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However, there have also been significant triumphs. The early 21st century saw a surge in transgender visibility and advocacy, with milestones such as the election of Jennifer Pritzlaugh as the first openly transgender person to serve on a school board in South Carolina (2002), and Danica Roem becoming the first openly transgender person elected to a state legislature (2017).

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: Many in the community identify as non-binary, genderqueer, or gender-fluid, rejecting the male/female binary entirely. Cultural Contributions and Spaces Cultural Competence in the Care of LGBTQ Patients - NCBI However, there have also been significant triumphs