*Reported by NPR’s Morning Edition.

Staff and patients at the Department of Veterans Affairs say impacts of Trump administration changes to the agency go beyond erasing diversity programs and affect care for LGBTQ patients.

A MARTÍNEZ, HOST:

The Department of Veterans Affairs is planning to cut as many as 80,000 employees, which it says won’t affect healthcare or benefits. Still, VA staff and patients are concerned that a policy ending diversity programs will affect care for LGBTQ veterans. Here’s Steve Walsh with WHRO in Norfolk, Virginia.

STEVE WALSH, BYLINE: Mary Brinkmeyer put in her resignation after receiving emails from management in the wake of President Trump signing executive orders targeting DEI.

MARY BRINKMEYER: It was just a really upsetting and shocking change for me from feeling as if the program was supported to suddenly having people being told they have to take every Pride magnet out of their office. And it felt like that happened just overnight and without a lot of thought.

WALSH: Until recently, the psychologist was the LGBTQ+ veteran care coordinator for the Hampton VA. A few days after the inauguration, employees at her VA were told to take down any outward signs referencing LGBTQ veterans, including flyers printed by the VA.

BRINKMEYER: Less than 24 hours after everything had been taken out of the main hospital, I was speaking to a gay veteran who said, oh, I heard about how y’all took everything down. I guess that shows what they think of us.

WALSH: Rainbow-colored Pride lanyards, which say the VA serves all who serve, had been a strategy to make veterans feel safe. They were banned from the building, she says.

BRINKMEYER: A lot of LGBTQ veterans don’t feel safe coming to the VA because their experiences in the military were so unsafe.

WALSH: Brinkmeyer says she decided to resign when she said she was told to stop attending employee orientation. A large part of her job had been training other providers in ways to ask the right questions. A transformation is underway at the VA, but it’s unclear how large the change will be. VA Secretary Doug Collins announced the change to the VA’s flag policy.

(SOUNDBITE OF ARCHIVED RECORDING)

DOUG COLLINS: For all of us who served in uniform, that American flag is on our uniform. It’s what unites us. So we’ve changed the policy. At the VA, you’re only going to see the American flag and the POW flag. That’s what’s going to be flying in front of our facilities.

WALSH: John Rogers with the Hampton VA says they are working to execute the executive order, and there will be no changes to services and benefits for veterans and VA beneficiaries until a formal order is issued. Banners and posters advertising the VA’s outreach for LGBTQ+ veterans came down very quickly at the Hampton VA in Virginia. Amanda Volk is a patient at the Hampton VA. She served under Don’t Ask, Don’t Tell in 1995 and got out 18 months later after a sexual assault.

AMANDA VOLK: For those of us that lived through Don’t Ask, Don’t Tell, we were there. We saw it. We marched. We fought. We thought we had our rights. And now it’s – you know, we’re back to the ’80s with people being scared.

WALSH: In New York state, one mental health practitioner says posters remain up at his VA, but he’s still seeing a chilling effect among veterans. NPR agreed to withhold his name as he fears retaliation.

UNIDENTIFIED HEALTH PRACTITIONER: I think, you know, veterans are kind of hesitant, and some veterans I know have decided they’re not willing to come in person. It’s more on the veteran side of things that there’s this uncertainty of kind of what care actually is going to look like.

WALSH: Adding to the tension, in late January, a transgender veteran killed themselves in the parking garage of the Syracuse VA Medical Center, wrapped in the transgender flag – an indication, he says, that this shift has a high potential to impact patient care at the VA.

For NPR News, I’m Steve Walsh.

MARTÍNEZ: If you or someone you know is in crisis, call or text 988 to reach the Suicide & Crisis Lifeline.