When the U.S. slashed foreign aid, it sent shockwaves through Nepal—especially hard on the LGBTQ+ community. Over 280,000 aid workers lost their jobs worldwide, and in Nepal, transgender HIV outreach workers like Rubi Lama are now forced into sex work to survive, walking the same streets they once helped. With no more prevention medication and rampant discrimination, a public health crisis looms as HIV cases surge. Former aid workers face daily violence and hunger, trapped between survival and despair—proof that global decisions have devastating, personal consequences.
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