Opinions
Medical community must address injustices facing LGBTQ patients
Standards of care reinforce a binary, heterosexist model
We are now living in a modern time where telemedicine can become one of the biggest solutions for the massive inequalities that LGBTQ communities have historically faced in healthcare. When I think back on my OB-GYN residency at Stanford University, I was trained to order a pregnancy test for every patient who could become pregnant who was undergoing surgery ā patients were treated the same regardless of or without a discussion about sexual orientation, gender identity, or sexual behavior.
This is just one example of the gaps in our system. I also witnessed an infertility doctor limiting his practice to married heterosexual couples, and even labor and delivery nurses caring for patients in same-sex relationships expressing discomfort with their assignments.
Iāve often wondered why the FDA classifies testosterone as a controlled substance. According to the CDC, a drug or other substance is tightly controlled by the government because it may be abused or cause addiction. Labeling testosterone as a controlled substance makes gender affirming hormonal therapy for transgender men and non-binary individuals restrictive.
Even further, think about the language around abortion, like the Dobbs decision by the Supreme Court in June 2022. āErosion of womenās rightsā implies a cis woman bias, which we all read in the media as well as in the language used from well-intentioned pro-choice groups. Tactics from anti-abortion groups on abortion clinics are now being repurposed. Movements in Florida and Texas exist to make gender transition-related medical care for minors a felony.
What is the root of these issues? Itās clear: standards of care in clinical medicine have been based on the white male model and when sex assigned at birth mattered, reinforcing a binary and heterosexist model. Those in LGBTQ communities have been stigmatized as a homogenous group of sexual and gender minorities and subjects of relatively little health research. The health status of LGBTQ populations is limited mostly to mental health, HIV, and other sexually transmitted infections.
Title VII of the Civil Rights Act of 1964 makes it unlawful to discriminate against someone on the basis of race, color, national origin, sex (including pregnancy, sexual orientation, and gender identity) or religion. However, religious entities may be exempt. Religious organizations still have the freedom to provide insurance policies and health care services consistent with their convictions. According to a publication in JAMA Network, the Catholic hospital market share was 18.4% in 2018.
However, thereās momentum in changing these inequalities for LGBTQ patients. In 2011, the Institute of Medicine released the report āThe Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding.ā The National LGBT Health Education Center (a program of the Fenway Institute) developed a āHow Toā for Providing Inclusive Services and Care for LGBT People: A Guide for Health Care Staff.
We, in medicine, have continuous training in implicit bias. Patients want clinicians who can relate to them. This is especially true for historically disenfranchised and marginalized populations. Finding someone you can identify with feels validating, and it may increase your confidence about going to the doctor and your ability to actually adhere to medical advice.
We need more underrepresented minority physicians and more female physicians in the U.S. healthcare system. What about LGBTQ physicians? Comprehensive data does not exist. We need to develop the LGBTQ physician workforce that values diversity, including LGBTQ identity, if we want to start seeing these changes.
In the meantime, that IVF doctor with whom I trained now provides inclusive care, demonstrating hope for a new era where patients of all gender identities and sexualities are treated with dignity.
The medical community is behind and needs to catch up with appropriate equal rights for the LGBTQ community. Telemedicine is one area where healthcare can move more quickly to end these disparities in care. The technology in telemedicine gives LGBTQ patients access to gender-competent, non-discriminatory care, which may be harder to find in rural areas and healthcare deserts. Inclusive online forms and language that are built into the patient experience can better serve all patients. Telemedicine is now our moment. It is THE opportunity to equalize health care and finally reduce these archaic stigmas and biases.Ā
Dr. Mary Jacobson is an OB-GYN who studied at Stanford University and has dedicated her career to women’sĀ health. She serves as the Chief Medical Adviser at AlphaĀ Medical.
Opinions
Biden will be remembered as a great president
He led us out of COVID and brought about Gaza ceasefire
Thank you, President Biden, for the Israel/Hamas ceasefire agreement and for all you have done for the country.
I know President Felon will want to take all the credit for the Israel/Hamas ceasefire. The fact is, the blueprint for this ceasefire was announced by President Biden on May 31, and hailed by the UN. Clearly Trumpās threat to Hamas moved the needle, and I am sure his envoy, who President Biden invited to join the talks, was helpful. But as the Biden spokesperson told Craig Melvin on the āTodayā show, there is more than enough credit to go around, and the hostages surely donāt care as long as they come home. I really think the media need to stop dealing with the minutia, and focus on whatās important.
The nation needs to thank President Biden, and his team, including Secretary of State Antony Blinken, National Security Adviser Jake Sullivan, and his deputy, Jon Finer along with all the other negotiators including Brett McGurk, part of the Biden team, and Steve Witkoff for Trump. Clearly strong roles were played by Egypt and Qatar, all working diligently to bring this day about.
With the support of the United States, Israel remains strong. President Biden helped put together the coalition, which helped Israel defend itself against Iranian attacks. Now will come an even harder part, and it will fall to the Trump administration. We will see Trumpās true colors. Will he simply help his company build new hotels in Israel, which they are trying to do, or will he move to help in the rebuilding of Gaza, and give full support to the Palestinian people. We as a nation must be a big part of rebuilding Gaza. We must move to bring about a free and stable Palestinian state, one that can support itself. That may be a dream, but it is one the United States, and the rest of the world, should be working toward. It is the only way there will ever be a true, lasting, and fair peace, in the region.
I listened to President Bidenās last speech to the nation, and was really proud of him, and proud to be an American. History will view Joe Biden as one of our best presidents. He took office when the COVID pandemic was still in full swing, and people were debating how to start getting back to their lives as they knew them. Trump left the nation in a mess. The economy stalling, millions of jobs lost, and people suffering. More than one million people died of COVID. Our troops were still in Afghanistan and inflation was beginning to rise. President Biden signed the American Rescue Act, which among other things sent checks to millions of Americans. His mistake was that contrary to when Trump sent out checks, he didnāt sign his name to them. He followed that with the Inflation Reduction Act, making huge investments in the American economy, in the areas of energy and climate, among others. He followed that with the first gun control measure in decades, and then the infrastructure bill. He next signed the CHIPS Act, and more. While inflation rose to 9%, his administration worked hard, and with their effective economic policies, have brought it down. Trump will inherit the best economy in the world, with inflation at 2.9%. The stock market is booming, and Biden added nearly 16 million jobs during his term, more than any other one-term president in history. Manufacturing in the nation is booming.
President Biden stood strong against China and Russia. His efforts strengthened NATO and so far, seen that Ukraine remains a free and independent country. Our troops are not fighting anywhere on foreign soil.
President Biden is right, and we must definitely fear the oligarchy that surrounds Trump. We must fear the likes of Musk, Zuckerberg, Bezos, and the other multi-billionaires who have attached themselves to Trump for their own greed and betterment. They donāt care about truth, and they donāt care about the rest of us.
The next four years will be a time to join the resistance to prevent us from going backwards. We must resist legally, and without force, but for those of us who want our democracy to survive we need to keep speaking out. We must work to win elections in Virginia and New Jersey in 2025. Then focus on taking back the House of Representatives in 2026. We can do both, and we must, if we are to ensure the experiment that is the United States, survives and thrives, as we celebrate 250 years in existence.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Opinions
Anita Bryant was āthe best thing that ever happened to usā
A closer look at the life of anti-gay crusader
In 1977, Anita Bryant, who recently died, made the career mistake of a lifetime when she began an anti-gay campaign in Miami. Her campaign failed for two important reasons.
First, Bryant mistook the political strength of the gay movement across the U.S. Secondly, her use of religion to promote a campaign of bigotry raised serious questions about her honesty.
After being crowned Miss Oklahoma in 1958, Bryant spent the next two decades performing at state fairs, veteransā events, religious and charity events, and churches. She performed with Bob Hopeās U.S.O. tours and visited veteransā hospitals. She promoted Christian living and Florida orange juice. She once said she had abundant energy because āthe Lord Jesus is my Vitamin C.ā
In 1977, Bryant and husband Bob Green, a former Miami radio disc jockey, began an anti-gay campaign called āSave Our Children.ā The campaignās goal was to reverse Miami-Dade Countyās policy barring discrimination against gays. She raised concerns about gay teachers in public schools.
Bryantās anti-gay campaign raised questions about her professed Christian faith. She criticized ācowardly clergyā for their silence on fighting gay rights.
By the late 1970s, Bryant and her husband had published several books about their Christian faith. Bryantās book tours were a mix of entertainment, self-promotion, with a dose of religion. When reporters asked her who wrote the books, Bryant arrogantly said, āThe Lord wrote my books.ā When it was later revealed she hired a ghost writer, Bryantās honesty became an issue.
Celestine Sibley, a veteran columnist for The Atlanta Journal, wrote āThe Truth is I Donāt Care for Anita Bryant,ā on Sept. 7, 1978. Sibley disliked Bryantās sanctimonious claim that Jesus wrote her books when the books were ghosted.
In support of gays, Sibley quoted sections of Lord Alfred Douglasās letters to his mother about his love affair with author Oscar Wilde. His mother urged her son to leave Wilde. Douglas asked her what she could give him in exchange for his lover. Douglas wrote: āWho is going to āfeed my soul with honey of sweet bitter though?ā Who is going to make me happy when Iām sad, depressed, and ill at ease?ā The column was fine journalism for its time. It was an eloquent way of supporting gays.
The newspaper published dozens of reader letters in response to Sibleyās column. One writer said Bryant was āa loudmouth ignoramus.ā Writers overwhelmingly supported Sibley. Many writers called Sibley courageous for opposing Bryantās anti-gay campaign.
In a 1978 Knight-Ridder article, Jean OāLeary, a former nun and an executive director of the National Gay and Lesbian Task Force, said Anita Bryant was āthe best thing that ever happened to us.ā Her appreciation for Bryant was shared by other gay activists. The anti-gay rights movement had a face. The face of Anita Bryant.
In San Francisco, gay activist Harvey Milk, as quoted in āThe Mayor of Castro Streetā by Randy Shilts, said, āAnita Bryant herself pushed the gay movement ahead and the subject can never be pushed back into darkness.ā If Bryant had felt the gay rights movement was weak, unorganized, and unable to fight against her campaigns, she soon learned a lesson.
In the May 1978 issue of Playboy magazine, Bryant said that she had survived ānumerous close calls with mayhemā and that she āexpects to be killed by homosexuals.ā She said that ātwenty years in jail would rehabilitate homosexuals.ā Husband Bob Green said, āletās face it ā when some militant homosexual kills Anita, the guy will be an instant hero.ā
Christian Century magazine, in 1978, published poll results on religious influencers. President Jimmy Carter, a Southern Baptist layman, and Anita Bryant were among the top influencers.
By the time of her 1980 interview in Ladiesā Home Journal, Bryant was a changed woman. She was divorced. She admitted to suicidal thoughts. She admitted to taking tranquilizers, sleeping pills, and wine due to āthe pressures of her work and family life.ā She declared bankruptcy.
Bryant made another important admission in Ladiesā Home Journal. She admitted to an attitude of ālive and let liveā toward gays. One New York journalist called this admission Bryantās āComing Outā as a human being.ā
James Patterson is a Washington, D.C.-based writer.
Opinions
Howard County exec: Inclusive communities are thriving communities
In Maryland, itās more than a talking point ā itās a way of life
Every person, organization, and business has the opportunity to make inclusion a core mission. Yet, true inclusion requires more than intention. It demands action to ensure every person in our community can live authentically, embrace their potential, and thrive without fear of hate or harm. In Howard County, Md., we are doing our part to make inclusivity more than a talking point ā itās a way of life.
The Human Rights Campaignās 2024 Municipal Equality Index (MEI) awarded Howard County a perfect score of 100 for the third year in a row. At a time when LGBTQIA+ rights are at stake, the MEI and the rubric it provides for cities and towns across our country has never been more important.
The MEI examines how inclusive municipal laws, policies, and services are in cities and towns across the country. The report scores cities across five domains: non-discrimination laws, municipality as an employer, municipal services, law enforcement and leadership on LGBTQ+ equality. We proudly achieved the highest marks in all five domains, which comes as no surprise. Itās important to me that Howard County is a national model for implementing inclusive policies for our 17 protected classes in Howard County.
When I first took office as Howard County Executive in December of 2018, one of my first initiatives was hosting our very first Pride festival. It was the perfect time to celebrate and reflect upon the progress we made to advance civil rights and protections for our LGBTQIA+ neighbors. In June of 2019, Howard County proudly hosted its first Pride festival, with thousands of attendees, solidifying our commitment to our residents and neighbors.
It was also ever important that our LGBTQIA+ residents had a seat in government operations. In 2022, I established Howard Countyās inaugural LGBTIA+ Commission, which partners with county agencies, nonprofit organizations and other community groups to facilitate an environment of inclusion, communication, understanding and respect throughout the county. This Commission continues to advance policy and systemic changes for those with different gender and sexual identities.
To further uplift our neighbors, for the first time in county history, in June of 2022 we proudly raised the Pride flag at the seat of Howard County government, symbolizing unity and inclusiveness. This meaningful action reflects our commitment to supporting, celebrating, and standing with all LGBTQIA+ individuals in Howard County, affirming that they are a vital, welcomed, and celebrated part of our community.
In 2024, our Office of Human Rights and Equity (OHRE) hosted various community events, workshops, listening and training sessions that attracted 4,000 attendees. Creating community spaces where people can freely share their thoughts fosters a collective sense of belonging. We want everyone to know that their voice matters.
Additionally, more than 160 Howard County government employees received training from our Equity and Restorative Practices Unit last year. This pioneering initiative delves into the ways current leadership paradigms might perpetuate racialized dynamics. It is imperative we continuously examine our current practices to see where we might be lacking and devise ways to remedy our weaknesses.
Across our country of thousands of cities and counties, we are proud to be counted among 130 MEI-rated cities that have earned the highest score of 100. This shows the immense progress local government is making to enact policies and legislation that protect the classes of sexual orientation and gender identity. By focusing on making a difference where people live, learn, and grow, we can make a bigger impact nationally combating hate and discrimination based on sexual orientation and/or gender identity. Because we know ā when we foster inclusive communities we foster thriving communities.
Calvin Ball is the executive of Howard County, Md.Ā
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