LGBTQ+ people in the United States and the healthcare providers who serve them are facing unprecedented challenges amid a rapidly shifting and unpredictable landscape. 

• Fear of stigma and deep-seated institutional distrust
  remain major barriers to care for LGBTQ+ communities, undermining access and eroding confidence in the health system and government.
• Widespread threats to gender-affirming care
  are fueling fear among patients, as providers brace for further reduction in access due to weakening policy protections and looming cuts to Medicare and Medicaid.
• An escalating mental health crisis
  is overwhelming LGBTQ+ communities, with high rates of depression, anxiety, and suicidal ideation compounded by a critical shortage of behavioral health providers.
• Increasing emotional exhaustion among LGBTQ+ service providers
  signals a workforce under significant strain and threatens the stability and sustainability of care for marginalized communities.
• The political environment is undermining essential LGBTQ+ healthcare
  with providers reporting increased pressure, policy-driven care restrictions, and growing concern over the long-term impact on workforce retention and patient well-being.