Father Richard Mickley, founder of MCC Manila and a pioneering figure in LGBTQ+ Christian ministry and Pride activism in the Philippines. Photo courtesy of the LGBTQ Religious Archives Network.
In the summer of 1999, I conducted anthropological fieldwork in Metropolitan Manila for my Master’s thesis at Northern Illinois University. My research focused on how Filipino understandings of homosexuality and gender identity were interacting with emerging Western LGBTQ+ political identities during the era of globalization (Walter, 1999). Looking back more than two decades later, I now realize that I was witnessing a foundational transitional period in Philippine LGBTQ+ history.
My thesis, The Gender Behaviors of Filipino Male Homosexuals in Metropolitan Manila Within the Era of Cultural Globalization, examined the relationship between bakla identity, masculine homosexual identity, class, and globalization within Metro Manila (Walter, 1999). During this period, post-Stonewall LGBTQ+ political discourse from the United States was increasingly circulating through media, activism, universities, and transnational social networks. However, these ideas were not simply imported intact into the Philippines. They were reshaped through Filipino cultural understandings of gender, sexuality, religion, family, and class.
During my fieldwork, I stayed in a house in Santa Mesa associated with the Filipino LGBTQ+ newspaper Manila Out. The editor-in-chief of the paper was Father Richard Mickley, an American minister affiliated with the Metropolitan Community Church (MCC). At the time, I understood him primarily as an older American clergyman deeply involved in local LGBTQ+ ministry and activism. Only later did I fully appreciate his historical importance within Philippine queer history.
Richard Mickley was one of the pioneering figures of openly LGBTQ+-affirming Christian ministry in the Philippines. After relocating to the country in 1991, he founded MCC Manila and became involved with LGBTQ+ advocacy and community organizing (Mickley, n.d.). He later worked alongside organizations such as Pro-Gay Philippines and activists including Oscar Atadero in helping organize the 1994 Pride March in Manila, now recognized as the first Pride march in both the Philippines and Asia (UNDP & USAID, 2014).
One of the most striking aspects of LGBTQ+ activism in Manila during 1999 was how interconnected the movement remained. Activists, students, clergy, journalists, researchers, and organizers frequently occupied the same social and physical spaces. Political organizing occurred not only through formal institutions, but also through apartments, cafés, churches, universities, newspapers, and shared community houses.
Through organizations such as Pro-Gay, Babaylan at the University of the Philippines, Manila MCC, and Manila Out, I conducted participant observation and interviews among Filipino gay men in Metro Manila. During this period, I also marched in the 1999 Manila Pride Parade, experiencing firsthand the growing visibility and political energy of the Philippine LGBTQ+ movement at the turn of the millennium. At the time, the Pride movement in Manila was still relatively small compared to large Western Pride celebrations, but it carried an intense sense of community, activism, and historical importance.
These experiences led me to conceptualize what I described in my thesis as “The Filipinoization of the Legacy of Stonewall” (Walter, 1999). By this, I meant that Filipino LGBTQ+ communities were adapting global queer political frameworks into distinctly Filipino cultural contexts rather than simply reproducing Western identity categories.
This distinction is anthropologically important. Western LGBTQ+ political discourse has often emphasized sexuality through identity categories such as “gay,” “lesbian,” or “bisexual.” In contrast, Filipino concepts such as bakla historically encompassed more fluid intersections of gender expression, sexuality, social role, performance, and class (Garcia, 2008). The globalization of queer politics in the Philippines therefore produced hybrid identities shaped simultaneously by local traditions and transnational political discourse.
Religion also played a major role in these tensions. I attended Catholic Mass with Richard Mickley during my stay in Manila, and although he retained appreciation for Catholic ritual and spirituality, he was sharply critical of institutional Catholic teachings regarding sexuality and LGBTQ+ exclusion. His later writings reflected strong opposition to what he described as “sex-negative theology,” particularly regarding LGBTQ+ marginalization and the Catholic Church’s role during the AIDS crisis (Mickley, n.d.).
Looking back now, I recognize that I was present during a major historical transition in Southeast Asian LGBTQ+ history:
- the expansion of organized Pride activism,
- the growth of LGBTQ+ political organizations,
- the emergence of queer Filipino media,
- and the globalization of queer political identity at the end of the twentieth century.
At the time, however, these developments did not feel historic. They felt immediate and deeply human. People were organizing marches, publishing newspapers, building communities, debating identity, and creating spaces where LGBTQ+ Filipinos could exist openly within a rapidly changing society.
Richard Mickley passed away on February 14, 2023. Reflecting on my experiences now, I realize that I had the privilege not only to conduct research during a pivotal moment in Philippine LGBTQ+ history, but also to personally participate in that history while encountering one of the individuals who helped shape it.
Perhaps the most important lesson I took from that fieldwork is that global political movements are never simply exported unchanged into new societies. They become translated, localized, and transformed through existing cultural systems. Stonewall did not simply arrive in the Philippines unchanged. It became Filipino.
References
Garcia, J. N. C. (2008). Philippine gay culture: Binabae to bakla, silahis to MSM. University of the Philippines Press.
Mickley, R. (n.d.). Biography and ministry history. Metropolitan Community Church historical materials.
United Nations Development Programme [UNDP], & United States Agency for International Development [USAID]. (2014). Being LGBT in Asia: The Philippines country report.
Walter, K. (1999). The gender behaviors of Filipino male homosexuals in Metropolitan Manila within the era of cultural globalization (Master’s thesis, Northern Illinois University).
OPM Ends Gender-Affirming Care in 2026
By Katherine Walter
On August 25, 2025
In LGBTQ+ rights
To understand the gravity of this reversal, it is necessary to recall how hard-fought the gains for transgender health care under FEHB were. In 2014, OPM lifted the longstanding blanket exclusion of gender-affirming procedures, and by 2016 carriers were instructed not to categorically deny such care. This change aligned federal benefits with emerging medical consensus that gender-affirming treatments are not elective but medically necessary. The World Professional Association for Transgender Health (WPATH) and the Endocrine Society have long affirmed that access to hormone therapy and surgeries significantly reduces psychological distress, improves quality of life, and prevents serious health complications (Hembree et al., 2017; Coleman et al., 2022). For nearly a decade, transgender federal employees and retirees could rely on this coverage as a matter of equity and recognition of their humanity.
As a transgender woman who has been receiving gender-affirming health care for more than eleven years, this policy shift strikes me not just as a bureaucratic adjustment but as a direct threat to my life and well-being. Having undergone an orchiectomy, I rely on estradiol not simply as an affirming treatment, but as essential hormone replacement. Without it, my bones, cardiovascular health, cognition, and emotional stability would be at severe risk. Estradiol for me is no different than thyroid medication for someone with hypothyroidism—it is medically necessary, lifelong care. To see it lumped under a politically charged category of “optional” transition services is both scientifically inaccurate and deeply insulting.
What unsettles me most is the uncertainty this policy creates. OPM’s promise of an “exceptions process” offers little clarity. Will it protect those of us with medical histories spanning over a decade of consistent care? Or will it force us into endless appeals and denials, treating every prescription refill as a battle? This ambiguity is destabilizing, and I cannot help but feel that it is intentional—designed to make care harder to access and to discourage providers from stepping forward.
As a federal retiree, I gave years of service under the assumption that the benefits I earned would protect me equitably. Now, I feel as though my identity has made me a target within the very system I trusted. The estimated 14,000 transgender federal employees and retirees who will be affected are not faceless statistics; we are people who dedicated our careers to serving this country, only to be told that our health care needs are unworthy of recognition (Lambda Legal, 2025; them.us, 2025). The exclusion also signals a dangerous precedent: that essential medical care can be stripped away not because of evidence or cost, but because of politics.
This change must be understood in its broader social context. Over the past decade, transgender Americans have seen both progress and backlash. The Affordable Care Act’s Section 1557 extended nondiscrimination protections in health care, and the Supreme Court’s ruling in Bostock v. Clayton County (2020) affirmed that gender identity is protected under Title VII. Yet, simultaneously, states across the country have passed laws restricting access to gender-affirming care, particularly for youth, framing these measures as cultural wedge issues. The OPM directive extends that wave of exclusion into the federal system, embedding discrimination into the nation’s largest employer-based insurance program.
For me personally, this is not an abstract policy debate. It is about whether I will be able to continue accessing the medication that keeps me healthy and alive. It is about whether the years of progress we celebrated were only temporary reprieves. And it is about what message this sends to younger transgender people entering federal service today: that their health and dignity can be used as bargaining chips in political battles.
I cannot help but feel anxious about what the future holds, but I also feel resolved. This rollback will not go unchallenged. Advocacy groups such as Lambda Legal, the National Center for Transgender Equality, and others have already condemned it as unlawful and are preparing legal strategies (Lambda Legal, 2025). As a transgender woman and a retiree, I plan to add my voice to that chorus, because silence is what allows discrimination to endure. We have fought too hard, and for too long, to let the ground be taken out from under us without resistance.
References
Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., de Vries, A. L. C., Deutsch, M. B., … Winter, S. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health, 23(sup1), S1–S259. https://doi.org/10.1080/26895269.2022.2100644
Hembree, W. C., Cohen-Kettenis, P. T., Gooren, L., Hannema, S. E., Meyer, W. J., Murad, M. H., … T’Sjoen, G. G. (2017). Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism, 102(11), 3869–3903. https://doi.org/10.1210/jc.2017-01658
Lambda Legal. (2025, August 19). Lambda Legal condemns Trump administration’s illegal exclusion of gender-affirming care from employee health benefits. Retrieved August 22, 2025, from https://lambdalegal.org/newsroom
Moss, K. (2025, August 20). Coverage for gender-affirming care will be eliminated from FEHB plans in 2026. Government Executive. Retrieved August 22, 2025, from https://www.govexec.com
Office of Personnel Management. (2025). Carrier Letter 2025-01b: Chemical and surgical sex-trait modification exclusion. Retrieved August 22, 2025, from https://opm.gov
them.us. (2025, August 20). Trump Admin to end coverage of gender-affirming care for federal workers. them. Retrieved August 22, 2025, from https://www.them