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Content that spreads malicious lies and disinformation about medically necessary healthcare for transgender youth. As described above, such harmful content from high-follower hate-based accounts has resulted in extraordinary real-world harms.13 Specific mitigations on such disinformation must be developed (for instance akin to election and COVID-19 mitigations and rules).
Accounts and postings that perpetuate anti-LGBTQ extremist hate14 and disinformation,15 in violation of platform policies, and which target trans and LGBTQ people, including baseless and malicious disinformation of LGBTQ people being threats to children (e.g. the anti-LGBTQ “groomer” conspiracy theory16). Such harmful and dangerous lies must be more effectively moderated and mitigated.
Dehumanizing, hateful attacks on prominent transgender public figures and influencers. Online attacks against LGBTQ organizations and individuals are on the rise.17 A recent report from GLAAD, UltraViolet, Kairos, and the Women’s March shows that 60% of LGBTQ people feel harmed not only from direct harassment and hate, but from witnessing harassment against other LGBTQ community members such as celebrities and public figures.18 Directing hate against LGBTQ public figures is a common vehicle for expressing general anti-LGBTQ bigotry. When your companies maintain policy loopholes that allow such hate, this perpetuates harm against entire communities.
Anti-transgender hate speech, including targeted misgendering, deadnaming, and hate-driven tropes.19 For example, Media Matters, GLAAD and others have identified multiple YouTube videos — which have accumulated millions of views — that bully, harass, and misgender trans people. In each video, prominent anti-trans pundits use YouTube to demean, target, and misgender young people, their parents, and public figures20 in videos saturated with blatant anti-trans rhetoric. These videos remain active despite these violations having been reported by Media Matters, GLAAD, and other organizations to YouTube.
We know that leading national organizations, including GLAAD, HRC, Media Matters for America, PFLAG, The Trevor Project, ADL, and others, share research and guidance with your companies and escalate violative content. And yet your mitigations remain woefully inadequate. The very content you profit from is in violation of your own terms of service, which assert that you do not allow hate speech.21 
True allies do not profit from anti-LGBTQ hate.
We speak together with one voice to demand that your companies create and enforce stronger content and ad policies to directly confront the content that is causing online and offline harm to transgender, non-binary, and gender non-conforming people.

Sincerely,

https://glaad.org/lgbtq-celebrities-allies-letter-facebook-instagram-youtube-tiktok-twitter-anti-trans-hate-disinformation
https://glaad.org/releases/lgbtq-celebrities-allies-social-media-platforms-anti-trans-hate-disinformation/