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The term transgender gained widespread use in the 1990s, replacing “transsexual” to emphasize identity over medical transition. Activists like Kate Bornstein and Leslie Feinberg (author of Stone Butch Blues) articulated non-binary and genderqueer identities. The 2000s saw increased legal battles over marriage equality, but trans rights often remained secondary—epitomized by the exclusion of “gender identity” from early ENDA (Employment Non-Discrimination Act) bills.

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Despite growing visibility, trans people face staggering disparities: The term transgender gained widespread use in the