I'm more optimistic about the future than the present, but I think that a lot of activism has been going on and that these problems are being called attention to, which I feel is the first step toward fixing them. Not denying that it's still a horribly hard fight for people with gender (or sexuality) differences, but the mistreatment they often receive is more visible than ever and I think bit by bit we're moving toward a less hostile environment for everyone. (Unfortunately, the most hateful people are often the most vocal. Just look at Westboro Baptist Church. Made a lot of press and a huge reputation for itself, especially for a group that consists of only two families.)
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