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Another internal debate concerns the conflation of gender identity with sexual orientation. Critics argue that lumping the "T" with the "LGB" sometimes erases the unique medical and legal needs of trans people (e.g., insurance coverage for surgery vs. marriage rights). Conversely, advocates argue that separating them would weaken the entire coalition and abandon a marginalized group to the mercies of a hostile majority. This tension, while difficult, has proven productive, forcing the LGBTQ+ movement to become more nuanced, inclusive, and radical in its questioning of all social norms.