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Trans women, particularly sex workers, died of AIDS at staggering rates. Yet, when groups like ACT UP (AIDS Coalition to Unleash Power) formed, trans women were often relegated to making coffee or taking notes. The famous "Silence = Death" poster did not feature trans faces. Still, trans activists like and Miss Major Griffin-Gracy organized within prisons and shelters, fighting for healthcare that gay male activists were winning for themselves. This created a rift: many trans people felt the LGB community prioritized marriage equality over the survival of trans sex workers.