"Bias against transgender people takes an enormous toll on their health through direct harm, lack of appropriate care and a hostile environment, and through transgender people's avoidance of the medical system as a result of discrimination and lack of respect. The medical establishment has a duty, and an ability, to protect transgender patients from such harms." -- Daphna Stroumsa, M.D., MPH, writing for the American Journal of Public Health, quoted at medicalxpress.com 2014-02-18