Transgender and gender non-conforming people face discrimination and harassment in virtually all realms of society. The stories of hate crimes against trans-identified individuals that make it into mainstream media only scratch the surface of heinous rates of violence directed toward this community. That level of trauma creates a barrier to getting through the door of a health care facility and accessing care. Even when trans people manage to reach out for health care, they often find more harassment waiting for them. The National Transgender Discrimination Survey found that nearly a quarter of those surveyed had been discriminated against in a doctor's office or hospital, and half of respondents had to teach their providers about transgender care.