Many transgender people come to the US to escape violence or persecution in the country where they were born only to have similar problems in the United States. It is hard at times for trans immigrants in the United States to get basic needs met because we often encounter discrimination at work or we are fired. Many immigrants do not have health insurance. For those who do have health insurance, in many cases it does not cover health care related to the transition. In the case of immigrants who have HIV, it can be difficult or impossible to access medication. Many trans people also encounter problems when they cannot obtain identity documents that reflect their sex or gender. Therefore immigration papers may or may not represent who they are.
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