other body changes including to their sexual organs.  All things they hate.  Some things will make it harder to transition, again making it harder for them to pass as the men they are. 

And again that seems to be the plan.  It seems to really upset the fundies that they get all hot about a woman that they then realize is a trans woman.  I do know a straight man who had no interest in the male sex organ who started dating an attractive woman, she turns out to be trans who had not had bottom surgery.  As they say, love conquers all and they are living very happily together.      Hugs

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President Donald Trump arrives to speak about the economy during an event at the Circa Resort and Casino in Las Vegas, Saturday, Jan. 25, 2025. (AP Photo/Mark Schiefelbein)

President Donald Trump arrives to speak about the economy during an event at the Circa Resort and Casino in Las Vegas, Saturday, Jan. 25, 2025. (AP Photo/Mark Schiefelbein)

Updated 9:03 PM EST, January 28, 2025
 

President Donald Trump on Tuesday signed an executive order aimed at cutting federal support for gender transitions for people under age 19, his latest move to roll back protections for transgender people across the country.

“It is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures,” the order says.

The order directs that federally-run insurance programs, including TRICARE for military families and Medicaid, exclude coverage for such care and calls on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.

Medicaid programs in some states cover gender-affirming care. The new order suggests that the practice could end, and targets hospitals and universities that receive federal money and provide the care.

The language in the executive order — using words such as “maiming,” “sterilizing” and “mutilation” — contradicts what is typical for gender-affirming care in the United States. It also labels guidance from the World Professional Association for Transgender Health as “junk science.”

On his Truth Social platform, Trump called gender-affirming care “barbaric medical procedures.”

Major medical groups such as the American Medical Association and the American Academy of Pediatrics support access to care.

Young people who persistently identify as a gender that differs from their sex assigned at birth are first evaluated by a team of professionals. Some may try a social transition, involving changing a hairstyle or pronouns. Some may later also receive puberty blockers or hormones. Surgery is extremely rare for minors.

“It is deeply unfair to play politics with people’s lives and strip transgender young people, their families and their providers of the freedom to make necessary health care decisions,” said Human Rights Campaign President Kelley Robinson.

The order encourages Congress to adopt a law allowing those who receive gender-affirming care and come to regret it, or their parents, to sue the providers.

It also directs the Justice Department to prioritize investigating states that protect access to gender-affirming care and “facilitate stripping custody from parents” who oppose the treatments for their children. Some Democratic-controlled states have adopted laws that seek to protect doctors who provide gender-affirming care to patients who travel from states where it’s banned for minors.

Lambda Legal promised swift legal action.

Michel Lee Garrett, a trans woman whose teenage child only partially identifies as a girl and uses they/them pronouns, said such policies aim to erase trans people from public life but will never succeed. Her child has not elected to pursue a medical transition, but the mother from State College, Pennsylvania, said she won’t stop fighting to preserve that option for her child and others.

“I’ll always support my child’s needs, regardless of what policies may be in place or what may come … even if it meant trouble for me,” Lee Garrett said.

For Howl Hall, an 18-year-old freshman at Eastern Washington University, taking testosterone not only changed his body but dramatically improved his experience with depression. With that treatment now under threat, Hall said he’s concerned that getting off testosterone would hurt his mental health.

“I would be alive, but I wouldn’t be living,” Hall said. “I wouldn’t be living my life in a productive way at all. I can guarantee that I would be failing all of my classes if I was even showing up to them.”

The push is the latest by Trump to reverse Biden administration policies protecting transgender people and their care. On Monday, Trump directed the Pentagon to conduct a review that is likely to lead to them being barred from military service. A group of active-duty military personnel sued over that on Tuesday.

Hours after taking office last week, Trump signed another order that seeks to define sex as only male or female, not recognizing transgender, nonbinary or intersex people or the idea that gender can be fluid. Already that’s resulted in the State Department halting issuing passports with an “X” gender marker, forcing transgender people to apply for travel documents with markers that don’t match their identities.

Trump said he would address these issues during his campaign last year, and his actions could prove widely divisive.

In the November election, voters were slightly more likely to oppose than support laws that ban gender-affirming medical treatment, such as puberty blockers and hormone therapy, for minors under the age of 18 who identify as transgender, according to AP VoteCast. About half of voters, 52%, were opposed, but 47% said they were in favor.

Trump’s voters were much more likely to support bans on transgender care: About 6 in 10 Trump voters favored such laws.

“It’s very clear that this order, in combination with the other orders that we’ve seen over the past week, are meant to not protect anyone in this country, but rather to single-mindedly drive out transgender people of all ages from all walks of civic life,” said Harper Seldin, a staff attorney for the American Civil Liberties Union’s LGBTQ & HIV Project.

Seldin said the ACLU is reviewing the order “to understand what, if anything, has immediate effect versus what needs to go through continued agency action.”

Even as transgender people have gained visibility and acceptance on some fronts, they’ve become major targets for social conservatives. In recent years, at least 26 states have adopted laws restricting or banning gender-affirming medical care for transgender minors. Most of those states face lawsuits, including one over Tennessee’s ban that’s pending before the U.S. Supreme Court.

Republican-controlled states have also moved to keep transgender women and girls from competing in women’s or girls’ sports and to dictate which bathrooms transgender people can use, particularly in schools.

“These policies are not serving anyone,” said Shelby Chestnut, executive director of the Transgender Law Center. “They’re only creating confusion and fear for all people.”

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Mulvihill reported from Cherry Hill, New Jersey, and Schoenbaum from Salt Lake City. Associated Press writers Carla K. Johnson and Hallie Golden in Seattle and Linley Sanders in Washington contributed reporting.

ZEKE MILLER
Zeke is AP’s chief White House correspondent
GEOFF MULVIHILL
Mulvihill covers topics on the agendas of state governments across the country. He has focused on abortion, gender issues and opioid litigation.
HANNAH SCHOENBAUM
Schoenbaum is a government and politics reporter based in Salt Lake City, Utah. She also covers general news in the Rockies and LGBTQ+ rights policies in U.S. statehouses.

Transgender Navy commander reacts to Trump’s ban on trans service members

CNN’s Kaitlan Collins talks with Navy Cmdr. Emily Shilling about her status as a trans service member after President Donald Trump signed an executive order banning transgender service members from serving in the US armed forces

Debunked: 61-98% of Trans Youth Desist During Puberty

As I have written and posted I love Ethel’s videos.  She presents the facts with an easy to listen to rhythm and tone.  She uses facts to present the medical studies and medical science for trans people not emotion, feelings, or guess work.   She presents the sources she uses and gives the details of how the conclusions were reached and the validity of the studies.  Such as to if it is peer reviewed, how large the sample size, and the conclusions of the data match what the person pushing the information is claiming it does. Often Ethel catches bigots simply lying by claiming a study shows negative results when in fact the studies and data present a positive or are completely opposite from what the haters claim. 

Plus for those who would rather read than listen she provides a transcript of the videos she does and again as I mentioned she supplies her sources so others can look up the studies / data themselves to show she is telling the truth.  That is why you never see videos by trans haters such as the TERFs trying to claim she lied.  If you care about the facts and wish to have the information to combat the lies of bigots please check out her other videos supporting trans people and debunking anti-trans lies.  Hugs

Watch all our videos debunking gender ‘critical’ fascism here! –    • Debunking Gender ‘Critical’ Fascism  

Today’s video debunks the myth that between 61-98% of all trans youth desist if we take a ‘wait and see’ approach, exposing the linguistic sleight of hand used by those set on undermining gender affirming care as the only ethical approach. #ProtectTransKids

Hi, welcome to Essence of Thought with me, Ethel Thurston, as your host.

Trump order targets transgender troops and ‘radical gender ideology’

https://www.washingtonpost.com/national-security/2025/01/28/trump-transgender-troops-military-hegseth/

tRump is old and … intellectually challenged so he can not understand gender identification.  A lot of older people can’t handle the changes in society and the acceptance of new ways to be / live.  As far as the religious fanatics pushing the hate against LGBTQ+ people including trans people are cis people who do not feel a disconnect between their sex organs and their feelings of who they are in society.  Just as the same religious straight people can not understand the attraction gay people feel.  They don’t feel that way themselves, so don’t see being cis and straight being the only acceptable way to live as a problem. Instead they think because they don’t feel that way then no one else does so it must be a choice.  Or a mental defect to be cured.  They refuse to accept medical science / medical studies and all the evidence that it is real, exists, and normal.  We learn as a society and we as we grow in understanding we learn to accept new things.  Medical science and medical research tell us that being trans and gay is normal, also that medical care that affirms those feelings is important along with necessary.   Just because I don’t like a food or feel like I want to eat it, doesn’t mean no one likes it or don’t want to eat it.  But liking a food I don’t doesn’t mean it is a mental illness or makes a person unfit.  

saying that the U.S. military has been “afflicted with radical gender ideology to appease activists” and that “many mental and physical health conditions are incompatible with active duty.”

 

It also takes aim at transgender people in personal terms, accusing them of living in conflict “with a soldier’s commitment to an honorable, truthful, and disciplined lifestyle, even in one’s personal life.”

 

“A man’s assertion that he is a woman, and his requirement that others honor this falsehood, is not consistent with the humility and selflessness required of a service member,” it adds.

 

Newly confirmed Defense Secretary Pete Hegseth, a former National Guard soldier who has said that “being transgendered in the military causes complications and differences,”

The above by the drunken wife abuser accused sexual predator Hegseth is wrong.  The only complication and differences caused by having transgender people in the military is not the trans people but the fundamentalist religious people / Christians like Hegseth who feel the entire LGBTQ+ is an abomination to his god and so shouldn’t be allowed to exist.   Or worse mix with the real children of god, people with good morals like the drunken wife abuser accused sexual predator Hegseth. This issue over transgender people in the military reminds me of when Clinton tried to make it legal for gay people to be out in the military.   Senator Sam Nunn went on a Navy ship and said no real service member wanted to be sleeping near, working next to, or using the bathroom facilities with the dreaded gay person, which some churches were desperate to keep from being accepted and live openly in society.  The anti-gay people claimed all sorts of horrors if gay people were allowed to service openly from the collapse of the military to mass exit of members.   None of that happened, the military stayed the world’s best and there was no mass fleeing from the service. 

These same people with the same hater mind set made the same claims about first black people being allowed to serve, and then when the military was desegregated.  The same was said of women in combat roles.  It always comes from the haters who use their personal bigotry as the metric for how everyone should be and feel.  And they never admit when all the horrors they claim will happen if those they are against get equality and inclusion never happen.  They just pick a new target and repeat the same attacks and hates.  Now it is the trans people’s turn to be accused of all the horrible things that blacks were, the gays were, that never were true.  Trans people have served openly for some time, studies show that they do not harm the military or lower the military readiness / effectiveness in any way.  Sadly far too many of our general public who know nothing about the military or who never served think they are experts and again feel that everyone has the same bigotries, racist, and misogynistic feelings they do.  Being in other countries or even different parts of the US will open closed minds.  Harris did not lose by much, she almost won.  It is too bad these hateful ignorant people are going to be able to enshrine their hates and bigotries into law and hurt so many people in the next few years. But remember if we can get the House then most of the damage can do with the passing of laws will stop, and if we can regain the Senate we can stop hateful ideolog judges from being installed.   It is up to us to get out the vote.   Hugs

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The executive order took aim at transgender individuals in personal terms, noting that physical and mental health conditions make them “incompatible” with military service.

January 28, 2025 at 12:28 a.m. EST
 
The Pentagon in Arlington, Virginia. (Joshua Roberts/Reuters)
 

President Donald Trump on Monday night issued an executive order targeting transgender service members and an array of other people, saying that the U.S. military has been “afflicted with radical gender ideology to appease activists” and that “many mental and physical health conditions are incompatible with active duty.”

 
 

The list of conditions identified could affect tens of thousands of people depending on how it is interpreted. It cites diagnoses “that require substantial medication or medical treatment to bipolar and related disorders, eating disorders, suicidality, and prior psychiatric hospitalization.”

The order calls for the Pentagon to adopt updated policies on the medical standards required for military service. It also takes aim at transgender people in personal terms, accusing them of living in conflict “with a soldier’s commitment to an honorable, truthful, and disciplined lifestyle, even in one’s personal life.”

 
 

“A man’s assertion that he is a woman, and his requirement that others honor this falsehood, is not consistent with the humility and selflessness required of a service member,” it adds.

 

The order builds on a previous directive, issued hours after Trump’s Jan. 20 inauguration, overturning a 2021 Biden administration measure that permitted transgender troops to serve openly, which reversed an earlier ban from Trump’s first term in office. The new executive order does not immediately ban transgender individuals from serving, but it directs the Defense Department and the Department of Homeland Security, which oversees the Coast Guard, to revise medical standards and submit a report to the president outlining steps to comply with the directive.

While the Defense Department does not keep track of the number of transgender personnel across the force, the latest shift in the long-running policy back-and-forth could impact thousands of service members. It also represents one aspect of a far-reaching Trump administration effort to roll back diversity initiatives across the government.

 
 

Trump signed the new transgender order along with others calling for the reinstatement of troops who were discharged during the Biden administration for refusing coronavirus vaccines; the elimination of diversity, equity and inclusion offices in the Defense Department; and the creation of an “Iron Dome for America,” Trump’s vision for expanded missile defense.

Newly confirmed Defense Secretary Pete Hegseth, a former National Guard soldier who has said that “being transgendered in the military causes complications and differences,” promised in his first remarks to reporters at the Pentagon on Monday that he would ensure implementation of Trump’s priorities, which also include ordering the military to guard the southern border.

“This is happening quickly,” he said. “Our job is lethality and readiness and warfighting.”

 
 

In a November podcast, Hegseth said personnel receiving medication related to gender transitions would be unable to serve effectively.

Advocates for transgender people have said that there may be as many as 15,000 in the U.S. military. A 2016 Defense Department survey found that about 9,000 identified as such. Both figures represent less than 1 percent of the 2 million people who serve in the active-duty, reserve or National Guard components of the military.

For decades, the military considered transgender people to be sexual deviants who were unfit for service. But in 2016, after a year-long policy review, the Obama administration repealed a ban on transgender service, citing the value of ensuring that all qualified individuals were able to serve their country in uniform.

 

“We have to have access to 100 percent of America’s population for our all-volunteer forces to be able to recruit from among them the most highly qualified — and to retain them,” Defense Secretary Ash Carter said at the time.

 

The repeal followed the Obama administration in 2011 overturning the “don’t ask, don’t tell” policy, which prohibited gay service members from serving openly, and the 2015 repeal of a ban on women serving in a wide array of jobs in ground combat units.

After taking office in 2017, Trump announced a ban on transgender military service in a series of tweets, without notifying key defense officials. The move triggered a scramble in the Pentagon, with then-Defense Secretary Jim Mattis ordering another policy review.

 

In 2018, Mattis adopted a new policy with Trump’s tacit support that softened the full ban, effectively prohibiting new transgender service members from joining the military but allowing those already in uniform to stay on.

The ruling was challenged in court, but the Supreme Court upheld Trump’s partial ban in 2019. The military began enforcing that policy later that year.

President Joe Biden quickly reversed Trump’s ban in an executive order after taking office in 2021.

Some Hasanabi clips