India
New Indian medical curriculum excludes guidelines for transgender patients
WPATH has called for global authorities to suspend national commission

India’s National Medical Commission has introduced an undergraduate curriculum that does not include protections for transgender individuals and people with disabilities.
The National Medical Commission on Aug. 31 released the Competency-Based Medical Education (CBME) Curriculum 2024, scheduled for implementation in the 2024-2025 academic year. The curriculum sparked controversy by introducing “sodomy and lesbianism” as unnatural sexual offenses in undergraduate programs, prompting two international organizations to threaten to seek the suspension of the National Medical Commission over the issue.
The International Council for Disability Inclusion in Medical Education and the World Professional Association for Transgender Health (WPATH) have called for global authorities to temporarily suspend the National Medical Commission’s recognition by global authorities. The two organizations claim the new curriculum violates exiting laws that protect the rights of people with disabilities and LGBTQ individuals.
The National Medical Commission reintroduced several regressive ideas regarding the LGBTQ community, with a complete omission of transgender rights that contradicts Supreme Court guidelines and previous regulations. Leaders from the disability and trans communities wrote a letter to Union Minister of Social Justice and Empowerment Virendra Kumar in which they criticized the curriculum.
The revised curriculum removed key disability competencies and critical components related to trans health.
On Sept. 5, as India observed Teacher’s Day, the National Medical Commission temporarily withdrew the guidelines, only to reintroduce them on Sept. 12 without addressing the controversial sections. Terms, such as “dignity” and “transgender,” were notably absent from the 466-page document.
The revised curriculum allocates eight hours to sports but no longer mandates the previously required seven hours for disability training. It uses terms such as “gender identity disorders” and refers to intersex people as “abnormalities,” retaining language from earlier medical perspectives.
The revised curriculum no longer classifies sodomy and consensual same-sex sexual relations between women as “unnatural sexual offenses.” The earlier version, however, included descriptions cross-dressing as a form of sexual perversion. It also categorized a range of behaviors ā including voyeurism, exhibitionism, sadism, and masochism ā together with necrophagia (the consumption of the dead) and necrophilia (sexual attraction to corpses) under a single category.
The earlier version did not include LGBTQ-inclusive language.
The revised curriculum includes education on topics that include informed consent for sexual intercourse, the history of gender and sexuality-based identities, and the legal background surrounding the decriminalization of adultery and consensual same-sex relationships. It also introduces lessons on paraphilia and paraphilic disorders, covering a range of atypical sexual fantasies and behaviors.
The National Medical Commission has not provided a specific explanation for including outdated concepts in the curriculum. Senior officials have, however, attributed the changes to an unintentional oversight, stating it was an error that led to portions of the 2022 curriculum being mistakenly reintroduced.
The National Medical Commission in 2022 updated six modules in forensic medicine and psychiatry to reflect societal and legal changes. These amendments included the decriminalization of consensual same-sex relationships. They aimed to educate students on informed consent and, within psychiatry, to address the spectrum of gender and sexual orientations.
The curriculum was designed to prepare students to manage issues, such as gender dysphoria, intersex conditions, and sexual dysfunctions. These changes were based on recommendations from an expert committee formed under a Madras High Court ruling in a case involving a lesbian couple whose parents opposed their relationship, leading to a police complaint about their alleged disappearance.
The Madras High Court ruling noted queerphobia was being incorporated into the education of future doctors.
The 2022 changes were seen as essential for the daily practice of medical professionals, as misinformation about consensual same-sex sexual relationships could result in some patients receiving inadequate care and treatment.
While the revised curriculum released on Sept. 12 does not include references to trans rights, the Transgender Persons (Protection of Rights) Act of 2019 explicitly requires medical colleges to incorporate trans health and develop health manuals for gender confirmation surgeries. The revised curriculum, however, does not reflect current standards of inclusivity and care.
Ankit Bhuptani, an LGBTQ rights activist and founder of the Queer Hindu Alliance, during an interview with the Washington Blade expressed disappointment over the new curriculum.
“It is not just about the NALSA judgment, but also the current government has been very actively talking about trans rights throughout their policy and their various programs,” said Bhuptani. “So, it’s quite surprising that it was not included and the government should have been more mindful. I hope, they rectify the error that was done earlier in terms of lesbians and other elements which were problematic.”

Bhuptani also told the Blade the current government is open to receiving suggestions from the LGBTQ community.
“The government has met a few community members already, and I was one of them,” noted Bhuptani. “After the meeting, we requested that the community need to be consulted for larger LGBTQ rights. They have given their email IDs publicly so that where general public can send suggestions. So, I hope the community members who are raising these issues, will reach out and take this ahead as well.”
Bhuptani said he plans to raise the issue with the government.
Ankush Kumar is a reporter who has covered many stories for Washington and Los Angeles Blades from Iran, India, and Singapore. He recently reported for the Daily Beast. He can be reached at [email protected]. He is on Twitter at @mohitkopinion.Ā
India
LGBTQ poets included in Indiaās premier literary festival
Sahitya Akademi seen as mirror of governmentās cultural agenda

Indiaās premier literary institution on March 7 announced it would allow LGBTQ poets to participate in its marquee Festival of Letters in New Delhi.
The Sahitya Akademi, often seen as a mirror of the governmentās cultural agenda, for the first time allowed these poets into a high-profile poetry reading at the Rabindra Bhavan. They shared the stage with more than 700 writers across 50 languages.
Culture and Tourism Minister Gajendra Singh Shekhawat kicked off the Festival of Letters with Mahesh Dattani, the acclaimed English-language playwright famed for his provocative works, as the main guest. Dubbed Asiaās grandest literary gathering, the Sahitya Akademi took place over six days under the āIndian Literary Traditionsā theme.
The 2025 Festival of Letters showcased a sweeping range of voices ā young writers, women writers, Dalit authors from marginalized castes, Northeast Indian scribes, tribal poets, and LGBTQ poets ā cementing its reputation as a literary kaleidoscope.
Kalki Subramaniam, a leading transgender rights activist and author, on March 9 chaired a literary session titled āDiscussion on Literary Works of LGBTQ Writers in the 21st Century,ā which spotlighted contemporary queer voices.
āIt was enriching to listen to the profound thoughts of LGBT writers from various parts of the country in their speeches,ā said Subramaniam. āThe session was particularly memorable with the participation of A. Revathi Amma from Tamil Nadu, Reshma Prasad from Bihar, Sanjana Simon from New Delhi, and Devika Devendra Manglamukhi and Shivin from Uttar Pradesh and Aksaya K Rath from Orissa.ā
Subramaniam discussed how global politics shape gender rights and the persistent erasure of trans identity, urging a unified push for solidarity within the LGBTQ community. She stressed the vital need to elevate queer works and writers, casting their voices as essential to the literary vanguard.
āIt was a pleasure to meet great writers from around the country in the festival as well as meet my writer activist friends Sajana Simon and Revathi Amma after a long time,ā said Subramaniam.

The government on March 12, 1954, formally established the Sahitya Akademi. A government resolution outlined its mission as a national entity tasked with advancing Indian literature and upholding rigorous literary standards; a mandate it has pursued for seven decades.
The Sahitya Akademi in 2018 broke ground in Kolkata, hosting the countryās first exclusive gathering of trans writers, a landmark nod to queer voices in Indian literature.
Hoshang Dinshaw Merchant, Indiaās pioneering openly gay poet and a leading voice in the nationās gay liberation movement, on March 9 recited a poem at the Festival of Letters, his verses carrying the weight of his decades-long quest for queer recognition. He later thanked the sessionās chair for welcoming the community, a gesture that underscored the eventās third day embrace of diverse voices.
The Sahitya Akademi in 2024 honored K. Vaishali with the Yuva Puraskar for her memoir āHomeless: Growing Up Lesbian and Dyslexic in India,ā a raw account of navigating queerness and neurodivergence.Ā Vaishali in a post-win interview reflected on Indiaās deep-seated conservatism around sexuality, noting she wrote from a place of relative safety ā an upper-caste privilege that shielded her as she bared her truth. The award, she said, was the Akademiās indelible seal on her lived experience, a validation no one could challenge.
The Sahitya Akademiās inclusion of LGBTQ writers in its main program this year jars with the Bharatiya Janata Party-led governmentās conservative stance, which, in 2023, opposed same-sex marriage in the Supreme Court, arguing it erodes Indian family values. Yet, under Shekhawat, the Sahitya Akademiās spotlight on queer voices at the Rabindra Bhavan suggests it could be a tentative crack in a regime typically rooted in tradition.
The Festival of Letters hosted a translatorsā meeting on March 10, spotlighting P. Vimalaās 2024 award-winning Tamil translation of Nalini Jameelaās āAutobiography of a Sex Worker,ā a work steeped in marginalized voices that include queer perspectives.
This platform gained significant support from the BJP-led government, with Shekhawat securing a 15 percent budget increase to ā¹47 crore ($5.63 million) in 2024. In Tamil Nadu state, however, Dravida Munnetra Kazhagamās Chief Minister Muthuvel Karunanidhi Stalin, has long opposed such cross-linguistic efforts, fearing dilution of Tamil identity amid decades of anti-Hindi sentiment ā a tension the Sahitya Akademiās inclusive showcase sought to bypass.
āThe Akademi is very inclusive and has a friendly festival ambience,ā Subramaniam told the Washington Blade.
India
LGBTQ Indians remain vulnerable to dating app scammers
Gay man in Mumbai lost nearly $11K in 2024

Swiping right has become a pricey trap for many in India, where Grindr and other dating apps serve as stalking grounds for scammers spinning fake profiles, sob stories, and shattered promises. This deception hits the LGBTQ community hardest, with reports indicating hundreds of people are duped each year.
The modus operandi of these scams unfolds when an LGBTQ user connects with a match on Grindr or Tinder, someone claiming to be from the U.S. or Europe, and the texts spark a flawless romance, until a frantic call shatters the illusion. Theyāve flown to India to meet them, they say, but customs officials at the airport have detained them for carrying wads of foreign cash. A desperate plea follows: Send money to settle fines, with a hollow vow to repay once releasedāa vow that vanishes the moment the payment lands.
Although dating apps have tightened policies to shield usersāMatch Group, Tinderās parent company, rolled out a campaign across Tinder, Hinge, Match, Plenty of Fish, and Meetic with in-app tips to spot scamsāfraud persists. Delhi Police on Jan. 11 busted a gang that targeted gay men on Tinder, luring them with fake profiles promising shared desires, then holding them hostage to extort cash. A minor was among the five people who authorities arrested.
Though India decriminalized homosexuality in 2018, lingering social stigma still marks LGBTQ people as prime targets for dating app scammers.
Noida police in Uttar Pradesh state in 2020 dismantled a gang that honey-trapped at least 10 professionals on a gay dating app, robbing two of them of $500 and $1,700 respectively. Gurugram police in Haryana, a bustling tech and finance hub, that same year nabbed another gang that preyed on more than 50 users of the same app.
Scammers often dig deep, coaxing out home addresses, job details, and family ties from their targetsāsometimes with an accomplice who turns violent, assaulting the victim. Activists, however, note most of them donāt come forward to the police, silenced by Indiaās staunchly conservative mores that allow catfishers to slip away and target more people unchecked.
A 28-year-old gay man in Mumbai in March 2024 fell prey to a dating app scam, losing nearly $11,000 to a man posing as a Texas-based doctor.
After striking up a friendship online, the scammer promised an expensive watch as a giftāonly to call the next day, claiming heād been detained at Delhiās airport for carrying a hefty sum of foreign currency. Moments later, a supposed customs officer named Priya demanded $859 in taxes to secure his release. What began as a single payment spiraled into a financial abyss, with the victim funnelling roughly $11,000 in a month, the Indian Express reported.
āThese incidents have grabbed headlines recently. Scammers create fake profiles, build trust with their targets, and then hit them with extortion demands, threatening to out them to family or friends, said Ankit Bhuptani, an LGBTQ activist who founded Queer Hindu Alliance. āItās a cruel twist of the knife, preying on the fear of societal rejection that still lingers despite legal progress.ā
āEven though the Supreme Court struck down parts of Section 377 in 2018, decriminalizing homosexuality, the reality on the ground is that acceptance isnāt universal,ā added Bhuptani. āFamilies and communities can still be harsh, and these scammers weaponize that vulnerability. The fact that arrests have been madeālike those recent busts in Ghaziabad and Noidaāshows the police are acting, but the persistence of these scams tells us we have got a long way to go.ā
Bhuptani noted that a mix of technological, societal, and legal challenges fuels these scams. He said scammers thrive because dating apps can be a Wild Westāfake accounts are easy to set up, and AI tools make them even more convincing.
āI have heard of cases where victims lost lakhs (thousands of US dollars), like that guy in Ghaziabad who was blackmailed for 1.4 lakhs ($1,700) after being filmed in a compromising situation. Itās predatory and shameless,ā said Bhuptani. āThe emotional toll is just as bad as the financial hitāimagine the terror of being outed in a society where many still see being gay as taboo.ā
Bhuptani argued Indiaās legal framework is primed to tackle dating app scams, pointing to constitutional protectionsāArticle 14ās equality guarantee and Article 15ās anti-discrimination shield the Navtej Johar ruling, which decriminalized homosexuality in 2018, bolstered. He noted that blackmail and extortion already fall under Indian penal code Sections 383 and 384, while the IT Act can pin scammers for online fraud and identity theft.
āThe problem isnāt the laws; itās enforcement and awareness. Police need better training to handle queer-specific cases with sensitivity, and dating apps must step upāthink stricter verification, AI-flagging of suspicious profiles, and user education on spotting red flags,ā said Bhuptani. āBut laws alone wonāt fix this. Societyās got to shift. As long as being LGBTQ carries a stigma, scammers will have leverage. We need campaignsāloud, bold onesāpushing acceptance, normalizing queer identities, and making it clear that outing someone is not a weapon that works anymore.ā
Pune police, meanwhile, on Feb. 27 filed an First Information Report against a gang that blackmailed a gay man on a dating app, bleeding him of $1,248 over five months.

The government of Tamil Nadu in southern India has proposed a policy that is designed to improve the lives of LGBTQ and intersex people in the state.
The Tamil Nadu State Planning Commission introduced the “Draft Policy for the Welfare of LGBTQIA+ Persons” in July 2023. Key provisions include a 1 percent quota for transgender and intersex people in education and employment. Progress to implement the policy has been hindered because of the governmentās fragmented approach of developing separate policies for different groups within the community.
The Madras High Court in January 2024 acknowledged Tamil Naduās proposed policy and commended the stateās efforts.
The court highlighted key recommendations, such as establishing a State Commission for Sexual and Gender Minorities and introducing quotas, while stressing the need to combat discrimination and violence. The court this month, however, raised concerns about the governmentās separate policies for trans people and the broader LGBTQ community.
Justice N. Anand Venkatesh stressed the need for a single, unified policy to effectively address the challenges the LGBTQ community faces. He directed the Social Welfare and Women Empowerment Department to submit a separate proposal for trans people and a consolidated LGBTQ one by Feb. 17 that would allow stakeholder input and improvements.
The Madras High Court has been actively guiding the Tamil Nadu government towards formulating a unified and comprehensive policy for the LGBTQ community, rather than separate policies for different groups within the community.
Tamil Nadu’s proposal offers several advantages aimed at promoting inclusivity and equality. It would provide healthcare inclusion, recommending the extension of the Chief Minister’s Health Insurance Scheme to cover trans-specific medical procedures, such as gender-affirming surgeries, to ensure essential healthcare is accessible. The proposal calls for nondiscrimination policies in all government departments and public authorities that seek to protect LGBTQ people from bias and violence.
The proposal calls for educational institutions to adopt policies that raise awareness and address issues of violence, abuse, and discrimination against students with diverse gender identities and sexual orientations. It also suggests the creation of bodies like the Tamil Nadu Council for LGBTQ Persons and District Level LGBTQ Welfare and Justice Committees to coordinate efforts across government departments.
āTamil Nadu is the first state in India to develop a unified policy covering sexual orientation, gender identity and sex characteristics, based on a recent Madras High Court directive,ā said L. Ramakrishnan from SAATHII, an organization that works to create an inclusive healthcare system, and a member of the policy drafting committee. āThis is important because critical sensitization interventions for inclusive education, healthcare and employment require understanding of sexual, sexuality, and gender diversity,āĀ
āAt the same time, recognizing the added vulnerabilities of trans and intersex individuals, provisions such as horizontal reservations and free land allocation are proposed only for transgender and intersex individuals,ā added Ramakrishnan.
The proposal, among other things, calls for gender-neutral bathrooms and hostels. It also seeks to protect LGBTQ people from family violence and from corrective rape and so-called conversion therapy that medical providers and faith healers carry out.
The proposed policy would also acknowledge and support relationships outside the traditional marriage framework. It proposes a Deed of Familial Association that would legally recognize queer relationships as the Madras High Court ruled in a case of a lesbian couple who sought protection from harassment. While the deed would offer protection from family and societal harassment, it would not extend legal status or rights associated with marriage or civil unions.
The Indian Supreme Court on Oct. 17, 2023, ruled against marriage rights for same-sex couples.
āWe have long been working and sensitizing the government for a policy,ā said Kalki Subramaniam, a trans activist and artist who founded the Sahodari Foundation, an organization that supports trans people in India. āIt seems to be happening. We, the trans community, demand a separate policy for us because we are the most marginalized and poorest community in the entire LGBTQI spectrum.ā
āI insist on two different policies: One for us, trans and intersex persons, and the other for the LGB community. Practically, it is very much possible,ā added Subramaniam. āThe state government, months ago, held public meetings with the trans community in all districts, and the communityās overall demand is a separate policy. I welcome the commission and insist it should have representatives from trans women, trans men, and intersex communities.ā
She told the Washington Blade the proposed policy is something for which the community has been waiting for years, and is happy to see it on the table. Subramaniam noted the quota, in particular, will ensure equal opportunities in jobs and education.
āTamil Nadu governmentās laudable efforts in building equity for the LGBTQIA+ community stands as a magnificent beacon of hope,ā said Harish Iyer, an Indian LGBTQ activist. āIn times of absolute disregard across the world, this effort puts not just the queer community, but India in the forefront of humanitarian efforts.ā
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