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Biden-Harris administration commemorates Intersex Awareness Day

Blade speaks with senior State Department advisor Kimberly Zieselman

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Kimberly Zieselman (Photo courtesy of Kimberly Zieselman)

Thursday is the annual Intersex Awareness Day.

Intersex Awareness Day commemorates the world’s first-ever intersex protest that took place in Boston on Oct. 26, 1996. The Washington Blade this week spoke with Kimberly Zieselman, a senior policy advisor to Jessica Stern, the special U.S. envoy to advance the human rights of lesbian, gay, bisexual, transgender, queer and intersex persons.

BLADE: What is intersex?

ZIESELMAN: Intersex is an umbrella term used to describe a person with one or more sex characteristics (including genitals, internal reproductive organs, chromosome patterns and hormone levels) that do not fit typical binary notions of male or female bodies. In some cases, intersex traits are visible at birth while in others they are not apparent until puberty. Some intersex variations may not be physically apparent at all. 

According to experts, between 0.05 percent and 1.7 percent of the population is born with intersex traits — the upper estimate is similar to the number of red-haired people or people with green eyes and is more common than identical twins. Approximately 136 million people meet the definition. 

BLADE: What are some common misconceptions about intersex people?

ZIESELMAN: Two common misconceptions include assuming all intersex persons have nonbinary gender identities or bisexual orientations. A third common mistake is confusing intersex with transgender.  

Being intersex relates to biological sex characteristics and is distinct from a person’s sexual orientation or gender identity. An intersex person may be straight, gay, lesbian, bisexual or asexual and may identify as female, male, both or neither. Intersex individuals may identify as men, women, transgender, nonbinary or any of the range of diverse gender identities — just like everyone else. 

BLADE: What is Intersex Awareness Day? 

ZIESELMAN: Intersex Awareness Day falls annually on Oct. 26 and marks the first public demonstration by intersex persons in North America that took place back in 1996 in Boston, Massachusetts, outside a conference of the American Academy of Pediatrics. In 2003 activists began using the date to raise awareness, and today 20 years later, it has become an internationally recognized date, and the period between Oct. 26 and Nov. 8 (Intersex Day of Solidarity) has increasingly become a period of both education and awareness raising across the world.  

BLADE: Why is Intersex Awareness Day important?

ZIESELMAN: Despite not being that rare (after all, it is more common than cystic fibrosis or identical twins), intersex has largely remained invisible due to the shame and stigma many cultures and societies have attached to it. Because their bodies are seen as different or even disordered (medical practitioners commonly refer to intersex persons as having “disorders of sex development”), intersex children and adults are often stigmatized and their human rights undermined, including related to their health and physical integrity, equality and nondiscrimination and freedom from harmful medical practices. 

Intersex infants and young children are frequently subjected to unnecessary harmful medical practices (including cosmetic genital surgery) for the purpose of trying to make their appearance conform to binary sex stereotypes. These medically unnecessary procedures can cause permanent infertility, pain, incontinence, loss of sexual sensation and life-long mental suffering, including anxiety and depression, post-traumatic stress and even suicide. In some cases, intersex persons may even grow up not identifying with the sex they were surgically assigned in infancy. 

In essence, much of society has historically tried to erase intersex persons. 

These medical procedures undermine bodily integrity and subject intersex persons to harmful practices. They are regularly performed without the full, free and informed consent of the intersex person concerned. Moreover, they are frequently performed on individuals under age two and children who are too young to be part of the decision-making.  

Parents and caregivers are often not given all necessary information to make a fully informed decision and may be pressured by doctors and other community members to permanently “fix” their healthy child. Such procedures are frequently justified by harmful norms and discriminatory beliefs about intersex persons and their integration into society.   

In short, Intersex Awareness Day is important because many are still unaware that intersex persons exist and/or that they are often subjected to human rights abuses. Sharing information and stories can help change hearts and minds and lead to changes in harmful treatment. 

BLADE: How is the State Department planning to commemorate Intersex Awareness Day?

ZIESELMAN: Last year State hired me as the first intersex policy advisory to assist with advancing the human rights of intersex persons in foreign policy. 

Last month, State, under the leadership of the Special Envoy to Advance the Human Rights of LGBTQI+ Persons, hosted five intersex activists to share their perspectives and activism work in five diverse regions of the world. The intersex experts met with a range of State Department staff as well as other agencies and NGOs while in D.C. 

Now the special envoy’s team is working on new resources for all State Department employees providing information on key issues of concern related to intersex persons and suggestions for working together with civil society and local governments to not only raise awareness but also to work towards the advancement of human rights.

In celebration and recognition of Intersex Awareness Day, State will release a statement once again affirming the United States’ commitment to promoting the human rights of intersex persons globally. 

BLADE: What has the Biden-Harris administration done to protect intersex people? Can you please highlight a specific example/s? 

ZIESELMAN: The Biden-Harris administration has been the first ever to invite intersex Americans to share their stories and voice their concerns. This has occurred during two separate roundtables hosted by the White House as well as via a public call for input this year as part of the development of a soon-to-be-released report on Intersex Health Equity by the Department of Health and Human Services as mandated by Executive Order in 2022.  

Also, the State Department and USAID (U.S. Agency for International Development) have released an updated U.S. Strategy to Prevent and Respond to Gender-Based Violence (GBV) Globally that is inclusive of the GBV risks and needs of LGBTQI+ persons, including medically unnecessary and harmful surgeries on intersex persons. Intersex persons, and their needs and concerns, are starting to be addressed. 

BLADE: What have other countries done to protect intersex people? What can the Biden-Harris administration do to implement so-called best practices from around the world with regards to intersex people? 

ZIESELMAN: Some countries have passed laws banning or significantly restricting harmful cosmetic genital surgeries on intersex infants and children. Malta was the first to do so in 2015 and since then Germany, Greece, Iceland, Kenya, Portugal and Spain have joined the list. In addition, territories in both Australia and India have passed laws in attempt to protect intersex children. 

Though these medical practices still occur across most of the world including the United States, the Biden-Harris administration is currently working with intersex persons and families, provide platforms to share their lived experiences, and develop medical practices that affirm and support intersex persons across the lifespan. 

**

U.S. Reps. Becca Balint (D-Vt.) and Mark Pocan (D-Wis.), who chairs the Congressional Equality Caucus, on Thursday introduced the first-ever Intersex Awareness Day resolution.

The resolution specifically:

  • Supports the goals and ideals of Intersex Awareness Day;
  • Encourages the federal government, states, localities, nonprofit organizations, schools and community organizations to observe the day with appropriate programs and activities, with the goal of increasing public knowledge of the intersex community and empowering individuals to celebrate and respect their diversity;
  • Encourages health care providers to offer culturally and clinically competent care to the intersex community, and schools to support education regarding the intersex community and connect individuals to resources for young people with intersex variations and their families and
  • Encourages the federal government, states, international funding organizations, and United States bilateral and multilateral aid efforts to prioritize the health and human rights of intersex people. 

“Intersex people must be recognized as valid and seen within the LGBTQI+ community,” said Balint in a press release. This resolution is an important step in uplifting the intersex community and fighting interphobia.”

Erika Lorshbough, executive director of interACT, a group that advocates on behalf of intersex youth, in a statement applauded the resolution.

“Intersex awareness is not merely a matter of educating the public that people with intersex variations exist; it is additionally about illuminating the harmful legacy — and continuing practice — of unnecessary and unwanted medical interventions on young intersex children, which is increasingly recognized as a human rights violation around the world,” said Lorshbough. “We extend our deep gratitude to Representatives Balint and Pocan for taking action to further these goals.”

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The White House

White House does not ‘respond’ to reporters’ requests with pronouns included

Government workers were ordered not to self-identify their gender in emails

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White House Press Secretary Karoline Leavitt and a senior advisor in the Department of Government Efficiency rejected requests from reporters who included their pronouns in the signature box of their emails, each telling different reporters at the New York Times that “as a matter of policy,” the Trump-Vance administration will decline to engage with members of the press on these grounds.

News of the correspondence between the journalists and the two senior officials was reported Tuesday by the Times, which also specified that when reached for comment, the White House declined to “directly say if their responses to the journalists represented a new formal policy of the White House press office, or when the practice had started.”

“Any reporter who chooses to put their preferred pronouns in their bio clearly does not care about biological reality or truth and therefore cannot be trusted to write an honest story,” Leavitt told the Times.

Department of Government Efficiency Senior Advisor Katie Miller responded, “I don’t respond to people who use pronouns in their signatures as it shows they ignore scientific realities and therefore ignore facts.”

Steven Cheung, the White House communications director, wrote in an email to the paper: “If The New York Times spent the same amount of time actually reporting the truth as they do being obsessed with pronouns, maybe they would be a half-decent publication.”

A reporter from Crooked media who got an email similar to those received by the Times reporters said, “I find it baffling that they care more about pronouns than giving journalists accurate information, but here we are.”

The practice of adding pronouns to asocial media bios or the signature box of outgoing emails has been a major sticking point for President Donald Trump’s second administration since Inauguration Day.

On day one, the White House issued an executive order stipulating that the federal government recognizes gender as a binary that is immutably linked to one’s birth sex, a definition excludes the existence of intersex and transgender individuals, notwithstanding the biological realities that natal sex characteristics do not always cleave neatly into male or female, nor do they always align with one’s gender identity .

On these grounds, the president issued another order that included a directive to the entire federal government workforce through the Office of Personnel Management: No pronouns in their emails.

As it became more commonplace in recent years to see emails with “she/her” or “he/him” next to the sender’s name, title, and organization, conservatives politicians and media figures often decried the trend as an effort to shoehorn woke ideas about gender (ideas they believe to be unscientific), or a workplace accommodation made only for the benefit of transgender people, or virtue-signaling on behalf of the LGBTQ left.

There are, however, any number of alternative explanations for why the practice caught on. For example, a cisgender woman may have a gender neutral name like Jordan and want to include “she/her” to avoid confusion.

A spokesman for the Times said: “Evading tough questions certainly runs counter to transparent engagement with free and independent press reporting. But refusing to answer a straightforward request to explain the administration’s policies because of the formatting of an email signature is both a concerning and baffling choice, especially from the highest press office in the U.S. government.”

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The White House

USCIS announces it now only recognizes ‘two biological sexes’

Immigration agency announced it has implemented Trump executive order

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An American flag flies in front of a privately-run U.S. Immigration and Customs Enforcement detention center in the Southeast U.S. on July 31, 2020. U.S. Citizenship and Immigration Services has announced it now only recognizes "two biological genders, male and female." (Washington Blade photo by Yariel Valdés González)

U.S. Citizenship and Immigration Services on Wednesday announced it now only “recognizes two biological sexes, male and female.”

A press release notes this change to its policies is “consistent with” the “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” executive order that President Donald Trump signed shortly after he took office for the second time on Jan. 20.

“There are only two sexes — male and female,” said DHS spokesperson Tricia McLaughlin in a statement. “President Trump promised the American people a revolution of common sense, and that includes making sure that the policy of the U.S. government agrees with simple biological reality.”

“Proper management of our immigration system is a matter of national security, not a place to promote and coddle an ideology that permanently harms children and robs real women of their dignity, safety, and well-being,” she added.

The press release notes USCIS “considers a person’s sex as that which is generally evidenced on the birth certificate issued at or nearest to the time of birth.”

“If the birth certificate issued at or nearest to the time of birth indicates a sex other than male or female, USCIS will base the determination of sex on secondary evidence,” it reads.

The USCIS Policy Manuel defines “secondary evidence” as “evidence that may demonstrate a fact is more likely than not true, but the evidence does not derive from a primary, authoritative source.”

“Records maintained by religious or faith-based organizations showing that a person was divorced at a certain time are an example of secondary evidence of the divorce,” it says.

USCIS in its press release notes it “will not deny benefits solely because the benefit requestor did not properly indicate his or her sex.”

“This is a cruel and unnecessary policy that puts transgender, nonbinary, and intersex immigrants in danger,” said Immigration Equality Law and Policy Director Bridget Crawford on Wednesday. “The U.S. government is now forcing people to carry identity documents that do not reflect who they are, opening them up to increased discrimination, harassment, and violence. This policy does not just impact individuals — it affects their ability to travel, work, access healthcare, and live their lives authentically.”  

“By denying trans people the right to self-select their gender, the government is making it harder for them to exist safely and with dignity,” added Crawford. “This is not about ‘common sense’—it is about erasing an entire community from the legal landscape. Transgender, nonbinary, and intersex people have always existed, and they deserve to have their identities fully recognized and respected. We will continue to fight for the rights of our clients and for the reversal of this discriminatory policy.” 

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The White House

Trump threatens Maine’s Democratic governor over trans athlete ban

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President Donald Trump (Washington Blade photo by Michael Key)

President Donald Trump threatened to withhold federal funding from Maine after the state’s Democratic Gov. Janet Mills refused to say that she would enforce his administration’s ban on transgender women and girls competing in sports.

Their brief but heated exchange during a meeting of the National Governors Association at the White House on Friday kicked off when Mills agreed only to abide by “state and federal law” and Trump told her, “We are the federal law. You better do it because you’re not going to get any federal funding if you don’t.”

“See you in court,” Mills responded.

“Good,” Trump agreed, “I’ll see you in court. I look forward to that. That should be a real easy one. And enjoy your life after governor, because I don’t think you’ll be in elected politics.”

Two days after Trump’s issuance of the executive order”Keeping Men Out of Women’s Sports” on Feb. 5, the governing body responsible for overseeing high school sports in Maine said trans athletes would still be allowed to compete because the ban was in conflict with provisions of the Maine state Human Rights Act.

The president previewed his proposal to condition federal funding on states’ compliance with the policy during a meeting on Thursday of the Republican Governors Association.

Earlier on Friday, Mills vowed in a statement that “If the President attempts to unilaterally deprive Maine school children from the benefit of Federal funding, my Administration and the Attorney General will take appropriate and necessary legal action to restore that funding and the academic opportunity it provides.”

Echoing her comments, the state’s Democratic Attorney General Aaron Frey said in a statement Friday morning that “Any attempt by the President to cut federal funding in Maine unless transgender athletes are restricted from playing sports would be illegal and in direct violation of court orders.”

“Fortunately, though, the rule of law still applies in this country, and I will do everything in my power to defend Maine’s laws and block efforts by the President to bully and threaten us,” he said.

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