According to a study by the Williams Institute of 2016, 1.4 million people of the general population identify as trans*. Among the African American, Black, Latinx and Hispanic communities, 0.8% of adults identify as trans*. According to the study, 0.5% of the white population identify as trans*. In 2015, 28,000 trans* people participated in the ‘US Transgender Survey‘ by the National Center for Transgender Equality. This notes that the healthcare system in the US is a particular problem for trans* people. According to the study, 55% of trans* people were denied treatment by a doctor in 2015 due to their identity as trans*. As a consequence of discrimination, 23% of the interviewees avoid doctor’s visits, which may have indirect effects on their health.

As health insurance coverage in the US is lower than in Germany, one third of the interviewees were unable to seek medical treatment at least once due to insufficient financial resources. Corresponding effects of this structural problem can be seen with the almost nine times higher suicide rate of 40%, compared to cis people. Furthermore, 1.4% of trans* people in the US are HIV-positive, compared to 0.3% of the cis population. Trans* people who are also affected by racism and therefore experience intersectional discrimination are more often affected. The proportion of people living with HIV is 19% in the African American Community and 4.4% in the Hispanic Community.

Similar to Argentina, discrimination is very present in school, according to the representative study ‘US Transgender Survey’. According to the interviewees, discrimination is less present in the work life. More than three quarters of those surveyed, who were perceived as trans* by others during their school time, experienced discrimination. As a result, 17% decide to leave High School early, which can also have an impact on the unemployment rate of trans* people. With 15%, it is almost three times higher compared to the cis population. Here again, Black people and People of Colour are more likely to be unemployed compared to white trans* people. Discrimination in the workplace is also very present.

The ‘US Transgender Survey’  has not been conducted again since 2015 and therefore, no statements can be made about a possible improvement or deterioration of the reality of life for trans* people. However, it is well known that the Trump administration is having a negative impact on trans* people’s healthcare. For example, under Trump’s presidency, the Health Department and Human Serviced has nullified protections provided by ‘Obamacare’ to support health issues related to gender identity. The organisation Planned Parenthood which supports trans* people with education, hormone therapy, support groups and other resources, got renounced federal funding as new regulations by the Trump administration significantly limited their work, so they now have to fund themselves independently. Trans* people are also only allowed to be in the military if they hide their gender identity as trans*.