In March, RuPaul’s Drag Race, a reality competition show in search of “America’s Next Drag Superstar,” featured a mini-game called “Female or She-male.” Contestants looked at pictures of bodies and tried to guess whether the person in the picture was a drag queen or a cisgender (not transgender) woman. This prompted a backlash from many transgender activists, who were upset by the nature of the segment and its use of the word “shemale,” which GLAAD explains is a term that “dehumanizes transgender people and should not be used.”

After an initially weak response to the outcry, Logo TV, the LGBT-focused network that airs Drag Race, announced it was pulling the episode and also cutting the “You’ve got She-mail!” segment that has been part of every episode of the show over its six seasons. Despite the resolution, the incident has continued to be a flashpoint about how the visibility of drag culture on Drag Race impacts public understanding of what it means to be transgender. Questions about the appropriate use of words like “shemale” and “tranny” speak to a larger conflict over media representation and the authenticity of identities.

RuPaul, the show’s host and executive producer, has been unrepentant, telling comedian Marc Maron recently, “I love the word ‘tranny,’” and that it’s only “fringe people” who are taking exception with such language. But among those “fringe people” expressing concern are former contestants from Drag Race, including Carmen Carrera and Monica Beverly Hillz, both of whom now identify as trans women. According to Hillz, she is still fighting for respect from society, because “people don’t understand the daily struggle it is to be a transgender woman.”

Hillz’s point is at the center of the conflict, because Drag Race is a show that is not about being transgender but that clearly has implications for transgender people — a particularly vulnerable population. People who identify as transgender report incredibly high rates of discrimination across their lives, including in employment, housing, health care, education, and police interactions. The National Coalition of Anti-Violence Program’s recent study found that 72 percent of all violent crimes against LGBTQ people in 2013 targeted transgender women, who also made up 67 percent of LGBTQ homicide victims. One of the most alarming statistics, that 41 percent of transgender people have attempted suicide — compared to just 1.6 percent of the general population — reflects the mental health consequences that result from this discrimination, harassment, and violence.