Opinions
Where is Chase Brexton Health Care growing?
Changes won’t affect our commitment to LGBT community
From unions to patient care, Chase Brexton Health Care has been the topic of much conversation of late. Many have asked: what does the future hold for an organization that has been a beacon of care, hope, and acceptance for Baltimore’s — and, increasingly, all of central Maryland’s — LGBTQ community for almost four decades?
I’ve been told by some that they feel Chase Brexton is growing away from its roots; transforming from an affirming expert in LGBTQ health care into a mainstream “generic” health care facility. As an openly gay man and a member of Chase Brexton’s leadership team, I’m saddened and frustrated to hear this.
There is no denying Chase Brexton has grown by leaps and bounds in the last five years, but that growth does not diminish our unending commitment to serve as an exemplary LGBTQ provider and resource for our communities.
Chase Brexton was founded in response to the needs of our community; the desire for respect, safety, and care. The volunteers who began the practice as a gay men’s STD clinic in 1978 likely had no idea how long the clinic would last. Unknown to anyone then, the HIV epidemic was also on the horizon.
HIV/AIDS ravaged Baltimore’s LGBT community through the 1980s. After a decade of battling the disease, Chase Brexton’s leadership in the early 1990s was struck by the needs of the community’s families, partners and friends who were not infected with HIV, and were not necessarily LGBT, but were in need of access to affirming, welcoming health care.
To meet those needs, we added behavioral health and case management services to our growing care model. By 1995, Chase Brexton had full primary care services available to anyone in need of care.
This expansion was not intended to minimize our care for our LGBTQ patients. To the contrary, that growth addressed more of our patients’ unique needs. It welcomed those who were yet unable to identify, and it welcomed those who were medically underserved. Ultimately, the intent of Chase Brexton’s growth was, and still is, to build stronger communities for all of us.
In 2000, we provided care to fewer than 1,000 individuals who identified as LGBTQ. Today, that number is close to 5,000. But it doesn’t include the number of individuals who come through our doors for free HIV testing and free education and resources.
In fact, the total number of LGBTQ people we serve has significantly increased, and our growth has allowed us to focus greater resources on their varied needs. By establishing our LGBT Health Resource Center, by creating a dedicated behavioral health team for LGBTQ patients, by adding a pediatric practice for gender-diverse children, and by adding support and training programs for LGBT caretakers and elders, Chase Brexton remains committed to ensuring our community’s needs are met amid the changing face of healthcare.
To the LGBTQ community at large I say: Chase Brexton will always work to meet the needs of our community. We believe the doors must be open for those who have limited access to care and we will do all we can to get them into care. And we will continue to hire and train culturally competent, affirming staff who believe in our mission and vision.
I would be remiss if I didn’t address that last thought a bit more firmly: Our staff of 410 employees across all our five centers, at every level in the organization, are a part of our team for one reason, they are mission-driven.
To put numbers to it, more than half of our provider team has a special focus on LGBT health care. While 4 percent of our total patient population identifies as gender diverse, 15 percent of our providers have a special focus on trans care.
Less than a year ago, a survey of our staff was independently performed by the Society of Human Resources Management. In that survey, 81 percent of respondents said the diversity and inclusiveness of our organization was a highly important factor in why they chose to work here. In addition, 88 percent said the work itself was a key factor in why they sought employment with Chase Brexton.
I have no doubt of the passion shared by everyone at Chase Brexton for the work we do and the patients we care for. Chase Brexton’s team is human, and we are not perfect. As an organization, and as we continue to grow, we will likely run into issues, make mistakes, and stumble. But our first and last thought in all we do is about our patients’ health and how we can provide better care for both our patients and our staff.
Nate Sweeney is executive director of the LGBT Health Resource Center of Chase Brexton Health Care.
Commentary
Sexting with younger guy has me asking: How queer am I?
Reflections on LGBTQ life in 2024
Once upon a time, not all that long ago, a man sexted another man.
There were words. There were pictures. There were filthy questions and even filthier responses. You know, the way a good sexting convo ought to be, for those who dabble.
One man was 33. The other, 24. And while it comes as no shock that I was the 33-year-old, it may be more surprising to learn it was the 24-year-old who grabbed the reins.
What kinks you into? he asked.
Shit – I didn’t know. I barely even bottomed before the pandemic, and now I had to know my kinks?
I’m open, I replied, evasively. You?
His response left me coughing: “Love musk sweat ws public group rough bb verbal bate edge roleplay and very open-minded.”
Now I’m no prude (in fact, many would call me a downright whore) but this young man articulating his kinks and fetishes in such detail blew my mind. When did he learn what he liked? At 24, all I wanted was to top a guy and leave with as little communication or attachment as possible. At 33, I wasn’t sure what a few of the items he listed even meant.
Perhaps I shouldn’t be surprised when young men — and the younger generation across the LGBTQ spectrum in general — have already figured out their sexual interests. I arrived in D.C. from Idaho in 2008 as a fresh-faced 18-year-old; I came out three years later in 2011. Attitudes toward queerness have shifted substantially since then, and these days it is undeniably easier for younger people to explore their sexual and gender identities (which, by the way, is fantastic).
But this conversation left me wondering: What do I like? I haven’t sought out that many new sexual experiences, and while fetishes, kinks, and sexual desires can seem trivial, they’re inextricably intertwined with gender and relationships. If I can’t articulate what I like in the sack (or in public, if I dare), then how do I know what I’m seeking from a long-term partner, or if that’s even what I want?
As soon as I came out, I thought my job was done. All I needed after that was to snatch up a cutie and settle down. Instead, my identity centered on building my career in politics, where sexual openness isn’t as appreciated. I, like many D.C. queers around me, moved here bright-eyed, bushy-tailed, and ready to change the world for good.
Then came a tough lesson: Just because I wanted to improve the world didn’t mean people wanted me to. I was inexplicably fired from not one job but two, and suddenly the do-gooder in me grew jaded. The career I dedicated years to was suddenly ripped from my hands, and I became so disillusioned I didn’t even want it back. Oh, and the cherry on top: My boyfriend dumped me two days later.
Once everything unraveled, I wondered: Was the me of the past the me I truly wanted? Or was I reflecting back what I thought everyone wanted me to be?
Well, a few major meltdowns and an extended slut phase later, my life couldn’t be more different. I now work at a new gay bar in town to support myself, and I’ve given myself space to pursue the arts. This former straight-laced, type-A, tightly wound gay abandoned the safe track and he couldn’t be more terrified. He also couldn’t be more excited.
But losing my old career also left an existential-sized hole in my identity. So, as I sexted this 24-year-old with newfound awareness of my limitations, I decided this must change.
How? As I said, I work at a gay bar in one of the queerest cities in America. Now more than ever I’m surrounded by those who are LGBTQ and every shade in between. Why not learn from those around me, whether younger, older, or around the same age, but whose experiences are no less queer? Why not carve out time to have in-depth discussions and discover what the possibilities are?
If being queer means to go against the established norms of gender and sexuality, then there’s still plenty of territory for me to explore. No longer can ‘bottom’ or ‘top’ be my only options.
So, the purpose of this column – aptly titled Queer Quest – is to capture my exploration of queer identity. It’s not to teach you as much as it is to teach myself, and you can either learn alongside me or simply be entertained. At the very least, I’ll have a series of portraits on what it’s like to be queer in the mid 2020s. At most, I’ll have a better understanding of who I am as a queer person.
Then maybe, just maybe, I’ll become a better sexter.
Jake Stewart is a D.C.-based writer.
Commentary
What will you do to make Pride safe this year?
Anxiety reigns among American Jews after Oct. 7
Each year, hundreds of thousands of Jews and supporters of Israel attend Pride marches. With a few exceptions, these spaces have always been safe and welcoming for the broader Pride community.
But this year is different.
For American Jews, anxiety reigns as we head into this Pride season. The appalling rise of antisemitism since Oct. 7 forces us to ask difficult questions. As many Jews increasingly feel alienated and excluded from progressive spaces, we’re left to wonder: If I wear a Jewish symbol, march with a Jewish group, or wave a rainbow flag adorned with the Star of David, will I be safe at Pride?
Even before Oct. 7, LGBTQ Jews had plenty of reason to feel trepidation about their safety at Pride. From blanket bans on Stars of David at past Pride gatherings to antisemitism on display at the recent Sydney Pride, too often Jews feel forced to choose between their LGBTQ and Jewish identities and hide their connection to Israel.
Since Oct. 7, terms like “apartheid,” “genocide” and “Zionism equals racism” are increasingly thrown around casually, often without a nuanced understanding of their impact or the realities they oversimplify. This rhetoric not only alienates but also endangers Jewish queer people. It makes us feel emotionally unsafe. It increases the chances that we will be physically unsafe as well.
We must not allow the Israel-Palestine conflict to be imported into Pride.
I will always remember the euphoria of the first Pride rally I attended. I was barely 18 years old, in a crowd of people of all ages, races, genders and gender orientations — and they were like me. Queer. It felt safe. It was the first time I experienced that feeling of safety, and it will always stay with me.
Like Pride events everywhere, it was a vibrant, colorful space for LGBTQ people to celebrate our true authentic selves, without fear or reservation.
But that feeling of safety wasn’t shared by everyone in my small New England town. I soon noticed a few people scattered throughout the crowd wearing paper bags over their heads, with eye holes so they could see but not be seen. I later learned that those faceless people were teachers who, in those days before civil rights protections, needed to protect their identities and their careers.
They did not feel safe. Will Jews and those who are connected to Israel feel safe this year?
The history of Pride is a testament to courage in the face of adversity. It wasn’t long ago when attending Pride events was a defiant act against societal norms, where participants like those teachers faced tangible threats of discrimination, ridicule and even violence. Even today in some places, our queer community still navigates a gauntlet of hatred as we try to celebrate who we are.
It’s crucial to recognize that within the Jewish community, there is a wide spectrum of views on the Israeli-Palestinian conflict, including many who are deeply committed to advocating for Palestinian rights. In fact, many of the 1,200 innocent Israelis murdered on Oct. 7 were Zionists who devoted their lives to reconciliation and peace with their Arab neighbors.
We are at a pivotal moment, one that demands action: What can we do to ensure Pride remains a safe space for everyone, including Jewish participants?
It’s imperative that Pride committees around the country proactively address these concerns. They must implement training programs focused on de-escalation and fostering an environment of understanding and respect.
As individuals who stand in solidarity with the values of Pride, each of us must consider our role in this effort. Will you march alongside those of us who feel vulnerable, offering your presence as a shield against intolerance? Will you engage in dialogues that challenge the importation of external conflicts into Pride, advocating instead for a celebration that unites rather than divides?
The true test of inclusivity at Pride lies not merely in welcoming a diverse crowd, but in ensuring that every participant feels safe and valued. If we remain indifferent to the vulnerabilities faced by Jewish queer people this Pride season, we will fall short of the very ideals of inclusivity and solidarity that Pride stands for.
Just as we expect schools to protect trans and nonbinary students like Nex Benedict, we have a responsibility in the LGBTQ community to ensure that people can carry an Israeli flag or a Palestinian flag, wear a yarmulke or a hijab and be safe.
As we look forward to this year’s Pride, let us commit to making it a space where safety is not a privilege afforded to some but a right enjoyed by all. Let’s engage with our local Pride committees, advocate for comprehensive safety measures and stand in solidarity with those who feel at risk.
Only then can we celebrate the true spirit of Pride, rooted in love, acceptance and the unwavering belief in equality for all.
Ethan Felson is the executive director of A Wider Bridge.
Opinions
How to protect your sobriety on St. Patrick’s Day
Celebrate with a supportive friend and carry a mocktail
Sobriety can be challenging, whether you overcame alcohol or drug addiction or chose to abstain from alcohol for a healthier life. Holidays like St. Patrick’s Day can serve as a reminder of the past or could be looked at as another day.
Many celebrate St. Patrick’s Day sober, as there are generally family-friendly gatherings, community events, or even sober celebrations. If you have concerns about your sobriety, there are practical tips you can use to protect it on St. Patrick’s Day.
For instance, remind yourself why you are sober, and don’t do it alone. You can still have fun and celebrate but do it with other sober people. Everyone has their reasons for stopping drinking; remind yourself of those reasons and hold yourself accountable.
Know your triggers; it doesn’t matter if you are a recovering addict or have removed alcohol from your life. Be cautious around possible triggers that pose a challenge. Most people in this situation choose to skip the bar and find something fun to do or go to a sober St. Patrick’s Day celebration.
Keep a non-alcoholic drink or mocktail in your hand. People will not bother you to ask if you want a drink if you already have something to sip on, like a mocktail. This also leads to planning how to say no. You will encounter social pressure if you go to a bar on St. Patrick’s Day. It’s unavoidable. It’s wise to practice ways to refuse alcohol.
Finally, if all else fails, take a walk outside if you feel overwhelmed. The most straightforward solutions are usually the best. Remove yourself from any situation you know will lead to relapse. This is also why it’s essential to be with a sober friend or loved one; there is accountability and someone to lean on.
The benefits of being sober are plentiful, along with the numerous health perks, such as better quality sleep, more mental alertness, and lessened anxiety or depression. Yet, there is one benefit that is not necessarily always spoken about.
Being sober on St. Patrick’s Day or any day removes all chances of impaired driving. Unfortunately, days that promote heavy alcohol use may increase the chances of drunk or drugged driving. For example, in Washington State, impaired driving has been involved in roughly half of fatal crashes for decades. In 2022, 52% of traffic fatalities involved an impaired driver, according to the Traffic Safety Commission.
Moreover, drivers ages 21 to 30 make up one-third of impaired drivers in fatal crashes, and another 20% are ages 31 to 40. If you are celebrating St. Patrick’s Day sober, take the necessary precautions and look out for one another. If you choose to consume alcohol, drink responsibly, know your limits, and do not drink and drive.