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Some causes of lack of access to healthcare among LGBT people are: perceived or real discrimination, inequality in the workplace and health insurance sectors, and lack of competent care due to negligible LGBT health training in medical schools. Healthcare professionals that have little to no knowledge about the LGBT community can result in a lack of or a decline in the type of healthcare these families receive. "Fundamentally, the distinctive healthcare needs of lesbian women go unnoticed, are deemed unimportant or are simply ignored" (DeBold, 2007; Weisz, 2009). This citation is from the article Marginalised mothers: Lesbian women negotiating heteronormative healthcare services, which talks about how heteronormative rhetorics affect the way lesbian couples are viewed. Views like these lead to the belief that health care training can exclude the topic related to the healthcare of LGBT and make certain members of the LGBT community feel as though they can be exempt from healthcare without any bodily consequences. An upstream issue is the relative lack of official data on gender identity that health policy makers could use to plan, cost, implement and evaluate health policies and programs to improve transgender population health. The 'What We Know Project' reviewed thousands of peer-reviewed studies and found a strong link between discrimination and harm to the health of LGBT people. The findings showed that the presence of discrimination, stigma and prejudice creates a hostile social climate which increase the risk of poor mental and physical health, even for those not directly exposed to the discrimination. This creates a situation known as 'minority stress' which includes low self-esteem and expectations, fear of discrimination and internalised stigma - which all contribute to health disparities.

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