to the transition of Chelsea Manning, a transgender U.S. Army soldier imprisoned for releasing classified documents to WikiLeaks. A Fox News story on Manning's transition was introduced with the Aerosmith song "Dude (Looks Like a Lady)", while host Gretchen Carlson referred to Chelsea by her deadname, mocking The New York Times for "helping him" by using Manning's preferred gender pronoun. The Army refused to let her grow her hair as long as female prisoners, and continued referring to her using her deadname so as "to avoid confusion" until a court mandated her correct gender pronouns. Trans health According to the 2011 National Transgender Discrimination Survey Report on Health and Health Care (NTDSR), which surveyed 6,450 transgender and gender non-conforming people, people who do not identify with their birth sex face obstacles to getting healthcare and have a greater likelihood of facing health issues related to their gender identity. Mental health Transgender people experience greater mental health problems, such as depression, anxiety, suicide attempts, and post traumatic stress disorder (PTSD), as well as physical health disparities (e.g., cardiovascular disease). Trans people also have a higher rate of suicide attempts than the population as a whole. In 2013, 2.2% of U.S. adults had attempted suicide while 41% of trans people had attempted suicide at some point in their life in 2011. The rate of attempted suicide in transgender individuals increased to 51% for those bullied or harassed in school, 55% for those who recently lost a job due to bias, and 61% and 64% for those who were victims of physical and sexual assault, respectively. Low self-esteem in transgender people has been linked to being at high-risk for HIV transmission. In 2008, the rate of HIV in transgender women in North America was 27.7%. Access to healthcare In the 2010 and 2011 NTDSRs, 19% of the people surveyed reported having been refused medical care due to their gender identity and 50% reported lack of provider knowledge of transgender health needs. Under the Affordable Care Act, it is illegal for any health program receiving federal funding to discriminate based on gender identity. Discrimination includes refusal to admit, treat or provide any services that are available for other patients; subjection of patients to intrusive examination; harass or refuse to respond to harassment by other staff or patients; refusal to provide support services; obligation to participate in conversion therapy; and any sort of interference in