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Countries like Argentina, Malta, and Spain have pioneered "self-determination" laws, allowing citizens to change their legal gender marker without requiring psychiatric evaluations or medical interventions.

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In the early 20th century, the word "homosexual" was a clinical catch-all for anyone who defied gender or sexual norms. At the 1969 Stonewall Uprising—the mythological "Big Bang" of the modern gay rights movement—it was not well-dressed cisgender gay men throwing the first punches. It was trans women, drag queens, and homeless queer youth. Countries like Argentina, Malta, and Spain have pioneered