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All people, including those who draw a parallel with themselves as gay, lesbian, bisexual, transgender and queer (LGBTQ), need sexual and reproductive health care. LGBTQ health problems and sexual and reproductive health care are inextricably linked, as both involve individual independence in their intimate decisions. Unfortunately, the health care system in the United States has historically failed and essentially continues to fail in the LGBTQ community, as LGBTQ people experience significant differences in sexual and reproductive health care and worse health outcomes than the general public.