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During the 1980s and 1990s, the AIDS epidemic devastated both gay and trans communities. Trans women, especially those involved in sex work, faced identical discrimination in healthcare and housing. Organizations like ACT UP (AIDS Coalition to Unleash Power) saw trans activists working alongside gay men. This shared trauma forged an unbreakable, if complicated, bond. The fight for antiretroviral drugs was also a fight for trans-inclusive healthcare.

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