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When a child is born, a doctor says, "It's a boy" or "It's a girl." Assigning someone's sex is based on biology -- chromosomes, anatomy, and hormones.View PDF Online | Download PDF Read more: Elder Abuse, En Español, Housing / Homelessness / Long Term Care, Social Security / Medicaid / Medicare / Health Care, Aging Providers, LGBT Organizations, LGBT Older Adults LGBT Long-Term Care Issues LGBT elders in long-term care facilities (along with their families and friends) need to know their rights and the red flags of mistreatment.The aim of this article is to give the current state of affairs, outline some forms of discrimination that LGBT elders face in nursing homes, and discuss some ways we can fight this mistreatment.Many people have assumptions about what it means to be transgender, but it isn't about surgery, or sexual orientation, or even how someone dresses. The Williams Institute says there are nearly 700,000 people living publicly as transgender in the U. Each one is unique, and their journeys are personal. "It takes a lot of courage to buck the culture's norm that gender is binary," says Helen R. Louis who specializes in gender identity and transgender issues.Some say they are the opposite sex of what they were assigned at birth. "The truth is, gender does exist on a continuum." Meaning, there's a lot of in-between.