Abstract
Research is clear that transgender and nonbinary (TNB) individuals face a myriad of barriers accessing and participating in the healthcare system and these barriers often lead to negative health outcomes. In this study, in collaboration with the largest statewide LGBTQ+ advocacy organization, we conducted seven focus groups with TNB individuals representing urban, suburban, and rural areas to assess what the ideal health system would look like. From these focus groups, four themes were identified: (a) addressing discrimination and invisibility in healthcare and healthcare provider training, (b) access to care, (c) medical cost and insurance, and (d) access to resources and information. Several subthemes were identified under each main category.
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