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Mostly, they’re hoping you won’t notice the precedents they’re setting to take away your healthcare and invade your privacy.
It’s a distressing time to be a trans person just trying to mind your business.
This March, the Lemkin Institute for Genocide Prevention issued its third “red flag” warning about the risk of “anti-trans genocide” in the United States, warning about laws and policies designed to “criminalize” the entire trans community “based solely on its existence.”
In February, Kansas invalidated the IDs of all trans people in the state with a single day’s notice. Finally, just recently, the International Olympic Committee mandated that all persons competing in women’s events must submit to genetic screening—which will also ban all trans women and many intersex people from participating in Olympic sports.
As a trans person trying to walk my dog, pay my bills, and answer work emails in time to fold the laundry and make dinner, it’s profoundly stressful to say the least.
Dozens and dozens of peer-reviewed, scientifically valid studies in dozens of countries and contexts show that letting people make their own choices about how they live their own lives in their own bodies is very good for their well-being.
But it’s been this way for years. The tide of contemporary anti-trans legislation has grown from 2016’s famous (and failed) “bathroom bill” in North Carolina to a wave of speculative legislation funded by conservative billionaires creating division by stoking manufactured mass hysteria.
The numbers are staggering: a 668% increase in anti-trans legislation from 2021 to 2025, according to the Lemkin Institute. Since we all huddled down on our couches and started a sourdough hobby in 2020, the Institute says, we’ve had six consecutive record-breaking years in anti-trans bills introduced across the country.
But the horrors don’t stop in the legislatures.
A recent executive order banning trans people from the military calls trans people inherently dishonest and dishonorable. The US 4th Circuit Court of Appeals just ruled that states can legally compel trans adults like me to “appreciate [our] sex” by banning our access to gender-affirming healthcare. And when a Texan politician called billionaires a more dangerous 1% of the population than trans people, Secretary of Defense Pete Hegseth’s pastor said he hoped the man would be crucified.
For all the hate we’re getting these days, you’d think trans women were scooping up Olympic gold medals and firebombing suburban dog parks.
The reality is much less exciting, underwhelming even. We remain, by and large, humans with less money; less political power; and maybe more opinions on animation, philosophy, and colored hair dye than the average bear.
It’s estimated that there are less than 10 trans athletes of any gender in the entire NCAA. Only one openly trans woman has competed in the entire history of the Olympic games, and she didn’t place. In fact, the British Journal of Sports Medicine recently found no scientific evidence that trans women have a single competitive advantage over cisgender women in sports.
But dozens and dozens of peer-reviewed, scientifically valid studies in dozens of countries and contexts show that letting people make their own choices about how they live their own lives in their own bodies is very good for their well-being.
The American Medical Association, the largest association of physicians in the United States, just affirmed that hormone therapy, sex-reassignment surgeries, and other procedures that change a person’s physical sex characteristics are successful and medically necessary. These procedures have some of the lowest regret rates around: lower than hip replacements, lower than cosmetic surgeries, perhaps even lower than Harry Potter tattoos.
The people telling you to fear your trans neighbors are lying to your face and inventing a scary fantasy. Mostly, they’re hoping you won’t notice the precedents they’re setting to take away your healthcare, invade your privacy, and send you on a surprise trip to the DMV.
And if you’re a woman in sports, they’ll want your genetic data. I haven’t looked at a history book in awhile but I’m pretty sure that’s a red flag.
The US is forcing countries to end decades-long relationships with Cuba to further isolate the island from the world, all at the expense of the access and quality of healthcare for millions of people.
“Cuban eye doctors in Jamaica are the only reason why my grandmother didn’t go fully blind in one eye after she got a botched surgery. The work they’ve done for rural and poor Jamaicans is immeasurable,” wrote a Twitter user last week after the first set of Cuban doctors and nurses left Jamaica.
Two weeks ago, hundreds of Jamaicans marched in a “gratitude walk” to thank Cuba for the 50 years of medical solidarity that they have received. Meanwhile, others on the island have been reportedly rushing to get eye treatment at clinics before Cuban doctors were set to depart. A few weeks ago in Honduras, people were in tears as they applauded and thanked Cuban doctors for their years of service, particularly in providing free eye surgeries. If this is clearly contrary to the interests of people, why are all Cuban doctors, nurses, biomedical engineers, and technicians leaving?
They are not leaving because these countries want them to, but because the United States is forcing them to.
Last year, the United States threatened to cancel US visas for leaders of countries that have Cuban doctors working in them, as part of a decades-long campaign of aggression to destroy Cuba’s medical solidarity, which has saved over 12 million lives across the world. In reaction to this coercion, the governments of Jamaica, Honduras, Guatemala, Paraguay, the Bahamas, St. Vincent and the Grenadines, and Guyana have formally ended the Cuban medical missions after decades. The governments of Grenada, Antigua and Barbuda, and Calabria in Italy have committed to gradually reducing Cuban medical missions. The US is forcing countries to end decades-long relationships with Cuba to further isolate the island from the world, all at the expense of the access and quality of healthcare for millions of people.
Cuba’s ability to provide medical missions, despite the 66-year-long genocidal blockade, is a testament to the indestructible resolve of the Cuban people and the country’s commitment to humanity.
Cuba has carried out 30 million medical consultations in Honduras, 900,000 surgeries, and 80,000 eye surgeries. Many of the doctors were working in a free ophthalmology clinic in San Jose de Colinas in Santa Barbara as part of the Venezuelan-Cuban Operation Miracle, which provided free eye care to millions. Now, 150 Cuban doctors have left the country after the newly elected right-wing government immediately cancelled the medical mission.
In Guyana, 200 doctors have left after 50 years of providing health access for people who otherwise would not have had any. Last week, Cuban doctors began leaving Guatemala after the government ended Cuban medical missions, which began in 1998 following Hurricane Mitch to provide critical health services to Indigenous communities underserved by the Guatemalan health system. Now, 412 Cuban health personnel are beginning to end their service following a closing of ties with the government of Guatemala and the United States, and a clear willingness to bow down to coercive measures. The Bahamas has terminated its Cuban brigades, opting for discussions with the United States over building a workforce based in Canada to serve the medical system.
In Jamaica, Cuban doctors cared for more than 8,176,000 patients, undertook 74,302 surgeries, attended the births of 7,170 babies, and saved 90,000 lives. Now, the Jamaica Cuba eye care program is ending after 16 years of solidarity and 25,000 instances of people regaining their sight.
Despite initially saying that “I will prefer to lose my visa than to have 60 poor and working people die,” the prime minister of St. Vincent and the Grenadines has chosen to let the 60 patients receiving dialysis and critical care from Cuban doctors lose their care with the end of the Cuban medical missions to the country.
Not all countries are accepting this attempted coercion and sacrifice of the health of their nation. Trinidad and Tobago and Calabria in Italy have refused to cancel the Cuban medical missions. The Trinidadian president said, “I just came back from California, and if I never go back there again in my life, I will ensure that the sovereignty of Trinidad and Tobago is known to its people and respected by all.”
In 1960, medical aid was sent to Chile after the Valdivia earthquake. But it was 1963 that marked the start of Cuban medical brigades. 58 medical personnel traveled to Algeria to support in rebuilding the health system after the victory of the independence movement in booting out French colonialists. Fidel Castro gave a speech at the opening of a new medical school in Cuba, hours after meeting Ben Bella, Algeria’s President:
Most of the doctors in Algeria were French, and many have left the country. There are 4 million more Algerians than Cubans, and colonialism has left them with many diseases, but they have only a third—and even less—of the doctors we have…That’s why I told the students that we needed 50 doctors to volunteer to go to Algeria.
I’m sure there will be no shortage of volunteers…Today we can only send 50, but in 8 or 10 years’ time, who knows how many, and we will be helping our brothers… because the Revolution has the right to reap the rewards it has sown.
This act of revolutionary solidarity, just four years after the revolution, marked the start of decades of solidarity from Cuba to the world. Since then, more than 600,000 Cuban doctors and health workers have provided healthcare to 165 countries. In fact, there are still Cuban medical brigades operating in 15 Algerian provinces, mainly to reduce maternal and infant mortality.
In 2004, Cuba and Venezuela launched Operación Milagro (Operation Miracle), aimed at providing free eye care and surgeries for people suffering from preventable blindness and other visual impairments. The program restored vision to more than 4 million people across 34 years in just 15 years. This historic program is being forcibly shut down as the US pushes Cuban doctors out of countries today, breaking one of the world’s most remarkable progressions in health provision.
In 2005, following Hurricane Katrina’s devastating impacts in the United States, Cuba created the Henry Reeve International Contingent to respond to natural disasters and health epidemics. While the Bush administration refused Cuban help in responding to Hurricane Katrina, this incredible mission has sent 90 brigades to 55 countries to respond to Covid-19 in Europe and Latin America, Ebola in West Africa, cholera in Haiti, and more. In 2020, the Henry Reeve International Contingent was nominated for the Nobel Peace Prize.
In 2014, Cuba provided the only permanent brigade to support Sierra Leone, Guinea-Conakry, and Liberia in dealing with the Ebola epidemic. No other country or international organisation provided long-term support for the countries. It was Cuban doctors who managed to successfully contain the epidemic.
In March 2020, as Covid-19 was declared by the World Health Organization as a pandemic, Cuban doctors immediately traveled to Lombardy in Italy, the epicenter of the pandemic; Angola; as well as Latin American countries, including Venezuela and Suriname, to provide support. When a Covid-19-positive cruise ship with over 600 people onboard was refused docking in every Caribbean country, it was Cuba that allowed them to dock in “a shared effort to confront and stop the spread of the pandemic.”
As the US blockade prevented Cuba from accessing vaccines, they manufactured their own—and five of them at that. The blockade slowed down the process significantly, given the lack of medical equipment permitted into the island, the limited research laboratories, and the inability to access enough syringes for mass vaccination.
It is only because of the resilience and humanity of Cuban doctors and researchers and the international solidarity of organisations, including CODEPINK, in donating syringes, that Cuba managed to not only protect its population from the pandemic but also export them to the world. In fact, the vaccines produced by Cuba did not require refrigeration, unlike most manufactured in the Global North, given the lack of access to facilities, particularly as they were distributed far across the island. This meant that the vaccine could be sent successfully to countries across the Global South with similar lack of access to refrigeration to protect those otherwise shut out of Global North supply chains. In the face of attacks, Cuba’s resilience is a benefit for all humanity.
The United States has sought to interrupt, discredit, and dismantle this enormous feat as part of its attempts to destroy the Cuban revolution. Cuba’s ability to provide medical missions, despite the 66-year-long genocidal blockade, is a testament to the indestructible resolve of the Cuban people and the country’s commitment to humanity.
On February 23 of this year, the State Department sent a sensitive memo to Marco Rubio, which outlined a strategy of coercing countries in Latin America to boot out Cuban medical missions over the next 2-4 years. These attacks on Cuba’s medical missions were an escalation in the US’ war of imperialist aggression on the island for daring to commit to solidarity and peace, rather than welcome greed and destruction. On March 2, Congress approved a law to impose sanctions on any country that has Cuban health workers operating in it. Last August, the Trump administration imposed restrictions and revoked visas from countries working with Cuba on medical missions. Since then, countries have been pulling out of medical missions in fear of US retribution.
Under George W Bush’s presidency, the US set up the “Cuban Medical Professional Parole Program,” which aimed at getting Cuban doctors to desert from their mission and get residency in the United States. This ended under President Barack Obama’s administration.
This policy has been carried by a vicious propaganda war that has sought to label Cuban medical missions as “forced labor” and Cuban doctors as “slaves.” While this is a frankly offensive and disrespectful attempt to discredit a revolutionary act of solidarity, it is not only a ruse to justify attacks on Cuban doctors but also a fundamental revelation about the US. The descendants of slave owners can tell Cubans they are slaves for supporting countries made victims of colonialism and imperialism, but refuse to acknowledge that the transatlantic slave trade was the greatest crime of our time.
It is no wonder that healthcare is a significant target of the US empire’s attacks. Cuba maintains that healthcare is a right, whereas the US affords it as a privilege and arena for profits.
Cuba’s medical missions, beyond providing critical health services for millions of people, also provide support for the Cuban healthcare system and economy. When doctors are paid in the countries where they work, their money goes into the public healthcare system to pay the doctors, provide support for their families, as well as patients, doctors, and the healthcare system for the entire island. This is a remarkable act of solidarity for Cubans and the world.
The Cuban health system works; in fact, it works so well that Cuba has the highest rate of doctors per capita in the entire world. Whereas, in the United States, people survive depending on whether a company decides they can have a medicine, or if they can afford to pay another large corporation thousands of dollars for the privilege of treating an illness. The US dares to lecture Cuba while more than one-third of Americans cannot afford to access healthcare; while 1.3 million diabetic people ration insulin because the price skyrockets year on year as greedy pharma execs decide; and while over 66% of bankruptcies in the US are because of the costs of healthcare.
It is no wonder that healthcare is a significant target of the US empire’s attacks. Cuba maintains that healthcare is a right, whereas the US affords it as a privilege and arena for profits.
Another critical dimension to Cuba’s medical solidarity is its world-renowned Latin American School of Medicine (ELAM). Founded in 1999, the school provides tuition-free medical education for students from across the world who might otherwise not have access to medical studies. They gain a free medical degree in Cuba, then return to serve their communities back home to develop medical self-sufficiency and sovereignty for their countries. There are over 250 Palestinian students from Gaza studying medicine in Cuba, completely free of charge, in the hopes they will travel back to Palestine and care for their people. Today, there are more than 31,000 doctors in 120 countries who have been trained at ELAM. This truly extraordinary and selfless act of material solidarity is also met with attacks. The US has told St. Lucia to stop sending doctors to Cuba for medical studies, which the prime minister has warned would cause a “major problem.”
I visited ELAM last year and spent time speaking with two female medical students from Sri Lanka, who were quite excited to see someone else from South Asia in Cuba! I asked them how they found studying at ELAM, living in Cuba, and being taught medicine for free to go back to their communities. They were ecstatic and told me how much they loved being there, and what a unique opportunity it was to become doctors from backgrounds where they otherwise would not have been able to. Their only issue with Cuba was the lack of spicy food!
Also on this trip to Cuba, I met with doctors working in a local hospital outside of Havana. They each shared with pride the different countries they had served in: Angola, Venezuela, Bolivia, and Italy. A similar situation you might find in the United States, or elsewhere in the Global North, is of someone in the military who might tell you with pride how they served in Iraq, Afghanistan, Libya, Syria. While Cuba’s missions save lives and serve people, US missions massacre people and serve Lockheed Martin.
As more US soldiers are sent to West Asia as part of threats to invade Iran and to kill for the interests of imperialism, it is truly devastating to see Cuban doctors leave hospitals in the Caribbean to the tears of locals who have been helped by them.
The poles could not be more stark. Cuba, the most blockaded country in history, has saved more than 12 million lives with its medical missions. The US, a belligerent empire with the biggest economy in the world, has killed as many as 23 million people in 28 countries since the 1950s.
Cuba reveals the unfettered barbarity of the United States. That is why they fear a tiny island 90 miles off the coast of Florida. Cuba shows us that the world does not have to be dominated by one empire that violently exploits people, extracts resources, and imposes its own will through F-35s and 2,000-pound bombs. Cuba reveals humanity to people who have been propagandized into believing that every person has to look out for themselves, and there is danger and violence at every corner. Cuba unravels the lies that the United States is based on.
So, every single time the US attacks Cuba, discredits its government, its economy, its people, its society, it is trying to protect itself. This has nothing to do with Cuba and everything to do with the US. The only future for humanity is an end to the US empire.
Republicans have decided that they don’t care about what the American people want, only about enabling Trump’s worst impulses. Our job is to make sure they regret that this November.
Last year, Republicans cut $1 trillion from Medicaid in the same bill that gave billionaires massive tax cuts. They also slashed funding for the Affordable Care Act, making healthcare unaffordable for Americans across the country.
As a result of these cuts, at least 1.5 million Americans have already lost their healthcare coverage, with an estimated 15 million set to lose coverage in the coming years. Nearly 450 hospitals, many of them in rural areas, are at risk of closing or shrinking.
Despite this devastation, Republicans are planning to make even deeper cuts to healthcare. Top Republicans, including House Budget Chair Jodey Arrington (R-Texas), want to make even more cuts to the Affordable Care Act—to fund President Donald Trump’s catastrophic war with Iran. Trump himself is threatening cuts to Medicare and Medicaid, saying, “We’re fighting wars… It’s not possible for us to take care of daycare, Medicaid, Medicare, all these individual things.”
Republicans have decided that they don’t care about what the American people want, only about enabling Trump’s worst impulses. Our job is to make sure they regret that this November, when every member of the US House and one-third of the US Senate is on the ballot.
The Trump regime and their Republican minions in Congress think they can ignore the people, but when we stand together, when we raise our voices together, we cannot be ignored.
That’s why we are launching the Stop Taking Our Health Care Campaign to hold Republicans accountable. This month, members of Congress are home for recess—and we’ll make sure that they hear from their constituents.
We are holding dozens of events in targeted congressional districts across the country, demanding that Republicans Stop Taking Our Health Care. But, we need your help to host even more. Take a look and see if there is an event near you. If there isn’t one, then please sign up to host one yourself. We will help make it a success.
To kick off the Stop Taking Our Health Care Campaign, we held a live stream with guests including Rep. Lauren Underwood (D-Ill.) and Rep. Greg Casar (D-Texas).
Rep. Underwood said: “Donald Trump and Republicans’ failure to address these tax credits has created a healthcare crisis for working families. When premiums go up and help disappears, families are forced to make impossible choices. Do they keep their health insurance, or do they pay their rent? Do they refill their prescriptions, or do they buy groceries?”
Every day, the Trump administration is spending at least a billion dollars of taxpayer money in Iran.The American people do not want this war. They want affordable healthcare. - @underwood.house.gov @unrigoureconomy.bsky.social
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— Social Security Works (@socialsecurityworks.org) April 2, 2026 at 12:01 PM
Rep. Casar said: “They’ve already gutted Medicaid and the Affordable Care Act, kicking 15 million Americans potentially off of their healthcare. And now they want to kick off hundreds of thousands more everyday working families from their healthcare to pay for Trump’s completely unnecessary war of choice in Iran. We’ve got to put everyday Americans’ lives above more and more profits for the Trump administration and their rich friends.”
The Trump Administration already gutted Medicaid and the Affordable Care Act.Now they want to kick off hundreds of thousands more working families from their healthcare to pay for Trump's completely unnecessary war in Iran. - @repcasar.bsky.social @unrigoureconomy.bsky.social
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— Social Security Works (@socialsecurityworks.org) April 2, 2026 at 12:05 PM
Theresa Luoni, a New Jersey mom and caregiver whose family relies on Medicaid, said: “Republicans in Washington have worked day and night to raise costs for families like mine and make it harder for us to make ends meet, and now they're doubling down, threatening even deeper cuts to Medicaid so they can pay for their war and continue handing out tax breaks to billionaires.”
Republicans in Washington have worked day and night to raise costs for families like mine.Now they're doubling down, threatening even deeper cuts to Medicaid, so they can pay for their war and continue handing out tax breaks to billionaires. - Theresa Luoni@unrigoureconomy.bsky.social
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— Social Security Works (@socialsecurityworks.org) April 2, 2026 at 12:19 PM
Jon “Bowzer” Bauman, senior adviser at Social Security Works, said: “Our campaign and this month of action is designed to hold these people accountable for their vote on things like the Big Ugly Bill, which failed to extend the tax credits for the Affordable Care Act and cut a trillion dollars out of Medicaid. Our message is simple: Stop taking our healthcare.”
During this month of action, we will hold Republicans accountable for the Big Ugly Bill.Rural hospitals and nursing homes are already closing because of them. - @jonbowzerbauman.bsky.social @unrigoureconomy.bsky.social
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— Social Security Works (@socialsecurityworks.org) April 2, 2026 at 12:17 PM
Unrig Our Economy Campaign Director Leor Tal said: “Republicans in Congress promised to lower costs, but instead, they cut our healthcare and made life even more expensive for working families. Now Republicans in Congress want to cut healthcare even more to pay for this unnecessary and expensive war that they've started, which is already driving up costs for working families. That's why we’re launching Stop Taking Our Health Care, a nationwide campaign fighting back against Republican efforts to rip healthcare coverage away from working families.”
Republicans in Congress promised to lower costs. Instead they cut our healthcare and made life even more expensive for working families. And now they want to cut health care even more to pay for this unnecessary and expensive war.- Leor Tal, @unrigoureconomy.bsky.social
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— Social Security Works (@socialsecurityworks.org) April 2, 2026 at 11:55 AM
The Trump regime and their Republican minions in Congress think they can ignore the people, but when we stand together, when we raise our voices together, we cannot be ignored. It’s time to demand healthcare not warfare!