LGBTQ+ Health, Policy & Politics: Advances, Challenges and Potential Opportunities.

The landscape of politics and policies that impact the health and wellbeing of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) people in the United States has evolved substantially in the last fifty years. Tracing its roots back to the 1960s, the LGBTQ+ rights movement has often relied on health as an organizing principle to advance progress through advocacy, research, and public policy. In this article, the authors present the evolution of LGBTQ+ data collection and health policy research - with particular attention to nationwide marriage equality, the Affordable Care Act, and access to transgender-inclusive health insurance coverage - and then discuss the possible future trajectories of LGBTQ+ inclusion and equity. The authors also reflect on the pendulous trajectory of LGBTQ+ rights and progress, which has oscillated between incremental advancements and reactionary periods of regression. Ultimately, through decades of grassroots organizing, advocacy, legal battles, and shifts in public opinion, the LGBTQ+ community's visibility and acceptance has grown. Concurrently, the body of LGBTQ+ specific health research has proliferated and informed policies that have meaningfully improved the health and wellbeing of LGBTQ+ people. While the country is currently in an era of substantial policy retraction, the authors remain hopeful about the next fifty years.